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  • Posting Date: 07/18/2023
    Medical Review: Targeted Probe and Educate Review Topics

    Jurisdiction 6 HH+H Targeted Probe and Educate: Medical Review Topics Topic CPT Code(s) Common Denials Resources Home Health Services - Medical Necessity ICD-10 Z47-Z47.89 N/A 55H3V – The documentation did [...]

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  • Posting Date: 06/17/2025
    Holding MSP Claims Receiving CWF Edit 6802

    Certain MSP claims are incorrectly rejected against CWF edit 6802. On 4/24/2025, CMS directed MACs to hold all MSP claims editing with 6802 while CWF works to correct the issue.

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  • Posting Date: 02/12/2019
    FISS/DDE

    Fiscal Intermediary Standard System/Direct Data Entry DDE is a process that allows remote users online connectivity to the FISS, or mainframe, used by National Government Services to process Medicare claims. FISS/DDE connectivity will allow [...]

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  • Posting Date: 09/21/2020
    Interactive Voice Response System

    Interactive Voice Response System State IVR Number Hours Available* Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont 877-567-7205 Monday–Friday: 6:00 a.m.–7:00 p.m. ET [...]

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