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Jurisdiction 11 Part A

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How can I search local coverage determinations (LCD) for a specific CPT/HCPCS code?08/21/2015
Are we required to complete the ICD Indicator field in Item 21 of the CMS-1500 (02/12) claim form?08/18/2015
We used a D7 condition code to make a secondary Medicare claim adjustment and it was rejected as no payment from the primary, what code should I use?08/14/2015
Can I appeal a claim that edited for Timely Filing?08/10/2015
Can I appeal a claim that rejected with reason code 32402 because the revenue code is not valid with the code billed?08/10/2015
My redetermination was returned because there was not enough information to work my request. What was missing?08/10/2015
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?07/01/2015
Are bariatric procedures not related to weight loss covered by Medicare?07/01/2015
Are cardiac rehabilitation programs covered by Medicare?07/01/2015
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?07/01/2015
Are hospital labs that file institutional claims exempt from the MolDx Program requirements?07/01/2015
Can a provider request Healthcare Common Procedure Coding System (HCPCS) coding assistance from Palmetto GBA?07/01/2015
Do Federally Qualified Health Centers (FQHCs) bill the Part A on the UB04 claim form for influenza and Pneumococcal Pneumonia Vaccinations (PPV) vaccinations?07/01/2015
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.07/01/2015
How do I sign up for Direct Data Entry?07/01/2015
How long does a provider have to submit medical records to the Comprehensive Error Rate Testing (CERT) Contractor for review?07/01/2015
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?07/01/2015
If a hospital elects to report charges for recurring, non-repetitive services on a single bill, what must they report on the bill?07/01/2015
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?07/01/2015
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?07/01/2015
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?07/01/2015
Is the administration for the flu and PPV vaccines reimbursed the same way?07/01/2015
Is there a limit to the number of claims that can be seen in the return to provider (RTP) status?07/01/2015
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.07/01/2015
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last updated on 8/01/2015
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