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Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

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Jurisdiction 11 Part B
Frequently Asked Questions



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A provider left our group. We have billed Locum Tenens for 60 days. If we use a different substitute physician every 60 days, can we continue to bill Locum Tenens under the exiting physician’s National Provider Identifier (NPI)?01/20/2015
After the employer has turned in the original questionnaire for the IRS/SSA/CMS Data Match purposes, what are the responsibilities of the employer to update this information? Who should be contacted?01/20/2015
Am I an Independent Diagnostic Testing Facility (IDTF)?01/20/2015
Am I violating the Health Insurance Portability and Accountability Act (HIPAA) privacy rules by sending documentation to the CERT Documentation Contractor (CDC) and/or AdvanceMed?01/20/2015
Appeals: What happens to an incomplete redetermination request?01/20/2015
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service?01/20/2015
Are health care providers required to comply with the CERT contractor’s request for medical records?01/20/2015
Are there any specific limits on the number of office visits Medicare will pay for each year?01/20/2015
Are you required to submit therapy codes with both the GP and the GY HCPCS modifiers?01/20/2015
As a non-participating provider, why can I not charge up to the limiting charge if I accept assignment?01/20/2015
Can a clinical pharmacist (Pharm D) perform an Annual Wellness Visit (AWV)?01/20/2015
Can a provider bill Medicare for missed appointments and receive reimbursement?01/20/2015
Can a provider submit charges for evaluation and management 'Level 4' office visit and prolonged care if the reason for the prolonged care was based on the patient requiring an interpreter?01/20/2015
Can a psychologist order neuropsychological tests?01/20/2015
Can a travel allowance fee be charged for medically necessary specimen collection from a nursing home or homebound patient?01/20/2015
Can an Anesthesiologist Assistant (AA) append HCPCS modifier QZ to an aesthesia service?01/20/2015
Can an attending physician and an office physician both submit a claim for their services?01/20/2015
Can an audiology service performed by an audiologist (technician) be submitted under the ENT physician's provider number when the ENT physician is out of the office on vacation? Could this be an example of 'incident to' services?01/20/2015
Can an emergency department visit be submitted if the physician consults with the ER physician over the phone but does not actually come to the emergency department?01/20/2015
Can an independent diagnostic testing facility (IDTF) that functions as a mammography center receive Medicare reimbursement for percutaneous breast biopsy procedures and metallic localization clip placement?01/20/2015
Can Dr. B. submit an initial visit in the following scenario? An ER physician sends a patient to be admitted and lists Dr. A. as the admitting physician. A resident performs the history and physical (H&P), followed by Dr. B., who sees the patient, reviews the H&P, and writes his notes. Dr. A. never sees or bills for any service for the patient.01/20/2015
Can I call the Telephone Reopening Line to correct claims that were rejected as unprocessable?01/20/2015
Can I submit an established patient code if the minimal documentation requirements are not met for a new patient code?01/20/2015
Can physical and occupational therapists both provide services to one patient at the same time?01/20/2015
Can providers of the same specialty/same group bill for critical care add on codes on the same date of service?01/20/2015
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last updated on 1/01/2015
ver 1.0.51