What should be done if patient does not want to continue conservative treatment?

How many injections per calendar year?

REVALIDATION: How do I know I need to revalidate?

SIGNATURES: Who signs the CMS applications and forms for an entity? (ex. 855A, 855B, 20134, 460, 588)

SIGNATURES: Who signs the CMS-855I application?

APPLICATION FEE: What is the amount of the application fee?

APPLICATION FEE: Who needs to pay an application fee?

APPLICATION STATUS: Where can I find the status of a submitted application?

APPROVAL RECOMMENDATION STATUS: The status of my application is approval recommendation, how can I verify if the state agency or CMS has completed their process?

DETERMINATION LETTER: How can I get a copy of the determination (approval/denial) letter for a submitted application?

DETERMINATION LETTER: Where are the determination (approval/denial) letters sent?

PECOS: I received an email to sign an application; how do I do this?

PECOS: In PECOS, how do I know if the authorized/delegated official or individual provider signed the application?

PECOS: In PECOS, please advise how to respond when the MAC needs additional information or supporting documentation for a submitted application.

REVALIDATION: How do I know I need to revalidate?

REVALIDATION: Where is the revalidation notification letter sent?

SIGNATURES: Who signs the CMS applications and forms for an entity? (ex. 855A, 855B, 20134, 460, 588)

SIGNATURES: Who signs the CMS applications and forms for an entity? (ex. 855A, 855B, 20134, 460, 588)

APPLICATION FEE: Who needs to pay an application fee?

APPROVAL RECOMMENDATION STATUS: The status of my application is approval recommendation, how can I verify if the state agency or CMS has completed their process?

APPLICATION STATUS: Where can I find the status of a submitted application?

DETERMINATION LETTER: How can I get a copy of the determination (approval/denial) letter for a submitted application?

DETERMINATION LETTER: Where are the determination (approval/denial) letters sent?

PECOS: I received an email to sign an application; how do I do this?

REVALIDATION: Where is the revalidation notification letter sent?

REVALIDATION: Do I need to revalidate if it has not been five years since my last revalidation?

PECOS: In PECOS, please advise how to respond when the MAC needs additional information or supporting documentation for submitted application.

Additional Events Links

Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders

Additional Events Links

Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders

PECOS: In PECOS, how do I submit an application?

PECOS: In PECOS, how do I know what enrollment information Medicare currently has on file for a provider or supplier?

PECOS: In PECOS, how do you find an enrollment to submit an application?

PECOS: In PECOS, how do I know if the authorized/delegated official or individual provider signed the application?

REVALIDATION: Do I need to revalidate if it has not been five years since my last revalidation?

APPROVAL RECOMMENDATION STATUS: Whom can I contact for questions about an application in approval recommendation status?

PECOS: In PECOS, how do I know what enrollment information Medicare currently has on file for a provider or supplier?

PECOS: In PECOS, how do you find an enrollment to submit an application?

PECOS: In PECOS, how do I submit an application?

CMS-855I: Who needs to sign the CMS-855I for a reassignment?

CMS-855I: How do I complete a reassignment?

APPROVAL RECOMMENDATION STATUS: Whom can I contact for questions about an application in approval recommendation status?

APPLICATION FEE: What is the amount of the application fee?

DDE: How do I get my log on ID password reset?

CLAIMS: Where are comments entered on the 837P electronic claim form?

CLAIMS: Why would my postoperative claims deny?

CLAIMS: What is the correct way to submit a beneficiary name on a claim?

CLAIMS: I am receiving inconsistent payments on claims billed for the same drug. How can I prevent this?

CLAIMS: On a screening Pap smear test claim, which pointer does my diagnosis code need to be in?

CLAIMS: Medicare is the beneficiary's secondary payer and I am receiving denials when submitting using the CMS-1500 form. How can I resolve this?

CLAIMS: I file all my Medicare claims electronically except for Medicare Secondary Payer (MSP) claims because I thought I had to attach the primary Explanation of Benefits (EOB). Is this the correct process?

CLAIMS: When submitting an ambulance claim, do the base and mileage codes need to have the same ZIP code for the same trip?

CLAIMS: How do I submit documentation for an additional development request (ADR)?

CLAIMS: How do I prevent monthly End Stage Renal Disease claims from denying?

CLAIMS: During the patient check in process, may we have the patient check a box on a form at each visit stating they agree to allow us to bill Medicare and have that serve as the patient’s acceptance for our filing a claim?

CLAIMS: How do I know if a HCPCS/CPT code is subject to MUE (medically unlikely edit)?

When billing for waste on a single use vial would you round units up or down for a half unit?

When billing an unclassified drug code such as J3490, are the units of service on the claim always equal to one?

What is the correct way to bill an unlisted drug or biological?

What is the proper way to submit professional physician claim with multiple NDC numbers for the same drug code?

J3357, Ustekinumab (Stelara) is listed on the Self-Administered Drug Exclusion List: Medical Policy Article A53021, and it says “acceptable”. Does this mean it is excluded or not?