Rural Hospital Systems and Baby Boomers

As A Majority of Baby Boomers Now Qualify for Medicare, the Issue of Being Reimbursed for Medicare Bad Debts Becomes More Significant.  Are You as A Healthcare Provider, Ready to Defend Your Share of Medicare Bad Debt Reimbursement During Audit? Baby Boomers reaching the age of 65 since 2012 are...

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Medicare Learning Network

MM10183 – Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.3, Effective October 1, 2017

Change Request (CR) 10183 informs the MACs about the update to the National Correct Coding Initiative (NCCI) procedure to procedure edits (PTP). This notice applies to Chapter 23, Section 20.9 of the Medicare Claims Processing Manual. Make sure your billing staffs are aware of these changes. View the full announcement

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Centers for Medicare and Medicaid Services

NEW: MM9876 – Implementation of New Influenza Virus Vaccine Code

Change Request (CR) 9876 provides instructions for payment and edits for the common working file (CWF) to include influenza virus vaccine code 90682 (Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use) for claims with dates of service on...

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Medicare Learning Network

Telehealth Services Fact Sheet – Revised

CMS has published the Telehealth Services Fact Sheet – Revised. Please share within your department and/or region as appropriate. Learn about: • Originating sites • Distant site practitioners • Telehealth services • Billing and payment for professional services furnished via telehealth and the originating site facility fee Download a PDF...

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Medicare Learning Network

Inpatient Rehabilitation Facility Prospective Payment System Fact Sheet — Revised

Please see the CMS information regarding “Inpatient Rehabilitation Facility Prospective Payment System Fact Sheet — Revised“ and share within your department and/or region as appropriate. The Fact Sheet provides an update to the Inpatient Rehabilitation Facility Quality Reporting Program section. Download a PDF of the Inpatient Rehabilitation Facility Prospective Payment...

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