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Posting Date: 03/19/2020
Matching Assessments to Home Health Claims
Matching Assessments to Home Health Claims CMS has recently published instructions on validating the OASIS and claim match for home health claims. SE20010 titled “Ensure Required Patient Assessment Information for Home Health Claims” [...]
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Posting Date: 03/19/2020
April 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes
April 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes The purpose of the new HCPCS screen (1E) is to provide information related to HCPCS pricing and allowable revenue codes related to HCPCS. To access the new HCPCS [...]
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Posting Date: 03/19/2020
MLN Connects® for Thursday, March 19, 2020
MLN Connects® for Thursday, March 19, 2020 Interoperability and Patient Access MLN Connects® for Thursday, March 19, 2020 View this edition as a PDF News Quality Payment Program: 2020 Facility-Based Status Lower Extremity Joint [...]
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Posting Date: 03/17/2020
MLN Connects® Special Edition for Tuesday, March 17, 2020
MLN Connects® Special Edition for Tuesday, March 17, 2020 President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak CMS Outlines New Flexibilities Available to People with Medicare The Trump [...]
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Posting Date: 03/16/2020
MLN Connects® Special Edition for Friday, March 13, 2020
MLN Connects® Special Edition for Friday, March 13, 2020 COVID-19: Test Pricing, Diagnostic Lab Tests, Pricing & Codes, and EHB Coverage COVID-19: Test Pricing; Diagnostic Lab Tests, Pricing & Codes; and EHB Coverage Quarterly [...]
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Posting Date: 03/16/2020
MLN Connects® Special Edition for Monday, March 16, 2020
MLN Connects® Special Edition for Monday, March 16, 2020 COVID-19: FFS Response and Nursing Home Visitor Guidance Medicare FFS Response to COVID-19 The HHS Secretary declared a public health emergency, which allows for CMS programmatic [...]
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Posting Date: 03/12/2020
MLN Connects® for Thursday, March 12, 2020
MLN Connects® for Thursday, March 12, 2020 2019 Novel Coronavirus Guidance MLN Connects® for Thursday, March 12, 2020 View this edition as a PDF News CMS Sends More Detailed Guidance to Providers about COVID-19 HHS Finalizes [...]
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Posting Date: 03/09/2020
MLN Connects® Special Edition for Friday, March 6, 2020
MLN Connects® Special Edition for Friday, March 6, 2020 CMS Develops Additional Code for Coronavirus Lab Tests Agency Issues Fact Sheets Detailing Coverage under Programs On March 6, CMS took additional actions to ensure America’s patients, [...]
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Posting Date: 03/09/2020
MLN Connects® Special Edition for Monday, March 9, 2020
MLN Connects® Special Edition for Monday, March 9, 2020 COVID-19 Response: CMS Issues FAQs to Assist Medicare Providers On March 6, CMS issued frequently asked questions and answers (FAQs) for health care providers regarding Medicare payment [...]
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Posting Date: 03/05/2020
MLN Connects® for Thursday, March 5, 2020
MLN Connects® for Thursday, March 5, 2020 Ambulance Fee Schedule, Transports & Data Collection MLN Connects® for Thursday, March 5, 2020 View this edition as a PDF News DMEPOS Suppliers: HCPCS Codes Affected by Further [...]
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Posting Date: 03/05/2020
MLN Connects® Special Edition for Wednesday, March 4, 2020
MLN Connects® Special Edition for Wednesday, March 4, 2020 CMS Announces Actions to Address Spread of Coronavirus CMS calls on all health care providers to activate infection control practices and issues guidance to inspectors as they inspect [...]
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Posting Date: 04/07/2020
MLN Connects® Special Edition for Tuesday, April 7, 2020
MLN Connects® Special Edition for Tuesday, April 7, 2020 COVID-19: Telehealth Video, Coinsurance and Deductible Waived, ASC Attestations, Ambulance Modifiers, Lessons From Front Lines, MLN Call Today New Video Available on Medicare Coverage [...]
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Posting Date: 04/06/2020
Pricing of HCPCS G2066 - Update
Pricing of HCPCS G2066 — Update On 3/12/2020 NGS posted an article on our website regarding a fee adjustment for HCPCS G2066 (Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, [...]
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Posting Date: 04/03/2020
MLN Connects® Special Edition for Friday, April 3, 2020
MLN Connects® Special Edition for Friday, April 3, 2020 COVID-19: Telehealth Billing Correction, Nursing Home Recommendations, Billing for Multi-Function Ventilators, New ICD-10-CM Diagnosis Code Billing for Professional Telehealth [...]
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Posting Date: 04/02/2020
MLN Connects® for Thursday, April 2, 2020
MLN Connects® for Thursday, April 2, 2020 Interoperability and Patient Access Final Rule Call — April 7 MLN Connects® for Thursday, April 2, 2020 View this edition as a PDF News IRF Provider Preview Reports: Review Your Data by [...]
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Posting Date: 03/31/2020
COVID-19 Cost Report Due Date Extensions
COVID-19 Cost Report Due Date Extensions Due to instructions received from CMS relative to the COVID-19 pandemic, and in accordance with 42CFR§413.24(f)(2)(ii), the due date for submission of any Medicare cost report with an original due date [...]
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Posting Date: 03/31/2020
MLN Connects® Special Edition for Tuesday, March 31, 2020
MLN Connects® Special Edition for Tuesday, March 31, 2020 COVID-19: Regulatory Changes, Telehealth Billing, and Specimen Collection Codes Trump Administration Makes Sweeping Regulatory Changes to Help U.S. Health Care System Address [...]
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Posting Date: 03/30/2020
MLN Connects® Special Edition for Monday, March 30, 2020
MLN Connects® Special Edition for Monday, March 30, 2020 COVID-19: Financial Relief, Nursing Home Telehealth, Quality Reporting, Clinical Laboratories, Hospital Data Sharing Trump Administration Provides Financial Relief for [...]
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Posting Date: 03/26/2020
MLN Connects® Special Edition for Thursday, March 26, 2020
MLN Connects® Special Edition for Thursday, March 26, 2020 COVID-19: Enrollment Relief, Open Payments, Beneficiary Notices 2019-Novel Coronavirus (COVID-19) Medicare Provider Enrollment Relief Frequently Asked Questions (FAQs) Frequently [...]
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Posting Date: 03/25/2020
[Update] President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak; CMS Outlines New Flexibilities Available to People with Medicare
[Update] President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak; CMS Outlines New Flexibilities Available to People with Medicare On 3/17/2020, CMS announced that FFS Medicare is expanding coverage for [...]
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Posting Date: 03/23/2020
MLN Connects® Special Edition for Friday, March 20, 2020
MLN Connects® Special Edition for Friday, March 20, 2020 COVID-19: Telehealth and Non-Essential Procedures Medicare FFS Response to the Public Health Emergency on the Coronavirus (COVID-19) — Revised COVID-19 Elective Surgeries and [...]
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Posting Date: 05/07/2020
MLN Connects® for Thursday, May 7, 2020
MLN Connects® for Thursday, May 7, 2020 More COVID-19 Updates MLN Connects® for Thursday, May 7, 2020 View this edition as a PDF News CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes Home [...]
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Posting Date: 05/01/2020
MLN Connects® Special Edition for Thursday, April 30, 2020
MLN Connects® Special Edition for Thursday, April 30, 2020 COVID-19: Second Round of Sweeping Changes, RHC & FQHC Flexibilities, EMTALA New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health [...]
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Posting Date: 04/21/2020
HCPCS Codes U0003 and U0004 for COVID Testing
HCPCS Codes U0003 and U0004 for COVID Testing In the 4/15/2020 press release, CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests, CMS announced a higher payment for certain laboratory tests where the technology used for [...]
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Posting Date: 04/20/2020
MLN Connects® Special Edition for Monday, April 20, 2020
MLN Connects® Special Edition for Monday, April 20, 2020 COVID-19: Nursing Home Transparency, Recommendations for Areas with Low Incidence of Disease Trump Administration Announces New Nursing Homes COVID-19 Transparency Effort CMS [...]
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Posting Date: 04/17/2020
MLN Connects® Special Edition for Friday, April 17, 2020
MLN Connects® Special Edition for Friday, April 17, 2020 COVID-19: RHC & FQHC Flexibilities, Increased Payment for Lab Tests, Hospital Waivers, Call Audio and Transcript RHC & FQHC Flexibilities During COVID-19 Public Health [...]
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Posting Date: 04/16/2020
MLN Connects® for Thursday, April 16, 2020
MLN Connects® for Thursday, April 16, 2020 3 Proposed Payment Rules MLN Connects® for Thursday, April 16, 2020 View this edition as a PDF News Hospice Payment Rate Update Proposed Rule for FY 2021 IPF Prospective [...]
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Posting Date: 04/15/2020
MLN Connects® Special Edition for Wednesday, April 15, 2020
MLN Connects® for Wednesday, April 15, 2020 COVID-19: Reprocessing Hospital Claims, Essential Diagnostic Services, Non-Invasive Ventilators IPPS Hospitals, LTCHs: Reprocessing Claims for CARES Act Trump Administration Announces Expanded [...]
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Posting Date: 04/14/2020
Provider Compliance Tips for Nebulizers and Related Drugs Fact Sheet - Revised
Provider Compliance Tips for Nebulizers and Related Drugs Fact Sheet - Revised A revised Provider Compliance Tips for Nebulizers and Related Drugs Medicare Learning Network Fact Sheet is available. Learn about: coverage requirements [...]
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Posting Date: 04/14/2020
PWK Submission Reminders
PWK Submission Reminders National Government Services has identified several issues with PWK submissions from providers. We are issuing this article as a notification to alert provider offices to systems and processes that you may have in [...]
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Posting Date: 04/10/2020
MLN Connects® Special Edition for Friday, April 10, 2020
MLN Connects® Special Edition for Friday, April 10, 2020 COVID-19: Infection Control, Maximizing Workforce, Updated Q&A, CS Modifier for Cost-Sharing, Payment Adjustment Suspended CMS Issues New Wave of Infection Control Guidance to [...]
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Posting Date: 04/09/2020
MLN Connects® for Thursday, April 9, 2020
MLN Connects® for Thursday, April 9, 2020 Important COVID-19 Updates MLN Connects® for Thursday, April 9, 2020 View this edition as a PDF News CMS Approves Approximately $34 Billion for Providers with the Accelerated/Advance [...]
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Posting Date: 06/03/2020
Comprehensive Error Rate Testing A/B MAC Task Force
Comprehensive Error Rate Testing A/B MAC Task Force The CERT A/B MAC Task Force goal is to educate providers on national issues of concern regarding improper payment errors and to reduce the national payment error rate by creating material [...]
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Posting Date: 06/01/2020
MLN Connects® Special Edition for Monday, June 1, 2020
MLN Connects® Special Edition for Monday, June 1, 2020 COVID-19: Using the CR Modifier and DR Condition Code CMS revised MLN Matters Special Edition Article SE20011 on Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on [...]
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Posting Date: 05/29/2020
MLN Connects® Special Edition for Friday, May 29, 2020
MLN Connects® Special Edition for Friday, May 29, 2020 New COVID-19 FAQs on Medicare Fee-for-Service Billing CMS released additional Frequently Asked Questions (FAQs) on our recent COVID-19-related waivers to help providers, including [...]
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Posting Date: 05/28/2020
MLN Connects® for Thursday, May 28, 2020
MLN Connects® for Thursday, May 28, 2020 COVID-19: Adjusting Operations to Manage Patient Surge MLN Connects® for Thursday, May 28, 2020 View this edition as a PDF News COVID-19: Adjusting Operations to Manage Patient Surge [...]
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Posting Date: 05/20/2020
Reminder: Billing and Coding for Implantable Automatic Defibrillators
Reminder: Billing and Coding for Implantable Automatic Defibrillators An implantable automatic defibrillator is an electronic device designed to diagnose and treat life threatening ventricular tachyarrhythmias. When you use specific ICD-10-CM [...]
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Posting Date: 05/19/2020
MLN Connects® Special Edition for Tuesday, May 19, 2020
MLN Connects® Special Edition for Tuesday, May 19, 2020 COVID-19: Payment for Lab Tests, Safely Reopening Nursing Homes, Lab & Ambulance Claims COVID-19: Payment for Diagnostic Laboratory Tests Trump Administration Issues Guidance to [...]
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Posting Date: 05/19/2020
Submission Requirements for Investigational Device Exemption Claims
Submission Requirements for Investigational Device Exemption Claims Effective for Category A and B IDE studies approved by the FDA on or after 1/1/2015, interested parties (i.e. study sponsors) seeking Medicare coverage must submit a request [...]
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Posting Date: 07/28/2022
MLN Connects® Newsletter for Thursday, July 28, 2022
MLN Connects® Newsletter for Thursday, July 28, 2022 Enhanced Nursing Home Rating System News CMS Enhances Nursing Home Rating System with Staffing & Turnover Data Clinical Laboratory Improvement Amendments Proposed Rule: Submit [...]
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Posting Date: 12/09/2019
MLN Connects® Special Edition for Monday, December 9, 2019
MLN Connects® Special Edition for Monday, December 9, 2019 HHAs: Get Help Registering for iQIES by December 23 Avoid payment delays. You need access to the upgraded Internet Quality Improvement and Evaluation System (iQIES) to submit [...]
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Posting Date: 12/10/2019
MLN Connects® Special Edition for Tuesday, December 10, 2019
MLN Connects® Special Edition for Tuesday, December 10, 2019 Most HICN Claims Reject – Regardless of Date Service Use Medicare Beneficiary Identifiers (MBIs) now to avoid claim and eligibility transaction rejects. Starting January 1, 2020, [...]
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Posting Date: 12/12/2019
MLN Connects® for Thursday, December 12, 2019
MLN Connects® for Thursday, December 12, 2019 Quality Payment Program: Your MIPS Eligibility Status MLN Connects® for Thursday, December 12, 2019 View this edition as a PDF News Open Payments: Review and Dispute Data by [...]
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Posting Date: 12/16/2019
MLN Connects® Special Edition for Monday, December 16, 2019
MLN Connects® Special Edition for Monday, December 16, 2019 HHAs: Avoid Payment Delays, Register for iQIES Now Why register in the upgraded internet Quality Improvement and Evaluation System (iQIES) by December 23? Claims that cannot be [...]
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Posting Date: 12/17/2019
MLN Connects® Special Edition for Tuesday, December 17, 2019
MLN Connects® Special Edition for Tuesday, December 17, 2019 New Medicare Card Transition Ends in 2 Weeks: Use MBIs Now to Get Paid January 1 The 21 month Medicare Beneficiary identifier (MBI) transition period ends in two weeks. Update your [...]
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Posting Date: 12/19/2019
MLN Connects® for Thursday, December 19, 2019
MLN Connects® for Thursday, December 19, 2019 MAC Operations: Provide Feedback at a Listening Session MLN Connects® for Thursday, December 19, 2019 View this edition as a PDF Editor's Note: Happy holidays from the MLN [...]
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Posting Date: 12/23/2019
LCD and Article Revisions: December 2019/January 2020
LCD and Article Revisions: December 2019/January 2020 The medical policies and related articles can be found in our Medical Policy Center. LCD Revised in December and January EEG – Ambulatory Monitoring (L33399) Due to annual CPT/HCPCs [...]
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Posting Date: 12/24/2019
New Version of PC-ACE: January 2020
New Version of PC-ACE: January 2020 PC-ACE Version 4.5 contains several CMS mandates and product enhancements including but not limited to the items listed below. 10971 - Implementation of the MPA for the MD TCOC Model 11457 - October 2019 [...]
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Posting Date: 12/23/2019
MLN Connects® Special Edition for Monday, December 23, 2019
MLN Connects® Special Edition for Monday, December 23, 2019 New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1 Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use MBIs on claims (with [...]
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Posting Date: 12/24/2019
New Version of PC Print: January 2020
New Version of PC Print: January 2020 A new version of PC Print will soon be available on our website. This version contains the following enhancements: CR 11394 is to implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of [...]
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Posting Date: 12/27/2019
Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020
Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020 The Home Health Final Rule for calendar year 2020 finalized the guidelines for billing RAPs under the PDGM and some changes in the way RAPs are being [...]
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Posting Date: 12/06/2019
January 2020 EDI Front End Quarterly Release - New and Modified Edits
January 2020 EDI Front End Quarterly Release - New and Modified Edits The Part A and Part B edit changes are listed below: Part A Edit Changes Edit Reference Number Change Reason for Change Trading Partner/Results [...]
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Posting Date: 12/05/2019
MLN Connects® for Thursday, December 5, 2019
MLN Connects® for Thursday, December 5, 2019 DMEPOS Competitive Bidding Surveys: Comment by December 20 MLN Connects® for Thursday, December 5, 2019 View this edition as a PDF News Direct Contracting Risk-Sharing Options: Submit [...]
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Posting Date: 12/04/2019
NGS EDI 275 Claims Attachment
NGS EDI 275 Claims Attachment Currently, National Government Services Part A providers can electronically respond to requests for additional information (ADR letters) using the X12 275 Claims Attachment transaction through the EDI Gateway. [...]
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Posting Date: 12/03/2019
MLN Connects® Special Edition for Tuesday, December 3, 2019
MLN Connects® Special Edition for Tuesday, December 3, 2019 MBI Transition Ends This Month: Will You Be Paid On January 1? The 21 month transition period will end on December 31; use Medicare Beneficiary identifiers (MBIs) now. You are [...]
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Posting Date: 12/03/2019
Become a Medicare Diabetes and Prevention Program Provider Today
Become a Medicare Diabetes and Prevention Program Provider Today National Government Services is combining forces with CMS, health infrastructure and linking to healthy programs that afford a real opportunity to make a difference in the lives [...]
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Posting Date: 11/27/2019
MLN Connects® for Wednesday, November 27, 2019
MLN Connects® for Wednesday, November 27, 2019 Patients Over Paperwork Newsletter MLN Connects® for Wednesday, November 27, 2019 View this edition as a PDF News FY 2019 Medicare FFS Improper Payment Rate Lowest Since 2010 Patients [...]
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Posting Date: 11/26/2019
MLN Connects® Special Edition for Tuesday, November 26, 2019
MLN Connects® Special Edition for Tuesday, November 26, 2019 New Medicare Card: Claim Reject Codes After January 1 Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use MBIs on claims (with a few exceptions) after [...]
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Posting Date: 11/21/2019
MLN Connects® Special Edition for Thursday, November 21, 2019
MLN Connects® Special Edition for Thursday, November 21, 2019 HHAs: Avoid Payment Delays, Register for iQIES by December 23 Act now. Home Health Agencies (HHAs) need access to the upgraded Internet Quality Improvement and Evaluation System [...]
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Posting Date: 11/21/2019
MLN Connects® for Thursday, November 21, 2019
MLN Connects® for Thursday, November 21, 2019 Hospital Price Transparency: Register for Dec 3 Call MLN Connects® for Thursday, November 21, 2019 View this edition as a PDF News Promoting Interoperability Programs: Updated list of [...]
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