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Posting Date: 07/19/2022
Your Feedback In Action – Medical Policies
Your Feedback In Action – Medical Policies We frequently receive comments through our customer experience surveys that providers cannot find an associated LCD or billing and coding article for a speci...
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Posting Date: 07/18/2022
MLN Connects® Special Edition for Friday, July 15, 2022
MLN Connects® Special Edition for Friday, July 15, 2022 CMS Proposes Rule to Advance Health Equity, Improve Access to Care & Promote Competition and Transparency CMS is proposing actions to advance he...
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Posting Date: 07/14/2022
MLN Connects® Newsletter for Thursday, July 14, 2022
MLN Connects® Newsletter for Thursday, July 14, 2022 COVID-19: FDA Authorizes Pharmacists to Prescribe PAXLOVID with Certain Limits News COVID-19: FDA Authorizes Pharmacists to Prescribe PAXLOVID with...
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Posting Date: 07/13/2022
A/B MACs Team Up with DME MACs for Glucose Monitor and Supplies Webinar on August 25
A/B MACs Team Up with DME MACs for Glucose Monitor and Supplies Webinar on August 25 Local A/B MACs and the DME MACs are excited to announce a collaboration webinar coming Thursday, August 25. This we...
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Posting Date: 07/08/2022
Billing Not Otherwise Classified Codes
Billing Not Otherwise Classified Codes When billing NOC codes, if you give a comparable code for the service performed, please include the actual name of the surgical or medical procedure. In some cas...
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Posting Date: 07/08/2022
Reminder: 340B-Acquired Drug Claim Appeal Requests
Reminder: 340B-Acquired Drug Claim Appeal Requests Beginning 1/1/2018, separately payable Part B drugs (assigned status indicator “K”), other than vaccines (assigned status indicator “L” or “M”) and d...
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Posting Date: 07/08/2022
MLN Connects® Special Edition for Thursday, July 7, 2022
MLN Connects® Special Edition for Thursday, July 7, 2022 CMS Proposes Physician Payment Rule to Expand Access to High-Quality Care On July 7, CMS issued the Calendar Year 2023 Physician Fee Schedule (...
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Posting Date: 07/07/2022
MLN Connects® Newsletter for Thursday, July 7, 2022
MLN Connects® Newsletter for Thursday, July 7, 2022 Expanding Access to Emergency Care Services in Rural Communities News Taking Action to Expand Access to Emergency Care Services in Rural Communities...
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Posting Date: 07/06/2022
Provider Enrollment: Reduce Development Requests for Additional Action
Provider Enrollment: Reduce Development Requests for Additional Action In an effort to reduce the request of additional information and/or documentation on provider enrollment applications, verify all...
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Posting Date: 06/30/2022
MLN Connects® Newsletter for Thursday, June 30, 2022
MLN Connects® Newsletter for Thursday, June 30, 2022 No Surprises Act: Fact Sheets for Your Patients News CMS Issues Significant Updates to Improve the Safety and Quality Care for Long-Term Care Resid...
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Posting Date: 06/27/2022
Attention Ambulance Suppliers: Important Information on Claim Denials
Attention Ambulance Suppliers: Important Information on Claim Denials If you are billing claims with either A0426 or A0428, please continue to read. National Government Services has been receiving ele...
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Posting Date: 06/27/2022
June/July 2022 Billing and Coding and Self-Administered Drug Article Updates
June/July 2022 Billing and Coding and Self-Administered Drug Article Updates Billing and Coding Articles Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10 code...
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Posting Date: 06/23/2022
MLN Connects® Newsletter for Thursday, June 23, 2022
MLN Connects® Newsletter for Thursday, June 23, 2022 Medical Records Correspondence Address News Ambulance Prior Authorization Model Expands August 1 Orthoses Referring Providers: Comparative Billing ...
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Posting Date: 06/22/2022
MLN Connects® Special Edition for Tuesday, June 21, 2022
MLN Connects® Special Edition for Tuesday, June 21, 2022 Home Health & ESRD Proposed CY 2023 Payment Rules Home Health Agencies: Calendar Year 2023 Proposed Rule — Submit Comments by August 16 ESRD Fa...
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Posting Date: 06/16/2022
MLN Connects® Newsletter for Thursday, June 16, 2022
MLN Connects® Newsletter for Thursday, June 16, 2022 ICD-10-CM Diagnosis Codes: Fiscal Year 2023 News Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023 Men’s Heal...
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Posting Date: 06/09/2022
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: 06/09/2022
Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023
Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023 CMS reduced the number of claims in the Comprehensive Error Rate Testing program report for reporting year 2023....
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Posting Date: 06/09/2022
Physicians/Practitioners Who Order Ambulance Transport: Helping Your Patients With Prior Authorization
Physicians/Practitioners Who Order Ambulance Transport: Helping Your Patients With Prior Authorization The RSNAT Prior Authorization Model is a Medicare Fee-for-Service program that was recently insti...
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Posting Date: 06/09/2022
MLN Connects® Newsletter for Thursday, June 9, 2022
MLN Connects® Newsletter for Thursday, June 9, 2022 Learn about the CMS National Quality Strategy News CMS National Quality Strategy: A Person-Centered Approach to Improving Quality Strategy to Streng...
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Posting Date: 06/07/2022
Modifier KX on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims
Modifier KX on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims Reminders Providers report modifier KX on a claim line(s) to confirm the medical records contain sp...
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Posting Date: 06/03/2022
Remote Monitoring Services
Remote Monitoring Services In response to provider inquiries about the use of remote monitoring, National Government Services has developed a comprehensive summary of information for Remote Monitoring...
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Posting Date: 06/03/2022
July 2022 Release "Dark Days" for the Common Working File Hosts
July 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming July 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, 6/30/2022 and Dark Days starting Fri...
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Posting Date: 06/02/2022
MLN Connects® Newsletter for Thursday, June 2, 2022
MLN Connects® Newsletter for Thursday, June 2, 2022 ICD-10-PCS Procedure Codes: Fiscal Year 2023 News Medicare Shared Savings Program: Application Deadlines for January 1 Start Date Claims, Pricers, &...
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Posting Date: 05/31/2022
Billing and Coding and SAD Article Updates for May/June 2022
Billing and Coding and SAD Article Updates for May/June 2022 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The article has been corrected to remove the following statement: (calcium 1000 ...
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Posting Date: 05/31/2022
Modifier KX for use with Physical Therapy, Occupational Therapy or Speech Language Pathology Claims
Modifier KX for use with Physical Therapy, Occupational Therapy or Speech Language Pathology Claims What you need to know Modifier KX is used to confirm specific required documentation is on file in a...
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Posting Date: 05/26/2022
MLN Connects® Newsletter for Thursday, May 26, 2022
MLN Connects® Newsletter for Thursday, May 26, 2022 Biosimilars: Interchangeable Products May Increase Patient Access News COVID-19: New Administration Code for Pfizer Pediatric Vaccine Booster Dose B...
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Posting Date: 05/19/2022
MLN Connects® Newsletter for Thursday, May 19, 2022
MLN Connects® Newsletter for Thursday, May 19, 2022 Biosimilars: Safe, Effective, & May Reduce Patient Costs News Biosimilars: Safe, Effective, & May Reduce Patient Costs PECOS Scroll Functionality Cl...
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Posting Date: 05/13/2022
Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services
Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services We’ve revised an FAQ within the Teaching Environment section of our E/M FAQs to further define documentati...
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Posting Date: 05/12/2022
Outpatient Claims with Reason Code W7120 Returned in Error
Outpatient Claims with Reason Code W7120 Returned in Error A system error caused the CMS to return the following outpatient claims with reason code W7120: Bill types 13X and 85X Designated surgical ra...
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Posting Date: 05/12/2022
MLN Connects® Newsletter for Thursday, May 12, 2022
MLN Connects® Newsletter for Thursday, May 12, 2022 Biosimilars Curriculum: Resources for Teaching Your Students News Comprehensive Error Rate Testing Documentation Center Moved on April 13 Physicians...
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