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Wiki provider based billing help

Are you looking for help with billing as a Critical Access Hospital or an REH?
- mwmyers80
- Post #7
- Sep 25, 2023
- Forum: Billing/Reimbursement
M
Wiki CMS ASC claim processing

Good afternoon - I work for a Med Advantage plan and we follow Medicare billing rules. We started denying ASC claims submitted on an institutional claim form for incorrect claim type and are receiving feedback from certain providers that Medicare pays their ASC claims when submitted on the...
- mwmyers80
- Thread
- Jun 22, 2023
- Replies: 0
- Forum: Billing/Reimbursement
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Wiki MIPS payments from Medicare Advantage plans

If you are a participating provider with Medicare/accept assignment, but are not participating with the MA plan, you should receive the MIPS adjustment. If you're a participating provider, that would depend on the contract terms between you and the plan.
- mwmyers80
- Post #2
- Dec 15, 2020
- Forum: MACRA

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