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Posting Date: 04/08/2025
New Version of PC-ACE: April 2025
New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]
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Posting Date: 06/14/2023
Meeting Minutes
Meeting Minutes Jurisdiction 6 Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Island, Oregon, Puerto Rico, U.S. Virgin Islands, Washington and Wisconsin [...]
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Posting Date: 03/31/2025
[RESOLVED] NGS Phone Lines Currently Unavailable
[RESOLVED] NGS Phone Lines Experiencing Outages The outages we were experiencing with our Provider Contact Center telephone lines have now been resolved. This includes EDI, Provider Enrollment Customer Inquiry, Telephone Reopening Unit and [...]
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Posting Date: 08/21/2019
CMS to Begin Using MFA Process for Online Provider Enrollment System Applications
CMS to Begin Using MFA Process for Online Provider Enrollment System Applications CMS recently announced they will begin utilizing a MFA process for users of their Provider Enrollment Systems. MFA is a second layer of security used to [...]
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Posting Date: 09/10/2018
Credit Balance Report - CMS 838 (R3)
Chapter VII: Online Reports View Submenu (04) Credit Balance Report - CMS 838 (R3) Purpose Credit balance reporting is used to certify whether you have any outstanding monies owed to the Medicare Program. Part A providers submit credit [...]
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Posting Date: 04/02/2025
Implantable Continuous Glucose Monitors (I-CGM)
Implantable Continuous Glucose Monitors (I-CGM) N/A L38623 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38623 A58116 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116 A58342 [...]
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Posting Date: 01/03/2025
Billing and Coding: Eculizumab
Billing and Coding: Eculizumab drug, hemolysis A54548 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54548 J1299, Q5151, Q5152
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Posting Date: 04/02/2025
Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound
Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound L39139 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39139 A58893 [...]
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Posting Date: 03/16/2022
Telehealth Services
Telehealth Services Table of Contents General Information Originating Site Distant Site List of Covered Medicare Telehealth Services Billing Facility Fee for Originating Site Payment for Professional Fee Place of [...]
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