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Posting Date: 11/29/2022
January 2023 Release "Dark Days" for the Common Working File Hosts
January 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/29/2022 and Dark Days start...
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Posting Date: 11/23/2022
MLN Connects® Newsletter: November 23, 2022
MLN Connects® Newsletter: November 23, 2022 News Colorectal Cancer Screening Test: Reduced Coinsurance for Related Procedures Begins January 1 Ambulance Fee Schedule: CY 2023 Inflation Factor & Pr...
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Posting Date: 11/22/2022
LCD, Billing and Coding Article Updates for November-December 2022
LCD, Billing and Coding Article Updates for November-December 2022 New LCDs and Articles (Effective 11/1/2022) Off-Label Use of Intravenous Immune Globulin (IVIG) – (L39314) This LCD addresses off-lab...
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Posting Date: 11/17/2022
MLN Connects® Newsletter: November 17, 2022
MLN Connects® Newsletter: November 17, 2022 News Hospital Price Transparency: Download Machine-Readable File Sample Formats & Data Dictionaries Medical Review After the COVID-19 Public Health Emer...
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Posting Date: 11/15/2022
Proper Billing for LEQVIO®
Proper Billing for LEQVIO® National Government Services has noticed improper billing of units and diagnosis related to HCPCS code J1306. We’ve published Proper Billing for LEQVIO® HCPCS Code J1306 to ...
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Posting Date: 11/15/2022
Multijurisdictional CAC meeting Notice on Micro-Invasive Glaucoma Surgery
Multijurisdictional CAC meeting Notice on Micro-Invasive Glaucoma Surgery Information has been posted on our website about a multijurisdictional Contractor Advisory Committee Meeting Regarding Micro-i...
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Posting Date: 11/15/2022
Proper Billing for TEZSPIRE™
Proper Billing for TEZSPIRE™ National Government Services has noticed improper billing of units related to HCPCS code J2356. We’ve published Proper Billing for TEZSPIRE™ HCPCS Code J2356 to assist our...
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Posting Date: 11/14/2022
The CY 2023 Medicare Physician Fee Schedule Is Now Available
The CY 2023 Medicare Physician Fee Schedule Is Now Available The CY 2023 MPFS is now available. You can view the new fees using the Fee Schedule Lookup tool page on NGSMedicare.com. Posted 11/14/2022
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Posting Date: 11/14/2022
Proper Steps for Notice of Admission Cancel/Resubmission
Proper Steps for Notice of Admission Cancel/Resubmission The purpose of the NOA is to open a new admission period for a home health beneficiary. There are few circumstances when the home health NOA mu...
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Posting Date: 11/10/2022
MLN Connects® Newsletter: November 10, 2022
MLN Connects® Newsletter: November 10, 2022 News Teaching Hospitals: Phase 2 Section 131 Reviews — Submission Deadline November 18 Medicare Participation for CY 2023 CMS Innovation Center’s Strate...
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Posting Date: 11/08/2022
Provider Enrollment: Reminder for Open Enrollment and Participation Agreement
Provider Enrollment: Reminder for Open Enrollment and Participation Agreement The 2023 Annual Participation Open Enrollment Period is approaching for another year. While this is an important time (fro...
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Posting Date: 11/03/2022
MLN Connects® Newsletter: November 3, 2022
MLN Connects® Newsletter: November 3, 2022 News COVID-19 Vaccine: Novavax Booster Authorized Medicare Part B Immunosuppressive Drug: Get Information on New Benefit Part B Immunosuppressive Drug Bene...
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Posting Date: 11/03/2022
Claims Frequently Asked Question
Claims Frequently Asked Question We have added a new FAQ to our website. View answers to a common question about how to bill for services unrelated to a liability, no fault, or workers compensation cl...
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Posting Date: 11/03/2022
Announcement About Medicare Participation for Calendar Year 2023
Announcement About Medicare Participation for Calendar Year 2023 The Centers for Medicare & Medicaid Services has posted the Announcement About Medicare Participation for Calendar Year 2023. Posted 11...
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Posting Date: 11/02/2022
MLN Connects® Newsletter: OPPS/ASC and PFS Final Payment Rules
MLN Connects® Newsletter: OPPS/ASC and PFS Final Payment Rules Final Rules Final Rules HHS Continues Biden-Harris Administration Progress in Promoting Health Equity in Rural Care Access Through Outp...
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Posting Date: 11/01/2022
MLN Connects® Newsletter: Final Rules
MLN Connects® Newsletter: Final Rules Final Rules Calendar Year (CY) 2023 Home Health Prospective Payment System Rate Update and Home Infusion Therapy Services Requirements CY 2023 End-Stage Renal Dis...
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Posting Date: 11/01/2022
Coming Soon ‒ The CY 2023 Medicare Physician Fee Schedule
Coming Soon ‒ The CY 2023 Medicare Physician Fee Schedule The CY 2023 MPFS will soon be available on the Fee Schedule Lookup tool located on NGSMedicare.com, after the CY 2023 physician fee schedule r...
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Posting Date: 10/27/2022
Notice of Local Coverage Determination Retirement
Notice of Local Coverage Determination Retirement Based on comments received at our Open Meeting on 10/20/2022, National Government Services has decided to retire the Proposed LCD DL38262 Salvage High...
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Posting Date: 10/27/2022
MLN Connects® Newsletter: October 27, 2022
MLN Connects® Newsletter: October 27, 2022 News COVID-19 Updated Booster Vaccines Covered Without Cost-Sharing for Eligible Children Ages 5–11 Oversight of Nation’s Poorest-Performing Nursing Homes In...
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Posting Date: 10/27/2022
November is Lung Cancer Awareness Month
November is Lung Cancer Awareness Month Did you know that cigarette smoking is the number one risk factor for lung cancer? In the United States, cigarette smoking is linked to about 80% - 90% of lung ...
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Posting Date: 10/25/2022
Pneumococcal Vaccine Frequently Asked Questions
Pneumococcal Vaccine Frequently Asked Questions We’ve added new frequently asked questions to our website. View answers to common questions about Pneumococcal Vaccine to ensure you have the informatio...
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Posting Date: 10/25/2022
October and November 2022 Billing and Coding and Medical Policy Article Updates
October and November 2022 Billing and Coding and Medical Policy Article Updates Retired article: Billing and Coding: Complex Drug Administration Coding (A58620) Revised articles: Billing and Coding: M...
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Posting Date: 10/21/2022
Revised LCD Comments Address - Updated
Revised LCD Comments Address - Updated Due to a technical issue with the LCD Comments mailbox for National Government Services, emailed comments have not been received by NGS. Please use this alternat...
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Posting Date: 10/20/2022
MLN Connects® Newsletter: October 20, 2022
MLN Connects® Newsletter: October 20, 2022 News Skilled Nursing Facility Provider Preview Reports: Review by November 14 Help Your Patients Make Informed Health Care Decisions Ambulance Fee Schedule: ...
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Posting Date: 10/20/2022
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients?
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for coverage criteria to b...
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Posting Date: 10/20/2022
Medicare Coverage of Over-the-Counter COVID-19 Tests
Medicare Coverage of Over-the-Counter COVID-19 Tests Beginning 4/4/2022 and continuing through 5/11/2023, people with Medicare Part B, including those enrolled in a MA plan, are eligible to receive up...
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Posting Date: 10/19/2022
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 weekly webinar series on Medicare’s preventative service, "Counseling to Prevent Tobacco Use." Stat...
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Posting Date: 10/19/2022
A/B and DME Collaborative Glucose Monitors and Supplies
A/B and DME Collaborative Glucose Monitors and Supplies View the A/B and DME Collaborative Glucose Monitors and Supplies YouTube Video for coverage criteria, documentation requirements and resources f...
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Posting Date: 10/18/2022
Provider Outreach and Education Events
Provider Outreach and Education Events Our Provider Outreach and Education team offers a wealth of educational sessions for a variety of Medicare topics throughout the year. Because there are so many ...
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Posting Date: 10/17/2022
The Home Health and Hospice Targeted Probe and Educate Process
The Home Health and Hospice Targeted Probe and Educate Process Medical Review conducts TPE on claims from all providers under the Medicare Program. Protect your revenue by gaining more knowledge regar...
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