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Posting Date: 03/29/2021
COVID-19: RHC and FQHC Lump Sum Payments
COVID-19: RHC and FQHC Lump Sum PaymentsRural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) may request lump sum payments for administering COVID-19 vaccines in advance of cost report settlement. CMS will pay you for [...]
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Posting Date: 03/30/2021
Responding to a Hospice ADR
Responding to a Hospice ADRNational Government Services performs medical review audits of services billed to Medicare to validate that the documentation supports coverage and level of services billed.When you receive an ADR, it is important to [...]
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Posting Date: 03/29/2021
Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After 1/1/2021
Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After 1/1/2021CR12108Posted 3/29/2021
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Posting Date: 03/29/2021
Update to Rural Health Clinic (RHC) Payment Limits
Update to Rural Health Clinic (RHC) Payment LimitsCR12185Posted 3/29/2021
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Posting Date: 03/26/2021
Local Coverage Determination L33626: Psychiatric Partial Hospitalization Programs
Local Coverage Determination L33626: Psychiatric Partial Hospitalization ProgramsA psychiatric partial hospitalization is a distinct and organized intensive psychiatric outpatient treatment of less than 24 hours of daily care, designed to [...]
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Posting Date: 03/15/2021
Outpatient Prospective Payment System Payment Rate for HCPCS Code A9591
Outpatient Prospective Payment System Payment Rate for HCPCS Code A9591CMS identified an error with the January 2021 OPPS Pricer file where the OPPS payment rate for HCPCS A9591 was incorrect.The correct OPPS payment rate for A9591 [...]
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Posting Date: 03/09/2021
National Government Services Part A Medical Review Newsletter March 2021
National Government Services Part A Medical Review Newsletter March 2021The National Government Services Medical Review department would like to welcome you to our newest service; a regular newsletter. It is our hope that you will find [...]
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Posting Date: 03/08/2021
PTB Prescription Drug Management
Prescription Drug ManagementWe have received many questions as to what prescription drug management consists of in the new 2021 E/M Medical Decision Making table. The quick answer is that the concept of prescription drug management has not [...]
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