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Posting Date: 03/31/2022
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 wou...
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Posting Date: 03/31/2022
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes Just a reminder: The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare...
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Posting Date: 03/29/2022
We’ve Rebranded!
We’ve Rebranded! National Government Services is excited to share we’ve refreshed our brand! Our new brand line Where Next Begins reflects Our Mission: Improving Lives and Communities. Simplifying Hea...
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Posting Date: 03/29/2022
Molecular Pathology Procedures Reminder
Molecular Pathology Procedures Reminder National Government Services has been receiving many claims submitted for redetermination that were submitted for Group 3 Molecular Pathology Procedures. The Gr...
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Posting Date: 03/28/2022
New Edits for National Government Services Advance Communication Engine System
New Edits for National Government Services Advance Communication Engine System We are continuously implementing new edits for Jurisdiction 6 (Illinois, Wisconsin and Minnesota) Medicare Part B to take...
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Posting Date: 03/25/2022
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 o...
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Posting Date: 03/25/2022
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...
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Posting Date: 03/24/2022
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 P...
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Posting Date: 03/22/2022
Reopening Not Appropriate to Change Diagnosis on Paid Claims
Reopening Not Appropriate to Change Diagnosis on Paid Claims National Government Services periodically receives reopening requests to change the diagnosis on a paid claim. Submitting a new, or correc...
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Posting Date: 03/21/2022
National Government Services Medicare Spring 2022 Virtual Conference
National Government Services Medicare Spring 2022 Virtual Conference Medicare For You Wednesday, 5/11/2022 – Thursday, 5/12/2022 The NGS Provider Outreach and Education Team is holding our latest bi-a...
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Posting Date: 03/17/2022
MLN Connects® Newsletter for Thursday, March 17, 2022
MLN Connects® Newsletter for Thursday, March 17, 2022 Kidney Health: Help Address Disparities News Medicare Shared Savings Program: Application Deadlines for January 1, 2023, Start Date Kidney Health:...
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Posting Date: 03/16/2022
Place of Service 10 for Telehealth Services Not for Medicare Billing
Place of Service 10 for Telehealth Services Not for Medicare Billing National Government Services is receiving calls from providers to our call center in regard to the usage of the new Place of Servic...
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Posting Date: 03/14/2022
Understanding Revalidation Application Requirement of Submission
Understanding Revalidation Application Requirement of Submission The 42 Code of Federal Regulations Section 424.515(b): requires that a provider/supplier must submit a CMS-855 application with complet...
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Posting Date: 03/10/2022
MLN Connects® Newsletter for Thursday, March 10, 2022
MLN Connects® Newsletter for Thursday, March 10, 2022 COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD News COVID-19 Monoclonal Antibodies: Revised Emergency Use Author...
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Posting Date: 03/09/2022
Save the Dates: National Government Services 2022 Spring Virtual Conference!
Save the Dates! National Government Services 2022 Spring Virtual Conference! Medicare for You 5/11/2022 – 5/12/2022 “Seasons change, and so do we.” - Nikkiche We also see many changes occur in Medicar...
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Posting Date: 03/04/2022
2022 CMS Evaluation and Management Regulation Modifications
2022 CMS Evaluation and Management Regulation Modifications On 2/23 and 2/24/2022, National Government Services presented webinars titled “2022 CMS Evaluation and Management Regulation Modifications”....
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Posting Date: 03/03/2022
MLN Connects® Newsletter for Thursday, March 3, 2022
MLN Connects® Newsletter for Thursday, March 3, 2022 2022 Payment, Quality & Policy Changes News Ambulance Prior Authorization Model Expands April 1 Nutrition-related Health Conditions: Recommend Medi...
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Posting Date: 03/02/2022
April 2022 Release "Dark Days" for the Common Working File Hosts
April 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming April 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/31/2022 and Dark Days starting F...
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Posting Date: 03/02/2022
Chronic Care Management with Transitional Care Management Clarification
Chronic Care Management with Transitional Care Management Clarification TCM policy indicates that it is billable in the same month that CCM services are performed. MLN® Booklet Transitional Care Manag...
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Posting Date: 03/02/2022
Social Security Income Ratios
Social Security Income Ratios The federal fiscal year 2020 SSI ratios for IPPS hospitals, IRFs and LTCHs were posted on the CMS website. IPPS IRF LTCH We will update the latest published 2020 SSI rati...
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Posting Date: 03/01/2022
Proper Billing for Patient Supplied Drugs
Proper Billing for Patient Supplied Drugs Drugs, including biologicals, must represent an expense to the physician or legal entity billing for the services or supplies. In some instances, the patient ...
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Posting Date: 03/01/2022
Medicare Advantage Plan Beneficiaries Receiving the COVID-19 Vaccine and Monoclonal Antibody
Medicare Advantage Plan Beneficiaries Receiving the COVID-19 Vaccine and Monoclonal Antibody Effective 1/1/2022, claims for COVID-19 vaccinations or monoclonal antibody treatment provided to patients ...
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Posting Date: 02/24/2022
MLN Connects® Newsletter for Thursday, February 24, 2022
MLN Connects® Newsletter for Thursday, February 24, 2022 CMS Released Skilled Nursing Facility & ESRD Web Pricers News Podiatry Nail Debridement & Evaluation and Management Services: Comparative Billi...
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Posting Date: 02/24/2022
February and March 2022 Billing and Coding Article Updates
February and March 2022 Billing and Coding Article Updates Billing and Coding: Peripheral Nerve Blocks (A57452) This article has been updated due to a provider request to add diagnosis code G58.0 to G...
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Posting Date: 02/18/2022
MLN Connects® Special Edition for Friday, February 18, 2022
MLN Connects® Special Edition for Thursday, February 18, 2022 COVID-19 Monoclonal Antibodies: FDA Authorized Bebtelovimab On February 11, the FDA authorized the emergency use of the monoclonal antibod...
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Posting Date: 02/17/2022
MLN Connects® Newsletter for Thursday, February 17, 2022
MLN Connects® Newsletter for Thursday, February 17, 2022 Expanded Coverage: Lung Cancer Screening with Low Dose Computed Tomography News CMS Expands Coverage of Lung Cancer Screening with Low Dose Com...
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Posting Date: 02/10/2022
MLN Connects® Newsletter for Thursday, February 10, 2022
MLN Connects® Newsletter for Thursday, February 10, 2022 COVID-19: New HCPCS Code for Convalescent Plasma in Outpatient Setting News COVID-19: New HCPCS Code for Convalescent Plasma in Outpatient Sett...
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Posting Date: 02/10/2022
National Government Services Proposed LCDs for Comment
National Government Services Proposed LCDs for Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends ...
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Posting Date: 02/08/2022
2022 Gap-Fill Request for Information
2022 Gap-Fill Request for Information National Government Services, the MAC for JK and J6, is in receipt of the new laboratory test codes identified by the CMS to be gap-fill priced for 2022. The PAMA...
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Posting Date: 02/04/2022
Provider Compliance Virtual Focus Group - February 24, 2022
Provider Compliance Virtual Focus Group - February 24, 2022 Thursday, 2/24/2022 from 1:00–4:00 p.m. ET Register by Friday, 2/18/2022 - Registration Closed How can CMS improve its processes and elimina...
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Posting Date: 02/03/2022
MLN Connects® Newsletter for Thursday, February 3, 2022
MLN Connects® Newsletter for Thursday, February 3, 2022 Provider Compliance Virtual Focus Group — February 24 News COVID-19: Letter to Health Care Facility Administrators on Health Care Worker Vaccina...
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Posting Date: 02/03/2022
MLN Connects® Special Edition for Thursday, February 3, 2022
MLN Connects® Special Edition for Thursday, February 3, 2022 Biden-Harris Administration Will Cover Free Over-the-Counter COVID-19 Tests Through Medicare CMS Developing Initiative to Enable Access to ...
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