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Posting Date: 03/11/2025
New Version of PC-ACE: April 2025
New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]
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Posting Date: 06/07/2024
Exemption Process for the Prior Authorization Program for Certain Hospital Outpatient Department Services
The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization program for certain hospital outpatient department (OPD) services for date of service (DOS) on or after 7/1/2020 and subsequently added an exemption process. [...]
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Posting Date: 02/17/2025
Skilled Nursing Facility Coverage Basics
During this session, attendees will learn about Medicare Skilled Nursing Facility coverage, including Swing Beds. Topics will include the technical and medical requirements for inpatient services, what services can be considered for coverage as [...]
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Posting Date: 01/30/2025
Long-Term Care Hospitals: Interruptions
To prevent return to provider (RTP) claims, join us for this webinar in which we will review “three-day or less interruptions” as well as “greater than three-day interruptions” in a beneficiary’s long term care hospital (LTCH) stay, how to [...]
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