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  • Posting Date: 03/26/2025
    MLN Connects® Newsletter: March 25, 2025

    MLN Connects® Newsletter: March 25, 2025 News ESRD: Payment for Phosphate Binders Effective January 1, 2025 Hospitals: Apply for Additional Residency Positions by March 31 Skilled Nursing Facilities: Revalidation Deadline is May 1 [...]

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  • Posting Date: 06/30/2021
    Understanding the Approval Recommendation Process for Certified Providers

    Understanding the Approval Recommendation Process for Certified Providers The certified provider completes and submits a CMS-855 enrollment application and all supporting documentation to its MAC, including any state require documentation [...]

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  • Posting Date: 07/18/2023
    Medical Review: Targeted Probe and Educate Review Topics

    Jurisdiction K Part A Targeted Probe and Educate: Medical Review Topics Topic CPT Code(s) Common Denials Resources Debridement, subcutaneous tissue (includes epidermis and dermis, if performed) 11042, 11045 [...]

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  • Posting Date: 02/02/2021
    About Appeals

    About Appeals Table of Contents About Appeals Reopening vs. Redetermination Reopening Redetermination [Return to Top] About Appeals Providers and beneficiaries have the right to appeal claim determinations made by National [...]

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