Appeals Monthly Newsletter

View Appeals Monthly Newsletter that will include tips to understand the appeals process and make your appeals more successful.

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Articles Source Posted
Updated Trigger Point Injections Local Coverage Determination (LCD) Policy Appeals Newsletter Part 14 11/21/2024
How to Avoid Common Appeals Mistakes Appeals Newsletter Part 13 10/16/2024
Correctly Billing DEX® Diagnostics Exchange Registry Z-Codes and Molecular Diagnostic Services Program (MolDX) Appeals Newsletter Part 12 08/12/2024
Billing the Subsequent Inpatient Care 99232 Correctly - Appeals Newsletter 11 06/28/2024
Successful Claims and Appeals for Postoperative Pain Nerve Blocks - Appeals Newsletter Part 10 06/03/2024
Ambulance Duplicate Denials - Appeals Newsletter part 9 04/03/2024
Comprehensive Error Rate Testing (CERT) Reviews and Clinical Laboratory Claims 01/29/2024
2024 CPT/HCPCS Local Coverage Article (LCA) Updates 12/28/2023
Micro-Invasive Glaucoma Surgery (MIGS) 12/28/2023
Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (A58867) - R2 - Effective November 12, 2023 12/28/2023
Billing and Coding: Cataract Surgery in Adults (A57196) - R7 - Effective January 1, 2024 12/28/2023
ACO Lookup Available in NMP 12/22/2023
EDI Claim Submission Available in NMP 12/22/2023
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R14 - Effective October 1, 2023 12/21/2023
New POS Code 27 - "Outreach Site/Street” - Rescinded CR13314 12/21/2023
Clarification on Payment for Monoclonal, Complex Biological, and Rheumatological Therapies 12/20/2023
Billing and Coding: Dental Services (A59450) Retirement - Effective December 19, 2023 12/20/2023
Multiple Local Coverage Determinations (LCDs) Finalized - Effective January 28, 2024 12/15/2023
Transitional Care Management (TCM) Direct Contact 12/15/2023
Quarterly Update to the NCCI PTP Edits, Version 30.0, Effective January 1, 2024 CR13366 12/14/2023
Medicare Program Integrity Manual: CY 2024 Home Health Prospective Payment System Updates CR13333 12/14/2023
Medicare Part B CLFS: Revised Information for Laboratories on Collecting & Reporting Data for the Private Payor Rate-Based Payment System SE19006 12/14/2023
Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions CR13468 12/12/2023
Edits to Prevent Payment of G2211 with O/O E/M Visit and Modifier 25 CR13272 12/07/2023
Clinical Laboratory Fee Schedule: 2024 Annual Update CR13467 12/07/2023
2024 Annual Update for the HPSA Bonus Payments CR13384 12/07/2023
Billing and Coding: Intensity Modulated Radiation Therapy (IMRT) Article A58245 - Effective November 1, 2023 12/07/2023
Broader Medicare Coverage of Leqembi: Claims Processing 12/05/2023
Pegfilgrastim (Neulasta) J2505 and Q5122 - (Injection, pegfilgrastim-apgf, biosimilar, (Nyvepria))Article A55447 Retirement - Effective November 1, 2023 12/04/2023
Billing and Coding: Positron Emission Tomography Scans Coverage (A54668) Retirement - Effective October 1, 2023 12/04/2023
Medicare Physician Fee Schedule Final Rule Summary: CY 2024 CR13452 11/30/2023
Beta Amyloid PET in Dementia and Neurodegenerative Disease CR13429 11/30/2023
Proteomics 11/28/2023
Advanced Beneficiary Notice of Non-coverage (ABN) and Appeals - Appeals Newsletter Part 7 11/27/2023
2023 ICD-10 Local Coverage Article (LCA) Updates 11/27/2023
Parenteral Iron Administration Coverage in Non-Dialysis Usage (A55734) Retirement - Effective November 1, 2023 11/27/2023
ICD-10 & Other Coding Revisions to NCDs: January 2024 Update – Revised CR13278 11/22/2023
ACM Questions and Answers - October 11, 2023 11/20/2023
Ensure Your Medical Records Correspondence Address is Correct 11/20/2023
Allowing Audiologists to Provide Certain Diagnostic Tests Without a Physician Order - Revised CR13055 11/16/2023
Provider Enrollment Changes to the Medicare Program Integrity Manual CR13331 11/16/2023
DMEPOS Fee Schedules and Labor Payment - 3rd Quarter 2023 Update 11/16/2023
Respiratory Care (L37293) - R7 - Effective November 5, 2023 11/16/2023
Independent Diagnostic Testing Facility (IDTF) Updates 11/15/2023
Written Reopenings Available on the Noridian Medicare Portal (NMP) 11/15/2023
Removal of a NCD & Expansion of Coverage of CRC - Revised CR13017 11/09/2023
ICD-10 & Other Coding Revisions to NCDs: April 2024 Update (CR 2 of 2) CR13391 11/09/2023
ICD-10 & Other Coding Revisions to NCDs: April 2024 Update (CR 1 of 2) CR13390 11/09/2023
Micro-Invasive Glaucoma Surgery (MIGS) (LCDs) Finalized - Effective December 24, 2023 11/09/2023
Annual Participation Program 11/07/2023
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