News - NGSMEDICARE

Posting Date: Wed Nov 22 00:00:00 GMT 2023

MLN Connects® Newsletter: November 22, 2023

MLN Connects® Newsletter: November 22, 2023 News CMS Roundup (Nov 17, 2023) Provider Enrollment Application Fee: CY 2024 Clinical Laboratory Fee Schedule: CY 2024 Final Payment Determinations & Report...

Posting Date: Wed Nov 22 00:00:00 GMT 2023

Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating

Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating Did you know that tobacco cessation counseling is a covered Medicare service? Brief tobacco counseling provides substantial heal...

Posting Date: Mon Nov 20 00:00:00 GMT 2023

January 2024 Release "Dark Days" for the Common Working File Hosts

January 2024 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/28/2023 and Dark Days start...

Posting Date: Thu Nov 16 00:00:00 GMT 2023

MLN Connects® Newsletter: November 16, 2023

MLN Connects® Newsletter: November 16, 2023 News Unprecedented Efforts to Increase Transparency of Nursing Home Ownership Hospital Price Transparency: Use Required CMS Template Layout to Encode Hospit...

Posting Date: Wed Nov 15 00:00:00 GMT 2023

Fraud Awareness Week and National Rural Health Day

Fraud Awareness Week and National Rural Health Day Since this week is Fraud Awareness Week and National Rural Health Day is tomorrow on 11/16/2023, we wanted to share these valuable resources with you...

Posting Date: Wed Nov 15 00:00:00 GMT 2023

MLN Connects Newsletter: Take Our Provider Survey Today - November 15, 2023

MLN Connects® Newsletter: Take Our Provider Survey Today - November 15, 2023 You helped us before, and we want to learn more about your information needs. CMS is conducting a study to help us improve ...

Posting Date: Tue Nov 14 00:00:00 GMT 2023

Announcement About Medicare Participation for Calendar Year 2024

Announcement About Medicare Participation for Calendar Year 2024 The Centers for Medicare & Medicaid Services has posted the Announcement About Medicare Participation for Calendar Year 2024. Posted 11...

Posting Date: Mon Nov 13 00:00:00 GMT 2023

The Great American Smokeout is Thursday 11/16/2023 - Let's Talk About Tobacco Counseling

The Great American Smokeout is Thursday 11/16/2023 - Let's Talk About Tobacco Counseling Do you treat Medicare beneficiaries/patients who are nicotine dependent? Did you know Medicare has a preventive...

Posting Date: Thu Nov 09 00:00:00 GMT 2023

MLN Connects® Newsletter: November 9, 2023

MLN Connects® Newsletter: November 9, 2023 News CMS Roundup (Nov 3, 2023) Marriage and Family Therapists & Mental Health Counselors: Enroll in Medicare Now American Indians or Alaska Natives: Help You...

Posting Date: Wed Nov 08 00:00:00 GMT 2023

Provider Enrollment: Reminder for Open Enrollment and Participation Agreement

Provider Enrollment: Reminder for Open Enrollment and Participation Agreement The 2024 Annual Participation Open Enrollment Period is approaching for another year. While this is an important time (fro...

Posting Date: Mon Nov 06 00:00:00 GMT 2023

Common Definitions for Claim Submission Types

Common Definitions for Claim Submission Types Appeals An appeal is an independent review of the initial or revised determination. Proceeding with an appeal is the responsibility of the provider. Overa...

Posting Date: Fri Nov 03 00:00:00 GMT 2023

MLN Connects® Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules - November 2, 2023

MLN Connects® Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules - November 2, 2023 Final Rules CMS Finalizes Physician Payment Rule that Advances Health Equity CMS Makes Hospital Prices...

Posting Date: Thu Nov 02 00:00:00 GMT 2023

MLN Connects® Newsletter: November 2, 2023

MLN Connects® Newsletter: November 2, 2023 News CY 2024 Home Health Prospective Payment System Final Rule CY 2024 End-Stage Renal Disease Prospective Payment System Final Rule Behavioral Health: Medic...

Posting Date: Wed Nov 01 00:00:00 GMT 2023

MLN Connects® Newsletter: Take Our Provider Survey Today - November 1, 2023

MLN Connects® Newsletter: Take Our Provider Survey Today - November 1, 2023 News Take Our Provider Survey Today Posted 11/1/2023

Posting Date: Mon Oct 30 00:00:00 GMT 2023

Proper Use of Modifiers JW and JZ

Proper Use of Modifiers JW and JZ National Government Services Provider Contact Center has received several inquiries regarding claim denials related to the use of the JW and JZ modifier for drugs/bio...

Posting Date: Thu Oct 26 00:00:00 GMT 2023

MLN Connects® Newsletter: October 26, 2023

MLN Connects® Newsletter: October 26, 2023 News Help CMS Improve Provider Resources — Respond by November 9 CMS Roundup (Oct 20, 2023) Nursing Facility Evaluation and Management Visits: Comparative Bi...

Posting Date: Thu Oct 26 00:00:00 GMT 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: Thu Oct 26 00:00:00 GMT 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: Thu Oct 26 00:00:00 GMT 2023

Coming Soon ‒ The CY 2024 Medicare Physician Fee Schedule

Coming Soon - The CY 2024 Medicare Physician Fee Schedule The CY 2024 MPFS will soon be available on the Fee Schedule Lookup tool located on NGSMedicare.com, after the CY 2024 physician fee schedule r...

Posting Date: Wed Oct 25 00:00:00 GMT 2023

Credit Balance Report Reminder

Credit Balance Report Reminder CBRs for the quarter ending 9/30/2023 are now due. CBRs must be submitted within 30 days of the end of the quarter to be considered timely. FISS DDE users who submit the...

Posting Date: Wed Oct 25 00:00:00 GMT 2023

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming!

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming! Join us for our webinar series on Medicare’s preventative services, "Counseling to Prevent Tobacco Use" and “Telehe...

Posting Date: Mon Oct 23 00:00:00 GMT 2023

November is Lung Cancer Awareness Month

November is Lung Cancer Awareness Month Lung cancer is the leading cause of cancer death in the United States and worldwide. Although education, research and treatment options for lung cancer have dra...

Posting Date: Mon Oct 23 00:00:00 GMT 2023

Portable X-ray Payment – 2023 Request for Cost Information

Portable X-ray Payment – 2023 Request for Cost Information In accordance with CMS requirements, National Government Services is conducting a full rate review and a five-year rate update for portable X...

Posting Date: Thu Oct 19 00:00:00 GMT 2023

MLN Connects® Newsletter: October 19, 2023

MLN Connects® Newsletter: October 19, 2023 News 2024 Medicare Parts A & B Premiums and Deductibles Help CMS Improve Provider Resources — Respond by November 9 CMS Health Information Handler Helps ...

Posting Date: Tue Oct 17 00:00:00 GMT 2023

Update: End Stage Renal Disease Claim Adjustments Needed Due to CWF Error in Date of First Dialysis

Update: End Stage Renal Disease Claim Adjustments Needed Due to CWF Error in Date of First Dialysis As of 7/18/2023, CMS has identified that the CWF continues to have some inaccurate dates for the fir...

Posting Date: Mon Oct 16 00:00:00 GMT 2023

Tips for Documenting Homebound Status

Tips for Documenting Homebound Status Comprehensive and accurate documentation is crucial to providing safe and effective care to Medicare beneficiaries. National Government Services' medical review t...

Posting Date: Mon Oct 16 00:00:00 GMT 2023

Physicians and Nonphysician Practitioners: Revised CMS-855I Medicare Enrollment Application Required November 1 (Combined CMS-855I and CMS-855R)

Physicians and Nonphysician Practitioners: Revised CMS-855I Medicare Enrollment Application Required November 1 (Combined CMS-855I and CMS-855R) If you don’t use PECOS, use the revised CMS-855I (Medic...

Posting Date: Thu Oct 12 00:00:00 GMT 2023

MLN Connects® Newsletter: October 12, 2023

MLN Connects® Newsletter: October 12, 2023 News CMS Roundup (Oct 6, 2023) Protect Your Patients: Give Them a Flu Shot Publications Direct Data Entry: 10-Digit Screen Expansion Medicare Preventive ...

Posting Date: Thu Oct 12 00:00:00 GMT 2023

Let’s Get Ready for The Great American Smokeout on 11/16/2023!

Let’s Get Ready for The Great American Smokeout on 11/16/2023! For more than 40 years, the American Cancer Society has hosted the Great American Smokeout on the third Thursday of November. This yearly...

Posting Date: Wed Oct 11 00:00:00 GMT 2023

Notification of the 2024 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review

Notification of the 2024 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: Fri Oct 06 00:00:00 GMT 2023

Update on proposed LCD for Transesophageal Echocardiography

Update on proposed LCD for Transesophageal Echocardiography The LCD for Transesophageal Echocardiography (TEE) was published for comment and presented at an Open Meeting in July 2023. NGS is continuin...

Posting Date: Fri Oct 06 00:00:00 GMT 2023

MLN Connects® Newsletter: October 6, 2023

MLN Connects® Newsletter: October 6, 2023 News COVID-19: Updated Novavax COVID-19 Vaccine, Adjuvanted for Patients 12 & Older Posted 10/6/2023

Posting Date: Thu Oct 05 00:00:00 GMT 2023

MLN Connects® Newsletter: October 5, 2023

MLN Connects® Newsletter: October 5, 2023 News Administration Moves Forward with Medicare Drug Price Negotiations to Lower Prescription Drug Costs for People with Medicare CMS Requests Public Inpu...

Posting Date: Thu Oct 05 00:00:00 GMT 2023

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: Tue Oct 03 00:00:00 GMT 2023

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – October 2023

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – October 2023 The October 2023 quarterly system release was implemented on 10/2/2023 and includes the FISS DDE screen changes iden...

Posting Date: Mon Oct 02 00:00:00 GMT 2023

Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar

Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar Providers – Do you need assistance in understanding what is needed when ordering diabetic shoes? This collaborative webinar on...

Posting Date: Thu Sep 28 00:00:00 GMT 2023

MLN Connects® Newsletter: September 28, 2023

MLN Connects® Newsletter: September 28, 2023 News CMS Statement on Current Status of Blood Tests for Organ Transplant Rejection CMS Roundup (Sept 22, 2023) Cardiovascular Disease: Talk with Your P...

Posting Date: Tue Sep 26 00:00:00 GMT 2023

Decrease Burden and Combine Multiple PDFs into One Before Responding to Additional Documentation Requests Using NGSConnex

Decrease Burden and Combine Multiple PDFs into One Before Responding to Additional Documentation Requests Using NGSConnex Recently, National Government Services has seen an increase in providers submi...

Posting Date: Mon Sep 25 00:00:00 GMT 2023

Don't Miss Out - Register Today! National Government Services: Medicare Part B Care Management Tuesdays

Don't Miss Out - Register Today! National Government Services: Medicare Part B Care Management Tuesdays According to the CDC, six in ten adults in the U.S. have a chronic disease and four in ten adult...

Posting Date: Fri Sep 22 00:00:00 GMT 2023

LCD and Billing and Coding Article Update for October 2023

LCD and Billing and Coding Article Update for October 2023 Billing and Coding: Autonomic Function Testing (A57024) Due to the annual ICD-10 Code updates, ICD-10 code G20 has been deleted and the follo...

Posting Date: Fri Sep 22 00:00:00 GMT 2023

Register Today! National Government Services Fall 2023 Medicare Virtual Conference: Understanding Medicare Compliance for Part B Providers

Register Today! National Government Services Fall 2023 Medicare Virtual Conference: Understanding Medicare Compliance for Part B Providers This three full-day virtual conference will offer a variety o...

Posting Date: Thu Sep 21 00:00:00 GMT 2023

MLN Connects® Newsletter: September 21, 2023

MLN Connects® Newsletter: September 21, 2023 News CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of Georgia Organ Transplantation Affinity Group:...

Posting Date: Mon Sep 18 00:00:00 GMT 2023

Direct Data Entry Users May Need to Adjust Screen Size

Direct Data Entry Users May Need to Adjust Screen Size CMS recently issued Change Request 13138 “Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits...

Posting Date: Fri Sep 15 00:00:00 GMT 2023

New YouTube Video: Surgical Dressings and Supplies: Part A/B and DME Collaborative Presentation

New YouTube Video: Surgical Dressings and Supplies: Part A/B and DME Collaborative Presentation The Part A/B and DME MACs are offering a YouTube video on Surgical Dressings and Supplies. This video of...

Posting Date: Fri Sep 15 00:00:00 GMT 2023

Save the Dates! National Government Services Fall 2023 Virtual Conference for Medicare Part A Providers

Save the Dates! National Government Services Fall 2023 Virtual Conference for Medicare Part A Providers Ending 2023 on a Strong Medicare Note 11/1/2023-11/2/2023 The National Government Services POE T...

Posting Date: Thu Sep 14 00:00:00 GMT 2023

Dental Services: Billing and Coding Article A59543 is Available

Dental Services: Billing and Coding Article A59543 is Available The information in this article contains billing, coding or other guidelines that support the implementation of the CY 2023 Medicare Phy...

Posting Date: Thu Sep 14 00:00:00 GMT 2023

MLN Connects® Newsletter: September 14, 2023

MLN Connects® Newsletter: September 14, 2023 News Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation CMS Roundup (Sept ...

Posting Date: Thu Sep 14 00:00:00 GMT 2023

MLN Connects® Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – September 14, 2023

MLN Connects® Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – September 14, 2023 News COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older Posted 9/14/2023

Posting Date: Thu Sep 14 00:00:00 GMT 2023

Save the Dates! National Government Services Fall 2023 Virtual Conference for Part B Providers

Save the Dates! National Government Services Fall 2023 Virtual Conference for Part B Providers Understanding Medicare Compliance 11/6/2023-11/8/2023 We’re excited to announce our Medicare Part B 2023 ...

Posting Date: Fri Sep 08 00:00:00 GMT 2023

Don’t Let Your Flu Vaccination Claims Deny!

Don’t Let Your Flu Vaccination Claims Deny! The 2023-2024 flu vaccine season has begun. At the beginning of each flu season, National Government Services sees an increase in claim denial volume for fl...

Posting Date: Thu Sep 07 00:00:00 GMT 2023

MLN Connects® Newsletter: September 7, 2023

MLN Connects® Newsletter: September 7, 2023 News New Version of CMS.gov HHS Proposes Minimum Staffing Standards to Enhance Safety and Quality in Nursing Homes CMS Announces Resources and Flexibili...

Posting Date: Tue Sep 05 00:00:00 GMT 2023

National Government Services CAC Meeting Notice on Botulinum Toxins

National Government Services CAC Meeting Notice on Botulinum Toxins Information has been posted on our website in regards to the National Government Services l Contractor Advisory Committee Meeting re...

Posting Date: Thu Aug 31 00:00:00 GMT 2023

MLN Connects® Newsletter: August 31, 2023

MLN Connects® Newsletter: August 31, 2023 News HHS Selects the First Drugs for Medicare Drug Price Negotiation Medicare Shared Savings Program Saves Medicare More Than $1.8 Billion in 2022 and Continu...

Posting Date: Wed Aug 30 00:00:00 GMT 2023

Revised: Two Interactive Voice Response System Features Ending 9/30/2023

Revised: Two Interactive Voice Response System Features Ending 9/30/2023 As of 10/1/2023, the following functions will no longer be available on our IVR; however, we are providing you with alternative...

Posting Date: Tue Aug 29 00:00:00 GMT 2023

October 2023 Release "Dark Days" for the Common Working File Hosts

October 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming October 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 9/28/2023 and Dark Days starti...

Posting Date: Mon Aug 28 00:00:00 GMT 2023

Part B Mass Adjustments Resulting in Overpayments

Part B Mass Adjustments Resulting in Overpayments In May 2023, the OIG released the final report titled “Medicare Paid Millions More for Physician Services at Higher Nonfacility Rates Rather Than at L...

Posting Date: Thu Aug 24 00:00:00 GMT 2023

Billing and Coding Article Update for August 2023

Billing and Coding Article Update for August 2023 Billing and Coding: Non-Invasive Vascular Studies (A56758) Effective 8/31/2023, the following ICD-10-CM codes were added to the "ICD-10-CM Codes That ...

Posting Date: Thu Aug 24 00:00:00 GMT 2023

MLN Connects® Newsletter: August 24, 2023

MLN Connects® Newsletter: August 24, 2023 News Seasonal Flu Vaccine Pricing for 2023–2024 Season Expanded Home Health Value-Based Purchasing Model: July 2023 Interim Performance Reports, Post-Event Ma...

Posting Date: Mon Aug 21 00:00:00 GMT 2023

Customer Experience Surveys

Customer Experience Surveys We are pleased to offer two new surveys for you to tell us about your experience with our Provider Contact Center. When you use our IVR system, access the survey from the m...

Posting Date: Thu Aug 17 00:00:00 GMT 2023

MLN Connects® Newsletter: August 17, 2023

MLN Connects® Newsletter: August 17, 2023 News CMS.gov Website Refresh – Test Website Available for Feedback CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in Haw...