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Posting Date: 03/15/2023
MLN Connects® Newsletter: March 15, 2023
MLN Connects® Newsletter: March 15, 2023 News Inflation Reduction Act Tamps Down on Prescription Drug Price Increases Above Inflation Posted 3/15/2023
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Posting Date: 03/14/2023
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year d...
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Posting Date: 03/14/2023
Sacroiliac Joint Injections and Procedures Frequently Asked Questions
Sacroiliac Joint Injections and Procedures Frequently Asked Questions We’ve added frequently asked questions related to New Local Coverage Determination for Sacroiliac Joint Injections and Procedures...
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Posting Date: 03/14/2023
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year d...
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Posting Date: 03/13/2023
2023 Evaluation and Management Services – New Frequently Asked Questions
2023 Evaluation and Management Services – New Frequently Asked Questions Based on recent CMS clarifications for 2023 evaluation and management services, we’ve added new frequently asked questions for ...
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Posting Date: 03/09/2023
MLN Connects® Newsletter: March 9, 2023
MLN Connects® Newsletter: March 9, 2023 News Nutrition-Related Health Conditions: Recommend Medicare Preventive Services Compliance Advance Care Planning: Bill Correctly for Services Claims, Pricers a...
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Posting Date: 03/09/2023
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: 03/07/2023
Audiology Services
Audiology Services CMS finalized an exception to the physician order requirement for certain diagnostic testing services to broaden patient access to services furnished by audiologists in the CY 2023 ...
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Posting Date: 03/03/2023
Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices
Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices Presented by Telligen QIN-QIO As part of our continuing work together, National Government Services wou...
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Posting Date: 03/02/2023
MLN Connects® Newsletter: March 2, 2023
MLN Connects® Newsletter: March 2, 2023 News The Future of Medicare Enrollment: Save Time with PECOS's Consolidated Application Voluntary Prior Authorization Process for Certain Power Mobility Device ...
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Posting Date: 02/28/2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023 News COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet Posted 2/28/2023
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Posting Date: 02/27/2023
Credit Balance Report Reminder for Jurisdiction 6 Part A Providers
Credit Balance Report Reminder for Jurisdiction 6 Part A Providers For the quarter ending 12/31/2022, CBR must be submitted and received by the ORU by 3/1/2023 to be considered timely. Failure to subm...
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Posting Date: 02/24/2023
LCD, Billing and Coding Article Updates for March 2023
LCD, Billing and Coding Article Updates for March 2023 Billing and Coding: Billing and Coding: Implantable Automatic Defibrillators (A56326) Based on Transmittal 11832 (CR13070) ICD-10-CM and Other Co...
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Posting Date: 02/24/2023
April 2023 Release "Dark Days" for the Common Working File Hosts
April 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming April 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/30/2023 and Dark Days starting F...
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Posting Date: 02/23/2023
MLN Connects® Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023
MLN Connects®Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023 News Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers P...
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Posting Date: 02/23/2023
MLN Connects® Newsletter: February 23, 2023
MLN Connects® Newsletter: February 23, 2023 News Hospital Price Transparency: Progress and Commitment to Achieving Its Potential Home Infusion Therapy Services Monitoring Report Immunosuppressive ...
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Posting Date: 02/22/2023
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures National Government Services, as your MAC, is bringing to your attention a newly created LCD policy change that will eff...
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Posting Date: 02/22/2023
Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions
Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions Effective for dates of service on or after 8/7/2019, Medicare will pay claims from approved providers for administration of autologo...
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Posting Date: 02/21/2023
Important Steps When Responding to Additional Development Response Letters
Important Steps When Responding to Additional Development Response Letters When National Government Services requests documentation, you must send us only what has been requested. We are receiving num...
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Posting Date: 02/17/2023
New Service Added to the Hospital Outpatient Department Prior Authorization Program
New Service Added to the Hospital Outpatient Department Prior Authorization Program Effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the HOPD servic...
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Posting Date: 02/16/2023
MLN Connects® Newsletter: February 16, 2023
MLN Connects® Newsletter: February 16, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Unprecedented Efforts to Increase Transparency of Nursing Home O...
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Posting Date: 02/14/2023
Changing Diagnosis Codes on Previously Processed Claims
Changing Diagnosis Codes on Previously Processed Claims National Government Services, is frequently asked about diagnosis code changes on claims that have already been processed. We hope this notifica...
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Posting Date: 02/13/2023
2023 Evaluation and Management Services – Prolonged Services
2023 Evaluation and Management Services – Prolonged Services Based on recent CMS clarifications for 2023 Evaluation and Management Services, particularly for prolonged services, National Government Se...
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Posting Date: 02/10/2023
MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023
MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 News Medicare Part B Drug Inflation Rebates HHS Releases Initial Guidance for Medicare Prescription Drug...
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Posting Date: 02/09/2023
Hospice Cap Self-Reporting Reminder for the 2022 Cap Year
Hospice Cap Self-Reporting Reminder for the 2022 Cap Year The hospice cap self-reporting for the 2022 cap year (10/1/2021-9/30/2022) is due no later than 2/28/2023. Hospice providers should submit the...
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Posting Date: 02/09/2023
CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder
CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder National Government Services has received many calls in relation to the CMS updates to the Clinical Laboratory Fee Schedule for 2023. Provide...
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Posting Date: 02/09/2023
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 ...
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Posting Date: 02/09/2023
MLN Connects® Newsletter: February 9, 2023
MLN Connects® Newsletter: February 9, 2023 News DMEPOS: Get Benefit Category Determinations Nurse Practitioners and Clinical Nurse Specialists: Update to List of National Certifying Bodies Help Ad...
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Posting Date: 02/08/2023
End of Public Health Emergency Brings Change
End of Public Health Emergency Brings Change The end of the PHE is near and you may have questions. CMS and National Government Services want to ensure a seamless transition from the flexibilities ena...
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Posting Date: 02/06/2023
Steps for Success in a Targeted Probe and Educate Review
Steps for Success in a Targeted Probe and Educate Review We’ve provided tips and tricks to assist you with succeeding in a TPE review and the post-probe educational process. Content presented includes...
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