News - NGSMEDICARE

Posting Date: 01/13/2025

Obtaining Beneficiary Eligibility Information Through NGSConnex

Obtaining Beneficiary Eligibility Information Through NGSConnex As a reminder, our Customer Service Representatives aren’t permitted to share eligibility information because it’s available through NG...

Posting Date: 01/10/2025

Hospice Cap Self-Reporting Reminder for the 2024 Cap Year

Hospice Cap Self-Reporting Reminder for the 2024 Cap Year The Hospice Cap Self-Reporting for the 2024 Cap Year (10/1/2023–9/30/2024) is due no later than 2/28/2025. Hospice providers should submit the...

Posting Date: 01/10/2025

Quarterly Credit Balance Reports No Longer Required

Quarterly Credit Balance Reports No Longer Required As of 12/1/2024, providers are not required to submit the Medicare Credit Balance Report (CMS-838) on a quarterly basis. However, to ensure that mon...

Posting Date: 01/09/2025

National Government Services - Telehealth Extension 2025

National Government Services - Telehealth Extension 2025 Section 3207 of the American Relief Act, 2025 modified Section 1834(m) of the Social Security Act to extend the waiver of the geographic, site ...

Posting Date: 01/09/2025

Fourth Quarter Top Ten EDI Part B Edits

Fourth Quarter Top Ten EDI Part B Edits Using data analysis, we’ve updated the Top Ten EDI Edits for the 2024 fourth quarter. Visit Quarterly Top Ten EDI Part B Edits to view the edits, their descript...

Posting Date: 01/08/2025

Fourth Quarter Top Ten EDI Institutional Edits

Fourth Quarter Top Ten EDI Institutional Edits Using data analysis, we’ve updated the Top Ten EDI Edits for the 2024 fourth quarter. Visit Quarterly Top Ten EDI Institutional Edits to view the edits, ...

Posting Date: 01/08/2025

MLN Connects® Newsletter: January 8, 2025

MLN Connects® Newsletter: January 8, 2025 News Medicare Part B Vaccine Administration: CY 2025 Payment Amounts Historically Excepted Tribal Federally Qualified Health Centers: CY 2025 Payment Rate DME...

Posting Date: 01/07/2025

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2025

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2025 The January 2025 quarterly system release was implemented on 1/6/2025 with the following changes to the Claims Corre...

Posting Date: 01/07/2025

Using Nicotine Replacement Therapy for Smoking Cessation

Using Nicotine Replacement Therapy for Smoking Cessation Healthcare providers may choose to offer quit smoking medications to help reduce withdrawal symptoms and cigarette cravings, effectively doubli...

Posting Date: 01/02/2025

LCD/Billing and Coding Article Updates – December 2024–January 2025

LCD/Billing and Coding Article Updates – December 2024–January 2025 Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG) (L39189) – Effective 12/15/2024 Under the Indications of Coverage, adde...

Posting Date: 01/02/2025

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...

Posting Date: 01/02/2025

Proper Submission of Reopening Requests

Proper Submission of Reopening Requests National Government Services has identified an issue where providers are submitting reopening requests to change or add diagnosis codes on paid claims. These re...

Posting Date: 12/31/2024

Virtual Multi-Jurisdictional Town Hall Meeting To Be Held 12/10/2024

Virtual Multi-Jurisdictional Town Hall Meeting To Be Held 12/10/2024 National Government Services, along with Novitas Solutions and First Coast Service Options, CGS Administrators, Noridian Healthcare...

Posting Date: 12/20/2024

Attention FQHCs: Who Is Your MAC?

Attention FQHCs: Who Is Your MAC? National Government Services serves as the CMS Jurisdiction 6 and K MAC for FQHCs in 44 states, Washington D.C. and the five United States Territories of American Sam...

Posting Date: 12/20/2024

Part A Fall 2024 Virtual Conference Playback

Part A Fall 2024 Virtual Conference Playback As part of our efforts to educate our provider community, we have posted all 16 educational sessions from our recent Part A Fall 2024 Virtual Conference: K...

Posting Date: 12/19/2024

Reminder for Correcting Hospice Edits for Certifying Physicians (17729, 17730)

Reminder for Correcting Hospice Edits for Certifying Physicians (17729, 17730) Reason Codes 17729 and 17730: Refer to specific hospice claim edits related to certifying physicians. Adjustments: Should...

Posting Date: 12/19/2024

MLN Connects® Newsletter: December 19, 2024

MLN Connects® Newsletter: December 19, 2024 News MBI Lookup Tools: CMS Seeks Input by February 17 CMS Roundup (December 13, 2024) Long-Term Care Hospital Provider Preview Reports: Review by January 15...

Posting Date: 12/18/2024

Provider Enrollment Application Fee Amount for CY 2025

Provider Enrollment Application Fee Amount for CY 2025 The provider enrollment application fee for CY 2025 is $730. For more information, view MLN Connects® Newsletter: December 12, 2024. Posted 12/18...

Posting Date: 12/16/2024

Join Us to Learn About NGSConnex

Join Us to Learn About NGSConnex We’re hosting a series of webinars focused on our free, secure internet portal, NGSConnex. During each session, we’ll review what NGSConnex has to offer. We’ll discuss...

Posting Date: 12/12/2024

MLN Connects® Newsletter: December 12, 2024

MLN Connects® Newsletter: December 12, 2024 News FY 2024 Medicare Fee-for-Service Improper Payment Rate Revised Home Health Change of Care Notice Form Effective February 1 Skilled Nursing Facility Val...