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Posting Date: 07/21/2023
Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations) If you disagree with Medicare’s claim determination, you may Appeal. However, please follow these important tips before you submit a first level of appeal [...]
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Posting Date: 10/05/2023
Billing and Coding: Bortezomib
Billing and Coding: Bortezomib drug A52371 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52371 J9041, J9046, J9048, J9049, J9051
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Posting Date: 08/09/2024
Monoclonal Antibodies in Treatment of Alzheimer’s Disease - Medicare Advantage Plan Responsibility
Monoclonal Antibodies in Treatment of Alzheimer’s Disease - Medicare Advantage Plan Responsibility NCD 200.3 was issued by CMS in April,2022 and outlines Medicare coverage policy for monoclonal antibodies that target amyloid (or plaque) for [...]
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Posting Date: 08/10/2024
HETS EDI Enrollment Form User Guide
The HETS EDI Enrollment Form allows providers to attest their relationship with a 3rd party entity to exchange the ANSI X12 270/271 Beneficiary Eligibility transaction on their behalf. Table of Contents Step 1 – Authorization [...]
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