-
Posting Date: 03/14/2022
NGS Review of Prior Authorization Request
NGS Review of Prior Authorization Request Table of Contents NGS Review of Prior Authorization Request Number of Trips Extended Affirmation Periods for Beneficiaries with Chronic Conditions Decision Letters Resubmitting a Prior [...]
Read More -
Posting Date: 06/09/2021
About Hospital OPD PA Model
About Hospital OPD PA Model Table of Contents About Hospital OPD PA Model General Information Related Content [Return to Top] About the Hospital OPD PA Model CMS implemented a PA program for certain hospital OPD services for DOS on [...]
Read More -
Posting Date: 06/14/2022
Documentation Information
Documentation Information It is recommended that PARs are submitted at least seven calendar days prior to the expected date of service to allow National Government Services the full standard timeframe to receive and review requests. For [...]
Read More -
Posting Date: 03/20/2025
Safeguard Your Finances: Know Your Provider Enrollment Revalidation
Safeguard Your Finances: Know Your Provider Enrollment Revalidation Attention: Provider Enrollment and Credentialing Teams Ensure you revalidate before your deadline to prevent a "Stay of Enrollment" or claim rejections, which could [...]
Read More -
Posting Date: 03/17/2025
Office/Outpatient Evaluation and Management Visit Complexity Add-on Code G2211
Office/Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 Effective 1/1/2024 Definition of G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing [...]
Read More -
Posting Date: 03/17/2025
Provider Enrollment: Top Reasons Behind Delays in Processing the Application
Provider Enrollment: Top Reasons Behind Delays in Processing the Application Medicare enrollment plays a vital role in ensuring compliance with CMS requirements. To help streamline the process and achieve the best results, it's important to [...]
Read More -
Posting Date: 03/17/2025
Fiscal Intermediary Standard System Direct Data Entry Screen Changes – April 2025
Fiscal Intermediary Standard System Direct Data Entry Screen Changes – April 2025 The April 2025 quarterly system release will update FISS DDE as described below: Inquiries Submenu (01) Option 1C (CMHC Payment Totals)/MAP1D62 - Monetary [...]
Read More -
Posting Date: 03/17/2025
Tobacco Cessation and Cognitive Behavioral Therapy
Tobacco Cessation and Cognitive Behavioral Therapy CBT is a type of psychotherapy that’s problem oriented. It may help your patients learn how to change unhelpful or unhealthy ways of thinking, feeling and behaving especially when related to [...]
Read More