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  • Posting Date: 03/12/2025
    Fraud Prevention and Detection

    During this webinar, we'll provide you with insight into Medicare fraud and abuse, along with descriptions of laws that help to prevent fraud and abuse from occurring. Education will be provided to increase awareness of integrity issues and [...]

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  • Posting Date: 04/09/2025
    59301

    Avoiding/Correcting This Error You have the right to submit an appeal when you believe the medical records support that the denied services were reasonable and medically necessary. To prevent similar denials, ensure that all coverage [...]

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  • Posting Date: 04/09/2025
    32402

    Avoiding/Correcting This Error Verify HCPCS code using the FISS DDE Inquiries HCPCS file (option 14) to determine the allowable revenue codes based upon the date of service. Verify billing and, if appropriate, correct the claim using the [...]

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  • Posting Date: 04/09/2025
    34985

    Avoiding/Correcting This Error The PO modifier is used on all claim lines for all services, procedures and/or surgeries provided at an excepted off-campus provider-based outpatient department (PBD). The PO modifier applies to a [...]

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