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Jurisdiction 11 Part A

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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?01/20/2015
Revalidation Initiative: Frequently Asked Questions (FAQs)01/20/2015
Is it acceptable to highlight information in the medical records when responding to a Medical Review Additional Documentation Request (ADR)?01/15/2015
A Group Health Plan (GHP) has recouped a primary payment on a claim processed over a year old indicating Medicare should have been primary. Will Medicare override timely filing rules and process an adjustment claim?01/14/2015
If a patient is admitted into inpatient or skilled nursing facility care within 60 days of the benefits, does Medicare adjust claims to assign benefits sequentially for dates of service?12/29/2014
My remittance advice (RA) contained code LE - Levy. What does this mean?12/29/2014
What date is used to start the count of the 180 days for the submission of the Part B claim under the new A/B rebilling process?12/29/2014
Are bariatric procedures not related to weight loss covered by Medicare?12/23/2014
Are cardiac rehabilitation programs covered by Medicare?12/23/2014
Are Critical Access Hospital (CAH) 85X type of bills (TOBs) editing for the 2014 Hospital Outpatient Prospective Payment System (PPS) Clinical Diagnostic Laboratory Test Payment and Billing rule per MLN Matters article MM8572?12/23/2014
Are hospital labs that file institutional claims exempt from the MolDx Program requirements?12/23/2014
Can a provider request Healthcare Common Procedure Coding System (HCPCS) coding assistance from Palmetto GBA?12/23/2014
Do Federally Qualified Health Centers (FQHCs) bill the Part A on the UB04 claim form for influenza and Pneumococcal Pneumonia Vaccinations (PPV) vaccinations?12/23/2014
How do I enter three modifiers in Direct Data Entry (DDE)? There is no room to report the third modifier on Page 2 when keying a claim on DDE.12/23/2014
How do I sign up for Direct Data Entry?12/23/2014
How long does a provider have to submit medical records to the Comprehensive Error Rate Testing (CERT) Contractor for review?12/23/2014
I have a beneficiary who was part of a Medicare Advantage (MA) plan for part of their stay. How do I bill for their services?12/23/2014
If a hospital elects to report charges for recurring, non-repetitive services on a single bill, what must they report on the bill?12/23/2014
If our pharmacy incorrectly reconstituted Herceptin (Trastuzumab) using sterile water instead of bacteriostatic water, and we are unable to store and use the rest of the vial, can our facility bill for the wasted drug and the administered amount?12/23/2014
Is a dialysis facility required to submit the CMS-382 form if the patient receiving dialysis services does not have a Medicare number or is a Medicaid or private insurance beneficiary?12/23/2014
Is the administration for the flu and PPV vaccines reimbursed the same way?12/23/2014
Is there a limit to the number of claims that can be seen in the return to provider (RTP) status?12/23/2014
My claim contains HCPCS code C9399 (Unclassified drugs or biologicals), and received reason code 32512 indicating that the associated units must be equal to one. Please explain this reason code.12/23/2014
My claims are returning to provider (RTP) for reason code 32402, which states the claim date of service (DOS) is before the HCPCS effective date. If the assessments are generating the new RUG codes that came in effect October 1, 2010, should the claims bypass this edit, or what will the provider need to do to get this to process?12/23/2014
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last updated on 1/01/2015
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