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Posting Date: 01/19/2016
Electronic Data Interchange Help Desk E-mail Inquiry Form Assistance
EDI E-mail Inquiry Form Assistance*Required Field - An asterisk adjacent to the form field indicates that completion is required.Line of BusinessList the line of business for this inquiry or issue. Choose from the drop-down box.Medicare [...]
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Posting Date: 08/18/2016
Protected Health Information and Personally Identifiable Information Email Guidelines
Protected Health Information and Personally Identifiable Information Email GuidelinesThe following information is considered PHI and PII. Note: These lists are not all-inclusive. If additional information is required to research an inquiry, [...]
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Posting Date: 07/09/2021
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as Unprocessable
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as UnprocessableThis notice is being published as a reminder to all Medicare Part B providers. When you are submitting a claim to National [...]
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Posting Date: 07/08/2021
Integrating Behavioral Health Care with Primary Care
Integrating Behavioral Health Care with Primary CareWhat is BHI? Medicare Behavioral Health Integration is a service for your patient that does not require the use of a behavioral health care team.Primary care physicians who are treating [...]
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Posting Date: 07/08/2021
Psychiatric Collaborative Care Education for the Provider and Beneficiary
Psychiatric Collaborative Care Education for the Provider and BeneficiaryDid you know that the psychiatric CoCM integrates primary and behavioral health care and is considered an effective strategy in improving outcomes for beneficiaries [...]
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Posting Date: 10/30/2014
End-Stage Renal Disease Laboratory Tests Job Aid
End-Stage Renal Disease Laboratory Tests Job AidDialysis Type: Hemodialysis, CCPD, IPD, HemofiltrationNon-AMCC Laboratory TestsFrequency/CPT CodesTest Name/AbbreviationPer treatment:85013 or 8501485018VariousHematocrit (Hct)Hemoglobin [...]
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Posting Date: 01/16/2020
What Physicians Need to Know: Home Health Patient-Driven Groupings Model
What Physicians Need to Know: Home Health Patient-Driven Groupings ModelIn November 2018, CMS finalized a new case-mix classification model, the PDGM, effective beginning 1/1/2020. The PDGM relies more heavily on clinical characteristics and [...]
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Posting Date: 10/07/2010
Medicare & You
Medicare & YouDownload the official Medicare & You handbook with important information about what’s covered by Medicare, preventive services, health plans, prescription drug plans, and your rights and appeals.
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