MLN Connects® Special Edition for Monday, July 19, 2021

MLN Connects® Special Edition for Monday, July 19, 2021 CMS Proposes Rule to Increase Price Transparency, Access to Care, Safety & Health Equity CMS is proposing actions to address the health equity gap, ensure consumers have the [...]

Laboratory Date of Service Policy

MLN Connects® Newsletter for Thursday, March 24, 2022

MLN Connects® Newsletter for Thursday, March 24, 2022 ICD-10: Comment on Proposed Procedure and Diagnosis Codes News Additional Residency Positions: Apply by March 31 Long-term Care Hospitals: March Preview Period Ends April 6 [...]

Award of Medicare Administrative Contractor Contract for Jurisdiction K

Award of Medicare Administrative Contractor Contract for Jurisdiction K CMS selected National Government Services to retain the JK MAC contract. As a result, there will be no changes to your service or the support we provide you. NGS looks [...]

April 2022 LCD and Billing and Coding Article Updates

April 2022 LCD and Billing and Coding Article Updates LCDs Effective 4/1/2022 Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) (L33559/A56737) The LCD was returned for comment from 6/3/2021 through [...]

MLN Connects® Special Edition for Wednesday, March 30, 2022

MLN Connects® Special Edition for Wednesday, March 30, 2022 Fiscal Year 2023 Hospice Payment Rate Update Proposed Rule - Comment by May 31 On March 30, CMS issued a proposed rule (CMS-1773-P) that would provide routine updates to [...]

New Evaluation and Management Frequently Asked Questions for Prolonged Services

New Evaluation and Management Frequently Asked Questions for Prolonged Services We’ve added new frequently asked questions to the Prolonged Services section of our E/M FAQs to clarify proper billing for CPT codes 99354-99356, 99358-99359, and [...]

MLN Connects® Special Edition for Monday, April 4, 2022

MLN Connects® Special Edition for Monday, April 4, 2022 Biden-Harris Administration Announces a New Way for Medicare Beneficiaries to Get Free Over-the-Counter COVID-19 Tests On April 4, The Biden-Harris Administration announced that more [...]

MLN Connects® Special Edition for Wednesday, April 6, 2022

MLN Connects® Special Edition for Monday, April 6, 2022 Eligible Individuals Can Receive Second COVID-19 Booster Shot at No Cost On April 6, CMS announced it will pay for a second COVID-19 booster shot of either the Pfizer-BioNTech or Moderna [...]

Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport

Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport The Repetitive, Scheduled Nonemergent Ambulance Transport Prior Authorization Model establishes a process through which a request for provisional affirmation [...]

Availability and Contact Information

Availability and Contact Information Hours of Availability To optimize your NGSConnex experience, you are encouraged to complete your NGSConnex transactions between the following hours: Monday–Friday: 6:00 a.m.–7:00 p.m. ET Saturday: 7:00 [...]

Related Content

Related Content JK Ambulance Suppliers RSNAT Sample Introductory Letter Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) CMS IOM, Publication 100-02, Medicare Benefit Policy Manual, Chapter 10 CMS IOM, [...]

Submitting a Prior Authorization Request

Submitting a Prior Authorization Request Ambulance suppliers or beneficiaries should legibly complete the National Government Services Prior Authorization Request for Repetitive, Scheduled Non-Emergent Ambulance Transports. The Cover [...]

Related Content

Related Content J6 Ambulance Suppliers RSNAT Sample Introductory Letter Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) CMS IOM, Publication 100-02, Medicare Benefit Policy Manual, Chapter 10 CMS [...]

Prior Authorization Request for Repetitive, Scheduled Nonemergent Ambulance Transports Medicare Part B Fax/Mail Coversheet

Five Steps to Webinar Success

Increased Volume of Appeal Status Inquiries

Increased Volume of Appeal Status Inquiries National Government Services has seen an increase in pending reopenings and redetermination levels, resulting in cases being completed beyond the 60 calendar-day timeframe. We are sharing some [...]

PC-ACE Medicare Secondary Payer Reference Guide for Part B

PC-ACE Medicare Secondary Payer Reference Guide for Part B Payers (Insurance) Setup Payer Information Screen Patient Selection and Setup Setting up the Patient’s Insurance Information MSP Claim Entry (Line Level) MSP Claim Entry (Claim [...]

MLN Connects® Special Edition for Monday, April 18, 2022

MLN Connects® Special Edition for Monday, April 18, 2022 CMS Proposes Policies to Advance Health Equity & Maternal Health, Support Hospitals On April 18, CMS issued a proposed rule for inpatient and long-term hospitals that builds on the [...]

Part B Issue for Coinsurance Payments on Drug Code Claims

Due to an issue with a recent system update, 20% coinsurance for drug codes has been incorrectly calculated during the period of 10/27/2021-11/1/2021.