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Reminder: Payment edits for custom fitted orthotics go in effect October 1, 2021

Effective for dates of service on or after October 1, 2021, if a supplier is located in one of the states listed below and wishes to bill Medicare for certain orthoses coded as OR01 (Orthoses: Custom Fabricated) and OR02 (Orthoses: Prefabricated, Custom...

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Settlement Conference Facilitation Expansion 2021

By Sandra Gauron, Appeals Coordinator The Centers for Medicare & Medicaid Services (CMS) has provided an alternative dispute resolution to filing an appeal to an Administrative Law Judge (ALJ) in order to prevent backlog since July 2014. The Settlement...

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Provider Enrollment Activities to Resume

In this week’s MLN Matters Newsletter, CMS announced that, beginning October 2021, some provider enrollment activities that were paused during the COVID-19 public health emergency will resume, including: Application Fees  Criminal...

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