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Medical Review News and Publications

Topic Publication Date Revision/Review Date
MM13164 - Skilled Nursing Facility Probe and Educate ReviewExternal PDF 10.23.2023  
NEW Process for 56900 Reopening Requests 09.05.2023  
When You Don't Respond to Additional Documentation Requests (ADRs) – Quick Reference GuidePDF 07.10.2023  
Billing and Coding: JW and JZ Modifier Guidelines 06.29.2023  
Importance of Using Severe Malnutrition Codes Correctly 06.22.2023  
Medicare Dental Service Coverage Update 06.08.2023  
SPRAVATO™ (esketamine) nasal spray, CIII 05.01.2023 12.21.2023
NCD 110.24: Chimeric Antigen Receptor (CAR) T-Cell Therapy Billing Instructions 03.10.2023  
Disclosure of Protected Health Information 12.01.2022  
MolDX: Pharmacogenomics Testing Policy Article Update 03.14.2022  
Billing and Coding Instructions: Cryoneurolysis 01.28.2022  
Triamcinolone Acetonide Injectable Suspension, for Suprachoroidal Use (Xipere™) Billing and Coding Instructions 01.25.2022  
Sinus Implant Billing and Coding Instructions 01.21.2022  
Radioactive Diagnostic Agents for Positron Emission Tomography (PET) of Prostate-Specific Membrane Antigen (PSMA) Positive Lesions in Men with Prostate Cancer Billing and Coding Instructions 01.20.2022  
Billing VEKLURY™ (Remdesivir) Antiviral Medication in Outpatient Settings 01.18.2022  
Targeted Probe and Educate (TPE) Process 09.02.2021  
CGS is Retiring Policy L34089 Human Papillomavirus (HPV) Testing 06.25.2021  
Chimeric Antigen Receptor (CAR) T-Cell Therapy 05.25.2021  
Vitamin D Deficiency Screening in Adults 04.26.2021  
Laboratory Service Billing Errors 03.08.2021  
Parenteral Iron Therapy Article 12.08.2020  
Use of Human Amniotic Based Products 12.02.2020  
Coding Encounter for Aftercare and Medical Care 08.31.2020  
Reducing Denials through Correct Coding 06.18.2020  
Prior Authorization (PA) Program for Certain Hospital Outpatient Department (OPD) Services Alert 06.16.2020  
Preventing Denials for Iron Sucrose (Venofer) – HCPCS Code J1756 05.27.2020  
Skilled Nursing Facility (SNF) Demand Bills 05.12.2020  
CGS is Retiring Policy L34093 Chemotherapy and Biologicals 04.16.2020  
Micro-Invasive Glaucoma Surgery (MIGS) L37578 Update 12.19.2019  
Policy Billing and Coding Articles Updated During Annual HCPCS and ICD-10 Updates 12.19.2019  
Documentation Reminder for TAVR 12.13.2019  
Inpatient Rehabilitation Facility Prospective Payment System Resources 09.03.2019  
Dual Diagnosis Requirements – Claims Submission 08.15.2019  
UPDATE to IDE (Investigational Device Exemption) Submission Process 03.25.2019  
Policy Updates: New, Retired, Annual ICD-10 Changes 10.23.2018  
Portable X-Ray Benefit 09.19.2018  
Major Joint Replacement (DRG 470): Preventing Denials 08.06.2018 08.14.2018
Billing and Coding for the Rezum® System for Benign Prostatic Hyperplasia (BPH) 08.02.2018 08.14.2018
The Two-Midnight Rule: Preventing Denials 07.23.2018 08.14.2018
Cardiac Rehabilitation: Coverage and Documentation Requirements 04.18.2018 08.14.2018
Additional Information Regarding NCD 80.11 – Vitrectomy 03.07.2018 08.14.2018
Additional Information Regarding NCD110.21 – Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions 03.07.2018 08.14.2018
How to Avoid Lab Errors 02.27.2018 08.14.2018
PRV (Patient Reason for Visit) Segment 02.09.2018 08.14.2018
Single Chamber and Dual Chamber Permanent Cardiac Pacemakers - Coding amd Billing (A54961) 01.31.2018 08.14.2018
How to Submit "Documentation" Requested by Part A Educator 01.30.2018 08.14.2018
Single Chamber and Dual Chamber Permanent Cardiac Pacemakers-Coding and Billing 01.11.2018 08.14.2018
What Are Acceptable Electronic Signature Notations? 09.26.2017 01.14.2022
LCDs and Claims Submission Reminders 07.29.2016 08.14.2018
Solesta™ Treatment for Fecal Incontinence 07.27.2016 08.14.2018
Hemorrhoid Artery Ligation Coverage Guidelines 07.27.2016 08.14.2018
2016 MoPath Tier 2 Fee Schedule (CM00094) 01.11.2016  
Major Joint Replacement (DRG 470): Documenting Conservative Treatments and Medical Necessity 02.19.2015 08.14.2018
Cystourethroscopy with Insertion of Indwelling Ureteral Stent (CPT Code 52332): Documenting Urinalysis to Support Medical Necessity 02.10.2015 08.14.2018
Additional Documentation Requests (ADRs): What to Send 11.04.2014 08.14.2018
Electronic Medical Record Tips 09.06.2012 08.14.2018

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