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Posting Date: 04/23/2021
Remittance Advice Codes: What Are They and Where to Find What They Mean
Remittance Advice Codes: What Are They and Where to Find What They Mean Table of Contents Claim or Service Line Level Adjustments: Using Group Codes, Claim Adjustment Reason Codes and Remittance Advice Remark Codes Group Codes Claim [...]
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Posting Date: 10/31/2019
Related Content
Related Content Centers for Medicare & Medicaid Services (CMS) Telehealth web page CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 15 CMS IOM Publication 100-04, Medicare Processing Manual, Chapter 12, Section 190 [...]
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Posting Date: 03/29/2022
Molecular Pathology Procedures Reminder
Molecular Pathology Procedures Reminder National Government Services has been receiving many claims submitted for redetermination that were submitted for Group 3 Molecular Pathology Procedures. The Group 3 codes from LCD (L35000/A56199) are [...]
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Posting Date: 08/23/2022
Physical, Occupational and Speech and Language Pathology Therapy Services: Prevent Easily Avoidable Errors
Physical, Occupational and Speech and Language Pathology Therapy Services: Prevent Easily Avoidable Errors Evaluation/Plan of Care Documentation Elements The POC must contain, at a minimum, the following required elements: Diagnoses [...]
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Posting Date: 06/09/2022
National Government Services Proposed LCDs For Comment
National Government Services Proposed LCDs For Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 6/9/2022 through 7/23/2022. These [...]
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Posting Date: 01/02/2024
January 2024
In This Issue National Government Services Articles for Part A and Part B Providers New Version of PC-ACE: January 2024 January 2024 Billing and Coding Articles Updates Micro-invasive Glaucoma Surgery Update Improving Customer [...]
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Posting Date: 12/14/2023
The Importance of Proper Documentation
The Importance of Proper Documentation 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 records. If the [...]
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Posting Date: 12/14/2023
MLN Connects® Newsletter: December 14, 2023
MLN Connects® Newsletter: December 14, 2023 News CMS Releases Revised Guidance for Medicare Prescription Drug Inflation Rebate Program Medicare Part B Inflation Rebate Guidance: Use of the 340B Modifier — Revised Billing for Flu, [...]
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Posting Date: 12/14/2023
Medicare Demand Letter Rebuttals
Medicare Demand Letter Rebuttals National Government Services has seen an influx of overpayment rebuttal inquiries and here’s what you need to know. Rebuttals should be rare and only approved if NGS has processed an account(s) receivable [...]
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Posting Date: 12/04/2023
The New York Regional Office of CMS – Monthly Office Hours/Open Forum
The New York Regional Office of CMS – Monthly Office Hours/Open Forum The New York Regional Office of CMS (Region 2) conducts a monthly Office Hours/Open Forum meeting that allows physicians and their office staff to interact with and ask [...]
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