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Pulmonary Rehabilitation (PR) Services
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Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months
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Appeals Revisions AIC Requirements
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Date Issued:
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04-29-2010
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Implementation Date:
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10-04-2010
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Effective Date:
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10-01-2010
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Source:
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CMS - Transmittal
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Source#:
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CR6795
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Category:
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Edits DME
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CBSI Contact:
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Missy Tieken
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This change request instructs CWF to compare the DX code from each line to what is in the MSP auxiliary records and what action contractors and shared systems must take if DX codes on the claim do not match the DX codes found in the beneficiary MSP Auxiliary record. This change request replaces instructions found only in BR 6427.7.3 through 6427.7.6.2.of CR 6427.
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http://www.cms.gov/transmittals/downloads/R687OTN.pdf
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