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  • Posting Date: 07/18/2025
    You Asked, We Listened - Introducing the Modifier Lookup Tool

    You Asked, We Listened - Introducing the Modifier Lookup Tool We value and appreciate the feedback from our providers, which drives continuous improvement to enhance your experience. We're pleased to announce the launch of our new Modifier [...]

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  • Posting Date: 07/18/2025
    7K073

    Avoiding/Correcting This Error If the beneficiary is entitled to Medicare Part B, an ancillary claim may be submitted to your MAC. Related Content Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) [...]

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  • Posting Date: 07/18/2025
    U5200

    Avoiding/Correcting This Error Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS Provider Online System, HETS or NGSConnex to verify beneficiary [...]

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  • Posting Date: 07/18/2025
    U5210

    Avoiding/Correcting This Error Each beneficiary should be screened for eligibility. Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS Provider [...]

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  • Posting Date: 07/18/2025
    Medical Policy and Billing and Coding Updates

    Medical Policy and Billing and Coding Updates LCDs in Notice Period (7/24/2025-9/6/2025) L38367 - Fluid Jet System Treatment for LUTS/BPH Based on a Reconsideration Request, the Indications of Coverage have been revised by removing the [...]

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  • Posting Date: 07/18/2025
    CERT Awareness Week Three – Verify Your Medical Records Correspondence Address

    CERT Awareness Week Three – Verify Your Medical Records Correspondence Address The Part A, Part B, DME, home health and hospice and RRB MACs are working together to promote the importance of complying with CERT documentation requests. This is [...]

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  • Posting Date: 07/21/2025
    Reducing Unprocessable Claims

    When claims are submitted with invalid, incomplete or incorrect information, our claims processing system will detect these errors and will reject claims as unprocessable. Our goal is to assist our providers in submitting claims correctly the [...]

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  • Posting Date: 07/21/2025
    Alcohol Misuse, Counseling to Prevent Tobacco Use and Lung Cancer Screening

    During this webinar, we’ll review the coverage, coding and billing guidelines for the Medicare Part B preventive services benefits of alcohol misuse, counseling to prevent tobacco use and lung cancer screening.

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