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Posting Date: 10/31/2022
Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
Drugs and Biologicals, Coverage of, for Label and Off-Label Uses administration, compendia, FDA L33394 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33394 A52855 [...]
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Posting Date: 01/06/2023
Pharmacogenomic Testing
Pharmacogenomic Testing N/A L39995 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39995 A59915 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59915 A59982 [...]
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Posting Date: 01/06/2023
Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases N/A L37606 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=37606 A56793 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56[...]
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Posting Date: 01/03/2025
Molecular Pathology Procedures
Molecular Pathology Procedures genetic testing, genetic counseling, gene, Tier 1, Tier 2 L35000 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35000 A56199 https://www.cms.gov/medicare-coverage-database/view/article.aspx?arti[...]
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Posting Date: 07/23/2025
NGSConnex: Appeals, Clerical Error Reopening and Prior Authorization Request
This webinar is geared toward Part B providers who bill to Medicare on a CMS-1500 form. Did you ever wonder what you need to do when a claim denies, or you might have made a clerical error on a claim? What about checking on prior authorization? [...]
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Posting Date: 07/23/2025
Medicare Part B Top 10 Claim Denials
Each quarter, we host this webinar to address the top claim denials we receive. We research and identify common errors and offer solutions to prevent them, which has effectively reduced errors. There will be time following the presentation to [...]
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Posting Date: 07/28/2025
CERT Awareness Week Four – We Appreciate Your Efforts
CERT Awareness Week Four – We Appreciate Your Efforts The Part A, Part B, DME, home health and hospice, and Railroad Board MACs are working together to promote the importance of complying with CERT documentation requests. This is the final in [...]
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Posting Date: 07/24/2025
Prolonged Services
Prolonged Services Note: View the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 30.6.15.2 and Section 30.6.15.3 for CPT codes [...]
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Posting Date: 07/28/2025
Submit Medicare Secondary Payer Claims Correctly the First Time!
Submit Medicare Secondary Payer Claims Correctly the First Time! If you're facing challenges related to MSP claim submissions for Medicare Part B, then this information is important for you. Ensuring that claims are submitted correctly the [...]
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Posting Date: 07/24/2025
Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE)
Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE) L39226 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39226 A58963 https://www.cms.gov/medicare-coverage-database/view/article.aspx?article[...]
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