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Posting Date: 02/24/2022
February and March 2022 Billing and Coding Article Updates
February and March 2022 Billing and Coding Article Updates Billing and Coding: Peripheral Nerve Blocks (A57452) This article has been updated due to a provider request to add diagnosis code G58.0 to Group 1 in the "ICD-10 codes that support [...]
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Posting Date: 02/04/2022
Provider Compliance Virtual Focus Group - February 24, 2022
Provider Compliance Virtual Focus Group - February 24, 2022 Thursday, 2/24/2022 from 1:00–4:00 p.m. ET Register by Friday, 2/18/2022 - Registration Closed How can CMS improve its processes and eliminate unnecessary requirements for [...]
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Posting Date: 02/14/2022
Prior Authorization Requests Submitted by Exempt Providers Alert
Prior Authorization Requests Submitted by Exempt Providers Alert The National Government Services PA Department has observed an increase in submission of PAR for exempt providers. These submissions are from the HOPD and/or physician offices on [...]
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Posting Date: 02/08/2022
2022 Gap-Fill Request for Information
2022 Gap-Fill Request for Information National Government Services, the MAC for JK and J6, is in receipt of the new laboratory test codes identified by the CMS to be gap-fill priced for 2022. The PAMA regulations instruct the MACs to establish [...]
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Posting Date: 12/06/2021
January 2022 EDI Front End Quarterly Release
January 2022 EDI Front End Quarterly Release Please be advised that while the Centers for Medicare & Medicaid Services mandated release for January 2022 will be installed the weekend of 1/2/2022, the code set updates included with this [...]
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Posting Date: 01/28/2022
Home Health Bill Type 32A Returning With Reason Code U537I
Home Health Bill Type 32A Returning With Reason Code U537I CMS implemented HH TOB 32A for the NOA effective for period of care claims on or after 1/1/2022. The NOA is required for all HH period of care claim billing, including demand billing [...]
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Posting Date: 01/26/2022
Skilled Nursing Facility Consolidated Billing Services Reminder
Skilled Nursing Facility Consolidated Billing Services Reminder For Medicare beneficiaries in a covered Part A stay, these separately payable, or excluded, services include select items or services in the following categories: physician’s [...]
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Posting Date: 01/25/2022
January and February 2022 LCD and Billing and Coding Article Updates
January and February 2022 LCD and Billing and Coding Article Updates Colon Capsule Endoscopy (CCE) (L38571) LCD revised effective 2/15/2022: coverage criteria expanded to include blood-based biomarker colorectal cancer screening test, [...]
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