evekhm/cms_iom_500 huggingface dataset:
START: Claims Help Panel J5ANeed help?Web HelpEducational VideosContact Us About ClaimsClaim Status/Patient Eligibility:(866) 518-328524 hours a day, 7 days a weekClaim Corrections:(866) 518-32537:00 am to 4:30 pm CT M-ThDDE Navigation & Password Reset: (866) 518-32517:00 am to 4:30 pm CT M-FDDE System Access: (866) 518-32957:00 am to 4:30 pm CT M-FEDI: (866) 518-32857:00 am to 5:00 pm CT M-FGeneral Inquiries:(866) 518-32857:00 am to 5:00 pm CT M-FClaim Status/Patient Eligibility:(866) 234-733124 hours a day, 7 days a weekClaim Corrections:(866) 580-59808:00 am to 5:30 pm ET M-ThDDE Navigation & Password Reset: (866) 580-59868:00 am to 5:30 pm ET M-FDDE System Access: (866) 518-32958:00 am to 5:30 pm ET M-FEDI: (866) 234-73318:00 am to 5:00 pm ET M-FGeneral Inquiries:(866) 234-73318:00 am to 5:00 pm ET M-FClaim Status/Patient Eligibility:(866) 518-328524 hours a day, 7 days a weekClaim Corrections/Reopenings:(866) 518-32857:00 am to 5:00 pm CT M-FEDI: (866) 518-32857:00am to 5:00 pm CT M-FGeneral Inquiries:(866) 518-32857:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:(866) 234-733124 hours a day, 7 days a weekClaim Corrections/Reopenings:(866) 234-73318:00 am to 5:00 pm ET M-FEDI: (866) 234-73318:00 am to 5:00 pm ET M-FGeneral Inquiries:(866) 234-73318:00 am to 5:00 pm ET M-FEND: Claims Help Panel J5ASTART: Appeals Help Panel J5ANeed help?Educational VideosGeneral questions about Medical Review(866) 518-32857:00 am to 5:00 pm CT M-F(866) 234-73318:00 am to 5:00 pm ET M-F(866) 518-32857:00 am to 5:00 pm CT M-F(866) 234-73318:00 am to 5:00 pm ET M-FEND: Appeals Help Panel J5ANeed help?Web HelpEducational VideosContact Us About OverpaymentsInquiries regarding refunds to Medicare - MSP Related(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FriSecondary.Payer.Inquiry@wpsic.comInquiries regarding overpayments NOT associated with MSP(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FriReimbursement.Overpayment.Inquiry@wpsic.comInquiries regarding refunds to Medicare - MSP Related(866) 234-73317:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FriSecondary.Payer.Inquiry@wpsic.comInquiries regarding overpayments NOT associated with MSP(866) 234-73317:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FriReimbursement.Overpayment.Inquiry@wpsic.com
Reimbursement.Overpayment.Inquiry@wpsic.comQuestions regarding overpayments associated with MSP related debt(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FriSecondary.Payer.Inquiry@wpsic.comQuestions regarding overpayments NOT associated with MSP related debt(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 6:00pm ET) M-FriPayment.Recovery.Inquiry@wpsic.comQuestions regarding overpayments associated with MSP related debt(866) 234-73317:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FriSecondary.Payer.Inquiry@wpsic.comQuestions regarding overpayments NOT associated with MSP related debt(866) 234-73318:00 am to 5:00 pm ET (7:00 am to 4:00pm CT) M-FriPayment.Recovery.Inquiry@wpsic.comSTART: Appeals Help Panel J5ANeed help?Web HelpEducational VideosContact us about Appeals(866) 518-32857:00 am to 5:00 pm CT M-F(866) 234-73318:00 am to 5:00 pm ET M-F(866) 518-32857:00 am to 5:00 pm CT M-F(866) 234-73318:00 am to 5:00 pm ET M-FEND: Appeals Help Panel J5ASTART: Appeals Help Panel J5ANeed help?Web HelpApplication HelpWho should I call?Contact Us About Provider Enrollment(866) 518-32857:00 AM - 5:00 PM CT, Monday - FridayUSPS Mailing AddressWPS GHAMedicare Provider EnrollmentP.O. Box 8248Madison, WI 53708-8248Overnight DeliveryWPS GHAMedicare Provider Enrollment1717 W. BroadwayMadison, WI 53713-1834
(866) 234-73318:00 AM - 5:00 PM ET, Monday - FridayUSPS Mailing AddressWPS GHAMedicare Provider EnrollmentP.O. Box 8248Madison, WI 53708-8248Overnight DeliveryWPS GHAMedicare Provider Enrollment1717 W. BroadwayMadison, WI 53713-1834(866) 518-32857:00 AM - 5:00 PM CT, Monday - FridayUSPS Mailing AddressWPS GHAMedicare Provider EnrollmentP.O. Box 8248Madison, WI 53708-8248Overnight DeliveryWPS GHAMedicare Provider Enrollment1717 W. BroadwayMadison, WI 53713-1834(866) 234-73318:00 AM - 5:00 PM ET, Monday - FridayUSPS Mailing AddressWPS GHAMedicare Provider EnrollmentP.O. Box 8248Madison, WI 53708-8248Overnight DeliveryWPS GHAMedicare Provider Enrollment1717 W. BroadwayMadison, WI 53713-1834END: Appeals Help Panel J5ASTART: Appeals Help Panel J5ANeed help?Educational VideosWeb HelpContact us about Policies(866) 518-3285 - General questions about Policies7:00 am to 5:00 pm CT M-F(866) 234-7331- General questions about Policies8:00 am to 5:00 pm ET M-F(866) 518-3285 - General questions about Policies7:00 am to 5:00 pm CT M-F(866) 234-7331- General questions about Policies8:00 am to 5:00 pm ET M-FLCD Reconsideration Request:Policycomments@wpsic.comDraft LCD Comments:Policycomments@wpsic.comIDE Submissions:IDE.mailbox@wpsic.comRSVP for Open Meeting and CAC:LCDCAC@wpsic.comEND: Appeals Help Panel J5ASTART: Appeals Help Panel J5ANeed help?Web HelpQuestions about Payments and Incentive Programs(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Need help?Web HelpQuestions about Payments and Incentive Programs(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FContact us about Form CMS-588 Electronic Funds Transfer (EFT)(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FFinancial.Reporting.Inquiry@wpsic.comDo not submit PHI/PII through emailQuestions about Payments and Incentive Programs(866) 234-73317:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FContact us about Form CMS-588 Electronic Funds Transfer (EFT)(866) 234-73317:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FFinancial.Reporting.Inquiry@wpsic.comDo not submit PHI/PII through emailQuestions about Payments, Fee Schedules, and Incentive Programs(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FContact us about Form CMS-588 Electronic Funds Transfer (EFT)(866) 518-32857:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FFinancial.Reporting.Inquiry@wpsic.comDo not submit PHI/PII through emailQuestions about Payments, Fee Schedules, and Incentive Programs(866) 234-73317:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FContact us about Form CMS-588 Electronic Funds Transfer (EFT)(866) 234-73317:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-FFinancial.Reporting.Inquiry@wpsic.comDo not submit PHI/PII through emailSTART: Appeals Help Panel J5ANeed help?Training VideosWeb HelpContact us about Trainingwps.gha.education@wpsic.comEND: Appeals Help Panel J5ASTART: Appeals Help Panel J5ANeed help?
Need help?Training VideosWeb HelpContact us about Trainingwps.gha.education@wpsic.comEND: Appeals Help Panel J5ASTART: Appeals Help Panel J5ANeed help?Web HelpEducational VideosContact us about Audit.Audit Contact InformationMail audit materials:WPS GHAATTN: Audit SupervisorP.O. Box 8696Madison, WI 53708-8696When using a delivery service:WPS GHAATTN: Audit Supervisor1717 W. BroadwayMadison, WI 53713-1834Mail audit materials:WPS GHAATTN: Audit SupervisorP.O. Box 14172Madison, WI 53708-0172When using a delivery service:WPS GHAATTN: Audit Supervisor1717 W. BroadwayMadison, WI 53713-1834END: Appeals Help Panel J5ASTART: Self-service help panel path: self-service/contact/Need help?<p class="panel-title"><a href="?1dmy&amp;urile=wcm%3apath%3a%2Fwps%2Bcontent%2Benglish%2Fhome%2Ffooter-resources%2Fweb-help" >Web Help</a></p><p class="panel-title">&nbsp;</p><p class="panel-title">Contact Us About Claims</p><p class="panel-title">&nbsp;</p>Try these links first.WPS Portal User ManualIVR OperatingGuideEducational VideosQuestions about Self-Service?(866) 518-32857:00 am to 5:00 pm CT M-FTry these links first.WPS Portal User ManualIVR OperatingGuideEducational VideosQuestions about Self-Service?(866) 518-32857:00 am to 5:00 pm CT M-FTry these links first.WPS Portal User ManualIVR Operating GuideEducational VideosQuestions about Self-Service?(866) 234-73318:00 am to 5:00 pm ET M-F
Try these links first.WPS Portal User ManualIVR Operating GuideEducational VideosQuestions about Self-Service?(866) 234-73318:00 am to 5:00 pm ET M-FTry these links first.WPS Portal User ManualIVR OperatingGuideEducational VideosQuestions about Self-Service?(866) 234-73318:00 am to 5:00 pm ET M-FEND: Claims Help Panel J5ATitleTitleIconTextEND: Left Nav Containerstart base22 skin standardstart header markuplm-dynamic-title node marks location for dynamic title supportWeb Content ViewerActionslm:control dynamic spot injects markup of layout controlasa.overlay marks the node that the AsaOverlayWidget will be placed in <div style="position:relative; z-index: 1;"><div class="analytics.overlay"></div></div>START: PT ResourceThese styles need to be added to the stylesheet when deployed.aw-title {        padding-bottom: 0px;    }    #bodyContent {        margin-bottom: 40px;    }    #backButtonContainer {        display: inline;    }    #backButtonContainer a {        color: #005c99;    }    .resource-summary > .topic-links {        color: #686D7D;    }    #jurisdictionsContainer {        border-top: 1px solid #eee;        border-bottom: 1px solid #eee;        padding: 10px 20px;        margin-top: 20px;        margin-bottom: 20px;        color: #005c99;    }    h6 {        font-size: 12px;        margin-top: 0;        line-height: normal;    }        #quickMessage {        background-color: #EFEFEF;        border-radius: 10px;        padding: 20px;        margin-top: 20px;        margin-bottom: 20px;    }        #resource-attachments {    border-radius: 10px;    }
[if lt IE 11]><div class="alert alert-danger margin-right20 margin-top20"><p class="browserupgrade" dir="ltr">You are using an <strong>outdated</strong> browser. Please <a href="http://browsehappy.com/" title="Update your browser" target="_blank" >upgrade your browser</a> to improve your experience.</p></div><script type="text/javascript">$('#megaMenuWrapper').addClass('hide');</script><![endif]<div id="aw-content-header">        <div class="aw-title">            <div class='aw-content-title' data-swiftype-name="title" data-swiftype-type="string">Modifier 59 Fact Sheet</div>            <span class="last-updated">Last updated Jul 07 2020</span>        </div>        <div id="regionContent" class="">        </div>        <div class="row margin-bottom20">            <a id="aw-back-to-news" href="#"><span class="">&#8592; <span class="multilingual">back-to-previous-page</span></span></a>        </div>    </div>Modifier 59 Fact Sheet<span class="last-updated">Last updated Jul 07 2020</span>Published on Feb 03 2016, Last Updated on Jul 07 2020back-to-previous-pageContent Share toolsStyles need to be added to the stylesheet when published#top-widget-controls {        margin-top: 0px;    }Loads facebook javascript api
back-to-previous-pageContent Share toolsStyles need to be added to the stylesheet when published#top-widget-controls {        margin-top: 0px;    }Loads facebook javascript apiTwitter button<a href="http://twitter.com/share"  class="twitter popup medicare-icon medicare-icon-twitter margin-right5">Tweet</a>Facebook buttonFB linkJS for twitter api<script>    $('.popup').click(function(event) {        var link = window.location.toString();            link = encodeURIComponent(link.substring(0,link.indexOf('!')));        var width  = 575,            height = 400,            left   = ($(window).width()  - width)  / 2,            top    = ($(window).height() - height) / 2,            url    = 'http://twitter.com/share/?text=Modifier 59 Fact Sheet ' + link,            opts   = 'status=1' +                    ',width='  + width  +                    ',height=' + height +                    ',top='    + top    +                    ',left='   + left;        window.open(url, 'twitter', opts);        return false;    });    </script>JS function that launches the fb modal when link/button is pressedPrint and email buttonsPrintEmailJurisdictions:J8A,J5A,J8B,J5B,ClaimsThis site requires JavaScript to function. Please enable JavaScript to continue.<span class="multilingual">jurisdiction-info-text</span>: <span id="jurisdicitonText"></span>You currently have jurisdictionselected, however this page only applies to these jurisdiction(s):.Definition:Distinct Procedural Service identifies procedures/services not normally reported together, but appropriately billable under the circumstances.Appropriate UsageDocumentation indicates two separate procedures performed on the same day by the same physicianRepresented by a different session or patient encounter, different procedure or surgery, different site, or separate injury (or area of injury)
Documentation indicates two separate procedures performed on the same day by the same physicianRepresented by a different session or patient encounter, different procedure or surgery, different site, or separate injury (or area of injury)Use Modifier 59 with the secondary, additional or lesser procedure of combinations listed inNational Correct Coding Initiative(NCCI) edits.Use Modifier 59 when there isnoother appropriate modifier.Use Modifier 59 on the second initial injection procedure code when the IV protocol requires two separate IV sites or when the patient has to come back for a separately identifiable service.Correct Use of Modifier 59 with Cytopathology CodesWhen cytopathology codes are reported, the appropriate CPT code to bill is that which describes, to the highest level of specificity, what services were rendered. Accordingly, for a given specimen, only one code from a group of related codes describing a group of services that could be performed on a specimen with the same end result (e.g., 88104-88112, 88142-88143, 88150-88154, 88164-88167, etc.) is to be reported. If multiple services (i.e., separate specimens from different anatomic sites) are reported, modifier -59 should be used to indicate that different levels of service were provided for different specimens from different anatomic sites. This should be reflected in the cytopathologic reports.Inappropriate UsageCode combination not appearing in the NCCI editsSubmission of Evaluation and Management (E/M) CodesSubmission of weekly radiation therapy management codes (CPT 77427)The NCCI tables lists the procedure code pair with a modifier indicator of "0"Documentation does not support the separate and distinct statusExact same procedure code performed twice on the same dayMultiple administration of injections of the same drugIf a valid modifier exists to identify the servicesglobal-tags:J8A,J5A,J8B,J5B,ClaimsMessage Componentend aw-content-large-columnThese columns were hidden as the right hand components now show in the left navSTART: Help Right Panel HTMLSTART: Claims Help Panel J5ANeed help?Web HelpEducational VideosContact Us About Claims
These columns were hidden as the right hand components now show in the left navSTART: Help Right Panel HTMLSTART: Claims Help Panel J5ANeed help?Web HelpEducational VideosContact Us About ClaimsClaim Status/Patient Eligibility:(866) 518-328524 hours a day, 7 days a weekClaim Corrections:(866) 518-32537:00 am to 4:30 pm CT M-ThDDE Navigation & Password Reset: (866) 518-32517:00 am to 4:30 pm CT M-FDDE System Access: (866) 518-32957:00 am to 4:30 pm CT M-FEDI: (866) 518-32857:00 am to 5:00 pm CT M-FGeneral Inquiries:(866) 518-32857:00 am to 5:00 pm CT M-FClaim Status/Patient Eligibility:(866) 234-733124 hours a day, 7 days a weekClaim Corrections:(866) 580-59808:00 am to 5:30 pm ET M-ThDDE Navigation & Password Reset: (866) 580-59868:00 am to 5:30 pm ET M-FDDE System Access: (866) 518-32958:00 am to 5:30 pm ET M-FEDI: (866) 234-73318:00 am to 5:00 pm ET M-FGeneral Inquiries:(866) 234-73318:00 am to 5:00 pm ET M-FClaim Status/Patient Eligibility:(866) 518-328524 hours a day, 7 days a weekClaim Corrections/Reopenings:(866) 518-32857:00 am to 5:00 pm CT M-FEDI: (866) 518-32857:00am to 5:00 pm CT M-FGeneral Inquiries:(866) 518-32857:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:(866) 234-733124 hours a day, 7 days a weekClaim Corrections/Reopenings:(866) 234-73318:00 am to 5:00 pm ET M-FEDI: (866) 234-73318:00 am to 5:00 pm ET M-FGeneral Inquiries:(866) 234-73318:00 am to 5:00 pm ET M-FEND: Claims Help Panel J5AEND: Help Right Panel HTMLNo FAQsSTART: WPS Design > Components > Site Components > Apply Structured StoryEND: WPS Design > Components > Site Components > Apply Structured StoryEND: PT Resourcestart base22 skin standardstart header markuplm-dynamic-title node marks location for dynamic title supportModifier 59 Fact SheetActionslm:control dynamic spot injects markup of layout controlasa.overlay marks the node that the AsaOverlayWidget will be placed in <div style="position:relative; z-index: 1;"><div class="analytics.overlay"></div></div>START: FooterStart: General Footer - WPS English > Components > Footer > General Footer.footerHeader {        color: #ffffff;        font-weight: bold;    }    .footerLink {        color: #ffffff;        font-size: 12px;        opacity: 0.75;        text-decoration: none;    }    .footerLink a {        text-decoration: none;    }    .footerLink a:hover {        color: #ffffff;        opacity: 1;        text-decoration: underline;    }    .borderOpacity {        border-left: 1px solid rgba(255, 255, 255, .5);        -webkit-background-clip: padding-box; /* for Safari */        background-clip: padding-box; /* for IE9+, Firefox 4+, Opera, Chrome */    }eNews Sign UpEnter your email above. Current news from CMS andWPS Government Health Administrators delivered toyour inbox.Stay Connectedend stay connectedNewsletters
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