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Posting Date: 12/19/2016
Payment Withholding Information
Payment Withholding Information What Is a Payment Withholding? Why Are Payments Withheld? Who Can I Contact for Further Assistance? What About Cost Report Interim and Final Settlement Withholdings? What Is a Payment Withholding? An [...]
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Posting Date: 07/08/2025
MSP Post-Pay Adjustments
If you have received an overpayment because Medicare paid as the primary insurer and another insurance carrier should be the primary payer, follow the instructions on the Part A voluntary refund form. A separate refund form is needed for [...]
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Posting Date: 12/19/2016
Refunds Due to Beneficiaries by Providers
Refunds Due to Beneficiaries by Providers In some situations, providers are responsible for refunding monies to beneficiaries that have paid for services providers have determined to be noncovered and nonpayable by Medicare. When an ABN has [...]
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Posting Date: 07/08/2025
Credit Balance Reporting
Table of Contents What is a Credit Balance? What Should I Do When I Have a Credit Balance? Additional Tips for a Successful Credit Balance Report Submission [Return to Top] What is a Credit Balance? Generally, when a provider [...]
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Posting Date: 02/04/2021
CMS-855I Completion Tips for Physicians and NPPs in Private Practice Revalidation Application
CMS-855I Completion Tips for Physicians and NPPs in Private Practice Revalidation Application Follow the instructions printed on the CMS-855I application and refer to this list of sections required for revalidation. Section Required [...]
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Posting Date: 10/20/2021
Cognitive Assessment
Cognitive Assessment Table of Contents Billing Codes Billing Information Documentation Related Content [Return to Top] Billing Codes 99483: 60 minute face-to-face [Return to Top] Billing Information Cognitive assessment [...]
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Posting Date: 11/01/2021
Transitional Care Management
Transitional Care Management Table of Contents Billing Codes Billing Information Documentation Related Content [Return to Top] Billing Codes 99495: Moderate complexity F2F 7 to 14 days 99496: High complexity F2F 7 days [...]
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Posting Date: 10/07/2021
Psychiatric Collaborative Care Model
Psychiatric Collaborative Care Model The psychiatric CoCM was introduced in 2018 and Medicare began making separate payments using CPT codes 99492, 99493 and 99494. Effective 1/1/2021, G2214 was added to Psychiatric CoCM to cover shorter [...]
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