Model: atx-labs/tsdae-Qwen3-Embedding-0.6B-cms_cfr
Author: atx-labs
Pipeline: sentence-similarity
Library: sentence-transformers
Tags: sentence-transformers, safetensors, qwen3, sentence-similarity, feature-extraction, dense, generated_from_trainer, dataset_size:60906, loss:MultipleNegativesRankingLoss, arxiv:1908.10084, arxiv:1705.00652, base_model:Qwen/Qwen3-Embedding-0.6B, base_model:finetune:Qwen/Qwen3-Embedding-0.6B, endpoints_compatible, region:us
Base models (finetune): id: Qwen/Qwen3-Embedding-0.6B
Card metadata: tags: sentence-transformers, sentence-similarity, feature-extraction, dense, generated_from_trainer, dataset_size:60906, loss:MultipleNegativesRankingLoss
base_model: Qwen/Qwen3-Embedding-0.6B
widget: source_sentence: LTCH PPS is moving back to a Federal Fiscal Year effective October 1, 2009 If the estimated cost of the case is greater than the outlier threshold an additional payment is added to the LTC-DRG payment amount The outlier payment is 80 percent of the difference between the estimated cost of the case and the outlier threshold (the LTC-DRG payment plus a fixed loss amount) The estimated cost of the case is calculated by multiplying the Medicare allowable charge on the claim by the LTCH's overall cost-to-charge ratio obtained from the latest settled cost report For discharges occurring on or after August 8, 2003, (high cost outlier payments may be reconciled upon cost report settlement to account for differences between the estimated cost-to-charge-ratio and the actual cost-to-charge ratio for the period during which the discharge occurs
sentences: 90.1 - General (Rev. 486, Issued: 03-04-05, Effective Date/Implementation Date: Allogeneic stem cell transplantation is a procedure in which a portion of a healthy donor's stem cells is obtained and prepared for intravenous infusion to restore normal hematopoietic function in recipients having an inherited or acquired hematopoietic deficiency or defect Expenses incurred by a donor are a covered benefit to the recipient/beneficiary but, except for physician services, are not paid separately Services to the donor include physician services, hospital care in connection with screening the stem cell, and ordinary follow-up care Autologous Stem Cell Transplantation Autologous stem cell transplantations is a technique for restoring stem cells using the patient's own previously stored cells, LTCH PPS is moving back to a Federal Fiscal Year effective October 1, 2009 If the estimated cost of the case is greater than the outlier threshold an additional payment is added to the LTC-DRG payment amount The outlier payment is 80 percent of the difference between the estimated cost of the case and the outlier threshold (the LTC-DRG payment plus a fixed loss amount) The estimated cost of the case is calculated by multiplying the Medicare allowable charge on the claim by the LTCH's overall cost-to-charge ratio obtained from the latest settled cost report For discharges occurring on or after August 8, 2003, (high cost outlier payments may be reconciled upon cost report settlement to account for differences between the estimated cost-to-charge-ratio and the actual cost-to-charge ratio for the period during which the discharge occurs, The following messages shall be used when Medicare contractors deny TAVR claims for POS: Claim Adjustment Reason Code (CARC) 58: "Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present." Remittance advice remark code (RARC) N428: "Not covered when performed in this place of service." Beginning January 2, 2020, contractors shall no longer report RARC N428 for claims denied for invalid POS Medicare Summary Notice (MSN) 21.25: "This service was denied because Medicare only covers this service in certain settings." Spanish Version: "El servicio fue denegado porque Medicare solamente lo cubre en ciertas situaciones." Professional Claims Modifier -62 For TAVR claims with dates of service on or after July 1, 2013, contractors shall pay claim lines with 33361, 33362, 33363, 33364, 33365 & 0318T only when billed with modifier -62, source_sentence: Implementation: 07-11-25) Laboratories exempt through an approved State licensure program are subject to validation surveys conducted by CMS or its designee A validation survey of a CLIA-exempt laboratory is conducted to ensure that the exempt laboratory meets CLIA compliance CMS laboratory surveyor applies the CLIA regulations during a validation survey When condition-level deficiencies are determined, CMS directs the State to take appropriate enforcement action. (See section 6208)
sentences: 4146.7E - Criminal Penalties for Improper Disclosure (Rev. 1, 05-21-04) Under the Federal Privacy Act, the following criminal penalties may be applicable: · Any officer or employee of the State who intentionally discloses individually identifiable information prohibited from disclosure under the Privacy Act, shall be guilty of a misdemeanor and fined not more than $5,000; · Any officer or employee of the State who willfully maintains a system of records without meeting the notice requirements of the Privacy Act shall be guilty of a misdemeanor and fined not more than $5,000 and · Any individual who knowingly and willfully requests or obtains any record concerning an individual from an agency under false pretenses shall be guilty of a misdemeanor and fined not more than $5,000., Implementation: 07-11-25) Laboratories exempt through an approved State licensure program are subject to validation surveys conducted by CMS or its designee A validation survey of a CLIA-exempt laboratory is conducted to ensure that the exempt laboratory meets CLIA compliance CMS laboratory surveyor applies the CLIA regulations during a validation survey When condition-level deficiencies are determined, CMS directs the State to take appropriate enforcement action. (See section 6208), See Chapter 24, § 30.2 for definitions of electronic and paper claims for use in application of the Medicare payment floor See Chapter 1, § 80.2.1.2 for differentiation between electronic claims that comply with the requirements of the standard implementation guides adopted for national use under HIPAA and those submitted electronically using pre-HIPAA formats supported by Medicare This HIPAA format differentiation applies to the payment floor, but not to the ceiling., source_sentence: Also, directed in-service could be used in situations where staff performance results in deficient practice A directed in-service training program would correct this deficient practice through retraining the staff in the use of clinically and professionally sound methods to produce quality outcomes Notice of intent to impose directed in-service training must be given at least 15 calendar days before the effective date of the enforcement action in non-IJ situations and at least 2 calendar days before the effective date in IJ situations.
sentences: Categories of Services Requiring HCPCS Codes Category HCPCS Codes Antigens 95144-95149, 95165, 95170, 95180, and 95199 Vaccines 90657-90659, 90732, 90744, 90746, 90747, 90748, G0008, G0009, and G0010 Category HCPCS Codes Splints 29105-29131, 29505-29515 Casts 29000-29085, 29305, 29325-29445, 29450, 29700-29750, 29799 NOTE: A/B MACs (HHH) shall advise their HHAs to report the above HCPCS codes with the exception of vaccines under Revenue Code 0550 (Skilled Nursing) The only time revenue code 0550 may be reported is when the HHA is billing for antigens, splints, or casts See Chapter 18 for the reporting of vaccines by HCPCS codes., If proprietary or privileged data were submitted under seal, the decision must state whether the data were material and what role they played in the determination, but without disclosing the substance or contents of the evidence under seal A separate statement of the rationale for the ALJ's treatment of the sealed evidence must be prepared and kept under seal itself If the ALJ decision is appealed to the Board, this statement must be provided to the Board under seal. (6) A statement regarding appeal rights., Also, directed in-service could be used in situations where staff performance results in deficient practice A directed in-service training program would correct this deficient practice through retraining the staff in the use of clinically and professionally sound methods to produce quality outcomes Notice of intent to impose directed in-service training must be given at least 15 calendar days before the effective date of the enforcement action in non-IJ situations and at least 2 calendar days before the effective date in IJ situations., source_sentence: Items and services or items or services includes without limitation, any item, device, drug, biological, supply, or service (including management or administrative services), including, but not limited to, those that are listed in an itemized claim for program payment or a request for payment; for which payment is included in any Federal or State health care program reimbursement method, such as a prospective payment system or managed care system or that are, in the case of a claim based on costs, required to be entered in a cost report, books of account, or other documents supporting the claim (whether or not actually entered)
sentences: CMS will not implement, other than at the beginning of a calendar year, requirements under this part that impose a new significant cost or burden on MA organizations or plans, unless a different effective date is required by statute., Items and services or items or services includes without limitation, any item, device, drug, biological, supply, or service (including management or administrative services), including, but not limited to, those that are listed in an itemized claim for program payment or a request for payment; for which payment is included in any Federal or State health care program reimbursement method, such as a prospective payment system or managed care system or that are, in the case of a claim based on costs, required to be entered in a cost report, books of account, or other documents supporting the claim (whether or not actually entered), Subject to 50% reduction of the practice expense component for certain therapy services furnished in both institutional and non-institutional settings (effective for services April 1, 2013 and after). 6 = Subject to 25% reduction of the TC diagnostic cardiovascular services (effective for services January 1, 2013 and after) PIC Position 7 = Subject to 20% reduction of the TC diagnostic ophthalmology services (effective for services January 1, 2013 and after). 9 = Concept does not apply Codes with RVUs equal to zero are not included in the payment indicator file These codes may have multiple procedure indicators not shown See note below this table for instructions on these codes, source_sentence: (Rev. 38, 10-31-03) Cost plans who choose this option will follow the following rules: 1\ Enrollments will be effective the first day of the month after the month the cost plan receives an enrollment form The cost plan must be open to accept such enrollments. 2\ November 15 through December 31 of every year: Enrollments received during this time period will be effective January 1 of the following year (except as noted below). (NOTE: Enrollments made between November 15 and November 30 may be effective December 1 or January 1 The cost plan must allow the individual to choose the effective date
sentences: (a) Except as provided in this part, the Board is not bound by the Federal Rules of Evidence However, the Board may apply the Federal Rules of Evidence when appropriate, for example, to exclude unreliable evidence. (b) The Board must exclude evidence that it determines is clearly irrelevant or immaterial, or unduly repetitive. (c) The Board may accept privileged information or proprietary data, but must maintain it under seal. (d) The Board may permit the parties to introduce the testimony of expert witnesses on scientific and clinical issues, rebuttal witnesses, and other relevant evidence The Board may require that the testimony of expert witnesses be submitted in the form of a written report, accompanied by the curriculum vitae of the expert preparing the report. (e) Experts submitting reports must be available for cross-examination at an evidentiary hearing upon request of the Board or a party to the proceeding, or the report will be excluded from the record. (f) Except as set forth in paragraph (c) of this section or unless otherwise ordered by the Board for good cause shown, all documents and other evidence offered or taken for the record is open to examination by all parties., 40.10.1 - Traveling Beneficiaries and Transfer of Title of Oxygen Equipment or Capped Rental Items (Rev. 1532, Issued: 06-11-08, Effective: 07-01-08, Implementation: 07-07-08) If a beneficiary has two residences in different areas and uses a local supplier in each area or if a beneficiary changes suppliers during or after the rental period, this does not result in a new rental episode The supplier that provides the item in the 36th month of a rental episode for oxygen equipment or the 13th month of a rental episode for capped rental DME is responsible for transferring title to the equipment to the beneficiary, (Rev. 38, 10-31-03) Cost plans who choose this option will follow the following rules: 1\ Enrollments will be effective the first day of the month after the month the cost plan receives an enrollment form The cost plan must be open to accept such enrollments. 2\ November 15 through December 31 of every year: Enrollments received during this time period will be effective January 1 of the following year (except as noted below). (NOTE: Enrollments made between November 15 and November 30 may be effective December 1 or January 1 The cost plan must allow the individual to choose the effective date
pipeline_tag: sentence-similarity
library_name: sentence-transformers
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Created: 2025-12-14 18:13:17