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Posting Date: 06/26/2024
Dental Services
Dental Services If you're a new or seasoned provider billing dental services to Fee-for-Service Medicare or Original Medicare, this article guides you through recently clarified payment provisions for dental services in 2023, the provider [...]
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Posting Date: 06/26/2024
New Medicare Provider
New Medicare Provider To assist you in understanding the Medicare Program, visit our New Provider Center and review our Medicare Part B 101 Manual; which will provide you with an overview and additional resources. The Part B Provider Outreach [...]
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Posting Date: 10/12/2022
Inpatient Services in Connection With Dental Procedures
Inpatient Services in Connection With Dental Procedures When a patient is an inpatient of a hospital for a dental procedure and the dentist's service is covered under Part B, the inpatient hospital services furnished are covered under Part [...]
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Posting Date: 10/12/2022
Modifier GY
Modifier GY Providers should be aware of the guidelines for submitting the noncovered outpatient dental service for a denial when the patient has supplemental insurance or if a denial is needed for any other reason. Modifier GY is reported [...]
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Posting Date: 06/20/2024
Attention Clearinghouses and Vendors!
Attention Clearinghouses and Vendors! National Government Services is ready to accept Medicare Part B dental claims from your dental providers using the 837D dental claim transaction. Dental providers have the following options for submission [...]
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Posting Date: 06/07/2019
Opt Out Search
Opt Out Search Doctors/practitioners included in the opt out database are those who have elected to “opt out” of the Medicare Program and enter into private contracts with Medicare beneficiaries if specific requirements are met. By “opting [...]
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Posting Date: 08/27/2021
Physicians or Practitioners Eligible to Enter Into Private Contracts
Physicians or Practitioners Eligible to Enter into Private Contracts Eligible physicians and practitioners Physicians Physician assistants Nurse practitioners Clinical nurse specialists Certified registered nurse anesthetists Certified [...]
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Posting Date: 06/27/2024
LCD and Article Updates for June/July 2024
LCD and Article Updates for June/July 2024 Articles Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms A56867 Due to the quarterly CPT/HCPCS code update, PLA code 0204U was deleted from CPT/HCPCS Codes [...]
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