News - NGSMEDICARE

Posting Date: 04/11/2023

Rural Tobacco Disparity

Rural Tobacco Disparity Tobacco use and exposure to SHS remain leading causes of preventable disease, disability and mortality in the United States and are responsible for approximately 480,000 deaths...

Posting Date: 04/10/2023

Reminder: Maintaining Ownership Consistency of Multiple Medicare Enrollments with same Tax Identification Number

Reminder: Maintaining Ownership Consistency of Multiple Medicare Enrollments with same Tax Identification Number View CMS’ “Medicare Enrollment: Maintain the Same Owners in All Enrollment Records” art...

Posting Date: 04/10/2023

Home Health Diagnosis Codes Grouper Update for 4/1/2023

Home Health Diagnosis Codes Grouper Update for 4/1/2023 Effective 4/1/2023, CMS is implementing new HH Grouper edits. The HH Grouper program has various data validity edits that make sure it uses cons...

Posting Date: 04/07/2023

New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier

New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier Effective 4/1/2023, CMS implemented a new consistency edit to validate that the atte...

Posting Date: 04/06/2023

MLN Connects® Newsletter: April 6, 2023

MLN Connects® Newsletter: April 6, 2023 News Resources & Flexibilities to Assist with Public Health Emergency in Mississippi Due to Recent Storms Program for Evaluating Payment Patterns Electronic Re...

Posting Date: 04/06/2023

MLN Connects® Newsletter: April 6, 2023

MLN Connects® Newsletter: April 6, 2023 News Resources & Flexibilities to Assist with Public Health Emergency in Mississippi Due to Recent Storms Program for Evaluating Payment Patterns Electronic Re...

Posting Date: 04/05/2023

MLN Connects® Newsletter: 4 Proposed FY 2024 Payment Rules — April 4, 2023

MLN Connects® Newsletter: 4 Proposed FY 2024 Payment Rules — April 4, 2023 Proposed Rules FY 2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P) FY 2024 Medicare Inpatient Psychiatric Facility...

Posting Date: 04/05/2023

MLN Connects® Newsletter: 4 Proposed FY 2024 Payment Rules — April 4, 2023

MLN Connects® Newsletter: 4 Proposed FY 2024 Payment Rules — April 4, 2023 Proposed Rules FY 2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P) FY 2024 Medicare Inpatient Psychiatric Facility...

Posting Date: 04/04/2023

NGS-ACE Edits for Ophthalmology

NGS-ACE Edits for Ophthalmology We continue working on enhancing NGS-ACE for providers in Jurisdiction 6 (Illinois, Minnesota, and Wisconsin) by adding additional edits and resources. The following NG...

Posting Date: 04/04/2023

NGS-ACE Edits for Ophthalmology

NGS-ACE Edits for Ophthalmology We continue working on enhancing NGS-ACE for providers in Jurisdiction 6 (Illinois, Minnesota, and Wisconsin) by adding additional edits and resources. The following NG...

Posting Date: 04/04/2023

NGS-ACE Edits for Ophthalmology

NGS-ACE Edits for Ophthalmology We continue working on enhancing NGS-ACE for providers in Jurisdiction 6 (Illinois, Minnesota, and Wisconsin) by adding additional edits and resources. The following NG...

Posting Date: 04/04/2023

NGS-ACE Edits for Ophthalmology

NGS-ACE Edits for Ophthalmology We continue working on enhancing NGS-ACE for providers in Jurisdiction 6 (Illinois, Minnesota, and Wisconsin) by adding additional edits and resources. The following NG...

Posting Date: 03/31/2023

MLN Connects® Newsletter: March 30, 2023

MLN Connects® Newsletter: March 30, 2023 News COVID-19: Booster Dose for Children 6 months – 4 years Identity & Access Management System: Easier for Surrogates Medicare Advantage Value-Based Insurance...

Posting Date: 03/31/2023

CR12669 - Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement

Posting Date: 03/31/2023

CR13122 - Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments

Posting Date: 03/31/2023

EDI Enrollment Spotlights Top Rejections

EDI Enrollment Spotlights Top Rejections Part A, Part B and DDE Periodically, EDI enrollment will publish articles to help eliminate the number of EDI applications that are denied. This month we are ...

Posting Date: 03/30/2023

Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023

Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023 After reviewing Medicare claims data for EEG continuous recording (CPT codes 95700 through 95718) as well as seeking ...

Posting Date: 03/29/2023

LCD, Billing and Coding Article Updates for March and April 2023

LCD, Billing and Coding Article Updates for March and April 2023 Pain Management (L33622) Effective 3/19/2023 The LCD has been revised to remove all references to sacroiliac joint injections. Please r...

Posting Date: 03/27/2023

Changes in G2066 Pricing Effective April 1, 2023

Changes in G2066 Pricing Effective April 1, 2023 After reviewing Medicare claims data for G2066 (Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic moni...

Posting Date: 03/23/2023

DDE Logon ID and Password Reminders

DDE Logon ID and Password Reminders CMS’ information security policy strictly prohibits the sharing or loaning of Medicare assigned IDs and passwords. Users should take appropriate measures to prevent...