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  • Posting Date: 04/24/2025
    34538

    Avoiding/Correcting This Error To avoid this error: When submitting your Medicare primary claim, report the reason Medicare is primary using claim coding in Prevent an MSP Rejection on a Medicare Primary Claim. To correct this [...]

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  • Posting Date: 04/14/2025
    Part B Spring 2025 VC

    Spring 2025 Virtual Conference Understanding Medicare Compliance for Part B Providers Tuesday, 6/3/2025 - Thursday, 6/5/2025 /documents/d/ngs/june-virtual-handout_508

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  • Posting Date: 04/25/2025
    Part A - Promo 1

    NGS Part A Collaborative Summit: Turning Insight Into Action; June 10, 11 and 12, 2025; Click Here and Register Now /documents/d/ngs/2025-pta-spring-vc-onepager-2

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  • Posting Date: 04/25/2025
    (CORRECTION) Some Claims Editing for Reason Code U537I, HH Claim Falls Outside of an HH Admission Period for the Same Provider

    The CWF can only hold the 36 most recent periods of care for any beneficiary. CWF also contains the indicator of when the HH admission (NOA) was processed. This indicator allows CWF to determine whether an HH admission period is on file with [...]

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  • Posting Date: 04/25/2025
    Acute Care Hospitals: Advance Beneficiary Notice of Noncoverage (CMS-R-131 Form) for Outpatient Services

    Acute care hospitals: Do you understand when and how to issue an Advance Beneficiary Notice of Noncoverage (ABN) for outpatient services? Join this session to learn more about the voluntary and mandatory ABN, three payment liability conditions, [...]

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  • Posting Date: 04/25/2025
    Call Center Planned Outage Status

    Call Center Planned Outage Offline Friday, 5/9/2025

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  • Posting Date: 03/11/2025
    April Code Set Update for PC Print: April 2025

    April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements:    CR13891 Implement Operating Rules – Phase III [...]

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  • Posting Date: 04/08/2025
    April Code Set Update for PC Print: April 2025

    April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements:    CR13891 Implement Operating Rules - Phase III [...]

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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: 05/25/2022
    Illinois, Minnesota, Wisconsin

    Member Name Group Email Aldrich, Elizabeth IPW (Independent Physicians of Wisconsin), Allen Family Practice ealdrich@ipw-offices.org Anderson, Benita Aurora Health Care Benita.Anderson@aurora.org [...]

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