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Jurisdiction 11 Part A
FAQs



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How should I submit Medicare claims for Radium Ra-223?09/18/2014
I am a Medicare Periodic Interim Payment (PIP) provider that had claims affected by the incarcerated beneficiary take backs and I still have not received my refund for these claims. Can you tell me when I should expect to receive the refund?09/18/2014
Are we able to bill the CPT codes on the 12x type of bill (TOB) that would have been billed had this claim originally been submitted as an outpatient claim but were not allowed to be included on the inpatient claim which has been denied upon review, under the new A/B rebilling process?09/17/2014
Can a provider bill a skilled nursing facility (SNF) or swing bed (SB) claim if the patient does not have a qualifying hospital stay?09/17/2014
Can an acute care prospective payment system hospital bill two inpatient claims if a patient is discharged and then readmitted to the same hospital on the same day, but for a different diagnosis?09/17/2014
Can I bill for drug wastage from a multi-dose/multiuse vial or package of drug or biological?09/17/2014
Change Request 8255 advises institutional providers to report the Clinical Trial Number on the claim, but I file a UB04 and it doesn’t state where to place this information. Can you advise?09/17/2014
Do hospitals receive a special add-on payment for blood clotting factors furnished to inpatients?09/17/2014
Do outpatient physical therapy facilities provide vaccinations?09/17/2014
Does Medicare issue a letter indicating a patient's benefits are exhausted?09/17/2014
For the new A/B Rebilling process, what should be billed on the 13x type of bill (TOB) versus on the 12 TOB?09/17/2014
How is a Federally Qualified Health Center (FQHC) supposed to bill for Part A core preventive services and how they are reimbursed?09/17/2014
How should I submit Part A biological response modifiers (BRM)/monoclonal antibodies administration?09/17/2014
How should units be billed for outpatient Bevacizumab (Avastin) services?09/17/2014
I am a provider and my Remittance Advice (RA) indicates a 935 withholding. Please explain.09/17/2014
I am aware that source of admission code 7 is no longer valid. What code replaces it?09/17/2014
I am receiving reason code W7062, which means 'code not recognized by OPPS; alternative code for same service may be available', on several of our outpatient hospital claims. Where can I find coding guidance?09/17/2014
I have a claim where all lines are rejected due to reason code 10416. What does this code mean?09/17/2014
I recently started receiving edits for medical necessity on my clinical trial claims. I am using the V707 diagnosis code. Was there a recent change to this diagnosis code for medical necessity?09/17/2014
I was late to the Webinar and missed information presented at the beginning. Is there a way for me to watch the session in its entirety later?09/17/2014
If I am uncertain as to whether Medicare or the CERT contractor can read my doctor's signature may I voluntarily submit a signature log when asked to provide documentation?09/17/2014
Is AmnioFix covered by Medicare?09/17/2014
JW HCPCS Modifier: Frequently Asked Questions09/17/2014
My remittance advice (RA) contained code LE - Levy. What does this mean?09/17/2014
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last updated on 9/01/2014
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