News - NGSMEDICARE

Posting Date: Mon Mar 11 00:00:00 GMT 2024

The Change Healthcare/Optum Payment Disruption (CHOPD) CMS Fact Sheet Now Available

The Change Healthcare/Optum Payment Disruption (CHOPD) CMS Fact Sheet Now Available CMS issued the Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated Payments to Part A Providers and Advan...

Posting Date: Mon Mar 11 00:00:00 GMT 2024

Advance and Accelerated Payment Program Available for Providers Impacted by the Change Healthcare/Optum Payment Disruption

Advance and Accelerated Payment Program Available for Providers Impacted by the Change Healthcare/Optum Payment Disruption Part A and Part B Providers experiencing cash flow problems related to Change...

Posting Date: Thu Mar 07 00:00:00 GMT 2024

NGSMedicare.com Scheduled Maintenance: 3/9/2024-3/10/2024

NGSMedicare.com Scheduled Maintenance Due to scheduled maintenance, NGSMedicare.com will be inaccessible beginning Saturday, 3/9/2024 through Sunday, 3/10/2024. We apologize for any inconvenience this...

Posting Date: Thu Mar 07 00:00:00 GMT 2024

MLN Connects® Newsletter: March 7, 2024

MLN Connects® Newsletter: March 7, 2024 News HHS Statement Regarding the Cyberattack on Change Healthcare Final Guidance to Help People with Medicare Prescription Drug Coverage Manage Prescription Dru...

Posting Date: Wed Mar 06 00:00:00 GMT 2024

Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport

Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport CMS implemented the prior authorization program for RSNAT to reduce expenditures while maintaining and/or improving...

Posting Date: Thu Feb 29 00:00:00 GMT 2024

MLN Connects® Newsletter: February 29, 2024

MLN Connects® Newsletter: February 29, 2024 Events ICD-10 Coordination & Maintenance Committee Meeting — March 19–20 MLN Matters® Articles Appropriate Use Criteria for Advanced Diagnostic Imaging: CY ...

Posting Date: Thu Feb 29 00:00:00 GMT 2024

Tobacco Counseling via Telehealth

Tobacco Counseling via Telehealth Tobacco use is the leading cause of preventable disease, disability and death in the United States. Each year, nearly half a million Americans die prematurely of smok...

Posting Date: Thu Feb 29 00:00:00 GMT 2024

You Asked, We Listened: Redesigned Events Page Coming Soon

You Asked, We Listened: Redesigned Events Page Coming Soon We’re always looking for and appreciate feedback from our providers. Your ideas and recommendations help drive improvements to our website. P...

Posting Date: Tue Feb 27 00:00:00 GMT 2024

Medicare Preventive Services

Medicare Preventive Services Medicare covers many preventive services to help keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can he...

Posting Date: Tue Feb 27 00:00:00 GMT 2024

LCD and Billing and Coding Article Updates for February/March 2024

LCD and Billing and Coding Article Updates for February/March 2024 Local Coverage Determinations Biomarker Testing for Prostate Cancer Diagnosis (L37733) This LCD has been retired and will no longer b...

Posting Date: Tue Feb 27 00:00:00 GMT 2024

[REVISED] 2024 Gapfill Request

[REVISED] 2024 Gapfill Request 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 2024. The PAMA regulat...

Posting Date: Tue Feb 27 00:00:00 GMT 2024

Change Healthcare Security Incident

Change Healthcare Security Incident The CMS and National Government Services are aware that Change Healthcare recently suffered a cyber-attack. Change Healthcare is a clearinghouse vendor that connect...

Posting Date: Mon Feb 26 00:00:00 GMT 2024

Prolonged Services Timeline 2024

Prolonged Services Timeline 2024 We’ve updated the Prolonged Services Timetable with 2024 HCPCS and CPT codes, time requirements and date spans. We encourage providers to view this information to ensu...

Posting Date: Mon Feb 26 00:00:00 GMT 2024

Medicare Part B Overpayments

Medicare Part B Overpayments We developed the Medicare Part B Overpayments Tip Sheet to provide instructions for reporting various overpayment situations. Topics include responding to a demand letter,...

Posting Date: Thu Feb 22 00:00:00 GMT 2024

Evaluation and Management Frequently Asked Questions

Evaluation and Management Frequently Asked Questions We’ve expanded our E/M FAQs for the Complex and Chronic Care – HCPCS code G2211 category to include answers to common questions we’ve received abou...

Posting Date: Thu Feb 22 00:00:00 GMT 2024

MLN Connects® Newsletter: February 22, 2024

MLN Connects® Newsletter: February 22, 2024 News CMS Issues Additional Guidance on Program to Allow People with Medicare to Pay Out-of-Pocket Prescription Drug Costs in Monthly Payments Compliance Med...

Posting Date: Wed Feb 21 00:00:00 GMT 2024

Common Working File (CWF) Host Dark Days for April 2024 Release

Common Working File (CWF) Host Dark Days for April 2024 Release For the upcoming April 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/28/2024 and Dark Days starting Fr...

Posting Date: Tue Feb 20 00:00:00 GMT 2024

Health Benefits of Quitting Smoking

Health Benefits of Quitting Smoking Help your Patients Kick the Habit! Smoking leads to multiple diseases and potentially death, but this is preventable – anyone at any age can benefit from quitting s...

Posting Date: Fri Feb 16 00:00:00 GMT 2024

[REVISED] Provisional Period of Enhanced Oversight for New Hospices

[REVISED] Provisional Period of Enhanced Oversight for New Hospices In an effort to reduce hospice fraud, waste and abuse, CMS is placing newly enrolling hospices located in Arizona, California, Nevad...

Posting Date: Thu Feb 15 00:00:00 GMT 2024

MLN Connects® Newsletter: February 15, 2024

MLN Connects® Newsletter: February 15, 2024 News CMS Roundup (Feb 9, 2024) Marriage and Family Therapists & Mental Health Counselors: New Specialty Codes for Medicare Medicare Physician Fee Schedule D...

Posting Date: Wed Feb 14 00:00:00 GMT 2024

National Government Services Will Be Open On President's Day

National Government Services Will Be Open On President's Day National Government Services will be open on President's Day, Monday, 2/19/2024. The PCC will be open and available to take your calls. Pos...

Posting Date: Thu Feb 08 00:00:00 GMT 2024

MLN Connects® Newsletter: February 8, 2024

MLN Connects® Newsletter: February 8, 2024 News Medicare Shared Savings Program: Application Deadlines for a January 1, 2025, Start Date New Dental Specialty Codes for Medicare Hospices & Skilled Nurs...

Posting Date: Thu Feb 08 00:00:00 GMT 2024

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: Thu Feb 08 00:00:00 GMT 2024

Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP

Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP Use the Medicare Part B MSP Overpayment Request Form for the following situations, ...

Posting Date: Mon Feb 05 00:00:00 GMT 2024

Correct Coding of Molecular Testing Panels (Revised)

Correct Coding of Molecular Testing Panels (Revised) The submission of claims using individual gene CPT codes, when gene panels are ordered, is considered incorrect coding. Correct coding requires tha...

Posting Date: Thu Feb 01 00:00:00 GMT 2024

MLN Connects® Newsletter: February 1, 2024

MLN Connects® Newsletter: February 1, 2024 News Participation Continues to Grow in CMS' Accountable Care Organization Initiatives in 2024 CMS Roundup (Jan 26, 2024) Claims, Pricers, & Codes HCPCS Appl...

Posting Date: Tue Jan 30 00:00:00 GMT 2024

2023 Calendar Year 1099 Form Information

2023 Calendar Year 1099 Form Information National Government Services will mail all 1099 Forms for Calendar Year 2023 by 1/31/2024 Medicare providers and beneficiaries, who are serviced by NGS regardl...

Posting Date: Tue Jan 30 00:00:00 GMT 2024

2024 Telehealth Billing – Item 32 Address Completion Clarification

2024 Telehealth Billing – Item 32 Address Completion Clarification National Government Services is providing this article for clarification on the billing of telehealth services; specifically, the ...

Posting Date: Mon Jan 29 00:00:00 GMT 2024

KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims CY 2024

KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims Calendar Year 2024 KX Modifier Threshold The BBA of 2018 repealed application of the Medicare outpa...

Posting Date: Fri Jan 26 00:00:00 GMT 2024

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2024

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2024 The January 2024 quarterly system release was implemented on 1/2/2024 with two minor changes to certain DDE screens....

Posting Date: Fri Jan 26 00:00:00 GMT 2024

A/B DME MAC Collaborative Webinar: General Documentation Requirements

A/B DME MAC Collaborative Webinar: General Documentation Requirements Physicians/Practitioners! Are you ordering durable medical equipment, prosthetics, orthotics and supplies for your patients? This ...

Posting Date: Thu Jan 25 00:00:00 GMT 2024

MLN Connects® Newsletter: January 25, 2024

MLN Connects® Newsletter: January 25, 2024 News CMS Announces New Actions to Help Hospitals Meet Obligations under EMTALA CMS Announces New Model to Advance Integration in Behavioral Health Doctor & C...

Posting Date: Wed Jan 24 00:00:00 GMT 2024

Medicare Participating Physicians Directory

Medicare Participating Physicians Directory The 2024 MEDPARD is now available. It includes all Part B providers in Jurisdiction 6 and Jurisdiction K who have agreed to accept assignment on all Medicar...

Posting Date: Wed Jan 24 00:00:00 GMT 2024

LCD and Billing and Coding Article Updates January/February 2024

LCD and Billing and Coding Article Updates January/February 2024 Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG) (A59105) A list of labeled and compendia approved diagnoses hav...

Posting Date: Tue Jan 23 00:00:00 GMT 2024

Frequently Asked Questions Have Been Reviewed

Frequently Asked Questions Have Been Reviewed We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Please take time to rev...

Posting Date: Tue Jan 23 00:00:00 GMT 2024

Credit Balance Report Reminder: Due Date Approaching

Credit Balance Report Reminder: Due Date Approaching For the quarter ending 12/31/2023, CBRs can be submitted starting 1/1/2024 and must be submitted within 30 days to be considered timely. The easies...

Posting Date: Mon Jan 22 00:00:00 GMT 2024

2024 Annual Update to the Therapy Code List: Caregiver Training Codes

2024 Annual Update to the Therapy Code List: Caregiver Training Codes The CMS annual update to the therapy code list includes three new caregiver training “sometimes therapy” codes to include caregive...

Posting Date: Mon Jan 22 00:00:00 GMT 2024

2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring

2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring CMS is updating Disposition 10, in addition to other modifications, to clarify that, for RTM services, physical and occupatio...

Posting Date: Mon Jan 22 00:00:00 GMT 2024

The Part B Top Claim Errors Have Been Reviewed and Updated

The Part B Top Claim Errors Have Been Reviewed and 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 avoi...

Posting Date: Mon Jan 22 00:00:00 GMT 2024

The Part A Top Claim Errors Have Been Reviewed

The Part A Top Claim Errors Have Been Reviewed 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 proc...