News - NGSMEDICARE

Posting Date: 11/04/2021

Clarification on the Proper Use of the CS Modifier

Clarification on the Proper Use of the CS Modifier Per MLN Matters® article SE20011, the CS modifier (cost-sharing waiver for COVID-19 testing) is applicable to certain services furnished beginning on...

Posting Date: 11/04/2021

MLN Connects® Special Edition for Thursday, November 4, 2021

MLN Connects® Special Edition for Thursday, November 4, 2021 Biden-Harris Administration Issues Emergency Regulation Requiring COVID-19 Vaccinations for Health Care Workers National requirement prot...

Posting Date: 11/04/2021

MLN Connects® Newsletter for Thursday, November 4, 2021

MLN Connects® Newsletter for Thursday, November 4, 2021 COVID-19: Changes for Medicare Advantage Plan Claims Starting January 1 News COVID-19 Vaccines for Children COVID-19 Vaccine & Monoclonal Anti...

Posting Date: 11/03/2021

MLN Connects® Special Edition for Tuesday, November 2, 2021

MLN Connects® Special Edition for Tuesday, November 2, 2021 3 Final Payment Rules CMS Physician Payment Rule Promotes Greater Access to Telehealth Services, Diabetes Prevention Programs CMS OPPS/ASC F...

Posting Date: 11/01/2021

Notification of the 2021 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review

Notification of the 2021 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review The amount that must remain in controve...

Posting Date: 10/29/2021

MLN Connects® Special Edition for Friday, October 29, 2021

MLN Connects® Special Edition for Friday, October 29, 2021 CMS Takes Decisive Steps to Reduce Health Care Disparities Among Patients with Chronic Kidney Disease and End-Stage Renal Disease CMS is taki...

Posting Date: 10/29/2021

Important Information Regarding Your Electronic Data Interchange Password

Important Information Regarding Your Electronic Data Interchange Password Effective 12/1/2021, the EDI Help Desk will no longer reset EDI passwords for submitters and Trading Partners. Instead, provid...

Posting Date: 10/28/2021

MLN Connects® Newsletter for Thursday, October 28, 2021

MLN Connects® Newsletter for Thursday, October 28, 2021 Make a Strong Flu Recommendation - it's Critical News Make a Strong Flu Shot Recommendation — it’s Critical Make Health Information Understandab...

Posting Date: 10/27/2021

2021 Home Health and Hospice MAC Collaborative Summit Encore

2021 Home Health and Hospice MAC Collaborative Summit Encore The 2021 HHH MAC Collaborative Summit: We’re All in this Together was held September 15–17, 2021. The three day event was a huge success w...

Posting Date: 10/27/2021

Coverage for Piflufolastat F 18 (Pylarify®)

Coverage for Piflufolastat F 18 (Pylarify®) National Government Services will cover Pylarify for all FDA approved indications, when billed with covered PET scans. Past claims that were denied for Pyla...

Posting Date: 10/25/2021

American Medical Association’s Behavioral Health Integration Webinar Series

American Medical Association’s Behavioral Health Integration Webinar Series National Government Services is excited to provide some additional resources on BHI from the AMA. This webinar series, title...

Posting Date: 10/22/2021

MLN Connects® Special Edition for Friday, October 22, 2021

MLN Connects® Special Edition for Friday, October 22, 2021 COVID-19: Moderna & Jansen (J&J) Booster Shots Effective October 20, 2021, FDA amended the emergency use authorizations for the Moderna and J...

Posting Date: 10/22/2021

Collaborative A/B and DME MAC Surgical Dressings Webinar

Collaborative A/B and DME MAC Surgical Dressings Webinar Physicians, are You Ordering Surgical Dressings for Your Patients? This is your opportunity to hear directly from the Medicare contractors rega...

Posting Date: 10/21/2021

MLN Connects® Newsletter for Thursday, October 21, 2021

MLN Connects® Newsletter for Thursday, October 21, 2021 Cognitive Assessment: Resources to Answer Patient Questions View this edition as a: Webpage | PDF Claims, Pricers, & Codes LTCH: New Web Price...

Posting Date: 10/19/2021

Let’s Chat About Behavioral Health Integration

Let’s Chat About Behavioral Health Integration We are excited to invite you to our upcoming Behavioral Health Integration and Cognitive Assessment and Care Plan Services Let’s Chat webinars. During th...

Posting Date: 10/18/2021

National Government Services Medicare Fall 2021 Virtual Conference

National Government Services Medicare Fall 2021 Virtual Conference The National Government Services POE Team's biannual virtual conference is scheduled for Tuesday, 11/9/2021 and Wednesday, 11/10/2021...

Posting Date: 10/14/2021

MLN Connects® Newsletter for Thursday, October 14, 2021

MLN Connects® Newsletter for Thursday, October 14, 2021 Pneumococcal Conjugate Vaccine, 20 Valent View this edition as a: Webpage | PDF News Pneumococcal Conjugate Vaccine, 20 Valent DATA 2000 Waiver ...

Posting Date: 10/07/2021

MLN Connects® Newsletter for Thursday, October 7, 2021

MLN Connects® Newsletter for Thursday, October 7, 2021 Enter Your Digital Contact Information Into NPPES Now View this edition as a: Webpage | PDF News Medicare-Dependent Hospital COVID-19 Waiver: M...

Posting Date: 10/07/2021

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS-855A Application

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS-855A Application To reduce requests for additional information, National Government Services offers several pro...

Posting Date: 10/07/2021

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms To reduce requests for additional information, National Government Services offers several pro...

Posting Date: 10/01/2021

Provider Enrollment: Understand the Process to Opt Out of Medicare

Provider Enrollment: Understand the Process to Opt Out of Medicare Providers that render services to a Medicare beneficiary must enroll with Medicare and submit a claim on behalf of the beneficiary. ...

Posting Date: 09/30/2021

MLN Connects® Newsletter for Thursday, September 30, 2021

MLN Connects® Newsletter for Thursday, September 30, 2021 Flu Season is Here: Protect Your Patients, Yourself, & Your Loved Ones View this edition as a: Webpage | PDF News Flu Season is Here: Protect ...

Posting Date: 09/30/2021

Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference!

Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference! The National Government Services POE Team is holding our latest bi-annual virtual conference on Tuesday...

Posting Date: 09/30/2021

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 ...

Posting Date: 09/28/2021

October 2021 Release "Dark" Days for the Common Working File Hosts

October 2021 Release "Dark" Days for the Common Working File Hosts For the upcoming October 2021 Release: For Production, CWF will be observing the Gray Day on Thursday, 9/30/2021 and Dark Days starti...

Posting Date: 09/27/2021

Invalid Billing for the 2021-2022 Flu Season

Invalid Billing for the 2021-2022 Flu Season National Government Services has noticed a large amount of claims being billed for the 2021-2022 flu season with the incorrect CPT codes for influenza flu ...

Posting Date: 09/27/2021

MLN Connects® Special Edition for Monday, September 27, 2021

MLN Connects® Special Edition for Monday, September 27, 2021 Flu & Pneumococcal Vaccines: Expanded SNF Enforcement Discretion for Certain Pharmacy Billing Effective September 20, 2021, CMS exercised e...