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Posting Date: 09/13/2019
276 Claim Status Inquiry Near Real-Time Response
276 Claim Status Inquiry Near Real-Time Response We are excited to announce a process change for our Part A providers that will return a 277 Claim Status Inquiry Response in “near real time.” Beginning in October, 2019, we will return the 277 [...]
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Posting Date: 08/14/2019
Medicare Beneficiary Identifier Monthly Tip
Medicare Beneficiary Identifier Monthly Tip Are you receiving claim rejections because of an invalid beneficiary identifier? It could be that you are using the wrong characters on the MBI. The new Medicare number will not include the letters [...]
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Posting Date: 07/25/2019
Changes to National Government Services Local Coverage Determination Process
Changes to National Government Services Local Coverage Determination Process In accordance with Section 4009 of H.R. 34-21st Century Cures Act (Public Law No: 114-255), CMS is updating the “Medicare Program Integrity Manual” with detailed [...]
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Posting Date: 07/19/2019
Attention PIP Hospitals – Delay in Periodic Interim Payment (PIP) Payments
Attention PIP Hospitals – Delay in Periodic Interim Payment (PIP) Payments We have been informed that the biweekly PIP/Pass-Through payment cycle did not initiate as scheduled last night. Therefore, the biweekly payments will be delayed by one [...]
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Posting Date: 06/10/2019
Reminder: ZIP Code Needed on Claims with Flu Vaccine Codes
Reminder: ZIP Code Needed on Claims with Flu Vaccine Codes Medicare Part B requires the location where the service(s) are rendered to be included on the claim for every service payable under the MPFS. In Box 32 on the CMS-1500 claim form, [...]
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Posting Date: 06/13/2019
MLN Connects® for Thursday, June 13, 2019
MLN Connects® for Thursday, June 13, 2019 MLN Connects® for Thursday, June 13, 2019 View this edition as a PDF News DMEPOS Competitive Bidding - Round 2021: Register Now Medicare Shared Savings Program: Submit Notice of Intent to [...]
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Posting Date: 06/11/2019
EDI Front End Rejection Code Lookup Tool
EDI Front End Rejection Code Lookup Tool The EDI Front End Rejection Code Lookup Tool is a simple to use tool that provides a clear and understandable description of edit codes returned on the 277 Claims Acknowledgement (277CA). Using this [...]
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Posting Date: 10/10/2019
Center for Medicare and Medicaid Innovation Payments
Center for Medicare and Medicaid Innovation Payments Section 1115A of the Social Security Act established the CMMI within the CMS to test innovative payment techniques and service delivery models. This payment model is outside the normal [...]
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