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Posting Date: 03/30/2023
Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023
Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023 After reviewing Medicare claims data for EEG continuous recording (CPT codes 95700 through 95718) as well as seeking ...
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Posting Date: 03/29/2023
LCD, Billing and Coding Article Updates for March and April 2023
LCD, Billing and Coding Article Updates for March and April 2023 Pain Management (L33622) Effective 3/19/2023 The LCD has been revised to remove all references to sacroiliac joint injections. Please r...
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Posting Date: 03/27/2023
Changes in G2066 Pricing Effective April 1, 2023
Changes in G2066 Pricing Effective April 1, 2023 After reviewing Medicare claims data for G2066 (Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic moni...
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Posting Date: 03/23/2023
DDE Logon ID and Password Reminders
DDE Logon ID and Password Reminders CMS’ information security policy strictly prohibits the sharing or loaning of Medicare assigned IDs and passwords. Users should take appropriate measures to prevent...
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Posting Date: 03/23/2023
Knee Orthosis: A/B and DME Collaborative Presentation
Knee Orthosis: A/B and DME Collaborative Presentation View the A/B and DME Knee Orthosis YouTube video for information on knee orthosis. Posted 3/23/2023
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Posting Date: 03/23/2023
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220 Some home health NOAs and claims were incorrectly hitting reason codes U5210 and U5220. These reason codes state there is no Medicare ...
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Posting Date: 03/23/2023
MLN Connects® Newsletter: March 23, 2023
MLN Connects® Newsletter: March 23, 2023 News Additional Residency Positions: Apply by March 31 Laboratory Testing Urinalysis: Comparative Billing Report in March Long-Term Care Hospital Provider Prev...
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Posting Date: 03/22/2023
Hierarchy of Medicare Regulations
Hierarchy of Medicare Regulations Have you wondered how Medicare determines what is covered? Below you will find the hierarchy of how Medicare regulations are created. Social Security Act Title XVIII ...
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Posting Date: 03/22/2023
Appealing a Denied Claim
Appealing a Denied Claim At times, providers submit a claim that ends up being denied; the denial may include appeal rights. Providers can appeal all of their overpayment claims on one request for red...
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Posting Date: 03/16/2023
MLN Connects® Newsletter: March 16, 2023
MLN Connects® Newsletter: March 16, 2023 News HHS Releases Initial Guidance for Historic Medicare Drug Price Negotiation Program for Price Applicability Year 2026 Quality Payment Program: 2021 Care Co...
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Posting Date: 03/15/2023
MLN Connects® Newsletter: March 15, 2023
MLN Connects® Newsletter: March 15, 2023 News Inflation Reduction Act Tamps Down on Prescription Drug Price Increases Above Inflation Posted 3/15/2023
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Posting Date: 03/14/2023
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year d...
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Posting Date: 03/14/2023
Sacroiliac Joint Injections and Procedures Frequently Asked Questions
Sacroiliac Joint Injections and Procedures Frequently Asked Questions We’ve added frequently asked questions related to New Local Coverage Determination for Sacroiliac Joint Injections and Procedures...
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Posting Date: 03/14/2023
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year d...
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Posting Date: 03/13/2023
2023 Evaluation and Management Services – New Frequently Asked Questions
2023 Evaluation and Management Services – New Frequently Asked Questions Based on recent CMS clarifications for 2023 evaluation and management services, we’ve added new frequently asked questions for ...
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Posting Date: 03/09/2023
MLN Connects® Newsletter: March 9, 2023
MLN Connects® Newsletter: March 9, 2023 News Nutrition-Related Health Conditions: Recommend Medicare Preventive Services Compliance Advance Care Planning: Bill Correctly for Services Claims, Pricers a...
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Posting Date: 03/09/2023
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients?
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for coverage criteria to b...
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Posting Date: 03/07/2023
Audiology Services
Audiology Services CMS finalized an exception to the physician order requirement for certain diagnostic testing services to broaden patient access to services furnished by audiologists in the CY 2023 ...
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Posting Date: 03/03/2023
Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices
Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices Presented by Telligen QIN-QIO As part of our continuing work together, National Government Services wou...
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Posting Date: 03/02/2023
MLN Connects® Newsletter: March 2, 2023
MLN Connects® Newsletter: March 2, 2023 News The Future of Medicare Enrollment: Save Time with PECOS's Consolidated Application Voluntary Prior Authorization Process for Certain Power Mobility Device ...
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Posting Date: 03/02/2023
MLN Connects® Newsletter: March 2, 2023
MLN Connects® Newsletter: March 2, 2023 News The Future of Medicare Enrollment: Save Time with PECOS's Consolidated Application Voluntary Prior Authorization Process for Certain Power Mobility Device ...
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Posting Date: 02/28/2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023 News COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet Posted 2/28/2023
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Posting Date: 02/27/2023
Credit Balance Report Reminder for Jurisdiction 6 Part A Providers
Credit Balance Report Reminder for Jurisdiction 6 Part A Providers For the quarter ending 12/31/2022, CBR must be submitted and received by the ORU by 3/1/2023 to be considered timely. Failure to subm...
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Posting Date: 02/24/2023
LCD, Billing and Coding Article Updates for March 2023
LCD, Billing and Coding Article Updates for March 2023 Billing and Coding: Billing and Coding: Implantable Automatic Defibrillators (A56326) Based on Transmittal 11832 (CR13070) ICD-10-CM and Other Co...
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Posting Date: 02/24/2023
April 2023 Release "Dark Days" for the Common Working File Hosts
April 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming April 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/30/2023 and Dark Days starting F...
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Posting Date: 02/23/2023
MLN Connects® Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023
MLN Connects®Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023 News Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers P...
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Posting Date: 02/23/2023
MLN Connects® Newsletter: February 23, 2023
MLN Connects® Newsletter: February 23, 2023 News Hospital Price Transparency: Progress and Commitment to Achieving Its Potential Home Infusion Therapy Services Monitoring Report Immunosuppressive ...
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Posting Date: 02/22/2023
Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions
Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions Effective for dates of service on or after 8/7/2019, Medicare will pay claims from approved providers for administration of autologo...
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Posting Date: 02/22/2023
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures National Government Services, as your MAC, is bringing to your attention a newly created LCD policy change that will eff...
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Posting Date: 02/21/2023
Important Steps When Responding to Additional Development Response Letters
Important Steps When Responding to Additional Development Response Letters When National Government Services requests documentation, you must send us only what has been requested. We are receiving num...
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