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Posting Date: 04/21/2023
New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions
New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions As a reminder, effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the OPD [...]
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Posting Date: 04/13/2023
Registration is Open for the Part B Claim Submission Learning Day
Registration is Open for the Part B Claim Submission Learning Day Join us on Tuesday, 5/9/2023 for our Part B Claim Submission Learning Day! Our Part B POE Team is hosting a full day of educational webinars focused on submitting claims [...]
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Posting Date: 07/17/2023
Prior Authorization Outpatient Department Rejections Alert
Prior Authorization Outpatient Department Rejections Alert National Government Services has seen a significant increase in rejections due to invalid information provided on PAR cover sheets. Please see the following for top reasons for [...]
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Posting Date: 06/08/2023
MLN Connects® Newsletter: June 8, 2023
MLN Connects® Newsletter: June 8, 2023 News CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the Territory of Guam Due to Recent Typhoon CMS Roundup (June 2, 2023) Gender-Specific Services: Billing [...]
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Posting Date: 06/01/2023
MLN Connects® Newsletter: June 1, 2023
MLN Connects® Newsletter: June 1, 2023 News CMS Announces Plan to Ensure Availability of New Alzheimer’s Drugs COVID-19 Health Care Staff Vaccination Final Rule Medicare Secondary Payer Accident-Related Diagnosis Codes: How to Get Paid [...]
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Posting Date: 05/19/2023
Local Coverage Determination Open Meeting Announcement
Local Coverage Determination Open Meeting Announcement Jurisdiction 6/Jurisdiction K Part A/Part B MAC To ensure the development of LCDs occurs through a public and open process, we are soliciting scientific evidence and other [...]
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Posting Date: 03/23/2023
MLN Connects® Newsletter: March 23, 2023
MLN Connects® Newsletter: March 23, 2023 News Additional Residency Positions: Apply by March 31 Laboratory Testing Urinalysis: Comparative Billing Report in March Long-Term Care Hospital Provider Preview Reports: Review by April 14 [...]
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Posting Date: 03/22/2023
Appealing a Denied Claim
Appealing a Denied Claim At times, providers submit a claim that ends up being denied; the denial may include appeal rights. Providers can appeal all of their overpayment claims on one request for redetermination, which is the first level of [...]
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