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Posting Date: 10/27/2021
Submit a Reconsideration
Submit a Reconsideration The second level of appeal is the reconsideration and is carried out by the QIC. Time limit to initiate = 180 days from date of receipt of redetermination decision Time limit to complete the review = 60 days [...]
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Posting Date: 11/16/2023
MLN Connects® Newsletter: November 16, 2023
MLN Connects® Newsletter: November 16, 2023 News Unprecedented Efforts to Increase Transparency of Nursing Home Ownership Hospital Price Transparency: Use Required CMS Template Layout to Encode Hospital Standard Charge Information [...]
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Posting Date: 10/13/2021
Behavioral Health Integration
Behavioral Health Integration Table of Contents Behavioral Health Integration General Behavioral Health Integration Eligible conditions Service Components Billing Codes Frequently Asked Questions Related Content [Return [...]
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Posting Date: 06/21/2021
Vein Ablation Best Practices
Vein Ablation Best Practices Table of Contents Vein Ablation Best Practices Documentation requirements: Best Practice/Documentation Feedback/Tips and Help Billing/Coding Alerts Related Content [Return to Top] Vein [...]
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Posting Date: 11/20/2023
January 2024 Release "Dark Days" for the Common Working File Hosts
January 2024 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/28/2023 and Dark Days starting Friday, 12/29/2023 through Sunday, [...]
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Posting Date: 11/22/2023
MLN Connects® Newsletter: November 22, 2023
MLN Connects® Newsletter: November 22, 2023 News CMS Roundup (Nov 17, 2023) Provider Enrollment Application Fee: CY 2024 Clinical Laboratory Fee Schedule: CY 2024 Final Payment Determinations & Reporting Delay Medicare Ground [...]
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Posting Date: 11/28/2023
WellSky Home Health Claim Primary Diagnosis Coding Issue
WellSky Home Health Claim Primary Diagnosis Coding Issue WellSky has identified a software error for their HHA customers that potentially impacted claims submitted between 9/29/2021 and 10/27/2022. The error resulted in the software using [...]
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Posting Date: 11/29/2023
The CY 2024 Medicare Physician Fee Schedule Is Now Available
The CY 2024 Medicare Physician Fee Schedule Is Now Available The CY 2024 MPFS is now available. You can view the new fees using the Fee Schedule Lookup tool located on NGSMedicare.com. Posted 11/29/2023
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Posting Date: 11/29/2023
The Comprehensive Error Rate Testing Contractor
The Comprehensive Error Rate Testing Contractor The CERT contractor randomly selects claims providers submit to Medicare to determine if the claim was paid properly under Medicare coverage, coding and billing rules by requesting medical [...]
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Posting Date: 11/29/2023
Critical Access Hospitals: Bill Correctly
Critical Access Hospitals: Bill Correctly The CERT contractor randomly selects claims providers submit to Medicare to determine if the claim was paid properly under Medicare coverage, coding and billing rules by requesting medical [...]
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