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Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

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Jurisdiction 11 Part B
Frequently Asked Questions



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What is the correct billing for drug screens, specifically HCPCS code G0431?10/30/2014
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?10/13/2014
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)?10/13/2014
After I receive a 277CA will I receive anything else?10/13/2014
After the employer has turned in the original questionnaire for the IRS/SSA/CMS Data Match purposes, what are the responsibilities of the employer to update this information? Who should be contacted?10/13/2014
Am I an Independent Diagnostic Testing Facility (IDTF)?10/13/2014
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?10/13/2014
Appeals: What happens to an incomplete redetermination request?10/13/2014
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service?10/13/2014
Are Critical Access Hospitals (CAHs) subject to the outpatient therapy caps and thresholds in 2013?10/13/2014
Are health care providers required to comply with the CERT contractor’s request for medical records?10/13/2014
Are observation codes submitted by the hour or by the calendar date?10/13/2014
Are there any specific limits on the number of office visits Medicare will pay for each year?10/13/2014
Are there MSP examples available to view?10/13/2014
Are we required to submit a claim to Palmetto GBA for maintenance therapy?10/13/2014
Are we required to submit our Medicare Secondary Payer (MSP) claims electronically?10/13/2014
Are you required to submit therapy codes with both the GP and the GY HCPCS modifiers?10/13/2014
Are Your Medicare Secondary Claims Rejecting?10/13/2014
As a non-participating provider, why can I not charge up to the limiting charge if I accept assignment?10/13/2014
Can a chiropractor use a manual device to assist with manipulation?10/13/2014
Can a clinical pharmacist (Pharm D) perform an Annual Wellness Visit (AWV)?10/13/2014
Can a nurse practitioner perform the initial hospital visit?10/13/2014
Can a provider bill Medicare for missed appointments and receive reimbursement?10/13/2014
Can a provider submit a hospital inpatient or office/outpatient evaluation on the same calendar date as a critical service?10/13/2014
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last updated on 10/01/2014
ver 1.0.51