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Category Archives: Blog

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RHC OR FQHC Claims During Hospice Election Period

BlogOctober 15, 2021

Beginning January 1, 2022, an RHC or FQHC can bill and get payment under the RHC All-Inclusive Rate (AIR) or…

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Oct122021

Payment for DME while Inpatient

BlogOctober 12, 2021

The following information appeared on, CMS.gov Some Durable Medical Equipment, Pros-thetics, Orthotics, & Supplies (DMEPOS) suppliers bill Medicare for items…

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Oct102021

AX Modifier and Relevant Revenue Codes to Report Capital Related Assets (CRA) for Transitional Add-On Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES)

BlogOctober 10, 2021

The following information appeared on, CMS.gov Beginning January 1, 2021, CMS expanded the TPNIES policy to include home dialysis machines…

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Oct42021

UHC and United Behavioral Health Violate Mental Health Parity and Addiction Equity Act

BlogOctober 4, 2021

The following information appeared on, Dol.gov United Behavioral Health and United Healthcare Insurance Co. will pay $13.6 million to affected…

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Oct12021

Section K: Height, Weight and Nutritional Approaches for SNF Providers

BlogOctober 1, 2021

The following information appeared on, Pac.training The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training that…

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Sep272021

October 2021 Update to HCPCs Releases 9/27/2021

BlogSeptember 27, 2021

The following information appeared on, CMS.gov The full Excel spreadsheet and associated files are available for download at:https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update

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