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Posting Date: 07/19/2019
Attention PIP Hospitals – Delay in Periodic Interim Payment (PIP) Payments
Attention PIP Hospitals – Delay in Periodic Interim Payment (PIP) Payments We have been informed that the biweekly PIP/Pass-Through payment cycle did not initiate as scheduled last night. Therefore, the biweekly payments will be delayed by one [...]
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Posting Date: 06/10/2019
Reminder: ZIP Code Needed on Claims with Flu Vaccine Codes
Reminder: ZIP Code Needed on Claims with Flu Vaccine Codes Medicare Part B requires the location where the service(s) are rendered to be included on the claim for every service payable under the MPFS. In Box 32 on the CMS-1500 claim form, [...]
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Posting Date: 06/13/2019
MLN Connects® for Thursday, June 13, 2019
MLN Connects® for Thursday, June 13, 2019 MLN Connects® for Thursday, June 13, 2019 View this edition as a PDF News DMEPOS Competitive Bidding - Round 2021: Register Now Medicare Shared Savings Program: Submit Notice of Intent to [...]
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Posting Date: 06/11/2019
EDI Front End Rejection Code Lookup Tool
EDI Front End Rejection Code Lookup Tool The EDI Front End Rejection Code Lookup Tool is a simple to use tool that provides a clear and understandable description of edit codes returned on the 277 Claims Acknowledgement (277CA). Using this [...]
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Posting Date: 10/10/2019
Center for Medicare and Medicaid Innovation Payments
Center for Medicare and Medicaid Innovation Payments Section 1115A of the Social Security Act established the CMMI within the CMS to test innovative payment techniques and service delivery models. This payment model is outside the normal [...]
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Posting Date: 08/23/2019
Local Coverage Determination and Article revisions August‒September 2019
Local Coverage Determination and Article revisions August‒September 2019 Please note that consistent with Change Request 10901, all coding information, national coverage provisions and Associated Information (Documentation Requirements, [...]
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Posting Date: 09/11/2019
Important Update for Skilled Nursing Facilities - CMS Updated the SNF PDPM Web Page
Important Update for Skilled Nursing Facilities - CMS Updated the SNF PDPM Web page The SNF PPS PDPM was implemented on 10/1/2019 to replace the Resource Utilization Group, Version IV (RUG-IV) for the SNF PPS. SNF PDPM will improve [...]
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Posting Date: 07/02/2019
Genetic Testing Fraud Scam Directed at Medicare Beneficiaries
Genetic Testing Fraud Scam Directed at Medicare Beneficiaries The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about a fraud scheme involving genetic testing. Please review the Fraud Alert: [...]
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Posting Date: 12/16/2019
Ensure Referral Forms Include the MBI
Ensure Referral Forms Include the MBI Providers have expressed concern regarding referral forms that do not include the new Medicare number, the MBI, they receive from providers who have referred a Medicare beneficiary to them for services. [...]
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Posting Date: 06/14/2019
July 2019 Release Dark Days for the Common Working File Host
July 2019 Release Dark Days for the Common Working File Host For the upcoming July 2019 Release, CWF will be observing dark days starting Friday, 6/28/2019, through Sunday, 6/30/2019 to accommodate the anticipated duration of this activity and [...]
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