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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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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?03/02/2015
Appeals: What happens to an incomplete redetermination request?03/02/2015
Are we required to submit a claim to Palmetto GBA for maintenance therapy?03/02/2015
Can a single visit be counted as both the IPPE and an AWV?03/02/2015
Can other medical services be performed at the same time as an AWV? If so, how are they coded?03/02/2015
Generally speaking, when we say 'objective measures,' what does that mean?03/02/2015
Generally speaking, when we say a 'treatment plan with specific goals', what does that mean?03/02/2015
How can I check the status of my Appeal request submitted through OPS?03/02/2015
How do I submit an Appeal online?03/02/2015
How do I upload attachments to an Appeal request?03/02/2015
How will I know my Appeal request has been received in OPS?03/02/2015
Is the Annual Wellness Visit (AWV) the same as a beneficiary's yearly physical?03/02/2015
What are the appropriate procedure codes for the first and subsequent AWVs?03/02/2015
What documentation is required for transtelephonic monitoring?03/02/2015
What HCPCS modifier should be used when transporting patients to and from satellite offices/urgent care centers owned by a large hospital? Since these are satellite offices of the hospital, why wouldn't they be considered the 'hospital' and be filed with HCPCS modifier 'H?'03/02/2015
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)?01/20/2015
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?01/20/2015
Am I an Independent Diagnostic Testing Facility (IDTF)?01/20/2015
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?01/20/2015
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service?01/20/2015
Are health care providers required to comply with the CERT contractor’s request for medical records?01/20/2015
Are there any specific limits on the number of office visits Medicare will pay for each year?01/20/2015
Are you required to submit therapy codes with both the GP and the GY HCPCS modifiers?01/20/2015
As a non-participating provider, why can I not charge up to the limiting charge if I accept assignment?01/20/2015
Can a chiropractor use a manual device to assist with manipulation?01/20/2015
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last updated on 3/01/2015
ver 1.0.51