News - NGSMEDICARE

Posting Date: 09/18/2023

Direct Data Entry Users May Need to Adjust Screen Size

Direct Data Entry Users May Need to Adjust Screen Size CMS recently issued Change Request 13138 “Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits...

Posting Date: 09/15/2023

New YouTube Video: Surgical Dressings and Supplies: Part A/B and DME Collaborative Presentation

New YouTube Video: Surgical Dressings and Supplies: Part A/B and DME Collaborative Presentation The Part A/B and DME MACs are offering a YouTube video on Surgical Dressings and Supplies. This video of...

Posting Date: 09/15/2023

Save the Dates! National Government Services Fall 2023 Virtual Conference for Part A Providers

Save the Dates! National Government Services Fall 2023 Virtual Conference for Part A Providers Ending 2023 on a Strong Medicare Note 11/1/2023-11/2/2023 The National Government Services POE Team will ...

Posting Date: 09/14/2023

Dental Services: Billing and Coding Article A59543 is Available

Dental Services: Billing and Coding Article A59543 is Available The information in this article contains billing, coding or other guidelines that support the implementation of the CY 2023 Medicare Phy...

Posting Date: 09/14/2023

MLN Connects® Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – September 14, 2023

MLN Connects® Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – September 14, 2023 News COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older Posted 9/14/2023

Posting Date: 09/14/2023

Save the Dates! National Government Services Fall 2023 Virtual Conference for Part B Providers

Save the Dates! National Government Services Fall 2023 Virtual Conference for Part B Providers Understanding Medicare Compliance 11/6/2023-11/8/2023 We’re excited to announce our Medicare Part B 2023 ...

Posting Date: 09/14/2023

MLN Connects® Newsletter: September 14, 2023

MLN Connects® Newsletter: September 14, 2023 News Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation CMS Roundup (Sept ...

Posting Date: 09/13/2023

Physicians and Nonphysician Practitioners: Revised Medicare Enrollment Application Required November 1

Physicians and Nonphysician Practitioners: Revised Medicare Enrollment Application Required November 1 If you don’t use PECOS, use the revised CMS-855I (Medicare Enrollment Application - Physicians an...

Posting Date: 09/08/2023

Don’t Let Your Flu Vaccination Claims Deny!

Don’t Let Your Flu Vaccination Claims Deny! The 2023-2024 flu vaccine season has begun. At the beginning of each flu season, National Government Services sees an increase in claim denial volume for fl...

Posting Date: 09/07/2023

MLN Connects® Newsletter: September 7, 2023

MLN Connects® Newsletter: September 7, 2023 News New Version of CMS.gov HHS Proposes Minimum Staffing Standards to Enhance Safety and Quality in Nursing Homes CMS Announces Resources and Flexibili...

Posting Date: 09/05/2023

National Government Services CAC Meeting Notice on Botulinum Toxins

National Government Services CAC Meeting Notice on Botulinum Toxins Information has been posted on our website in regards to the National Government Services l Contractor Advisory Committee Meeting re...

Posting Date: 08/31/2023

MLN Connects® Newsletter: August 31, 2023

MLN Connects® Newsletter: August 31, 2023 News HHS Selects the First Drugs for Medicare Drug Price Negotiation Medicare Shared Savings Program Saves Medicare More Than $1.8 Billion in 2022 and Continu...

Posting Date: 08/30/2023

Revised: Two Interactive Voice Response System Features Ending 9/30/2023

Revised: Two Interactive Voice Response System Features Ending 9/30/2023 As of 10/1/2023, the following functions will no longer be available on our IVR; however, we are providing you with alternative...

Posting Date: 08/29/2023

October 2023 Release "Dark Days" for the Common Working File Hosts

October 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming October 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 9/28/2023 and Dark Days starti...

Posting Date: 08/28/2023

Part B Mass Adjustments Resulting in Overpayments

Part B Mass Adjustments Resulting in Overpayments In May 2023, the OIG released the final report titled “Medicare Paid Millions More for Physician Services at Higher Nonfacility Rates Rather Than at L...

Posting Date: 08/24/2023

Billing and Coding Article Update for August 2023

Billing and Coding Article Update for August 2023 Billing and Coding: Non-Invasive Vascular Studies (A56758) Effective 8/31/2023, the following ICD-10-CM codes were added to the "ICD-10-CM Codes That ...

Posting Date: 08/24/2023

MLN Connects® Newsletter: August 24, 2023

MLN Connects® Newsletter: August 24, 2023 News Seasonal Flu Vaccine Pricing for 2023–2024 Season Expanded Home Health Value-Based Purchasing Model: July 2023 Interim Performance Reports, Post-Event Ma...

Posting Date: 08/23/2023

National Government Services: Medicare Part B Care Management Tuesdays

National Government Services: Medicare Part B Care Management Tuesdays According to the CDC, six in ten adults in the U.S. have a chronic disease and four in ten adults have two or more. As your Medic...

Posting Date: 08/21/2023

Customer Experience Surveys

Customer Experience Surveys We are pleased to offer two new surveys for you to tell us about your experience with our Provider Contact Center. When you use our IVR system, access the survey from the m...

Posting Date: 08/17/2023

MLN Connects® Newsletter: August 17, 2023

MLN Connects® Newsletter: August 17, 2023 News CMS.gov Website Refresh – Test Website Available for Feedback CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in Haw...

Posting Date: 08/10/2023

MLN Connects® Newsletter: August 10, 2023

MLN Connects® Newsletter: August 10, 2023 News Immunization: Protect Your Patients Claims, Pricers, & Codes Outpatient Rehabilitation Claims with Reason Code W7072: Do You Need to Resubmit Claims? MLN...

Posting Date: 08/09/2023

Reminder: Submitting Paper Claims

Reminder: Submitting Paper Claims All paper claims are required to be submitted on the original red/white CMS-1500 (02/12) claim form. To ensure our OCR system can process claims efficiently: Use Cour...

Posting Date: 08/08/2023

Join Us for the A/B DME Collaborative Surgical Dressings Webinar

Join Us for the A/B DME Collaborative Surgical Dressings Webinar Representatives from all four DME MAC jurisdictions and the A/B MACs will explain medical record requirements for surgical dressings. W...

Posting Date: 08/03/2023

MLN Connects® Newsletter: August 3, 2023

MLN Connects® Newsletter: August 3, 2023 News Medicare Dementia Care Model Your Patient’s Medicare Beneficiary Identifier (MBI) May Change CMS Roundup (July 28, 2023) Building on CMS's Accountable Car...

Posting Date: 08/02/2023

MLN Connects® Newsletter: 5 Final FY 2024 Payment Rules — Aug 1, 2023

MLN Connects® Newsletter: 5 Final FY 2024 Payment Rules — Aug 1, 2023 Final FY 2024 Payment Rules New CMS Rule Promotes High-Quality Care and Rewards Hospitals that Deliver High-Quality Care to Unders...

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...

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...

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...

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...

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...

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...

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...

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...

Posting Date: 07/20/2023

Part B Top Claim Errors Are Updated

Part B Top Claim Errors Are Updated Our top claim errors are updated on a quarterly basis to reflect current information. Visit Top Claim Errors to learn what you can do to avoid claim processing dela...

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

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...

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...

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...

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:...

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:...

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:...

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:...

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 ...

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...

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...

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...

Posting Date: 07/11/2023

Take Advantage of Tobacco Counseling when Performing Medicare Wellness Visits

Take Advantage of Tobacco Counseling when Performing Medicare Wellness Visits Medicare providers can optimize revenue and improve patient outcomes with Medicare's Annual Wellness Visits. These visits ...

Posting Date: 07/11/2023

Overcoming Barriers to Tobacco Counseling

Overcoming Barriers to Tobacco Counseling Healthcare providers face several challenges when implementing tobacco cessation counseling into a clinical practice routine. These various factors influence ...

Posting Date: 07/07/2023

MLN Connects® Newsletter: Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval - July 7, 2023

MLN Connects® Newsletter: Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval - July 7, 2023 News Broader Medicare coverage is now available for Biogen and Eisai’s Leqemb...

Posting Date: 07/06/2023

MLN Connects® Newsletter: July 6, 2023

MLN Connects® Newsletter: July 6, 2023 News CY 2024 Home Health Prospective Payment System Proposed Rule HHS Announces Actions to Lower Health Care Costs and Allow Medicare to Negotiate Lower Drug Pri...