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Posting Date: 09/30/2024
What Should Be Provided if Medical Records Are Requested for Review?
What Should Be Provided if Medical Records Are Requested for Review? The following should be considered if applicable to the service being reviewed. This is not intended to be an all-inclusive list. Progress/visit notes Physician orders [...]
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Posting Date: 01/12/2024
Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate
Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate Table of Contents Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate Background: Standard Payment vs. [...]
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Posting Date: 03/20/2025
Prepare and Submit an MSP Claim
Table of Contents Step 1: Determine if an MSP Claim Must be Submitted to Medicare Step 2: Check Medicare’s Eligibility Files via NGSConnex to Determine if There's Other Insurance Primary to Medicare Step 3: Prepare the MSP (Partial-Payment [...]
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Posting Date: 10/20/2022
COVID-19 Vaccine and Monoclonal Antibody
COVID-19 Vaccine and Monoclonal Antibody With the end of the PHE, as of 5/11/2023, this information no longer applies. We will keep the information available for PHE-related services that occurred prior to the expiration date that have not yet [...]
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