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Posting Date: 04/03/2024
Part A Claims Returning to Provider (RTP) RC 38361
Claims are continuing to incorrectly RTP even when the prior claims are not No Pay Claims.
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Posting Date: 04/03/2024
Rural Health Claims Impacted by FS2540
This utility will adjust Rural Health claims - 71X TOB Reimbursed incorrectly with the implementation of FS2540 in the A20232CP release Installed to production on 5/15/23 Note: changes for FS2540 were backed out with FS2540R1 on 6/13/23. [...]
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Posting Date: 04/02/2024
Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD
Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD Per the direction of CMS, as of 3/27/2024, National Government Services may grant extensions for responses to ADRs to providers under active medical [...]
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Posting Date: 04/05/2024
You Asked, We Listened – Enhanced Website Search
You Asked, We Listened – Enhanced Website Search We often hear from our customers that our website search function returns too many results when searching for a specific topic. We’re happy to share, we’ve enhanced our search function to help [...]
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Posting Date: 04/05/2024
Submission of EDI Enrollment Forms
Submission of EDI Enrollment Forms We’ve added validation within the EDI Enrollment Form submission process that will verify provider information as the form is being completed. Previously, this validation was completed after submission, and [...]
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Posting Date: 04/04/2024
Understanding Revalidation Application Requirement of Submission
Understanding Revalidation Application Requirement of Submission The 42 Code of Federal Regulations Section 424.515(b): requires that a provider/supplier must submit a CMS-855 application with complete information for revalidation by the due [...]
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Posting Date: 04/04/2024
Understanding Revalidation Application Requirement of Submission
Understanding Revalidation Application Requirement of Submission The 42 Code of Federal Regulations Section 424.515(b): requires that a provider/supplier must submit a CMS-855 application with complete information for revalidation by the due [...]
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Posting Date: 01/04/2022
Autonomic Function Testing
Autonomic Function Testing tilt table, sudomotor L36236 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=36236 A57024 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57024 A54403 [...]
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