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Posting Date: 10/12/2022
Drugs and Biologicals Frequently Asked Questions
Drugs and Biologicals Frequently Asked Questions We’ve added new frequently asked questions to our website. View answers to common questions about Drugs and Biologicals to ensure you have the informat...
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Posting Date: 10/10/2022
The Great American Smokeout is Coming!
The Great American Smokeout is Coming! As a health care professional who provides care to patients with Medicare, you can help protect the health of your patients by encouraging them to take advantage...
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Posting Date: 10/06/2022
MLN Connects® Newsletter for Thursday, October 6, 2022
MLN Connects® Newsletter for Thursday, October 6, 2022 News Resources & Flexibilities to Assist with Public Health Emergency in South Carolina Implementation of Inflation Reduction Act Provision Addre...
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Posting Date: 10/06/2022
Notification of the 2023 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review
Notification of the 2023 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...
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Posting Date: 10/05/2022
Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1
Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1 The revised Enrollment for Eligible Ordering/Certifying Physicians and Other Eligible Professionals (Form CMS-8...
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Posting Date: 10/04/2022
Free Medicare Home Health YouTube Videos
Free Medicare Home Health YouTube Videos National Government Services has a plethora of educational Medicare Home Health YouTube videos regarding billing and documentation. These videos are free, shor...
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Posting Date: 10/04/2022
Free Medicare Hospice YouTube Videos
Free Medicare Hospice YouTube Videos National Government Services has an array of educational Medicare Hospice YouTube videos regarding billing and documentation. These videos are free, short in lengt...
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Posting Date: 10/03/2022
Your Feedback In Action – NGSConnex Improvements
Your Feedback In Action – NGSConnex Improvements We listen to you and are excited to share Your Feedback in Action! You told us that the NGSConnex Printable Views for Eligibility and Remittance Advice...
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Posting Date: 09/29/2022
MLN Connects® Newsletter for Thursday, September 29, 2022
MLN Connects® Newsletter for Thursday, September 29, 2022 News Resources & Flexibilities to Assist with Public Health Emergency in Puerto Rico Resources & Flexibilities to Assist with Public Health Em...
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Posting Date: 09/29/2022
National Government Services Proposed LCDs for Comment 9/29/2022-11/12/2022
National Government Services Proposed LCDs for Comment 9/29/2022-11/12/2022 The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal co...
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Posting Date: 09/26/2022
Billing and Coding and Medical Policy Article Updates September/October 2022
Billing and Coding and Medical Policy Article Updates September/October 2022 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on Transmittal 11594, (CR 12885) October 2022 Update of the ...
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Posting Date: 09/22/2022
MLN Connects® Newsletter for Thursday, September 22, 2022
MLN Connects® Newsletter for Thursday, September 22, 2022 Encourage Preferred Flu Vaccines for Patients 65+ News Flu Shot: Encourage Preferred Vaccines for Patients 65+ Cataract Surgery: Comparative B...
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Posting Date: 09/22/2022
Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound
Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound National Government Services has received approval from CMS to deny related claims (modifier 26 and/or TC) in accordance to the CMS...
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Posting Date: 09/19/2022
Attention All Medicare Providers: Are You Using an Outsource Company?
Attention All Medicare Providers: Are You Using an Outsource Company? Do you use an outsource company for your Medicare billing and account receivables? Do you know who is using your data? Do you know...
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Posting Date: 09/19/2022
EDI Self-Service Gateway Password Portal
EDI Self-Service Gateway Password Portal The EDI Gateway Self-Service Password Portal is a simple/secure, web-based process for changing or resetting passwords for EDI Trading Partners. There are diff...
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Posting Date: 09/19/2022
The Medicare Essentials Virtual Conference
The Medicare Essentials Virtual Conference Are you new to working with Medicare or just need a refresher? The Medicare Essentials Virtual Conference, offers two pre-virtual sessions and eight sessions...
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Posting Date: 09/19/2022
Reminder: Documenting Physical Therapy Services
Reminder: Documenting Physical Therapy Services Insufficient documentation causes most improper payments. Visit our CERT Alerts webpage for Topic specific articles that provide instructions and resour...
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Posting Date: 09/15/2022
MLN Connects® Newsletter for Thursday, September 15, 2022
MLN Connects® Newsletter for Thursday, September 15, 2022 Make Your Voice Heard News Make Your Voice Heard Request for Information Seeks Public Comment to Promote Efficiency, Reduce Burden, & Advance ...
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Posting Date: 09/12/2022
MLN Connects® Special Edition for Monday, September 12, 2022
MLN Connects® Special Edition for Monday, September 12, 2022 News Updated COVID-19 Vaccines Providing Protection Against Omicron Variant Available at No Cost Posted 9/12/2022
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Posting Date: 09/08/2022
MLN Connects® Newsletter for Thursday, September 8, 2022
MLN Connects® Newsletter for Thursday, September 8, 2022 Prostate Cancer: Talk to Your Patients about Screening News Short-Term Acute Care Hospitals: Program for Evaluating Payment Patterns Electronic...
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Posting Date: 09/08/2022
Don’t Let Your Flu Vaccination Claims Deny!
Don’t Let Your Flu Vaccination Claims Deny! The 2022-2023 flu vaccine season has begun. At the beginning of each flu season, National Government Services sees an increase in claim denial volume for fl...
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Posting Date: 09/07/2022
Seasonal Influenza Vaccines Pricing
Seasonal Influenza Vaccines Pricing For Medicare billing purposes, the flu season runs from August to July of the following year. Medicare Part B covers one flu shot per flu season, if medically neces...
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Posting Date: 09/07/2022
Billing for Qutenza Administration (REVISED)
Billing for Qutenza Administration (REVISED) Qutenza is topical high concentration (8%) capsaicin which is administered by a physician. The FDA approved this treatment for neuropathic pain associated ...
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Posting Date: 09/06/2022
Billing New Monkeypox Vaccine and Laboratory Codes
Billing New Monkeypox Vaccine and Laboratory Codes On 7/23/2022, the WHO declared monkeypox a PHE. The HHS issued a statement regarding the Biden-Harris Administration’s actions to make vaccines, test...
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Posting Date: 09/01/2022
MLN Connects® Newsletter for Thursday, September 1, 2022
MLN Connects® Newsletter for Thursday, September 1, 2022 Payment Allowances for Influenza Vaccine News CORRECTION: Monkeypox & Smallpox Vaccines: Include Product Code on Claims COVID-19: Novavax Vacci...
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Posting Date: 09/01/2022
Prior Authorization Exemption Status Inquiry Tool Alert
Prior Authorization Exemption Status Inquiry Tool Alert National Government Services continues to see PARs submitted by exempt providers. In an effort to prevent unnecessary submission, NGS has develo...
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Posting Date: 08/30/2022
Use National Government Services Self-Service Tools to Maximize your Workload
Use National Government Services Self-Service Tools to Maximize your Workload Our PCC telephone lines are busiest at the beginning and end of each month, and this creates long wait times for providers...
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Posting Date: 08/26/2022
Treatment Plans for Cardiac Rehabilitation Services
Treatment Plans for Cardiac Rehabilitation Services In order for cardiac rehabilitation services to be covered under Medicare, an individualized treatment plan is required. The individualized treatmen...
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Posting Date: 08/26/2022
August and September 2022 LCD, Billing and Coding Article Updates
August and September 2022 LCD, Billing and Coding Article Updates Routine Foot Care and Debridement of Nails – L33636 Under the Limitations section, the active care requirement for systemic conditions...
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Posting Date: 08/25/2022
MLN Connects® Newsletter for Thursday, August 25, 2022
MLN Connects® Newsletter for Thursday, August 25, 2022 Medicare Secondary Payer: Manual Updates News Interns and Residents Information System XML Format: Updated Vendor List Claims, Pricers, & Codes I...
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