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  • Posting Date: 08/07/2024
    Unnecessary Adjustments for Part B Claims

    Unnecessary Adjustments for Part B Claims A recent transition process at the Medicare Part B system maintainer has resulted in unnecessary and inappropriate Part B claim adjustments, impacting all MACs nationwide. This issue started to occur [...]

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  • Posting Date: 08/23/2023
    Incident to Quick Reference Chart

    Incident to Quick Reference Chart Location PT Status Scenario Who Bills Comments Office New patient NPP sees patient - MD not present in office suite NPP bills for the service under the NPP NPI NPP [...]

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  • Posting Date: 08/05/2024
    ASCA Requirements for Paper Claim Submissions

    Table of Contents ASCA Requirements for Paper Claim Submissions Submitting Electronic Claims Submitting Paper Claims ASCA Exception Criteria Related Content [Return to Top] ASCA Requirements for Paper Claim Submissions [...]

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  • Posting Date: 11/13/2020
    “Incident to” Services

    “Incident to” Services This article has been specially designed for our providers who perform services “Incident to” the services of a physician/NPP. Table of Contents The “Incident to” Provision of Medicare Your Office Hospital or [...]

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