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Posting Date: 06/09/2022
Physicians/Practitioners Who Order Ambulance Transport: Helping Your Patients With Prior Authorization
Physicians/Practitioners Who Order Ambulance Transport: Helping Your Patients With Prior Authorization The RSNAT Prior Authorization Model is a Medicare Fee-for-Service program that was recently instituted throughout the National Government [...]
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Posting Date: 06/23/2022
MLN Connects® Newsletter for Thursday, June 23, 2022
MLN Connects® Newsletter for Thursday, June 23, 2022 Medical Records Correspondence Address News Ambulance Prior Authorization Model Expands August 1 Orthoses Referring Providers: Comparative Billing Report in June Medical Records [...]
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Posting Date: 06/27/2022
June/July 2022 Billing and Coding and Self-Administered Drug Article Updates
June/July 2022 Billing and Coding and Self-Administered Drug Article Updates Billing and Coding Articles Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10 code C45.2 has been added to the Group 1 [...]
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Posting Date: 06/27/2022
Attention Ambulance Suppliers: Important Information on Claim Denials
Attention Ambulance Suppliers: Important Information on Claim Denials If you are billing claims with either A0426 or A0428, please continue to read. National Government Services has been receiving electronic claims with the 2300 REF segment [...]
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Posting Date: 03/02/2015
A/B Rebilling Facts
A/B Rebilling Facts The following information applies to inpatient hospital admissions on/after 10/1/2013 per final rule CMS-1599-F. Background When a Medicare Part A payment cannot be made because an inpatient admission is found to not be [...]
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Posting Date: 01/29/2018
Condition Code G0 Reminder
Condition Code G0 Reminder National Government Services has noticed an increase in the number of claims reporting CC G0 (zero) inappropriately. Please review the following information so that your claims are not rejected or denied due to [...]
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Posting Date: 12/19/2016
Federally Qualified Health Centers Behavioral Health Claims Job Aid
Federally Qualified Health Centers Behavioral Health Claims Job Aid Historically, FQHCs reported behavioral health with codes 90805, 90807 and 90809 with revenue code 0900. However, those codes terminated effective 12/31/2012. Effective [...]
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Posting Date: 12/20/2016
Federally Qualified Health Centers Contracting with Medicare Advantage Plans
Federally Qualified Health Centers Contracting with Medicare Advantage Plans Requirements to Receive Wrap-Around Payments from Medicare The FQHC must have a written contract with the Medicare Advantage (MA) plan that contain the terms [...]
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