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Posting Date: 03/14/2022
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Posting Date: 03/14/2022
Submitting a Prior Authorization Request
Submitting a Prior Authorization Request Ambulance suppliers or beneficiaries should legibly complete the National Government Services Prior Authorization Request for Repetitive, Scheduled Non-Emergent Ambulance Transports. The Cover [...]
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Posting Date: 03/14/2022
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Related Content J6 Ambulance Suppliers RSNAT Sample Introductory Letter Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) CMS IOM, Publication 100-02, Medicare Benefit Policy Manual, Chapter 10 CMS [...]
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Posting Date: 04/15/2022
Increased Volume of Appeal Status Inquiries
Increased Volume of Appeal Status Inquiries National Government Services has seen an increase in pending reopenings and redetermination levels, resulting in cases being completed beyond the 60 calendar-day timeframe. We are sharing some [...]
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Posting Date: 04/15/2022
PC-ACE Medicare Secondary Payer Reference Guide for Part B
PC-ACE Medicare Secondary Payer Reference Guide for Part B Payers (Insurance) Setup Payer Information Screen Patient Selection and Setup Setting up the Patient’s Insurance Information MSP Claim Entry (Line Level) MSP Claim Entry (Claim [...]
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Posting Date: 04/19/2022
MLN Connects® Special Edition for Monday, April 18, 2022
MLN Connects® Special Edition for Monday, April 18, 2022 CMS Proposes Policies to Advance Health Equity & Maternal Health, Support Hospitals On April 18, CMS issued a proposed rule for inpatient and long-term hospitals that builds on the [...]
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Posting Date: 04/19/2022
Part B Issue for Coinsurance Payments on Drug Code Claims
Due to an issue with a recent system update, 20% coinsurance for drug codes has been incorrectly calculated during the period of 10/27/2021-11/1/2021.
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Posting Date: 04/21/2022
Anesthesia Conversion Factor Pricing Incorrect for 2022
The incorrect conversion file was loaded to production for dates of service starting 1/1/2022 which caused incorrect payments.
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Posting Date: 04/26/2022
April and May 2022 Billing and Coding Article Updates
April/May 2022 Billing and Coding Article Updates Billing and Coding Articles Billing and Coding: Complex Drug Administration Coding (A58620) J0248 remdesivir (Veklury®) was added under Infusions Non-Chemotherapy Generic/Trade Names table [...]
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Posting Date: 07/30/2021
MLN Connects® Special Edition for Thursday, July 29, 2021
MLN Connects® Special Edition for Thursday, July 29, 2021 4 Final FY 2022 Payment Rules Hospice Payment Rate Update: FY 2022 Final Rule IRF Prospective Payment System: FY 2022 Final Rule IPF Prospective Payment System: FY 2022 Final Rule [...]
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Posting Date: 05/03/2022
Cervical Fusion with Disc Removal
Cervical Fusion with Disc Removal National Government Services will begin accepting PARs for Cervical Fusion with Disc Removal on 6/17/2021 for services provided beginning on or after 7/1/2021. Checklist of PAR information to include: [...]
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Posting Date: 05/06/2022
Low and No Medicare Utilization Cost Report
Low and No Medicare Utilization Cost Report No Utilization Cost Reports To comply with program cost reporting requirements, a provider that has not furnished any covered Medicare services during a cost reporting period must only complete the [...]
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Posting Date: 04/01/2022
MLN Connects® Special Edition for Thursday, March 31, 2022
MLN Connects® Special Edition for Thursday, March 31, 2022 IPF & IRF Proposed FY 2023 Payment Rules Inpatient Psychiatric Facilities: Fiscal Year 2023 Proposed Rule — Submit Comments by May 31 Inpatient Rehabilitation Facilities: [...]
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Posting Date: 05/11/2022
New Evaluation and Management Frequently Asked Question for Emergency Department
New Evaluation and Management Frequently Asked Question for Emergency Department We’ve added a new frequently asked question to the Emergency Department section of our E/M FAQs to further define how time can be used as a factor in billing [...]
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