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  • Posting Date: 03/14/2024
    Persons with Medicare - Promo 1

    Go Paperless /web/ngs/coverage-billing?selectedArticleId=585083

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  • Posting Date: 11/05/2021
    Nonphysician Practitioners-Reducing Costly Appeals; Increase Provider Revenue

    Nonphysician Practitioners-Reducing Costly Appeals; Increase Provider Revenue National Government Services is committed to reducing the provider burden associated with Medicare claim denials and appeals. A significant segment of denials and [...]

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  • Posting Date: 04/15/2022
    Ambulance Physician Certification Statement Guidelines

    Ambulance Physician Certification Statement Guidelines Certification Type Certification Required? Yes/No Who May Sign the Certification Timeframe Other Information /Resources Nonemergency, scheduled, [...]

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  • Posting Date: 05/28/2020
    General Information

    General Information Medicare Part B provides benefits for psychiatric services, which are medically necessary for the diagnosis or treatment of diagnostic and/or behavioral health treatment. Medicare recognizes the following Part B providers [...]

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  • Posting Date: 04/21/2021
    Provider Qualifications

    Provider Qualifications Table of Contents Physicians - Psychiatrists Clinical Psychologist Independently Practicing Psychologist (IPP) Clinical Social Worker Marriage and Family Therapist (MFT) Mental Health Counselor (MHC) Physician [...]

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  • Posting Date: 12/19/2016
    Incident-to Services

    Incident-to Services A physician, CP, CNS, NP, PA, or CNM may have outpatient psychiatric services and supplies furnished incident to his or her professional service. To be covered under the Incident to provision, the following requirements [...]

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  • Posting Date: 04/21/2021
    Mental Health Services

    Mental Health Services Table of Contents Psychiatric Diagnostic Procedures: 90791‒90792 Interactive Complexity: 90785 Psychotherapy: 90832‒90838 Psychotherapy for Crisis: 90839‒90840 Mobile Psychotherapy for Crisis Services: G0017-G0018 [...]

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  • Posting Date: 10/19/2023
    Opioid Use Disorder Screening and Treatment: G0402, G0438, G0439, G2011, G0396, G0397

    Opioid Use Disorder Screening and Treatment: G0402, G0438, G0439, G2011, G0396, G0397 Medicare coverage includes OUD screening when performed by physicians and NPPs. OUD screening must be performed as part of a Medicare beneficiary’s IPPE and [...]

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  • Posting Date: 04/21/2021
    Related Content

    Related Content CMS-1500 Claim Form Instructions CMS IOM Publication 100-02, Medicare Benefit Policy Manual CMS IOM Publication 100-04, Medicare Claims Processing Manual Chapter 1 - General Billing Requirements Chapter 12 - [...]

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  • Posting Date: 02/14/2019
    Provider Revalidation Fact Sheet for Congressional Field Offices

    Provider Revalidation Fact Sheet for Congressional Field Offices The Affordable Care Act, Section 6401 (a), requires enrolled providers to revalidate their Medicare enrollment every five years, and enrolled durable medical equipment suppliers [...]

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