News - NGSMEDICARE

Posting Date: 02/23/2023

MLN Connects® Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023

MLN Connects®Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023 News Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers P...

Posting Date: 02/23/2023

MLN Connects® Newsletter: February 23, 2023

MLN Connects® Newsletter: February 23, 2023 News Hospital Price Transparency: Progress and Commitment to Achieving Its Potential Home Infusion Therapy Services Monitoring Report Immunosuppressive ...

Posting Date: 02/22/2023

New Local Coverage Determination for Sacroiliac Joint Injections and Procedures

New Local Coverage Determination for Sacroiliac Joint Injections and Procedures National Government Services, as your MAC, is bringing to your attention a newly created LCD policy change that will eff...

Posting Date: 02/22/2023

Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions

Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions Effective for dates of service on or after 8/7/2019, Medicare will pay claims from approved providers for administration of autologo...

Posting Date: 02/21/2023

Important Steps When Responding to Additional Development Response Letters

Important Steps When Responding to Additional Development Response Letters When National Government Services requests documentation, you must send us only what has been requested. We are receiving num...

Posting Date: 02/17/2023

New Service Added to the Hospital Outpatient Department Prior Authorization Program

New Service Added to the Hospital Outpatient Department Prior Authorization Program Effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the HOPD servic...

Posting Date: 02/16/2023

MLN Connects® Newsletter: February 16, 2023

MLN Connects® Newsletter: February 16, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Unprecedented Efforts to Increase Transparency of Nursing Home O...

Posting Date: 02/14/2023

Changing Diagnosis Codes on Previously Processed Claims

Changing Diagnosis Codes on Previously Processed Claims National Government Services, is frequently asked about diagnosis code changes on claims that have already been processed. We hope this notifica...

Posting Date: 02/13/2023

2023 Evaluation and Management Services – Prolonged Services

2023 Evaluation and Management Services – Prolonged Services Based on recent CMS clarifications for 2023 Evaluation and Management Services, particularly for prolonged services, National Government Se...

Posting Date: 02/10/2023

MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023

MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 News Medicare Part B Drug Inflation Rebates HHS Releases Initial Guidance for Medicare Prescription Drug...

Posting Date: 02/09/2023

Hospice Cap Self-Reporting Reminder for the 2022 Cap Year

Hospice Cap Self-Reporting Reminder for the 2022 Cap Year The hospice cap self-reporting for the 2022 cap year (10/1/2021-9/30/2022) is due no later than 2/28/2023. Hospice providers should submit the...

Posting Date: 02/09/2023

CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder

CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder National Government Services has received many calls in relation to the CMS updates to the Clinical Laboratory Fee Schedule for 2023. Provide...

Posting Date: 02/09/2023

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 ...

Posting Date: 02/09/2023

MLN Connects® Newsletter: February 9, 2023

MLN Connects® Newsletter: February 9, 2023 News DMEPOS: Get Benefit Category Determinations Nurse Practitioners and Clinical Nurse Specialists: Update to List of National Certifying Bodies Help Ad...

Posting Date: 02/08/2023

End of Public Health Emergency Brings Change

End of Public Health Emergency Brings Change The end of the PHE is near and you may have questions. CMS and National Government Services want to ensure a seamless transition from the flexibilities ena...

Posting Date: 02/06/2023

Steps for Success in a Targeted Probe and Educate Review

Steps for Success in a Targeted Probe and Educate Review We’ve provided tips and tricks to assist you with succeeding in a TPE review and the post-probe educational process. Content presented includes...

Posting Date: 02/06/2023

Billing Overlap/Dispute Resolution Process Effective 3/1/2023

Billing Overlap/Dispute Resolution Process Effective 3/1/2023 An overlapping situation may occur between hospitals for inpatient stays, home health agencies, outpatient services and hospice agencies. ...

Posting Date: 02/06/2023

2022 Calendar Year 1099 Form Information

2022 Calendar Year 1099 Form Information Medicare providers and beneficiaries, who are serviced by National Government Services, regardless of their location, will receive a single Part A and Part B c...

Posting Date: 02/02/2023

MLN Connects® Newsletter: February 2, 2023

MLN Connects® Newsletter: February 2, 2023 News Aligning Quality Measures across CMS — The Universal Foundation Medicare Ground Ambulance Data Collection System: Portal to Report is Open Skilled Nursi...

Posting Date: 02/01/2023

Prior Authorization Outpatient Department Self-Service Inquiry Tools

Prior Authorization Outpatient Department Self-Service Inquiry Tools National Government Services continues to see PARs submitted for non-prior authorization HCPCS codes as well as requests submitted ...