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  • Posting Date: 07/29/2025
    Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating

    Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating Did you know that tobacco cessation counseling is a covered Medicare service? Brief tobacco counseling provides substantial health benefits while producing cost savings. [...]

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  • Posting Date: 06/01/2020
    New York State Ambulance Services in Rural Areas (for JK providers only)

    New York State Ambulance Services in Rural Areas NYS has unique requirements for the payment of paramedic intercept services when an ambulance company can provide only BLS services. Paramedic intercept services can be approved in counties and [...]

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  • Posting Date: 07/29/2025
    17730

    Avoiding/Correcting This Error This edit is applied if the NPI and first four letters of the physician’s last name submitted on the claim in the Referring field do not match the physician’s NPI and first four letters of the physician’s last [...]

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  • Posting Date: 07/29/2025
    55H20

    Avoiding/Correcting This Error This denial is based on review of a claim that was submitted as a demand bill. The charges on this claim are beneficiary liable. The beneficiary may be billed for these charges.

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  • Posting Date: 07/29/2025
    17729

    Avoiding/Correcting This Error This edit is applied if the NPI and first four letters of the physician’s last name submitted on the claim in the Attending field do not match the physician’s NPI and first four letters of the physician’s last [...]

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  • Posting Date: 07/29/2025
    55H1S

    Avoiding/Correcting This Error Include all face-to-face encounter attestations for the third benefit period and after with your medical record submission to the ADR. Ensure that the CMS requirements for the face-to-face encounter have been met [...]

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  • Posting Date: 07/29/2025
    55H2B

    Avoiding/Correcting This Error Ensure the submitted documentation supports the beneficiary is confined to the home.  An individual shall be considered “confined to the home” (homebound) if the following two criteria are met: Criterion [...]

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  • Posting Date: 07/29/2025
    17730

    Avoiding/Correcting This Error This edit is applied if the NPI and first four letters of the physician’s last name submitted on the claim in the Referring field do not match the physician’s NPI and first four letters of the physician’s last [...]

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