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    • June 20, 2018

    Effective July 1, 2018, all claims that are received with dates of service on or after February 26, 2018 will require an appropriate Z-Code if the service is covered under the MolDX Molecular Diagnostic Testing LCD 35025. To read the entire article, please visit: https://www.palmettogba.com/palmetto/MolDX.nsf/DocsCat/MolDx%20Website~MolDx~Browse%... more

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    • June 20, 2018

    Suspense payments are created when a payment is received but cannot be identified because an accession ID doesn’t exist and no test has been priced yet. When users change certain fields on the accession detail screen,  XIFIN RPM will then check if there are any suspense payments that can be applied to the accession. If there are, the payments... more

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    • June 4, 2018

    A group of diagnostic manufacturers, laboratories and advocacy groups sent a letter to Congress yesterday urging lawmakers to act this year to enact legislation for modernizing oversight of clinical laboratory diagnostics, including laboratory-developed tests and in vitro diagnostics. "As stakeholders we stand ready to continue the work necessary... more

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    • June 4, 2018

    Institut Curie and Intel will collaborate to develop and implement bioinformatics tools, pipelines, and techniques to improve molecular profiling for research and clinical oncology. The partners also plan to develop tools to integrate and analyze heterogeneous biomedical data.

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    • May 24, 2012

    CMS discovered that there is an inconsistency in the payment rates for claims for Clinical Laboratory Fee Schedule services that are submitted in the East Kansas locality. In this inconsistency, providers are being paid only one Kansas rate rather than one rate for the West Kansas locality 12 and another for the East Kansas locality 15. CR7815... more

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    • May 24, 2012

    If Medicare systems reject a claim when the beneficiary name does not match the Health Insurance Claim Number (HICN), your Medicare contractor will return the claim to you as unprocessable. Your contractor will use Reason Code 140 (Patient/Insured health identification number and name do not match) and remittance advice codes MA130 (Your claim... more

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    • May 24, 2012

    Providers and suppliers receiving requests to revalidate their enrollment information have asked CMS to clarify the differences between the national provider identifier (NPI) and a provider transaction access number (PTAN). All providers and suppliers who provide services and bill Medicare for services provided to Medicare beneficiaries must have... more

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    • August 31, 2012

    Physicians now have an extra year to prepare for the new ICD-10 code set as the result of a final rule issued Aug. 24 by CMS. The rule delays the compliance deadline by one year to Oct. 1, 2014. The delay is intended to give physicians more time to ready their practices for the transition to ICD-10 and conduct testing prior to the compliance... more

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