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Posting Date: Fri May 05 00:00:00 GMT 2023
Oxygen and Oxygen Equipment: A/B and DME Collaborative Presentation

Oxygen and Oxygen Equipment: A/B and DME Collaborative Presentation View the A/B and DME Oxygen and Oxygen Equipment YouTube video for information on oxygen. Posted 5/5/2023

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Posting Date: Thu May 04 00:00:00 GMT 2023
MLN Connects® Newsletter: May 4, 2023

MLN Connects® Newsletter: May 4, 2023 News FAQs on CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency Guidance for the Expiration of the COVID-19 Public Health Emergency ...

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Posting Date: Thu May 04 00:00:00 GMT 2023
Get PECOS Access to Maintain Medicare Provider Enrollment Records

Get PECOS Access to Maintain Medicare Provider Enrollment Records Do you need to work on behalf of an individual provider and/or entity to update or submit Medicare enrollment information through PECO...

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Posting Date: Thu May 04 00:00:00 GMT 2023
Provider Enrollment: Resumed Revalidation Activities

Provider Enrollment: Resumed Revalidation Activities Attention: Provider Enrollment and Credentialing Departments Activities have resumed with revalidation due dates starting with 1/31/2022. Don’t wai...

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Posting Date: Thu Apr 27 00:00:00 GMT 2023
MLN Connects® Newsletter: April 27, 2023

MLN Connects® Newsletter: April 27, 2023 News Hospital Price Transparency Enforcement Updates For the First Time, HHS Is Making Ownership Data for All Medicare-Certified Hospice and Home Health Agenc...

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Posting Date: Thu Apr 27 00:00:00 GMT 2023
KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims

KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims Reminders Providers report KX modifier on a claim line(s) to confirm the medical records contain sp...

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Posting Date: Wed Apr 26 00:00:00 GMT 2023
EDI Enrollment Spotlights Packet Completion Times

EDI Enrollment Spotlights Packet Completion Times We ask that you allow seven – ten business days for processing of all requests. All requests are worked in the order in which they are received. Curre...

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Posting Date: Wed Apr 26 00:00:00 GMT 2023
NGS Cost Report Submission Reminders

NGS Cost Report Submission Reminders We strongly encourage filing of the cost report via the Medicare Cost Report E‐Filing (MCReF) System. If the cost report is submitted via MCReF, it does not need t...

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Posting Date: Wed Apr 26 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...

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Posting Date: Mon Apr 24 00:00:00 GMT 2023
End of the Public Health Emergency: Over The Counter COVID-19 Test Kits

End of the Public Health Emergency: Over The Counter COVID-19 Test Kits With the end of the PHE on 5/11/ 2023, coverage for COVID-19 testing for Americans will change. Medicare beneficiaries who are e...

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Posting Date: Fri Apr 21 00:00:00 GMT 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...

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Posting Date: Fri Apr 21 00:00:00 GMT 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...

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Posting Date: Fri Apr 21 00:00:00 GMT 2023
Telligen QIN-QIO Hosting Chronic Kidney Disease Topics with National Kidney Foundation

Telligen QIN-QIO Hosting Chronic Kidney Disease Topics with National Kidney Foundation Chronic kidney disease (CKD) affects more than 1 in 7 U.S. adults—an estimated 37 million Americans. For American...

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Posting Date: Thu Apr 20 00:00:00 GMT 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...

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Posting Date: Thu Apr 20 00:00:00 GMT 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...

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Posting Date: Thu Apr 20 00:00:00 GMT 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...

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Posting Date: Wed Apr 19 00:00:00 GMT 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...

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Posting Date: Tue Apr 18 00:00:00 GMT 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...

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Posting Date: Fri Apr 14 00:00:00 GMT 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...

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Posting Date: Fri Apr 14 00:00:00 GMT 2023
CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual

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

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Posting Date: Thu Apr 13 00:00:00 GMT 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...

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Posting Date: Thu Apr 13 00:00:00 GMT 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...

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Posting Date: Thu Apr 13 00:00:00 GMT 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...

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Posting Date: Thu Apr 13 00:00:00 GMT 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...

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Posting Date: Thu Apr 13 00:00:00 GMT 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...

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Posting Date: Wed Apr 12 00:00:00 GMT 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...

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Posting Date: Wed Apr 12 00:00:00 GMT 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...

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Posting Date: Wed Apr 12 00:00:00 GMT 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...

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Posting Date: Tue Apr 11 00:00:00 GMT 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 ...

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Posting Date: Tue Apr 11 00:00:00 GMT 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...

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Posting Date: Tue Apr 11 00:00:00 GMT 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...

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Posting Date: Mon Apr 10 00:00:00 GMT 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...

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Posting Date: Mon Apr 10 00:00:00 GMT 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...

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Posting Date: Fri Apr 07 00:00:00 GMT 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...

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Posting Date: Thu Apr 06 00:00:00 GMT 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...

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Posting Date: Wed Apr 05 00:00:00 GMT 2023
MLN Connects® Newsletter: 4 Proposed FY 2024 Payment Rules — April 4, 2023

MLN Connects® Newsletter: 4 Proposed FY 2024 Payment Rules — April 4, 2023 Proposed Rules FY 2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P) FY 2024 Medicare Inpatient Psychiatric Facility...

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Posting Date: Tue Apr 04 00:00:00 GMT 2023
NGS-ACE Edits for Ophthalmology

NGS-ACE Edits for Ophthalmology We continue working on enhancing NGS-ACE for providers in Jurisdiction 6 (Illinois, Minnesota, and Wisconsin) by adding additional edits and resources. The following NG...

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Posting Date: Fri Mar 31 00:00:00 GMT 2023
MLN Connects® Newsletter: March 30, 2023

MLN Connects® Newsletter: March 30, 2023 News COVID-19: Booster Dose for Children 6 months – 4 years Identity & Access Management System: Easier for Surrogates Medicare Advantage Value-Based Insurance...

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Posting Date: Fri Mar 31 00:00:00 GMT 2023
CR12669 - Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement

CR12669 - Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement

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Posting Date: Fri Mar 31 00:00:00 GMT 2023
CR13122 - Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments

CR13122 - Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments

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Posting Date: Fri Mar 31 00:00:00 GMT 2023
EDI Enrollment Spotlights Top Rejections

EDI Enrollment Spotlights Top Rejections Part A, Part B and DDE Periodically, EDI enrollment will publish articles to help eliminate the number of EDI applications that are denied. This month we are ...

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Posting Date: Thu Mar 30 00:00:00 GMT 2023
Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023

Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023 After reviewing Medicare claims data for EEG continuous recording (CPT codes 95700 through 95718) as well as seeking ...

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Posting Date: Wed Mar 29 00:00:00 GMT 2023
LCD, Billing and Coding Article Updates for March and April 2023

LCD, Billing and Coding Article Updates for March and April 2023 Pain Management (L33622) Effective 3/19/2023 The LCD has been revised to remove all references to sacroiliac joint injections. Please r...

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