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Posting Date: 01/29/2021
Inpatient Hospital Surgery
Inpatient Hospital Surgery National Government Services would like to alert providers on one of the highest dollar and most avoidable denials from the CERT contractor: submitting documentation relating to inpatient hospital surgeries. [...]
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Posting Date: 01/29/2021
Redetermination/Reopening Requests Online with NGSConnex
Redetermination/Reopening Requests Online with NGSConnex The NGSConnex web application allows providers/suppliers the ability to electronically submit and check the status of all redeterminations and/or reopenings requests online with no costs [...]
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Posting Date: 10/07/2010
Selecting the Appropriate Principal Diagnosis for Inpatient Services
Selecting the Appropriate Principal Diagnosis for Inpatient Services CERT analysis indicates providers are not coding the principal diagnosis to the highest level of specificity and/or selecting the most appropriate code for the inpatient [...]
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Posting Date: 01/29/2021
Complete Blood Count with Differential CPT Code 85025
Complete Blood Count with Differential CPT Code 85025 Error code 31 services incorrectly coded have been increasing in relation to CPT code 85025 - Complete blood count with differential (CBC w/Diff). Review of the CERT data shows that the [...]
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