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Posting Date: 10/19/2022
Immunization Roster Billing
Immunization Roster Billing Table of Contents Immunization Roster Billing Claim Submission Options for Roster Billing Electronic Claim Submissions Paper Claim Submissions Vaccine Billing and Coding Resources [Return to Top] [...]
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Posting Date: 10/06/2021
Hepatitis B Virus Vaccine and Administration
Preventive Services Guide Hepatitis B Virus Vaccine and Administration Hepatitis B is a virus that can damage the liver; it is spread through contact with infected blood or body fluids and can be transmitted through sex with an infected [...]
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Posting Date: 03/06/2025
Part A Incorrect Dialysis Payments
We have recently become aware of an issue which began on 7/15/2024 where ESRD claims with demo code 94P were finalizing with incorrect payment amounts (overpayments as well as underpayments). The incorrect payment amount is a result of FISS [...]
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Posting Date: 03/06/2025
ASC Claim Hold Until 1/28/2025
Due to a January 2025 fee schedule pricing correction, CMS has instructed Part B MACs to hold Part B ASC claims impacted by CBSA updates until 1/28/2025. ASC claims not impacted by CBSA updates may be impacted by a 10-day hold.
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Posting Date: 01/06/2023
FQHC PPS Calculator
FQHC PPS Calculator 4/1/2025-12/31/2025 1/1/2025-3/31/2025 1/1/2024-12/31/2024 2023 2022 2021 2020 2019 Revised 3/5/2025
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Posting Date: 03/04/2025
New Medicare Part B Redetermination Notice Initiative – Implementation Delayed
New Medicare Part B Redetermination Notice Initiative - Implementation Delayed As we’ve communicated recently, National Government Services will be starting a new initiative for providers who submit Medicare Part B Redetermination requests [...]
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Posting Date: 03/07/2023
Modifier/Code List
Modifier/Code List CMS established a new modifier, AB, for audiologists to use that describes: audiology service furnished personally by an audiologist without a physician/NPP order for non-acute hearing assessment unrelated to disequilibrium, [...]
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Posting Date: 03/07/2025
MLN Connects® Newsletter: March 6, 2025
MLN Connects® Newsletter: March 6, 2025 News Therapy Services: Get Updates for CY 2025 Hospitals: Apply for Additional Residency Positions by March 31 Compliance Oral Anticancer & Antiemetic Drugs: Prevent Claim Denials Claims, [...]
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Posting Date: 03/07/2025
Understanding the Strength of Medical Evidence In the pursuit of evidence-based medical practice, it is essential to evaluate the quality and strength of scientific research thoroughly. The table below provides a comprehensive ranking of [...]
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Posting Date: 12/23/2021
Privacy Notice Policy
Privacy Notice Policy National Government Services, Inc. (NGS) is a contractor with the Centers for Medicare & Medicaid Services (CMS) under the authority granted in Sections 1842, 1862(b) and 1874 of Title XVIII of the Social Security Act [...]
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Posting Date: 03/10/2023
Contractor Advisory Committee Meeting Records
Contractor Advisory Committee (CAC) Meeting Records Jurisdiction 6 and Jurisdiction K CAC Meeting Records Meeting Date Audio Transcript Key Questions Bibliography 2/3/2025 - Topic: Peripheral Nerve Blocks [...]
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Posting Date: 03/07/2025
Save the Date! National A/B MAC Ambulance Provider/Supplier Coalition
Save the Date! National A/B MAC Ambulance Provider/Supplier Coalition Attention Ambulance Providers As the MACs celebrate and honor the dedication and contributions to healthcare made by those who provide frontline lifesaving services to our [...]
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Posting Date: 11/01/2021
Transitional Care Management
Transitional Care Management Table of Contents Billing Codes Billing Information Documentation Related Content [Return to Top] Billing Codes 99495: Moderate complexity F2F 7 to 14 days 99496: High complexity F2F 7 days [...]
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Posting Date: 03/10/2025
Medicare Part B Redetermination Notice Initiative Coming Soon
Medicare Part B Redetermination Notice Initiative Coming Soon National Government Services will discontinue issuing paper MRNs for Medicare Part B redetermination requests that are submitted electronically through our portal, NGSConnex. [...]
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Posting Date: 03/14/2025
MLN Connects® Newsletter: March 13, 2025
MLN Connects® Newsletter: March 13, 2025 News Medicare Shared Savings Program: Application Deadlines for January 1, 2026, Start Date Claims, Pricers & Codes ICD-10 Coordination & Maintenance Committee: Submit Procedure Code [...]
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Posting Date: 09/30/2024
What Should Be Provided if Medical Records Are Requested for Review?
What Should Be Provided if Medical Records Are Requested for Review? The following should be considered if applicable to the service being reviewed. This is not intended to be an all-inclusive list. Progress/visit notes Physician orders [...]
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Posting Date: 01/12/2024
Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate
Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate Table of Contents Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate Background: Standard Payment vs. [...]
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Posting Date: 11/09/2018
Claims for Drugs Without a Product-Specific Code Assigned
Claims for Drugs Without a Product-Specific Code Assigned National Government Services has noticed that when a claim RTPs for additional information to be added to the Remarks field concerning certain drugs, some providers attempt to provide [...]
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Posting Date: 03/13/2025
Denials for HCPCS G2211
NCCI editing for HCPCS G2211 code was updated on 12/05/2024 to require HCPCS G0463 as the primary code for G2211 add-on code. This has resulted in denials of claims for the add-code G2211 when billed with CPTs 99202-99205 and 99211-99215. [...]
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Posting Date: 04/04/2025
Top J6 Part B Claim Errors are Available
Top J6 Part B Claim Errors are Available We conduct a comprehensive data analysis on a quarterly basis to update and disseminate the latest insights on the most common claim errors. This initiative provides: Claim Error Reason Code [...]
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Posting Date: 10/05/2022
Coverage Criteria and Frequency Limits
Coverage Criteria and Frequency Limits Table of Contents Counseling to Prevent Tobacco Use Diagnosis Coding Cost Sharing Reimbursement Nonparticipating Providers Related Content [Return to Top] Counseling to Prevent Tobacco Use [...]
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Posting Date: 04/07/2025
Counseling to Prevent Tobacco Use and Tobacco Related Diseases Job Aid
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Posting Date: 03/10/2025
April 2025 EDI Front End Quarterly Release
April 2025 EDI Front End Quarterly Release Please be advised that while the Centers for Medicare & Medicaid Services mandated release for April 2025 was installed the weekend of 4/6/2025, the code set updates included with this release [...]
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Posting Date: 04/07/2025
Social Security Income Ratios
Social Security Income Ratios The federal fiscal year 2023 SSI ratios for IPPS hospitals, IRF and LTCH were posted on the CMS website. IPPS IRF LTCH NGS will update the latest published 2023 SSI ratios in the Provider Specific File of [...]
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Posting Date: 04/07/2025
3/13/2025 Part B POE Advisory Group Meeting
3/13/2025 Part B POE Advisory Group Meeting Meeting Minutes Meeting Time: 10:00 a.m.‒12:00 p.m. ET Member Attendees: Doris Barnes, Aurelia Barraco, Brenda Bedard, Sheila Bembeneck, Madelon Berger, Todd Bergstrom, Kimberly Bischel, Mollie [...]
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Posting Date: 04/14/2022
Meeting Minutes
Meeting Minutes Jurisdiction 6 and Jurisdiction K Combined Meeting 3/13/2025 Meeting 12/12/2024 Meeting 9/18/2024 Meeting 6/12/2024 Meeting
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