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6 New Medical Necessity Databases Available
The Zebu Compliance Solutions content team has been hard at work building new medical necessity databases. We have recently added several Managed Care Organization databases and a couple of [...]
Why would I get a rejection for a “Covered” code?
Why am I receiving a rejection on claims for this Dx/HCPCS combination? The code is 62311, with theDx being M48.07. The LCD module shows this to be covered. This particular code is found [...]
Advanced Beneficiary Notice (ABN)
What is an ABN? An Advanced Beneficiary Notice of Noncoverage (CMS-R-131) is issued to Medicare patients by a medical provider when the care planned for a patient is not expected to be covered by [...]