News - NGSMEDICARE

Posting Date: 07/10/2025

MLN Connects® Newsletter: July 10, 2025

MLN Connects® Newsletter: July 10, 2025 News Hospital Price Transparency: Respond to Accuracy & Completeness RFI by July 21 Alert: Medicare Fraud Scheme Involving Phishing Requests Via Fax and Other M...

Posting Date: 07/08/2025

July Code Set Update for PC Print: July 2025

July Code Set Update for PC Print: July 2025 The PC Print July code set update will be available on our website 7/9/2025. The update contains the following enhancements: CR13999 Remittance Advice R...

Posting Date: 07/03/2025

MLN Connects® Newsletter: July 3, 2025

MLN Connects® Newsletter: July 3, 2025 Proposed Payment Rules ESRD: CY 2026 Proposed Rule — Submit Comments by August 29 Home Health: CY 2026 Proposed Rule — Submit Comments by August 29 News CMS Laun...

Posting Date: 07/02/2025

LCD and Billing and Coding Article Updates – July 2025

LCD and Billing and Coding Article Updates – July 2025 Billing and Coding: Respiratory Pathogen Panel Testing (A58741) Based on the HCPCS quarterly updates the following updates have been made to the ...

Posting Date: 07/02/2025

Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line

Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line Attention: Provider Enrollment and Credentialing Departments Revalidate before your due date to avoid a “Stay of ...

Posting Date: 07/02/2025

Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line

Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line Attention: Provider Enrollment and Credentialing Departments Revalidate before your due date to avoid a “Stay of ...

Posting Date: 07/01/2025

New Recovery Audit Contractor

New Recovery Audit Contractor On 4/28/2025, CMS awarded Cotiviti GOV Services LLC the RAC contracts for Region 5 . Region 5 encompasses JA, JB, JC, JD, and the HHH MACs: J6, J15, JK, and JM. Performan...

Posting Date: 06/30/2025

July 2025 Release "Dark Days" for the Common Working File Hosts

July 2025 Release "Dark Days" for the Common Working File Hosts For the Upcoming July 2025 Release: For Production, CWF will be observing the Gray Day on Wednesday, 7/2/2025 and Dark Days starting Thu...

Posting Date: 06/27/2025

July 2025 EDI Front End Quarterly Release

July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release...

Posting Date: 06/26/2025

MLN Connects® Newsletter: June 26, 2025

MLN Connects® Newsletter: June 26, 2025 News Alert: Medicare Fraud Scheme Involving Phishing Fax Requests Medicare Diabetes Prevention Program: CY 2025 Payment Rates Compliance Commodes, Bed Pans & Ur...

Posting Date: 06/24/2025

Observance of Fourth of July 2025

Observance of Fourth of July 2025 In observance of the Fourth of July 2025, National Government Services offices will be closed on Friday, 7/4/2025. Please note: EDI claim files transmitted after 4:00...

Posting Date: 06/24/2025

National Government Services Important Update

National Government Services Important Update ALERT: Medicare Fraud Scheme Involving Phishing Fax Requests National Government Services wants to share with our providers an urgent issue that has been ...

Posting Date: 06/24/2025

LCD and Billing and Coding Article Updates – 2025

LCD and Billing and Coding Article Updates – 2025 January Psychiatric Partial Hospitalization Programs L33626 Effective 1/1/2024, in the Coverage Indications, Limitations and/or Medical Necessity sect...

Posting Date: 06/18/2025

MLN Connects® Newsletter: June 18, 2025

MLN Connects® Newsletter: June 18, 2025 News 2023 Doctors & Clinicians Preview Period Open Until June 25 Hospital Price Transparency: Respond to Accuracy & Completeness RFI by July 21 Medicare Part B ...

Posting Date: 06/16/2025

Interactive Voice Response System Changes Coming Soon

Interactive Voice Response System Changes Coming Soon We’re making changes to our IVR system. You’ll still dial the same number, but you’ll hear a new voice. Although the IVR provides instructions thr...

Posting Date: 06/16/2025

Medicare Portable X-Ray Survey Reminder

Medicare Portable X-Ray Survey Reminder MACs, under the direction of the CMS, are conducting a national cost analysis survey to assess the transportation components of portable X-ray services, specifi...

Posting Date: 06/12/2025

MLN Connects® Newsletter: June 12, 2025

MLN Connects® Newsletter: June 12, 2025 News Final National Coverage Determination: Noninvasive Positive Pressure Ventilation in Home for Treatment of Chronic Respiratory Failure Consequent to COPD Sk...

Posting Date: 06/12/2025

Understanding the Submission Requirement for a Revalidation Application

Understanding the Submission Requirement for a Revalidation Application According to the 42 Code of Federal Regulations Section 424.515(b), providers and suppliers are required to submit a CMS-855 app...

Posting Date: 06/09/2025

[RESOLVED] Fiscal Intermediary Standard System and Multi Carrier System Experiencing Outages

[RESOLVED] Fiscal Intermediary Standard System and Multi Carrier System Experiencing Outages The FISS and MCS are now available and Part A and Part B providers can check claim status in NGSConnex and ...

Posting Date: 06/05/2025

MLN Connects® Newsletter: June 5, 2025

MLN Connects® Newsletter: June 5, 2025 News 2023 Doctors & Clinicians Preview Period Open Until June 25 Hospital Price Transparency: Respond to Accuracy & Completeness RFI by July 21 Medicare & Vetera...

Posting Date: 06/04/2025

Observance of Juneteenth Holiday

Observance of Juneteenth Holiday In observance of Juneteenth, the National Government Services offices will be closed on Thursday, 6/19/2025. This includes the following departments: EDI Help Desk* Pr...

Posting Date: 06/03/2025

Modifier 22 Supporting Documentation for Part B claims

Modifier 22 Supporting Documentation for Part B claims The Centers for Medicare & Medicaid Services, Internet-Only-Manual, Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 40...

Posting Date: 05/29/2025

MLN Connects® Newsletter: May 29, 2025

MLN Connects® Newsletter: May 29, 2025 News Inpatient Hospital Admissions: Transferring Medical Review Responsibilities for Short Stay Claims Medicare Shared Savings Program: Apply Now MLN Matters® Ar...

Posting Date: 05/27/2025

The 2025 Spring Part B Virtual Conference Begins in One Week!

The 2025 Spring Part B Virtual Conference Begins in One Week! The 2025 Spring Part B Virtual Conference begins in one week! This is your last chance to register and join us on June 3–5, 2025! Don’t mi...

Posting Date: 05/27/2025

Smoking Cessation Tools and Resources - You Can Help Your Patients Quit Tobacco Use

Smoking Cessation Tools and Resources - You Can Help Your Patients Quit Tobacco Use Smokefree.gov Centers for Disease Control and Prevention: Tips from Former Smokers campaign Centers for Disease Cont...

Posting Date: 05/27/2025

Relocation of the Medically Unlikely Edit Webpage Information

Relocation of the Medically Unlikely Edit Webpage Information National Government Services would like to inform you of an important change regarding the placement of the MUE section on our website. Th...

Posting Date: 05/22/2025

MLN Connects® Newsletter: May 22, 2025

MLN Connects® Newsletter: May 22, 2025 News Discarded Drugs: Get Updated Lists Medicare Provider Payment & Utilization Public Use Files: Annual Update Medicare Fee-for-Service Geographic Variation Pub...

Posting Date: 05/22/2025

MLN Connects® Newsletter: May 22, 2025

MLN Connects® Newsletter: May 22, 2025 Departments of Labor, Health and Human Services, Treasury Announce Move to Strengthen Healthcare Price Transparency Trump administration issues request for infor...

Posting Date: 05/21/2025

Local Coverage Determination Open Meeting

Local Coverage Determination Open Meeting National Government Services is hosting a Local Coverage Determination Open Meeting on 6/25/2025. Details are available by accessing the Local Coverage Deter...

Posting Date: 05/21/2025

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues We were experiencing intermittent outages with NGSConnex and the IVR. In some cases, the IVR was not playing...