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Recent Posts

  1. Note from the instructor: New Codes to Replace Modifier 59-New Medically Unlikely Edits (MUE) Guidance

    Posted Mon, 08 Sep 2014

    This week’s note from the instructor is written by Kimberly Anderwood Hoy Baker, JD, CPC, regulatory specialist for HCPro.   CMS released two One Time Notice transmittals, effective January 1, 2015, ...

  2. Note from the instructor: Medicare change processes, Part II: Medicare appeals

    Posted Wed, 03 Sep 2014

    We continue our discussion on several Medicare processes involving changes to claims as originally submitted and/or adjudicated. This week we will review the five-level Medicare appeals process ...

  3. Note from the instructor: Medicare change processes Part I: Claim adjustments and Reopenings

    Posted Wed, 27 Aug 2014

    This week’s note from the instructor is written by Judith L. Kares, JD, regulatory specialist for HCPro.   This note will begin a two-part discussion on several Medicare processes involving changes ...

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