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  • Posting Date: 11/12/2021
    Requirements of Medicare Opt-Out Affidavit Agreement

    Requirements of Medicare Opt-Out Affidavit Agreement Amendment 4507 of the Balanced Budget Act of 1997 permits a physician or practitioner to “opt out” of Medicare and enter into private contracts with Medicare beneficiaries if specific [...]

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  • Posting Date: 02/17/2025
    Prepare and Submit an MSP Conditional Claim

    Table of Contents Background Step 1: Determine if You Can Submit a Conditional Claim Step 2: Prepare a Conditional Claim Conditional Billing Code Table Step 3: Check for a Matching MSP Record for the Beneficiary in the Common [...]

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  • Posting Date: 02/26/2025
    Accreditation of Advanced Diagnostic Imaging and FDA Mammography Equipment

    Reminder, if a hospital, clinic/group or Independent Diagnostic Treatment Facility has ADI screening equipment, certification from a designated ADI accrediting organization needs to be implemented or updated on the Medicare enrollment. The [...]

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  • Posting Date: 07/05/2022
    Audit and Reimbursement

    Audit and Reimbursement Cost Report Filing State/Region Contact Information Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont JK_Cost_Report_Filing@anthem.com FQHC (All), [...]

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