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Posting Date: 08/27/2021
Physicians or Practitioners Eligible to Enter Into Private Contracts
Physicians or Practitioners Eligible to Enter into Private Contracts Eligible physicians and practitioners Physicians Physician assistants Nurse practitioners Clinical nurse specialists Certified registered nurse anesthetists Certified [...]
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Posting Date: 06/27/2024
LCD and Article Updates for June/July 2024
LCD and Article Updates for June/July 2024 Articles Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms A56867 Due to the quarterly CPT/HCPCS code update, PLA code 0204U was deleted from CPT/HCPCS Codes [...]
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Posting Date: 06/27/2024
MLN Connects® Newsletter: June 27, 2024
MLN Connects Newsletter: June 27, 2024 News CY 2025 Home Health Prospective Payment System Proposed Rule PrEP Using Antiretroviral Therapy to Prevent HIV Infection: Technical FAQs for Pharmacies Claims, Pricers, & Codes Medicare [...]
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Posting Date: 06/26/2024
Medical Documentation Requirements
Medical Documentation Requirements When filing a claim to Medicare for payment, please include all applicable diagnosis codes to the highest level of specificity to establish the medical necessity of the services provided. National Government [...]
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Posting Date: 06/28/2024
National Government Services Proposed LCDs for Comment - July 18, 2024
National Government Services Proposed LCDs for Comment - July 18, 2024 The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 6/27/2024 through [...]
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Posting Date: 07/01/2024
Outpatient Institutional Providers Reimbursed Under MPFS: When to Split Claims for Updated Rates
Outpatient Institutional Providers Reimbursed Under MPFS: When to Split Claims for Updated Rates If you have monthly outpatient and/or inpatient ancillary claims with DOS 3/1/2024 – 3/31/2024, you may take the following steps to ensure correct [...]
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Posting Date: 07/01/2024
2024 CMS Health Equity Services
2024 CMS Health Equity Services The 2024 Physician Fee Schedule Final Rule expanded Medicare coverage by adding four services to the Medicare program for coverage. These services are to help further address the priorities of reducing [...]
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Posting Date: 11/15/2021
Reactivation of Billing Privileges
Reactivation of Billing Privileges To reactivate your individual and/or group billing privileges, please follow instructions within the deactivation letter. Assisting with Reactivation Instructions for Accessing PECOS For first-time user, [...]
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