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  • Posting Date: 10/09/2020
    Prior Authorization: Part B Physician Implications

    Prior Authorization: Part B Physician Implications For dates of service on and after 7/1/2020, CMS has implemented a prior authorization program for certain hospital OPD services. This has been done to ensure that Medicare beneficiaries [...]

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  • Posting Date: 08/25/2020
    Fee Schedule Adjustments Reminder for 99441-99443

    Fee Schedule Adjustments Reminder for 99441-99443 National Government Services has received several inquiries from providers regarding the adjustment of CPT codes 99441-99443. When CMS announced that they were changing the fee schedule [...]

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  • Posting Date: 03/05/2020
    Chiropractors Billing Medicare for Therapy Services

    Chiropractors Billing Medicare for Therapy Services Chiropractors in the Medicare fee-for-service realm are only allowed to be considered for spinal manipulation via submission of CPT codes 98940‒98942. Medicare pays for these services when [...]

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  • Posting Date: 12/11/2020
    2021 E/M Prolonged Service Billing Changes for Medicare

    2021 E/M Prolonged Service Billing Changes for Medicare National Government Services has received several inquiries regarding changes to office or other outpatient prolonged service coding effective 1/1/2021. When the AMA released the changes [...]

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