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05/31/13

WPS Posts New Dysphagia Policy

Wisconsin Physician Services (WPS), Medicare Administrative Contractor in Indiana, Iowa, Kansas, Michigan, Missouri, and Nebraska, has posted a new dysphagia local coverage determination (LCD) for private practices and non-private practices in the above mentioned states. To access the new LCD for private practices in Indiana and Michigan, click

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05/31/13

WPS to Host Teleconference on Common Appeal Issues

Wisconsin Physician Services (WPS), Medicare Administrative Contractor in the states of Indiana, Iowa, Kansas, Michigan, Missouri, and Nebraska, will be hosting a teleconference for non-private practice settings on July 25, 2013 from 11:00AM-12:30PM eastern time focused on avoiding common appeal issues. No registration is required for this teleconference. At the time of the call, please be prepared to provide the operator the following: your name, facility name, Medicare provider number (or NPI), and the number of participants in the room. Dial-In Number: (866) 246-6880 Conference ID: 40880277

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05/31/13

Managing Claim Submission Errors Teleconference

First Coast Service Options, Medicare Administrative Contractor for the state of Florida, will be hosting a webcast on Tuesday, June 25, 2013 from 11:30AM-1:30PM on managing claim submission errors for private practices. For additional information and to register, click HERE.

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05/31/13

Cigna to Conduct Probe Medical Review in Kentucky

On May 31, 2013, Cigna Government Services announced they will implement a service specific probe edit for type of bill (TOB) 21X for Resource Utilization Group (RUG) code RUC10. They will review approximately 100 claims as part of this probe review. For additional information and what documentation to submit if you have records requested, click HERE.

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05/28/13

WPS Retiring SLP LCD

Wisconsin Physician Services, Medicare Administrative Contractor in Indiana and Michigan, will be retiring their speech-language pathology local coverage determination effective July 15, 2013 for both private practices and non-private practice settings.

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05/23/13

Cigna Sends ADR Requests in Error

CGS mailed Additional Documentation Request (ADR) letters to Physical Therapists (specialty 65) in error in the state of Ohio. These letters were mailed from May 8-22, 2013. Physical therapists (specialty 65) who received one of these letters do not need to respond. CGS is currently identifying the affected claims and will release them for routine processing whether or not a response has been received.

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05/22/13

WPS To Host SNF Teleconference

Wisconsin Physician Services, Medicare Administrative Contractor for the states of Iowa, Kansas, Missouri, and Nebraska, will be hosting a teleconference on May 29, 2013 from 2:00pm-3:30PM ET on SNF same day transfers. To register, click HERE. Wisconsin Physician Services, Medicare Administrative Contractor for the states of Indiana and Michigan, will be hosting a teleconference on May 29, 2013 from 2:00pm-3:30PM ET on SNF same day transfers. To register, click HERE.

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05/22/13

Billing Social Work & Psychological Services in CORFs

The Centers for Medicare & Medicaid Services (CMS) recently updated the list of Healthcare Procedure Coding System codes billable in comprehensive outpatient rehabilitation facilities (CORF). CMS provides new information containing billing instructions for a national coverage determination (NCD) related to CORFs that was previously omitted from the Medicare Claims Processing Manual. The new instructions clarify allowed revenue codes with type of bill 75x filed with social work and psychological services provided in CORFs. Here is the link to the MLN Matters® article: MM8257

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