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Posting Date: 07/25/2025
Care Management: Chronic Care Management
As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on chronic care management services for patients with chronic conditions. We’ll share resources and review proper [...]
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Posting Date: 07/25/2025
Care Management: Transitional Care Management
As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on transitional care management services for Medicare patients. When a physician discharges a Medicare patient from an [...]
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Posting Date: 07/25/2025
Care Management: Cognitive Assessment
As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on cognitive assessment, which is a separate service that may be billed for patients when you have recognized potential [...]
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Posting Date: 07/25/2025
Care Management: Advanced Care Planning
As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on advanced care planning (ACP) services for patients with chronic conditions. We’ll share resources and review proper [...]
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Posting Date: 07/25/2025
Care Management: Behavioral Health Integration and Psychiatric Collaborative Care Management
As part of a continued series, National Government Services is raising awareness on the benefits of care management. During this webinar, we’ll discuss behavioral health integration and psychiatric collaborative care management. This service [...]
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Posting Date: 03/27/2025
Ambulance Billing Guidance
Ambulance Billing Guidance Table of Contents Ambulance Billing Ambulance Billing HCPCS Codes How to Bill Units with Transpiration HCPCS Codes Using Ambulance Modifiers When Billing Transportation Indicators Related Content [Return [...]
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Posting Date: 07/25/2025
Acute Care Hospitals: A Peek Inside the Three-Day Payment Window
To prevent return to provider (RTP) claims, join us for this webinar in which we will review the three-day payment window policy (aka bundling, preadmission services, diagnosis-related group (DRG) window, 72-hour rule) and provide billing [...]
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Posting Date: 07/25/2025
Part A Fundamentals of Medicare
Provide an understanding of the fundamentals of the Original Medicare Program.
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Posting Date: 07/26/2025
Call Center Planned Outage Status
Call Center Planned Outage Offline Friday, 8/8/2025
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Posting Date: 07/28/2025
CERT Awareness Week Four – We Appreciate Your Efforts
CERT Awareness Week Four – We Appreciate Your Efforts The Part A, Part B, DME, home health and hospice, and Railroad Board MACs are working together to promote the importance of complying with CERT documentation requests. This is the final in [...]
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Posting Date: 07/24/2025
Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE)
Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE) L39226 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39226 A58963 https://www.cms.gov/medicare-coverage-database/view/article.aspx?article[...]
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Posting Date: 10/04/2024
Cervical Fusion
Cervical Fusion L39770 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39770 A59632 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59632 A59772 [...]
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Posting Date: 07/28/2025
Provider Enrollment: Opioid Treatment Program
During this webinar, we’ll provide a brief overview of an Opioid Treatment Program (OTP) provider, an understanding of submitting the CMS-855A or CMS-855B paper application and how to complete the provider enrollment Internet-based Provider [...]
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Posting Date: 07/28/2025
Method II CAH Claims Not Paying Professional Services with Revenue Codes 096x-098x
Certain CAH claims (TOB 85X) with professional service revenue codes 096x – 098X did not process for payment because the fee amount was not correctly retrieved during processing. The affected claims have receipt/processed dates in October 2024.
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Posting Date: 07/24/2025
Prolonged Services
Prolonged Services Note: View the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 30.6.15.2 and Section 30.6.15.3 for CPT codes [...]
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Posting Date: 07/28/2025
Submit Medicare Secondary Payer Claims Correctly the First Time!
Submit Medicare Secondary Payer Claims Correctly the First Time! If you're facing challenges related to MSP claim submissions for Medicare Part B, then this information is important for you. Ensuring that claims are submitted correctly the [...]
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Posting Date: 07/28/2025
View our Educational Frequently Asked Questions
View our Educational Frequently Asked Questions Our educational FAQs have been reviewed and updated. Please visit the Help and FAQs page under the Education section of our website to explore topics such as: ASCA Appeals CAR T-cell Therapy [...]
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Posting Date: 07/29/2025
Learning Medicare Secondary Payer Interactively
Join us for an interactive learning webinar where you can engage and have fun at the same time! It’s all about learning the Part B Medicare Secondary Payer (MSP) provisions with live case scenarios. Providers will understand their [...]
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Posting Date: 02/26/2024
Ambulance Duplicate Claim Denials
Ambulance Duplicate Claim Denials Duplicate trips may be reported on the same claim if the ZIP code for the point of pick-up for both trips is the same. If separate claims are submitted for the same beneficiary on the same day with the same [...]
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Posting Date: 03/27/2025
Ambulance Services and the Advance Beneficiary Notice of Noncoverage
Ambulance Services and the Advance Beneficiary Notice of Noncoverage To follow are Medicare’s guidelines regarding the use of an ABN for ambulance services. Per the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) [...]
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