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Posting Date: 10/10/2024
Complex and Chronic Care - HCPCS Code G2211
Complex and Chronic Care - HCPCS Code G2211 Please define appropriate usage and billing for HCPCS code G2211. Answer: CPT G2211 is an approved add-on code representing complex and/or continuous management in the office and outpatient [...]
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Posting Date: 03/18/2022
Consultations
Consultations Does CMS permit payment for consultative E/M services? Answer: CMS permits payment for medically necessary consultative E/M services. The specific E/M codes previously used to represent consultative services were [...]
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Posting Date: 07/16/2025
Understanding the Reopening and Appeal Process Open Forum
National Government Services is committed to reducing provider burden associated with Medicare claim denials, reopenings and appeals. Filing an inquiry on a Medicare claim can be frustrating and costly to your organization. This delay in [...]
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Posting Date: 07/16/2025
Understanding the Reopening and Appeal Process Open Forum
National Government Services is committed to reducing provider burden associated with Medicare claim denials, reopenings and appeals. Filing an inquiry on a Medicare claim can be frustrating and costly to your organization. This delay in [...]
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Posting Date: 07/16/2025
Care Coordination Services for FQHC/RHC Claims Improperly Paid
Care coordination services for FQHC and RHC providers are being reimbursed incorrectly. According to CR 13581, they should be paid at the national nonfacility fee rate, but FISS is using the facility fee rate.
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