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  • Posting Date: 04/23/2025
    37236

    Avoiding/Correcting This Error Verify eligibility of the attending/ordering physicians in PECOS. Print that verification and make it part of the medical record. If applicable, submit a reopen request to the Appeals Department indicating error [...]

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  • Posting Date: 04/23/2025
    55HTP

    Avoiding/Correcting This Error Verify that the initial certification is complete and includes all necessary elements, such as the patient’s homebound status, the need for skilled services, and a face-to-face encounter with a physician or [...]

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  • Posting Date: 04/23/2025
    55H1L

    Avoiding/Correcting This Error Clinical progress notes should show evidence of a steady decline or downward trajectory in the beneficiary’s clinical status over time. Documentation should be objective, measurable and must support a life [...]

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  • Posting Date: 06/01/2023
    How to Avoid and Correct Duplicate Claim Denials

    How to Avoid and Correct Duplicate Claim Denials A duplicate claim submission occurs when a physician or other qualified healthcare professional resubmits a claim either on paper or electronically for a single encounter and the service is [...]

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  • Posting Date: 04/23/2025
    Portable X-Ray Cost Analysis Survey

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  • Posting Date: 04/23/2025
    PECOS: Manage Signatures and Additional Information Requests

    During this webinar, we’ll give direction for the Provider Enrollment, Chain and Ownership System (PECOS) application on understanding how to manage signatures and respond to additional information request from submitted applications.

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  • Posting Date: 04/23/2025
    Submitting Revalidation via PECOS

    During this webinar, we’ll provide an understanding of how to utilize the Centers for Medicare & Medicaid Services (CMS) Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a [...]

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  • Posting Date: 04/23/2025
    Getting Access to PECOS

    During this webinar, we’ll discuss how to obtain access to the Internet-based Provider Enrollment Chain & Ownership System (PECOS) and gain connection to provider enrollment record as well as understand other Centers for Medicare & Medicaid [...]

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