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Posting Date: Wed Mar 27 00:00:00 GMT 2024
Drugs and Biologicals

Drugs and Biologicals We’ve updated the drugs and biologicals section of our website to offer easier navigation to the information you need. Updates include: Created a left-side navigation list with h...

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Posting Date: Wed Mar 27 00:00:00 GMT 2024
A/B and DME Collaborative General Documentation Requirements

A/B and DME Collaborative General Documentation Requirements The A/B and DME Collaborative General Documentation Requirements YouTube Video is available. Posted 3/27/2024

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Posting Date: Wed Mar 27 00:00:00 GMT 2024
NGSConnex Part B Claim Submission Issue – Mammography Claims

NGSConnex Part B Claim Submission Issue - Mammography Claims At this time, we are unable to accept mammography claims through Part B Claim Submission in NGSConnex. We are working to resolve the issue;...

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Posting Date: Mon Mar 25 00:00:00 GMT 2024
LCD and Article Updates for March/April 2024

LCD and Article Updates for March/April 2024 Local Coverage Determinations Fluid Jet System Treatment for LUTS/BPH (L38367) The age limitation of >80 years of age has been removed, effective for servi...

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Posting Date: Mon Mar 25 00:00:00 GMT 2024
Attention! New CMS-588 Electronic Funds Transfer Authorization Agreement (11/23) Version

Attention! New CMS-588 Electronic Funds Transfer Authorization Agreement (11/23) Version Effective 4/30/2024 the MACs may only accept the CMS-588 EFT (11/23) version, the outdated form will be returne...

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Posting Date: Mon Mar 25 00:00:00 GMT 2024
Attention Electronic Billers

Attention Electronic Billers National Government Services has experienced issues with electronic files downloaded by some of our trading partners (those who receive electronic files directly from NGS)...

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Posting Date: Fri Mar 22 00:00:00 GMT 2024
Important Reminder: Change Healthcare Security Incident

Important Reminder: Change Healthcare Security Incident This is an important reminder related to the Change Healthcare Security Incident and the efforts of the CMS and National Government Services. Ch...

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Posting Date: Thu Mar 21 00:00:00 GMT 2024
Inquiry Reference Numbers Are Now Available on the IVR

Inquiry Reference Numbers Are Now Available on the IVR You can now get an inquiry reference number through the IVR. Once the caller makes a selection from the main menu, the IVR will ask, "Would you l...

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Posting Date: Thu Mar 21 00:00:00 GMT 2024
MLN Connects® Newsletter: March 21, 2024

MLN Connects® Newsletter: March 21, 2024 News New Initiative to Increase Investments in Person-Centered Primary Care Marriage and Family Therapists & Mental Health Counselors: Get Information about Bi...

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Posting Date: Thu Mar 21 00:00:00 GMT 2024
[REVISED] Submitting Paper Claim Forms to National Government Services Due to the Change Healthcare Security Incident

[REVISED] Submitting Paper Claim Forms to National Government Services Due to the Change Healthcare Security Incident As a follow up to our 2/28/2024 article, Change Healthcare Security Incident, prov...

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Posting Date: Tue Mar 19 00:00:00 GMT 2024
CMS Issues Change Request 13294 – Impacts Cost Reports with Disproportionate Share Hospital Reimbursement

CMS Issues Change Request 13294 – Impacts Cost Reports with Disproportionate Share Hospital Reimbursement CMS issued CR 13294,“Change Request (CR) to Implement the Medicare Program Final Action: Treat...

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Posting Date: Tue Mar 19 00:00:00 GMT 2024
Credit Balance Reminder: Submissions For Quarter Ending 3/31/2024 Start Soon!

Credit Balance Reminder: Submissions For Quarter Ending 3/31/2024 Start Soon! CBR submissions can be submitted starting on 4/1/2024 and are due within 30 days to be considered timely. Remember, even i...

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Posting Date: Thu Mar 14 00:00:00 GMT 2024
MLN Connects® Newsletter: March 14, 2024

MLN Connects® Newsletter: March 14, 2024 News CMS Roundup (Mar 8, 2024) Marriage and Family Therapists & Mental Health Counselors: Updated Enrollment FAQs Skilled Nursing Facilities: Billing Medicare ...

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Posting Date: Thu Mar 14 00:00:00 GMT 2024
Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated and Advance Payments for Part A Providers and Part B Suppliers Frequently Asked Questions

Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated and Advance Payments for Part A Providers and Part B Suppliers Frequently Asked Questions Please see the below for the latest FAQs relate...

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Posting Date: Wed Mar 13 00:00:00 GMT 2024
Reminder: Medicare Part A Claim Submissions Due to the Change Healthcare Security Incident

Reminder: Medicare Part A Claim Submissions Due to the Change Healthcare Security Incident Medicare Part A providers can use the FISS DDE for Part A claim entry. This option is free, and the provider ...

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Posting Date: Tue Mar 12 00:00:00 GMT 2024
Proper Medicare Part B Claim Submissions – Completion and Regulation for the CMS-1500 Paper Claim Form Due to the Change Healthcare Security Incident

Proper Medicare Part B Claim Submissions – Completion and Regulation for the CMS-1500 Paper Claim Form Due to the Change Healthcare Security Incident Health care professionals and suppliers play a vit...

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Posting Date: Mon Mar 11 00:00:00 GMT 2024
You Asked, We Listened, We Delivered: Redesigned Events Page Live

You Asked, We Listened, We Delivered: Redesigned Events Page Live We’re always looking for and appreciate feedback from our providers. Your ideas and recommendations help drive improvements to our web...

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Posting Date: Mon Mar 11 00:00:00 GMT 2024
The Change Healthcare/Optum Payment Disruption (CHOPD) CMS Fact Sheet Now Available

The Change Healthcare/Optum Payment Disruption (CHOPD) CMS Fact Sheet Now Available CMS issued the Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated Payments to Part A Providers and Advan...

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Posting Date: Mon Mar 11 00:00:00 GMT 2024
Advance and Accelerated Payment Program Available for Providers Impacted by the Change Healthcare/Optum Payment Disruption

Advance and Accelerated Payment Program Available for Providers Impacted by the Change Healthcare/Optum Payment Disruption Part A and Part B Providers experiencing cash flow problems related to Change...

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Posting Date: Thu Mar 07 00:00:00 GMT 2024
NGSMedicare.com Scheduled Maintenance: 3/9/2024-3/10/2024

NGSMedicare.com Scheduled Maintenance Due to scheduled maintenance, NGSMedicare.com will be inaccessible beginning Saturday, 3/9/2024 through Sunday, 3/10/2024. We apologize for any inconvenience this...

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Posting Date: Thu Mar 07 00:00:00 GMT 2024
MLN Connects® Newsletter: March 7, 2024

MLN Connects® Newsletter: March 7, 2024 News HHS Statement Regarding the Cyberattack on Change Healthcare Final Guidance to Help People with Medicare Prescription Drug Coverage Manage Prescription Dru...

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Posting Date: Wed Mar 06 00:00:00 GMT 2024
Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport

Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport CMS implemented the prior authorization program for RSNAT to reduce expenditures while maintaining and/or improving...

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Posting Date: Thu Feb 29 00:00:00 GMT 2024
MLN Connects® Newsletter: February 29, 2024

MLN Connects® Newsletter: February 29, 2024 Events ICD-10 Coordination & Maintenance Committee Meeting — March 19–20 MLN Matters® Articles Appropriate Use Criteria for Advanced Diagnostic Imaging: CY ...

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Posting Date: Thu Feb 29 00:00:00 GMT 2024
Tobacco Counseling via Telehealth

Tobacco Counseling via Telehealth Tobacco use is the leading cause of preventable disease, disability and death in the United States. Each year, nearly half a million Americans die prematurely of smok...

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Posting Date: Thu Feb 29 00:00:00 GMT 2024
You Asked, We Listened: Redesigned Events Page Coming Soon

You Asked, We Listened: Redesigned Events Page Coming Soon We’re always looking for and appreciate feedback from our providers. Your ideas and recommendations help drive improvements to our website. P...

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Posting Date: Tue Feb 27 00:00:00 GMT 2024
Medicare Preventive Services

Medicare Preventive Services Medicare covers many preventive services to help keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can he...

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Posting Date: Tue Feb 27 00:00:00 GMT 2024
LCD and Billing and Coding Article Updates for February/March 2024

LCD and Billing and Coding Article Updates for February/March 2024 Local Coverage Determinations Biomarker Testing for Prostate Cancer Diagnosis (L37733) This LCD has been retired and will no longer b...

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Posting Date: Tue Feb 27 00:00:00 GMT 2024
[REVISED] 2024 Gapfill Request

[REVISED] 2024 Gapfill Request National Government Services, the MAC for JK and J6 is in receipt of the new laboratory test codes identified by the CMS to be gap-fill priced for 2024. The PAMA regulat...

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Posting Date: Tue Feb 27 00:00:00 GMT 2024
Change Healthcare Security Incident

Change Healthcare Security Incident The CMS and National Government Services are aware that Change Healthcare recently suffered a cyber-attack. Change Healthcare is a clearinghouse vendor that connect...

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Posting Date: Mon Feb 26 00:00:00 GMT 2024
Prolonged Services Timeline 2024

Prolonged Services Timeline 2024 We’ve updated the Prolonged Services Timetable with 2024 HCPCS and CPT codes, time requirements and date spans. We encourage providers to view this information to ensu...

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Posting Date: Mon Feb 26 00:00:00 GMT 2024
Medicare Part B Overpayments

Medicare Part B Overpayments We developed the Medicare Part B Overpayments Tip Sheet to provide instructions for reporting various overpayment situations. Topics include responding to a demand letter,...

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Posting Date: Thu Feb 22 00:00:00 GMT 2024
Evaluation and Management Frequently Asked Questions

Evaluation and Management Frequently Asked Questions We’ve expanded our E/M FAQs for the Complex and Chronic Care – HCPCS code G2211 category to include answers to common questions we’ve received abou...

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Posting Date: Thu Feb 22 00:00:00 GMT 2024
MLN Connects® Newsletter: February 22, 2024

MLN Connects® Newsletter: February 22, 2024 News CMS Issues Additional Guidance on Program to Allow People with Medicare to Pay Out-of-Pocket Prescription Drug Costs in Monthly Payments Compliance Med...

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Posting Date: Wed Feb 21 00:00:00 GMT 2024
Common Working File (CWF) Host Dark Days for April 2024 Release

Common Working File (CWF) Host Dark Days for April 2024 Release For the upcoming April 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/28/2024 and Dark Days starting Fr...

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Posting Date: Tue Feb 20 00:00:00 GMT 2024
Health Benefits of Quitting Smoking

Health Benefits of Quitting Smoking Help your Patients Kick the Habit! Smoking leads to multiple diseases and potentially death, but this is preventable – anyone at any age can benefit from quitting s...

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Posting Date: Fri Feb 16 00:00:00 GMT 2024
[REVISED] Provisional Period of Enhanced Oversight for New Hospices

[REVISED] Provisional Period of Enhanced Oversight for New Hospices In an effort to reduce hospice fraud, waste and abuse, CMS is placing newly enrolling hospices located in Arizona, California, Nevad...

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Posting Date: Thu Feb 15 00:00:00 GMT 2024
MLN Connects® Newsletter: February 15, 2024

MLN Connects® Newsletter: February 15, 2024 News CMS Roundup (Feb 9, 2024) Marriage and Family Therapists & Mental Health Counselors: New Specialty Codes for Medicare Medicare Physician Fee Schedule D...

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Posting Date: Wed Feb 14 00:00:00 GMT 2024
National Government Services Will Be Open On President's Day

National Government Services Will Be Open On President's Day National Government Services will be open on President's Day, Monday, 2/19/2024. The PCC will be open and available to take your calls. Pos...

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Posting Date: Thu Feb 08 00:00:00 GMT 2024
MLN Connects® Newsletter: February 8, 2024

MLN Connects® Newsletter: February 8, 2024 News Medicare Shared Savings Program: Application Deadlines for a January 1, 2025, Start Date New Dental Specialty Codes for Medicare Hospices & Skilled Nurs...

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Posting Date: Thu Feb 08 00:00:00 GMT 2024
National Government Services Proposed LCDs for Comment

National Government Services Proposed LCDs for Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends ...

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