News - NGSMEDICARE

Posting Date: 05/08/2023

[URGENT] Part A DDE is Available!

[URGENT] Part A DDE is Available! Part A DDE is available and can be accessed by Part A, HHH and FQHC providers. The issue of providers not being able to sign is due to an unexpected change in the Dat...

Posting Date: 05/05/2023

New versus Established Patients

New versus Established Patients We’ve updated this frequently asked question based on recent clarification from CMS. Please clarify appropriate billing for outpatient/office services when a consulting...

Posting Date: 05/05/2023

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

Posting Date: 05/05/2023

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...

Posting Date: 05/05/2023

Proper Taxonomy Code for Ambulatory Surgical Center

Proper Taxonomy Code for Ambulatory Surgical Center National Government Services has been testing new edits to implement into our Advance Communication Engine System Edit Module (NGS-ACE) front end ed...

Posting Date: 05/04/2023

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 ...

Posting Date: 05/04/2023

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...

Posting Date: 05/04/2023

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...

Posting Date: 04/27/2023

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...

Posting Date: 04/27/2023

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...

Posting Date: 04/26/2023

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...

Posting Date: 04/26/2023

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...

Posting Date: 04/26/2023

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: 04/24/2023

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...

Posting Date: 04/21/2023

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...

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: 04/21/2023

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: 04/20/2023

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

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: 04/13/2023

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...