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Jurisdiction 1 Part B
Frequently Asked Questions


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Can I submit a subsequent hospital visit if my documentation does not support one of the three levels of an initial hospital visit?05/09/2013
Can I submit a subsequent nursing facility CPT code if my documentation does not support one of the three levels of initial nursing facility services?05/09/2013
Can a single visit be counted as both the IPPE and an AWV?04/17/2013
Can other medical services be performed at the same time as an AWV? If so, how are they coded?04/17/2013
Can you clarify the exact timeframe between Annual Wellness Visits (AWVs)? Is it 365 days from the date of the last AWV or 11 months, etc.?04/17/2013
Is the Annual Wellness Visit (AWV) the same as a beneficiary's yearly physical?04/17/2013
Is there a deductible or coinsurance/copayment for the Annual Wellness Visit (AWV)?04/17/2013
What are the appropriate procedure codes for the first and subsequent AWVs?04/17/2013
What causes a claim to be Unprocessable/Rejected?04/17/2013
When is a beneficiary eligible for the Annual Wellness Visit?04/17/2013
A patient is transported by ambulance to hospice prior to the initial assessment and development of the plan of care. Change Request 6778 states this transport would be covered under the ambulance benefit, not the hospice benefit. What destination modifier do I use?04/11/2013
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)?04/11/2013
After providing a consultation for a patient, the consulting physician receives an additional request (from the same referring physician or another referring physician) to see the same patient. Can the consulting physician submit an appropriate consultation CPT code for the second consultation?04/11/2013
Am I an Independent Diagnostic Testing Facility (IDTF)?04/11/2013
Am I required to 'dial in' to the Webinar to hear the audio?04/11/2013
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?04/11/2013
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service?04/11/2013
Are Critical Access Hospitals (CAHs) subject to the outpatient therapy caps and thresholds in 2013?04/11/2013
Are EDI Enrollments (aka EDI Agreements) required by Jurisdiction 1?04/11/2013
Are health care providers required to comply with the CERT contractor’s request for medical records?04/11/2013
Are tetanus vaccines covered when treating a patient for an injury?04/11/2013
Are there any specific limits on the number of office visits Medicare will pay for each year?04/11/2013
Are we required to submit a claim to Palmetto GBA for maintenance therapy?04/11/2013
Are we required to submit our Medicare Secondary Payer (MSP) claims electronically?04/11/2013
Are Your Medicare Secondary Claims Rejecting?04/11/2013
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last updated on 5/01/2013
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