News - NGSMEDICARE

Posting Date: 04/21/2023

New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions

New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions As a reminder, effective for dates of service rendered on or after 7/1/2023, facet joint...

Posting Date: 04/21/2023

LCD, Billing and Coding Article Updates for April and May 2023

LCD, Billing and Coding Article Updates for April and May 2023 Billing and Coding Article (A56937): Psychiatry and Psychology Services Removed sentence from article text section - “For psychotherapy s...

Posting Date: 04/20/2023

Providers Using NGSConnex to Submit Appeals and Supporting Documentation

Providers Using NGSConnex to Submit Appeals and Supporting Documentation We strongly recommend our providers use NGSConnex to submit your redetermination requests and any supporting documentation. Ple...

Posting Date: 04/20/2023

Medicare University Continuing to Experience Intermittent Issues

Medicare University Continuing to Experience Intermittent Issues We are continuing to experience intermittent outages with Medicare University. You do not need to report these issues with Medicare Uni...

Posting Date: 04/20/2023

MLN Connects® Newsletter: April 20, 2023

MLN Connects® Newsletter: April 20, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Medical Review & Compliance: Respond to Additional Documentation Reque...

Posting Date: 04/19/2023

Telehealth Frequently Asked Questions are Updated

Telehealth Frequently Asked Questions are Updated We’ve updated our telehealth frequently asked questions to include changes and flexibilities due to the end of the PHE on 5/11/2023. Please view these...

Posting Date: 04/18/2023

Part B Top Claim Errors Are Updated

Part B Top Claim Errors Are Updated Our top claim errors are updated on a quarterly basis to reflect current information. Visit Top Claim Errors to learn what you can do to avoid claim processing dela...

Posting Date: 04/18/2023

Attention Home Health and Hospice Providers Using NGSConnex to Submit Level One Appeals Redetermination Requests

Attention Home Health and Hospice Providers Using NGSConnex to Submit Level One Appeals Redetermination Requests National Government Services strongly recommends that all providers, including home hea...

Posting Date: 04/14/2023

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 hold on y...

Posting Date: 04/14/2023

CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual

Posting Date: 04/13/2023

The Advance Beneficiary Notice of Noncoverage

The Advance Beneficiary Notice of Noncoverage We’ve updated our Advance Beneficiary Notice of Noncoverage article to include examples for using an ABN for outpatient therapy and using the KX and GA mo...

Posting Date: 04/13/2023

Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them

Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them Providers, are your claims being denied for tobacco counseling services utilizing codes 99406 and 99407? In order to assist our provi...

Posting Date: 04/13/2023

MLN Connects® Newsletter: April 13, 2023

MLN Connects® Newsletter: April 13, 2023 News COVID-19: End of Public Health Emergency CMS Roundup (Apr. 07, 2023) Medicare Shared Savings Program: Application Toolkit Materials Inpatient Rehabilitat...

Posting Date: 04/13/2023

Registration is Open for the Part B Claim Submission Learning Day

Registration is Open for the Part B Claim Submission Learning Day Join us on Tuesday, 5/9/2023 for our Part B Claim Submission Learning Day! Our Part B POE Team is hosting a full day of educational we...

Posting Date: 04/13/2023

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: 04/12/2023

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 hold on y...

Posting Date: 04/12/2023

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: 04/12/2023

Home Health and Hospice Targeted Probe and Educate Resources

Home Health and Hospice Targeted Probe and Educate Resources It is imperative to keep up-to-date with all National Government Services JK and J6 HH+H TPE audit focus areas. This information can be loc...

Posting Date: 04/11/2023

NGS-ACE Enhancement Coming Soon

NGS-ACE Enhancement Coming Soon The National Government Services EDI team is pleased to share an upcoming enhancement to the 277CA (Claims Acknowledgement) transaction. Informational messages will be ...

Posting Date: 04/11/2023

Frequently Asked Questions Reviewed and Updated

Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are:...

Posting Date: 04/11/2023

Frequently Asked Questions Reviewed and Updated

Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are:...

Posting Date: 04/11/2023

Frequently Asked Questions Reviewed and Updated

Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are:...

Posting Date: 04/11/2023

Frequently Asked Questions Reviewed and Updated

Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are:...

Posting Date: 04/11/2023

MLN Connects® Newsletter: CMS Proposes Policies to Improve Patient Safety and Promote Health Equity — April 10, 2023

MLN Connects® Newsletter: CMS Proposes Policies to Improve Patient Safety and Promote Health Equity — April 10, 2023 Proposed Rule CMS Proposes Policies to Improve Patient Safety and Promote Health Eq...

Posting Date: 04/11/2023

Rural Tobacco Disparity

Rural Tobacco Disparity Tobacco use and exposure to SHS remain leading causes of preventable disease, disability and mortality in the United States and are responsible for approximately 480,000 deaths...

Posting Date: 04/10/2023

Reminder: Maintaining Ownership Consistency of Multiple Medicare Enrollments with same Tax Identification Number

Reminder: Maintaining Ownership Consistency of Multiple Medicare Enrollments with same Tax Identification Number View CMS’ “Medicare Enrollment: Maintain the Same Owners in All Enrollment Records” art...

Posting Date: 04/10/2023

Home Health Diagnosis Codes Grouper Update for 4/1/2023

Home Health Diagnosis Codes Grouper Update for 4/1/2023 Effective 4/1/2023, CMS is implementing new HH Grouper edits. The HH Grouper program has various data validity edits that make sure it uses cons...

Posting Date: 04/07/2023

New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier

New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier Effective 4/1/2023, CMS implemented a new consistency edit to validate that the atte...

Posting Date: 04/06/2023

MLN Connects® Newsletter: April 6, 2023

MLN Connects® Newsletter: April 6, 2023 News Resources & Flexibilities to Assist with Public Health Emergency in Mississippi Due to Recent Storms Program for Evaluating Payment Patterns Electronic Re...

Posting Date: 04/06/2023

MLN Connects® Newsletter: April 6, 2023

MLN Connects® Newsletter: April 6, 2023 News Resources & Flexibilities to Assist with Public Health Emergency in Mississippi Due to Recent Storms Program for Evaluating Payment Patterns Electronic Re...