novitas

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    Wiki Percutaneous Electrical Nerve Stimulation

    Novitas, the Medicare MAC for PA has an LCD (L32710) listing PENS as an example of G0283. I've found many BCBS/Aetna and other payor documents stating they recognize PENS as 64999. I work for a payor that follows Medicare guidelines. Does anyone know what is the most appropriate code for...
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    Wiki Filing Medicare Tertiary Claims (Novitas)

    Does anyone know the secret to getting tertiary claims submitted to Medicare (especially Novitas) successfully? We cannot file them electronically through our clearinghouse. Novitas first told us they would only accept if we did send by paper but put "tertiary claim" in box 19. That worked...
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