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    • June 20, 2018

    The new FASB 606 regulations require that companies recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expect to be entitled in exchange for those goods or services. A great tool that XIFIN has created to assist with the new regulations is our... more

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    • June 4, 2018

    GenomeDx said today that it has signed an agreement to test its Decipher GRID database of cancer genomic profiles with samples from prostate cancer clinical trials run by Janssen Pharmaceuticals. Under the terms of the deal, GenomeDx will test the samples in order to evaluate the association of prognostic and predictive genomic signatures from... more

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    • August 31, 2012

    Beginning August 13, 2012, CGS will send all overpayment letters (demand letters) in light blue envelopes. Requests for repayment of Medicare funds are time-sensitive, and they hope that this change in envelope color will help you quickly and easily identify these requests. ï CGS uses the Healthcare Integrated General Ledger Accounting... more

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    • August 31, 2012

    Diversified Collection Services (DCS) is the Recovery Audit Contractor for the states of Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont. The following issue concerning Hepatic Function Panel Testing is under review for laboratories in CT and... more

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    • November 22, 2010

    During the third quarter, 52 CERT errors were assessed for all Part B contracts within J12. Of those 52 errors, 18 errors were due to insufficient documentation, 5 were due to medical necessity and 29 were due to incorrect coding. The majority of the errors for insufficient documentation were related to the fact that the medical record... more

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    • September 1, 2011

    CMS uses the Comprehensive Error Rate Testing (CERT) program to measure and improve the quality and accuracy of Medicare claims submission, processing and payment. Under this program, numerous randomly selected claims are reviewed each year. The CERT Claim Identifier Tool has been designed to help Medicare providers locate information... more

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    • June 27, 2011

    BlueCross BlueShield of South Carolina1 has acquired CIGNA Government Services, LLC. While very little will change as a result of the acquisition, they are changing their name. Effective June 1, 2011, they will now be called CGSSM, LLC. All the same services, features, education, addresses, telephone numbers, and claim submission processes... more

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    • May 27, 2011

    The National Correct Coding Initiative (NCCI) consists of codes that have paired edits. When the two codes are billed together the edits are in place to prevent improper payment for claims submitted together for Part B services. CMS has developed NCCI edits-physicians, NCCI edits-outpatient, and Medically Unlikely Edits (MUE) to help protect the... more

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