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Posting Date: 06/20/2024
MLN Connects® Newsletter: June 20, 2024
MLN Connects Newsletter: June 20, 2024 News CMS Preparing to Close Program that Addressed Medicare Funding Issues Resulting from Change Healthcare Cyber-Attack Federal Study Examines Care Following Nonfatal Overdose Among Medicare [...]
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Posting Date: 10/12/2022
Medicare Coverage Exclusion: Dental Services
Medicare Coverage Exclusion: Dental Services It is imperative that our providers are educated regarding the exclusion of dental services from the Medicare Program. Medicare generally does not cover dental services. Since the inception of [...]
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Posting Date: 10/12/2022
Medicare Coverage Exclusion: Dental Services
Medicare Coverage Exclusion: Dental Services Table of Contents Medicare Coverage Exclusion: Dental Services Dental Services Excluded Under Medicare Part B Exceptions to Dental Service Exclusion Inpatient Services in Connection With [...]
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Posting Date: 02/04/2022
Best Practices for a Successful Targeted Probe and Educate Review
Best Practices for a Successful Targeted Probe and Educate Review Table of Contents Getting Started With TPE Notification Letter During the Review Process Post-Probe/Review Results Letter Prepare for Post-Probe Education [Return to [...]
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Posting Date: 06/20/2024
AFH_How to Proactively Address Denials
How to Proactively Address Denials How to Proactively Address Denials Want to improve the Payment Error Rate for the next round of review? Be sure to learn about and understand claim denials before the end of round education with the Case [...]
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Posting Date: 09/27/2021
NGS Medical Review Process
NGS Medical Review Process Medicare contractors, like National Government Services, operate the medical review program to prevent improper payments and protect the Medicare Trust Fund. Medical reviews involve the collection and clinical review [...]
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Posting Date: 05/17/2023
How to Prevent Common Skilled Nursing Facility Denials
How to Prevent Common Skilled Nursing Facility Denials This article was developed to increase awareness and educate SNFs on the top errors found by our Medical Review team. The information below includes suggestions to ensure documentation [...]
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