contractor articles (53)
Active Articles:
None to display.Retired Articles:
A8391: Certification and Recertification for Partial Hospitalization Program (PHP) ServicesA9429: Provider Notice 03-095: The need for accurate complete, and timely responses to Additional Development Requests (ADRs).
A10632: Hospital Notice 03 – 021: External Counterpulsation (ECP) for Severe Angina
A10668: Provider Notice 03 – 108: Oral Anti-Nausea Drugs as Full Replacements for Intravenous Dosage Forms as Part of a Cancer Chemotherapeutic Regimen
A15668: Update of ICD-9 CM Codes for ESRD Billing
A15669: Updated Resident Assessment Instrument (RAI) User's Manual for the Minimum Data Set (MDS) Version 2.0
A15670: When Medical Requirements Are Not Met - Notifying CMS, Notifying the Beneficiary and Demand Billing
A15904: Denials Due to No Response for Request for Records from the CERT Contractor, AdvanceMed
A16427: Documentation of Medication Management Services Billed Using CPT Code 99211 for Outpatient Hospital Clinics
A16824: Levocarnitine Use in the Treatment of Carnitine Deficiency in Patients with End Stage Renal Disease (ESRD) - Clarification of Coverage
A18651: Inpatient Rehabilitation Care Facility (IRF) Requirements
A18876: Supervised Cardiac Rehabilitation LMRP 03-002
A18989: Medical Necessity for Inpatient Rehabilitation Facility Services (IRF)
A18990: Documentation Requirements for Inpatient Rehabilitation
A19034: Local Coverage Determination (LCD) Reconsideration Process
A19168: SNF Claim Denials Due to Incomplete Response to Additional Development Requests (ADRs)
A20031: Oxaliplatin
A20430: Intensity Modulated Radiation Therapy (IMRT)
A20717: Rituximab
A20845: Zoledronic Acid
A20847: Additional Information Regarding the Proper Billing of the Oral Anti-Cancer Prodrug, Capecitabine
A20848: Psychiatric Partial Hospitalization Program (PHP) Services: Treatment Plans and Progress Notes
A22305: Diagnostic Testing for Sleep Disorders
A22306: Docetaxel (Taxotere)
A22316: Paclitaxel
A22828: Routine Physical Exams
A22829: Cosmetic Vs. Reconstructive Surgery
A23516: Inpatient Rehabilitation Facility (IRF) FAQs
A24120: Gemcitabine Probe Review
A24130: Infliximab Probe Review
A24948: Paricalcitol Probe Review
A25099: Nesiritide
A25641: Irinotecan Service Specific Probe
A25718: Hepatitis B Surface B Antibody, HCPC CPT 86706
A26168: Intensity Modulated Radiotherapy (IMRT) Re-Probe Review
A26216: Counterpulsation (ECP) for Severe Angina
A26538: Clinical Implications Related to the Inpatient Psychiatric Facility Prospective Payment System
A27211: Inpatient Rehabilitation Facility (IRF) Service-Specific Probe Review
A34931: Rituximab Pre-Pay Specific Re-Probe
A35108: Drugs and Biologicals furnished incident to a Physician's service and subject to the Medicare Self-Administered Drug Exclusion
A35237: Zoledronic Acid (Zometa) Service Specific Re-Probe
A35244: Denials Due to Insufficient Documentation from the CERT Contractor
A37181: Pamidronate Disodium For Use in Hypercalcemia Associated With Malignancy, With Or Without Bone Metastases
A37182: Pamidronate Disodium for Use in Osteoporosis
A37183: Radiation Therapy
A37515: Rituximab
A39294: Cardiac Catheterization
A41228: Outpatient Psychiatric Services
A41232: Infliximab
A41237: Rituximab
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