 | Ohio Part B Carrier |
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| Browse by Specialty |
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| Ambulance |
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| Ambulance Services | 11/18/2009 | |
| Ensuring the Denial of Claims for Ambulance Services Rendered to Beneficiaries in Part A Skilled Nursing Facility Stays | 11/10/2009 | |
| Billing for an Ambulance Transport with More than One Patient Onboard | 09/28/2009 | |
| Lab |
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| Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2010 | 11/10/2009 | |
| Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the CMS-1500 Claim Form | 11/10/2009 | |
| Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier | 11/04/2009 | |
| Nephrology |
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| Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier | 11/04/2009 | |
| Oncology & Hematology |
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| FDG PET for Solid Tumors and Myeloma | 10/27/2009 | |
| Optometry & Ophthalmology |
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| Avastin Coverage for Intraocular Use | 11/17/2009 | |
| Psychiatry & Psychology |
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| Outpatient Mental Health Treatment Limitation | 11/18/2009 | |
| New Physician Specialty Code for Geriatric Psychiatry | 11/04/2009 | |
| Radiology |
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| Positron Emission Tomography (PET) or PET/Computed Tomography (CT) | 11/16/2009 | |
| Magnetic Resonance Imaging (MRI) | 10/21/2009 | |
| Surgery |
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| Clarification of the Use of Modifiers When Billing “Wrong Surgery on a Patient” | 10/09/2009 | |
| Inpatient-Only Procedures | 10/09/2009 | |
| Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgery or Other Invasive Procedure Performed on the Wrong Body Part; and Surgical or Other Invasive Procedure Performed on the Wrong Patient | 10/02/2009 | |
| Therapy |
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| Therapy Cap Values for Calendar Year (CY) 2010 | 11/18/2009 | |
| Browse by Topic |
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| DMEPOS |
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| Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program | 09/28/2009 | |
| Drugs & Biologicals |
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| Annual Clotting Factor Furnishing Fee Update | 10/21/2009 | |
| Fee Schedules |
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| DMEPOS |
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| Calendar Year (CY) 2010 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | 11/19/2009 | |
| Drugs & Biologicals |
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| January 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 11/18/2009 | |
| Medicare Physician Fee Schedule |
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| 2010 Medicare Physician Fee Schedule (MPFS) Update | 11/17/2009 | |
| Supplies |
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| Reasonable Charge Update for 2010 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses | 10/30/2009 | |
| Frequently Asked Questions |
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| Modifiers |
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| My claim was returned with the message 'the procedure code is inconsistent with the modifier used or a required modifier is missing.' Both HCPCS modifier Q0 and CPT modifier 26 should be valid for the procedure code. Why wasn’t my claim processed? | 11/16/2009 | |
| General |
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| Claim Status Category Code and Claim Status Code Update | 11/18/2009 | |
| Update to Medicare Deductible, Coinsurance, and Premium Rates for 2010 | 11/18/2009 | |
| Proactive Approach to New CMS Ordering/Referring Editing Process | 11/16/2009 | |
| Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the CMS-1500 Claim Form | 11/10/2009 | |
| Instructions Regarding Processing Claims Rejecting for Gender/Procedure Conflict | 11/02/2009 | |
| 2010 Medicare Participation Enrollment & Fee Schedule Information | 10/21/2009 | |
| Alternative Process for Individual Eligible Professionals to Access Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Feedback Reports | 10/15/2009 | |
| Comprehensive Outpatient Rehabilitation Facility Manual | 10/09/2009 | |
| Expansion of the Current Scope of Editing for Ordering/Referring Providers: Claims Processed by Medicare Carriers & Part B Medicare Administrative Contractors (MACs) | 10/07/2009 | |
| CMS Quarterly Provider Update | 09/29/2009 | |
| Change in Payment Cycle Schedule | 09/28/2009 | |
| Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update | 09/24/2009 | |
| Overpayment |
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| Notice of New Interest Rate for Medicare Overpayments & Underpayments: 1st Notification for FY 2010 | 10/19/2009 | |
| Preventive Services |
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| Immunization |
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| 2009 and 2010 Seasonal Influenza (Flu) Resources for Health Care Professionals | 10/13/2009 | |
| Influenza Vaccine Payment Allowances: Annual Update for 2009-2010 Season | 10/07/2009 | |
| Provider Enrollment |
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| General |
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| Provider Enrollment: Revalidation Cycle | 11/20/2009 | |
| 2010 Annual Participation Enrollment Program Extension | 11/18/2009 | |
| One-Time Mailing of Supplier Responsibilities Letter: Individual Practitioners Only | 10/07/2009 | |
| EDI |
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| General |
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| Free EDI Class: Medicare Secondary Payer (MSP) Claims Billing with PC-ACE Pro32 | 11/04/2009 | |
| EDI Software Training for OH & WV Part B | 11/02/2009 | |
| Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835: Health Care Claim Payment/Advice | 10/21/2009 | |
| Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835: Health Care Claim Payment/Advice | 10/21/2009 | |
| Activation of New Coordination of Benefits Agreement (COBA) Trading Partner Dispute Error Code within the National Crossover Process | 09/30/2009 | |
| Software & Manuals |
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| EDI Software Training for OH & WV Part B | 11/02/2009 | |
| PC-ACE Pro32 version 2.16 Update File | 10/20/2009 | |
| Learning & Education |
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| ACT-Ask the Contractor |
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| Consultation Services Ask the Contractor Call: Transcript, October 7, 2009 | 11/13/2009 | |
| General Information |
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| New Provider Staff Webinar: Appeals | 11/18/2009 | |
| Free EDI Class: Medicare Secondary Payer (MSP) Claims Billing with PC-ACE Pro32 | 11/04/2009 | |
| Want to enhance your Medicare knowledge? | 09/22/2009 | |
| Publications |
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| Medicare Advisory |
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| November 2009 Medicare Advisory | 10/28/2009 | |
| Resources |
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| Related Sites |
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| CMS Quarterly Provider Update | 09/29/2009 | |