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  • Posting Date: 07/16/2025
    CO-16

    Avoiding/Correcting This Error The MBI is necessary for all claims submitted to MAC. Claims without a correct MBI are rejected, requiring providers to verify and resubmit them. To avoid this, use the Eligibility Lookup in NGSConnex before [...]

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  • Posting Date: 07/16/2025
    Hospital, CMHC, CORF/ORF and ESRD Facilities Quarterly Top Claim Errors

    Do you struggle with your claim denials, rejections and return to provider (RTP) claims? Do you want to be proactive in preventing unnecessary errors? Join us in a review of top claim errors for your provider type based on recent data analysis [...]

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  • Posting Date: 02/21/2020
    IPPE and AWV Services

    IPPE and AWV Providers are reminded that the IPPE and AWV are Medicare-covered services within their own benefit category. As such, they are not subject to standard “incident to” billing guidelines and must be billed by the performing [...]

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  • Posting Date: 04/29/2021
    Medical Decision Making

    Medical Decision Making In a split/shared service, when a medical record includes a plan of care developed by the physician, based on a history and/or examination performed by the NPP and a personal review of diagnostic findings, [...]

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