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  • Posting Date: 05/09/2025
    OA-18

    Avoiding/Correcting This Error A duplicate claim submission occurs when a provider resubmits a claim either on paper or electronically for a single encounter and the service is provided by the same provider to the: same beneficiary; for the [...]

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  • Posting Date: 05/09/2025
    CO-16

    Avoiding/Correcting This Error The billing provider's information on the claim is missing or invalid. To avoid this error, ensure the following details are accurate and included: the billing provider's NPI, name, address, ZIP code and phone [...]

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  • Posting Date: 05/09/2025
    CO-109

    Avoiding/Correcting This Error This denial is received when your Medicare patient is enrolled in an MA plan, instead of “traditional fee-for-service” Medicare. MA plans are health plans offered by private companies approved by Medicare [...]

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  • Posting Date: 05/09/2025
    CO-16

    Avoiding/Correcting This Error Certain services require the name and NPI of the ordering or referring physician, depending on the service type. Definitions: Referring Physician: Requests an item or service for a Medicare beneficiary. [...]

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  • Posting Date: 05/09/2025
    Podiatry Services - Routine Foot Care and Debridement of Nails

    While the Medicare Program generally excludes routine foot care services from coverage, there are specific indications or exceptions under which there are program benefits. Medicare payment may be made for routine foot care when the patient has [...]

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  • Posting Date: 05/09/2025
    Home Health Billing Coffee Break

    Provider Outreach and Education is hosting a 30-minute coffee break to help answer your troublesome billing questions. This is a great opportunity to discuss areas of billing more in depth and review helpful guides and resources. Keep in mind [...]

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  • Posting Date: 05/09/2025
    Critical Care and Medicare Billing Compliance

    While critical care codes did not change with the 2021 or 2023 AMA CPT updates, there are a lot of guidelines for billing these services. During this webinar, we'll discuss critical care coding, what is and is not critical care, how to [...]

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  • Posting Date: 05/05/2025
    Ambulance Services and Establishing Medical Necessity for Part B Providers

    This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.

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  • Posting Date: 05/06/2025
    Understanding Medicare Fraud and Abuse

    Learn about fraud and abuse affecting providers and your Medicare patients to increase your awareness of integrity issues and prevent potential fraudulent and abusive practices against the Medicare Program.

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  • Posting Date: 05/06/2025
    Reducing Unprocessable Claims

    When claims are submitted with invalid, incomplete or incorrect information, our claims processing system will detect these errors and will reject claims as unprocessable. Our goal is to assist our providers in submitting claims correctly the [...]

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