contractor articles (249)
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A247: Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees - ClarificationA1570: Holding of Mammography Claims Reflecting Computer-Aided Detection (CAD) Device Health Care Common Procedure Coding System (HCPCS) Codes
A1571: Special Handling Instructions for Outpatient Rehabilitation Claims Reflecting Codes Current Procedural terminology (CPT) 92597 and Health Care Common Procedure Coding System (HCPCS) G0200
A1854: Vaccines Bill by Comprehensive Outpatient Rehabilitation Facility (CORF) Claims Being Held
A1856: Update to the Single Drug Pricer File Effective April 1, 2003
A2321: Local Medical Review Policies/ESRD
A2326: National Coverage Determinations (NCDs) Edits
A2327: Inpatient Hospital Transfers Based on Patient Preference
A2328: ESRD Local Code Update
A2329: Correction to Edits Affecting Audiology Services
A2959: Reporting of Common Procedural Terminology (CPT) Code 97014 and Healthcare Common Procedure Coding System (HCPCS) G0283
A2960: Holding of Mammography Claims Reflecting Computer-Aided Detection (CAD) Device Health Care Common Procedure Coding System (HCPCS) Codes
A2970: Evlaluation and Management Coding for Hospital Facilities
A2976: ESRD Supplies
A2980: Diabetic Self Management Training and Medical Nutrition Therapy
A2981: Infusion Therapy Billing
A2983: Physician Orders
A2984: Inpatient Rehabilitation
A2985: Clarification of Policy for Billing Injectable Medications in ESRD Clincs
A2987: Claims Information
A2989: Mass Adjustments for Overpayment on Observation
A2990: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of March
A2993: Special Handling Instructions for Outpatient Rehabilitation Claims Reflecting Codes Current Procedural Terminology (CPT) 92597 and Health Care Common Procedure Coding System (HCPCS) G0200
A2995: Ambulance Claims with Modifier QL or Value Code 32
A2997: Holding of All Outpatient Claims Containing Revenue Code 964
A2998: Reminder: Individuals Not Subject to the Limitation on Payment
A3003: Routine Nursing Services
A3004: Claim Adjustment Versus Appeal
A3005: Assigning Liability for Line Items Excluded by Statute on Otherwise Covered Claims
A3007: Top Reason Codes for Returned to Provider (RTP) errors for the month of April
A3012: LMRPs AND CRITICAL ACCESS HOSPITALS
A3013: Mammography Claims Reflecting Computer-Aided Detection (CAD) Devices Healthcare Common Procedure Coding System (HCPCS) Codes G0236 or 76085
A3014: Food and Drug Administration (FDA) Approval of Drug-Eluting Coronary Artery Stent(s)
A6239: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of May
A6251: Reminder: Skilled Nursing Facility (SNF) and Hospital Swing Bed Providers Are To Submit a Claim Whenever the Beneficiary Ceases to Require a Skilled Level of Care
A6278: BLOOD GLUCOSE MONITORING
A6279: COVERAGE DETERMINATIONS FOR INVESTIGATIONAL DEVICE EXEMPTIONS (IDES)
A6282: DRUG COVERAGE
A6283: UNNA BOOTS
A9984: Top Reason Codes for Returned to Provider (RTP) errors for the month of November
A9987: Single Drug Pricer (SDP) Updated
A9992: Submission of Non-Covered Charges Related to Advance Beneficiary
A10005: Top Reason Codes for Returned to Provider (RTP) errors for the month of October
A10007: INTRAVENOUS IRON THERAPY IN ESRD
A10013: Reminder: Clincal Diagnostic Laboratory Services
A10016: Top Reason Codes for Returned to Provider (RTP) errors for the month of December
A10023: Diabetic Self Management Training Probe Review
A10025: Fecal Occult Blood Probe Review
A10078: Frequently Asked Questions from providers for the month of November
A10121: Top Reason Codes for Returned to Provider (RTP) errors for the month of September
A10241: Top Frequently Asked Questions from providers for the month of September
A10249: PULMONARY REHABILITATION - A REMINDER
A10271: LEVOCARNITINE – A CAUTIONARY REMINDER
A10509: Top Reason Codes for Returned to Provider (RTP) errors for the month of August
A10510: Top Frequently Asked Questions from providers for the month of August
A10511: Hepatitis B Vaccine Dosage Updated for End Stage Renal Dialysis (ESRD) Providers
A11079: Top Reason Codes for Returned to Provider (RTP) errors for the month of July
A11083: Top Frequently Asked Questions from providers for the month of July
A11085: Update to ESRD Local Codes
A11090: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of June
A11093: Top 5 Frequently Asked Questions from providers for the month of June
A11096: Sulzer Inter-Op Acetabular Shell Recall Settlement with CMS
A11100: Appeal Reversals
A11101: Payment for HCPCS G0245 - G0249 Effective July 1, 2002
A11102: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of May
A11103: Top 5 Frequently Asked Questions from providers for the month of May
A11104: Reminder: Outpatient Services Treated as Inpatient Services
A11105: Positron Emission Tomography (PET) Scans
A11107: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of April
A11108: Top 5 Frequently Asked Questions from providers for the month of April
A11109: CPT Code 55873 for Cryosurgery of the Prostate Gland: Changes to Ensure
A11111: Notes From the Appeals Unit
A11113: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of March
A11114: Top 5 Frequently Asked Questions from providers for the month of March
A11116: Billing Chemotherapy Drug HCPCS Under the Outpatient Prospective Payment System (OPPS)
A11117: Reason Code W7038
A11118: Hospital Outpatient Partial Hospitalization Services
A11119: Home Health Consolidated Billing
A11120: HCPCS Code A4655 Terminated for ESRD Providers Effective March 31, 2002
A11121: Corrections to the Medicare Skilled Nursing Facility Manual
A11122: Diabetes Self-Management Training and Medical Nutrition Therapy Services
A11123: Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims
A11124: Local ESRD Drug Codes
A11125: Conversion of Hospital Swing Bed Facilities to the Skilled Nursing Facility Prospective Payment System (SNF PPS) Effective for Cost Reporting Periods Starting July 1, 2002
A11126: Clarification of New Patient Status Codes 62 and 63
A11127: Claims Information
A11128: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of February
A11129: Top 5 Frequently Asked Questions from providers for the month of February
A11130: Reminder: Processing of Non-Covered Charges Other Than Part A Inpatient Claims
A11133: Corrections to the Medicare Alert Bulletin 1991 -- Codes Billable by SNFs and Suppliers for SNF Residents
A11135: Intravenous Iron Therapy
A11136: Non-Contact Normothermic Wound Therapy (NNWT)
A11137: Revision of Payment for Blood Clotting Factor Administered to Hemophlia Inpatients
A11138: Medicare Secondary Payer Issues
A11139: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of January
A11140: Top 5 Frequently Asked Questions from providers for the month of January
A11141: Coverage Determinations for Investigational Device Exemptions (IDEs)
A11142: Prepay Probe Review
A11143: Diabetic Outpatient Self-Management Training Services
A11144: Local Code for Zemplar Effective February 1, 2002
A11146: Continuous Positive Airway Pressure (CPAP)
A11148: Reporting Units for HCPCS Codes G0108 and G0109
A11149: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of December
A11150: Top 5 Frequently Asked Questions from providers for the month of December
A11151: New End Stage Renal Disease (ESRD) Drug Codes Effective January 1, 2002
A11152: Extension of Moratorium on the Application of the Financial Limitation for Outpatient Rehabilitation Services
A11153: Coding Issues
A11158: ESRD LABORATORY CHARGES
A11186: Medicare Secondary Payer (MSP): Condition Code 77 and Value Code 44
A11242: Self Administered Drugs
A11246: Therapy Re-Evaluations
A11247: Billing for Timed Rehab Codes
A11248: Epogen Billing Reminder
A11249: Billing for Noncovered Supplies
A11250: Observation
A11251: OCE Edits/Noncovered Charges
A11252: Appeals Review
A11253: Beneficiary Appeals for Noncovered Services
A11254: Autoadjudicated Denials/ Appeal Requests
A11255: Line item rejections – Not elligible for appeals
A11256: ESRD Drugs Added to the Fiscal Intermediary Standard System (FISS)
A11257: Additional Hectorol Code
A11258: Reason Code W7013
A11260: DENIALS DUE TO NON-COVERED DIAGNOSIS(ES)
A11263: AMBULANCE CERTIFICATION
A11265: OBSERVATION ROOM
A11266: RECOVERY ROOM
A11267: Ambulance Billing
A11269: Roster Billing for Flu/PPV Vaccinations
A11270: HCFA Clarification of an Inpatient Billing Situation
A11271: G0108 and G0109
A11275: Durable Medical Equipment Regional Carriers (DMERCS)—Pre-Discharge Delivery of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for Fitting and Training
A11276: Correction to Bulletin 1967
A11277: Billing for the Observation Period and Clarification for Billing of Direct Admit to Observation
A11278: Recovery Room Services
A11279: Blood Administration
A11296: LOCM
A11399: Incorrect Billing of Condition Code 20 for Benefits Exhausted on a Skilled Nursing Facility (SNF) Claim
A11400: OPPS Billing Tips
A11401: Renal Dialysis Treatments Greater Than 3 x Per Week
A11403: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of October
A11404: Top 5 Frequently Asked Questions from providers for the month of October
A11405: Medicare Coverage and Coding for Services Related to Anthrax
A11406: Outpatient Excluded/Noncovered Charges
A11408: Pre-Op Services
A11409: Glucose Monitoring in a Nursing Home
A11410: OPPS Issues
A11411: ESRD Billing
A11412: Orders for Observation Services
A11413: Mammogram Billing
A11414: Billing for Drugs Under OPPS
A11416: Correction to Bulletin 1967
A11417: Routine Nursing Services
A11418: ESRD BILLING
A11419: Top 5 Frequently Asked Questions from providers for the month of November
A11420: Top 5 Reason Codes for Returned to Provider (RTP) errors for the month of November
A11552: Claims Containing HCPCS Code G0204 and G0205
A11553: HCPCS Level II Modifiers
A12240: Clarification on billing and reimbursement issues concerning disasters
A12241: HCPCS coding changes for drugs
A12244: ESRD
A12245: Non-ESRD EPO Administration
A12246: Excluded Services
A12247: Observation Room Clarification
A12248: Top Five RTP's by Reason Code
A12249: Prostrate Cancer Screening Revenue Code Change (correction to bulletin 1882)
A12250: External Counterpulsation for Severe Angina
A12251: Bulletin 1889 Clarification
A12252: End Stage Renal Disease Facility
A12253: Value Code 44
A12254: ESRP - EPO Administration
A12256: Air Ambulance
A13018: Clairification of Liver Transplant Policy
A13350: Medicare Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Presumption of Coverage
A13356: Lab Test Composite Rate for ESRD Patients
A13360: Outpatient Therapy Services
A13361: Local Medical Review Policy for Pulmonary Rehabilitation
A13457: SNF Situations Requiring Submission of No-Payment Bills
A13477: HCPCS Coding Requirement for CORFs – Correction
A13494: Activase
A13496: Drug Wastage
A13527: Partial Hospitalization Certification/Recertification Requirements
A15145: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of August
A15146: · 32403 - The revenue code requires a HCPC, however the HCPC indicated is not valid
A15148: Provider Education Article Billing Guidelines for Outpatient Rehabilitation Services
A15167: Pneumococcal Vaccine Payment Increase Effective October 1, 2003
A15168: Payment Rate for Oxaliplatin (Eloxatin) under the Hospital Outpatient
A15170: Frequently Asked Questions from Providers for the Month of July
A15171: Ambulance Zip Codes
A15173: End Stage Renal Disease (ESRD) Information
A15174: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of June
A15175: Frequently Asked Questions from Providers for the Month of June
A16270: Occurrence Span Code 74
A16271: Guidelines for Submitting Adjustments
A16273: BILLING FOR BARIUM SWALLOW
A16275: UNNA BOOT BILLING
A16277: New Diagnosis Code for Influenza Virus Vaccine Claims
A16278: Long Term Care Facility (LTCF) Information
A16280: BILLING FOR NON-COVERED DIAGNOSTICS
A16281: UNNA BOOT BILLING (HCPCS 29580)
A16283: Incomplete Screening Colonscopies
A16284: Prior Payments - Field Locator (FL) 54 of the UB 92
A16285: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of September
A16286: Frequently Asked Questions from Providers for the Month of September
A16371: Influenza Virus Vaccine Claims-REVISION
A16378: BILLING FOR NON-COVERED CHARGES
A16379: EMERGENCY ROOM DIAGNOSTIC SERVICES
A16380: CONGESTIVE HEART FAILURE CLINICS – BILLING INFORMATION
A16402: WOUND CARE CLINICS – BILLING INFORMATION
A16403: COMPRESSION DRESSINGS/UNNA BOOT BILLING (HCPCS 29580)
A16415: ICD-9-CM Reporting on Outpatient Claims
A16417: Guidance Regarding Claims Containing Healthcare Common Procedure Coding System (HCPCS) Codes K0622 through K0626
A16418: Sole Community Hospitals (SCHs) and Condition Code 27
A16482: Ambulance Claims with Modifier QL
A16499: Frequently Asked Questions from Providers for the Month of October
A16500: National Correct Coding Initiative (NCCI) Edits on CMS’ Web Site
A16501: Inpatient Rehabilitation
A16502: ESRD – HEMATOCRITS AND CALCULATING THE ROLLING AVERAGE
A16503: Levocarnitine
A16504: Clarification on End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
A16506: Medical Review Frequently Asked Questions
A16507: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of November
A16508: Frequently Asked Questions from Providers for the Month of November
A21952: Implementation Date for the January 2004 Release
A21953: Processing of Therapy Claims Received On or Before December 7, 2003 and On or After December 8, 2003
A21957: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of December
A21959: PEGASYS® (peginterferon alfa-2a) - New FDA Drug
A21960: Treatment of Certain Dental Claims as a Result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
A21962: Payment Rate for Oxaliplatin (Eloxatin) under the Hospital Outpatient
A21963: Skilled Nursing Facility Therapy Claim Processing Problem
A21964: Hospital Inpatient Claims Processing Problem
A21967: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of January
A21969: Transfer of a Patient to Another Facilities’ Swing Bed
A21970: Timely Filing Guidelines
A21971: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of February
A21972: Frequently Asked Questions from Providers for the Month of February
A21973: Guidance for Handling Revenue Code 0910
A21975: Special Handling of Claims That Contain Healthcare Common Procedure Coding System
A21976: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of March
A21977: Frequently Asked Questions from Providers for the Month of March
A21978: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of April
A21979: Frequently Asked Questions from Providers for the Month of April
A21980: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of May
A21981: Frequently Asked Questions from Providers for the Month of May
A21982: Non-Covered Ambulance Claims with Condition Code 20 or 21
A21983: Reminder: ‘Patient Status’ Codes
A21984: Off-Label Use Of Drugs
A21985: Medical Review Frequently Asked Questions (January/March 2004 Quarter)
A21986: Top Reason Codes for Returned to Provider (RTP) Errors for the Month of June