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Posting Date: 06/03/2025
Modifier 22 Supporting Documentation for Part B claims
Modifier 22 Supporting Documentation for Part B claims The Centers for Medicare & Medicaid Services, Internet-Only-Manual, Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 40.2.10 Unusual Circumstances states: [...]
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Posting Date: 05/17/2023
How to Prevent Common Skilled Nursing Facility Denials
How to Prevent Common Skilled Nursing Facility Denials This article was developed to increase awareness and educate SNFs on the top errors found by our Medical Review team. The information below includes suggestions to ensure documentation [...]
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Posting Date: 01/01/1970
ALOB_Mental Health Enrollment Reminders
Mental Health Enrollment Reminders Mental Health Enrollment Reminders Effective 1/1/2024, Medicare covers services furnished by MFTs and MHCs. Please note: The criteria listed below for mental health counselor includes clinical professional [...]
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Posting Date: 02/04/2022
Best Practices for a Successful Targeted Probe and Educate Review
Best Practices for a Successful Targeted Probe and Educate Review Table of Contents Getting Started With TPE Notification Letter During the Review Process Post-Probe/Review Results Letter Prepare for Post-Probe Education [Return to [...]
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Posting Date: 02/04/2022
Best Practices for a Successful Targeted Probe and Educate Review
Best Practices for a Successful Targeted Probe and Educate Review Table of Contents Getting Started With TPE Notification Letter During the Review Process Post-Probe/Review Results Letter Prepare for Post-Probe Education [Return to [...]
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Posting Date: 06/03/2025
Overview of Evaluation and Management Services
Due to the overwhelming response for this session, we’re offering this as a repeat of the 6/3 virtual conference webinar. We've seen major changes to the evaluation and management code set over the last few years. In 2021, the AMA [...]
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Posting Date: 02/22/2022
Appeals Calculator Levels of Appeal Table
Five Levels of Appeals: Overview Levels Level One Level Two Level Three Level Four Level Five Type of Appeal Redetermination Reconsideration (QIC) Administrative Law Judge (ALJ) Medicare Appeals [...]
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Posting Date: 01/01/1970
AFH_How to Proactively Address Denials
How to Proactively Address Denials How to Proactively Address Denials Want to improve the Payment Error Rate for the next round of review? Be sure to learn about and understand claim denials before the end of round education with the Case [...]
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