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Posting Date: 08/01/2023
Text Telephone Changes

Text Telephone Changes TTY-based Telecommunications Relay Services permit persons with a hearing or speech disability to use the telephone system via a TTY or other device to call persons with or with...

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Posting Date: 08/01/2023
New and Improved EDI Enrollment Process

New and Improved EDI Enrollment Process Our new online EDI Enrollment Process is available. This new process includes real time verification of data entered into many of the fields, which improves acc...

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Posting Date: 07/27/2023
MLN Connects® Newsletter: July 27, 2023

MLN Connects® Newsletter: July 27, 2023 News CMS Continues Work on Behavioral Health Discarded Drugs and Biologicals: Updated FAQs on JW & JZ Modifiers Expanded Home Health Value-Based Purchasing Mode...

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Posting Date: 07/27/2023
LCD, Billing and Coding Article Updates for August 2023

LCD, Billing and Coding Article Updates for August 2023 New LCDs and Articles (Effective 8/1/2023) Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodg...

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Posting Date: 07/25/2023
National Government Services CAC Meeting Notice on KidneyIntelX Test

National Government Services CAC Meeting Notice on KidneyIntelX Test Information has been posted on our website in regards to the National Government Services l Contractor Advisory Committee Meeting r...

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Posting Date: 07/25/2023
Attention All OPPS Providers with Provider-Based Department(s): Permanent Edit Implementation Begins on/after 8/1/2023

Attention All OPPS Providers: Provider-Based Department Edits Being Implemented on/after 8/1/2023 Certain edits are being implemented on/after 8/1/2023 to ensure you are billing your provider-based lo...

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Posting Date: 07/21/2023
Multi-Jurisdictional CAC Meeting Notice on Cervical Fusion

Multi-Jurisdictional CAC Meeting Notice on Cervical Fusion Information has been posted on our website in regards to multi-jurisdictional Contractor Advisory Committee Meeting regarding Cervical Fusion...

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Posting Date: 07/21/2023
Prior Authorization Outpatient Department Exemption Additional Documentation Requests

Prior Authorization Outpatient Department Exemption Additional Documentation Requests National Government Services Prior Authorization initiated the process of issuing ADRs to exempt providers. Please...

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Posting Date: 07/20/2023
Activation of Validation Edits for Providers with Multiple Service Locations (MLN Matters Number: SE19007 Revised)

Activation of Validation Edits for Providers with Multiple Service Locations (MLN Matters Number: SE19007 Revised) Posted 7/20/2023

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Posting Date: 07/20/2023
MLN Connects® Newsletter: July 20, 2023

MLN Connects® Newsletter: July 20, 2023 News Percutaneous Transluminal Angioplasty of Carotid Artery Concurrent with Stenting: Proposed National Coverage Determination Beta Amyloid Positron Emission T...

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Posting Date: 07/18/2023
Update: End Stage Renal Disease Claim Adjustments Needed Due to CWF Error in Date of First Dialysis

Update: End Stage Renal Disease Claim Adjustments Needed Due to CWF Error in Date of First Dialysis As of 7/18/2023, CMS has identified that the CWF continues to have some inaccurate dates for the fir...

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Posting Date: 07/18/2023
Targeted Probe and Educate: Medical Review Topics

Targeted Probe and Educate: Medical Review Topics The Medical Review team has developed a comprehensive list of common denials found during Targeted Probe and Educate reviews along with resources to a...

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Posting Date: 07/17/2023
Prior Authorization Outpatient Department Rejections Alert

Prior Authorization Outpatient Department Rejections Alert National Government Services has seen a significant increase in rejections due to invalid information provided on PAR cover sheets. Please ...

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Posting Date: 07/17/2023
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: 07/17/2023
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: 07/17/2023
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: 07/17/2023
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: 07/14/2023
MLN Connects® Newsletter: PFS & OPPS/ASC Proposed Payment Rules – July 13, 2023

MLN Connects® Newsletter: PFS & OPPS/ASC Proposed Payment Rules – July 13, 2023 Proposed Rules CMS Physician Payment Rule Advances Health Equity CMS Proposes Policies to Expand Behavioral Health Acces...

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Posting Date: 07/13/2023
MLN Connects® Newsletter: July 13, 2023

MLN Connects® Newsletter: July 13, 2023 News Hospital Outpatient Prospective Payment System: Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 National Coverage Determinati...

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Posting Date: 07/12/2023
Submitting Necessary/Appropriate Documentation

Submitting Necessary/Appropriate Documentation National Government Services has noticed an increase in the submission of improper documentation. We’ve added two new sections to our Submit Medical Reco...

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