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Posting Date: 01/23/2023
Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement
Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement It is imperative that hospice providers understand the federal Medicare requirements and mandatory medical record documentation t...
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Posting Date: 01/23/2023
Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T)
Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T) National Government Services has updated its reimbursement policy on CPT codes 0598T and 0599T (...
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Posting Date: 01/19/2023
MLN Connects® Newsletter: January 19, 2023
MLN Connects® Newsletter: January 19, 2023 News Additional Steps to Strengthen Nursing Home Safety and Transparency Increase in 2023 in Organizations and Beneficiaries Benefiting from Coordinated ...
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Posting Date: 01/19/2023
Tobacco Cessation - An On Demand YouTube Video
Tobacco Cessation - An On Demand YouTube Video We know our providers are busy! Have you or a colleague been unavailable during what you thought would be a beneficial live webinar? The NGS POE team cre...
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Posting Date: 01/18/2023
Oxygen: A/B and DME Collaborative Presentation
Oxygen: A/B and DME Collaborative Presentation View the A/B and DME Oxygen YouTube Video for information on oxygen. Posted 1/18/2023
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Posting Date: 01/17/2023
Improving Customer Experience
Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let u...
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Posting Date: 01/12/2023
MLN Connects® Newsletter: January 12, 2023
MLN Connects® Newsletter: January 12, 2023 News Key Dates for First Year of Inflation Reduction Act’s Medicare Drug Price Negotiation Program Cognitive Assessment: CY 2023 Updates Care Compare: Te...
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Posting Date: 01/12/2023
The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available
The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available The revised CY 2023 MPFS is now available. You can view these Part B Physician Fee Schedule by accessing Resources > Tools & Calcul...
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Posting Date: 01/12/2023
Physicians: Are You Ordering Knee Orthosis for Your Patients?
Physicians: Are You Ordering Knee Orthosis for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for the coverage criteria to be m...
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Posting Date: 01/12/2023
Let's Chat About Counseling to Prevent Tobacco Use
Let's Chat About Counseling to Prevent Tobacco Use Do you have questions on how to bill Medicare for tobacco counseling? Join us on 1/24/2023 for the opportunity to ask questions about coverage and bi...
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Posting Date: 01/10/2023
MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023
MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023 News CMS Awards 200 New Medicare-Funded Residency Slots to Ho...
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Posting Date: 01/10/2023
Over-the-Counter COVID-19 Test Benefits
Over-the-Counter COVID-19 Test Benefits Beginning 4/4/2022, and through the end of the COVID-19 PHE, Medicare started paying for U.S. FDA-approved, authorized, or cleared OTC COVID-19 tests at no cost...
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Posting Date: 01/05/2023
MLN Connects® Newsletter: January 5, 2023
MLN Connects® Newsletter: January 5, 2023 News COVID-19: Updated Vaccines for Children Ages Six Months – Five Years Advisory Panel on Hospital Outpatient Payment: Request for Nominations Certifica...
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Posting Date: 01/05/2023
Frequently Asked Questions Reviewed and Updated
Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are:...
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Posting Date: 01/05/2023
Frequently Asked Questions Reviewed and Updated
Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are:...
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Posting Date: 12/30/2022
Enrollment Application Fee for 2023
Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. Posted 12/30/2022
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Posting Date: 12/30/2022
Enrollment Application Fee for 2023
Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. Posted 12/30/2022
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Posting Date: 12/30/2022
Medicare Diabetes Prevention Program 2023 Payment Amounts are Available
Medicare Diabetes Prevention Program 2023 Payment Amounts are Available We’ve published the 2023 Medicare Diabetes Prevention Program codes and payments. Visit MDPP Codes and Payment Amounts for the H...
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Posting Date: 12/22/2022
MLN Connects® Newsletter: December 22, 2022
MLN Connects® Newsletter: December 22, 2022 News HHS Proposes to Standardize Electronic Health Care Attachments Transactions and Electronic Signature Processes to Improve the Care Experience for P...
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Posting Date: 12/22/2022
Therapy Requirements for Inpatient Rehabilitation Facilities
Therapy Requirements for Inpatient Rehabilitation Facilities The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 1...
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Posting Date: 12/22/2022
Billing and Coding Article Updates for December 2022-January 2023
Billing and Coding Article Updates for December 2022-January 2023 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on Transmittal 11738 (CR 12998) January 2023 I/OCE Specifications Versi...
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Posting Date: 12/19/2022
Provider Contact Center News
Provider Contact Center News Effective immediately, all inquiries must be handled in our PCC. Our PCC is responsible for assisting our provider community and are trained to answer your questions. Wh...
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Posting Date: 12/15/2022
MLN Connects® Newsletter: December 15, 2022
MLN Connects® Newsletter: December 15, 2022 News Opioid Treatment Programs: New Information for 2023 Part B Immunosuppressive Drug Benefit: Check Medicare Eligibility Home Health Quality Reporting...
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Posting Date: 12/15/2022
Confirming Eligibility to Enroll
Confirming Eligibility to Enroll We’ve expanded our list of Eligible Nonphysicians who can enroll in Medicare to include the definition, qualifications and supporting documentation for each specialty...
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Posting Date: 12/14/2022
Bill Correctly: Power Mobility Device Repairs
Bill Correctly: Power Mobility Device Repairs An Office of Inspector General report stated that Medicare improperly paid claims for PMD repairs when suppliers didn’t provide sufficient documentation t...
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Posting Date: 12/09/2022
Interested in Becoming a Home Health or Hospice Provider Outreach and Education Advisory Group Member?
Interested in Becoming a Home Health or Hospice Provider Outreach and Education Advisory Group Member? Are you someone who would be interested in helping shape the education provided by your MAC? We w...
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Posting Date: 12/08/2022
MLN Connects® Newsletter: December 8, 2022
MLN Connects® Newsletter: December 8, 2022 News CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process Rural Emergency Hospitals: New Institutional Pr...
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Posting Date: 12/05/2022
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...
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Posting Date: 12/05/2022
Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms
Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms To reduce requests for additional information, National Government Services offers several pro...
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Posting Date: 12/01/2022
MLN Connects® Newsletter: December 1, 2022
MLN Connects® Newsletter: December 1, 2022 News CMS Urges Timely Patient Access to COVID-19 Vaccines, Therapeutics Quality Payment Program: Preview Your Performance Information by December 20 Clin...
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Posting Date: 11/30/2022
National Government Services Medicare Part B Preventive Services Week
National Government Services Medicare Part B Preventive Services Week 12/6/2022 – 12/8/2022 Medicare offers many preventive service benefits that can help detect health problems early and keep your pa...
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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
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 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
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
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: 11/14/2022
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: 11/10/2022
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
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: 11/03/2022
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
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: 11/02/2022
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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