News - NGSMEDICARE

Posting Date: Fri Oct 06 00:00:00 GMT 2023

Update on proposed LCD for Transesophageal Echocardiography

Update on proposed LCD for Transesophageal Echocardiography The LCD for Transesophageal Echocardiography (TEE) was published for comment and presented at an Open Meeting in July 2023. NGS is continuin...

Posting Date: Fri Oct 06 00:00:00 GMT 2023

MLN Connects® Newsletter: October 6, 2023

MLN Connects® Newsletter: October 6, 2023 News COVID-19: Updated Novavax COVID-19 Vaccine, Adjuvanted for Patients 12 & Older Posted 10/6/2023

Posting Date: Thu Oct 05 00:00:00 GMT 2023

MLN Connects® Newsletter: October 5, 2023

MLN Connects® Newsletter: October 5, 2023 News Administration Moves Forward with Medicare Drug Price Negotiations to Lower Prescription Drug Costs for People with Medicare CMS Requests Public Inpu...

Posting Date: Thu Oct 05 00:00:00 GMT 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: Tue Oct 03 00:00:00 GMT 2023

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – October 2023

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – October 2023 The October 2023 quarterly system release was implemented on 10/2/2023 and includes the FISS DDE screen changes iden...

Posting Date: Mon Oct 02 00:00:00 GMT 2023

Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar

Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar Providers – Do you need assistance in understanding what is needed when ordering diabetic shoes? This collaborative webinar on...

Posting Date: Thu Sep 28 00:00:00 GMT 2023

MLN Connects® Newsletter: September 28, 2023

MLN Connects® Newsletter: September 28, 2023 News CMS Statement on Current Status of Blood Tests for Organ Transplant Rejection CMS Roundup (Sept 22, 2023) Cardiovascular Disease: Talk with Your P...

Posting Date: Tue Sep 26 00:00:00 GMT 2023

Decrease Burden and Combine Multiple PDFs into One Before Responding to Additional Documentation Requests Using NGSConnex

Decrease Burden and Combine Multiple PDFs into One Before Responding to Additional Documentation Requests Using NGSConnex Recently, National Government Services has seen an increase in providers submi...

Posting Date: Mon Sep 25 00:00:00 GMT 2023

Don't Miss Out - Register Today! National Government Services: Medicare Part B Care Management Tuesdays

Don't Miss Out - Register Today! 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 adult...

Posting Date: Fri Sep 22 00:00:00 GMT 2023

LCD and Billing and Coding Article Update for October 2023

LCD and Billing and Coding Article Update for October 2023 Billing and Coding: Autonomic Function Testing (A57024) Due to the annual ICD-10 Code updates, ICD-10 code G20 has been deleted and the follo...

Posting Date: Fri Sep 22 00:00:00 GMT 2023

Register Today! National Government Services Fall 2023 Medicare Virtual Conference: Understanding Medicare Compliance for Part B Providers

Register Today! National Government Services Fall 2023 Medicare Virtual Conference: Understanding Medicare Compliance for Part B Providers This three full-day virtual conference will offer a variety o...

Posting Date: Thu Sep 21 00:00:00 GMT 2023

MLN Connects® Newsletter: September 21, 2023

MLN Connects® Newsletter: September 21, 2023 News CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of Georgia Organ Transplantation Affinity Group:...

Posting Date: Mon Sep 18 00:00:00 GMT 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: Fri Sep 15 00:00:00 GMT 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: Fri Sep 15 00:00:00 GMT 2023

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

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

Posting Date: Thu Sep 14 00:00:00 GMT 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: Thu Sep 14 00:00:00 GMT 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: Thu Sep 14 00:00:00 GMT 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: Thu Sep 14 00:00:00 GMT 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: Fri Sep 08 00:00:00 GMT 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: Thu Sep 07 00:00:00 GMT 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: Tue Sep 05 00:00:00 GMT 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: Thu Aug 31 00:00:00 GMT 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: Wed Aug 30 00:00:00 GMT 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: Tue Aug 29 00:00:00 GMT 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: Mon Aug 28 00:00:00 GMT 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: Thu Aug 24 00:00:00 GMT 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: Thu Aug 24 00:00:00 GMT 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: Mon Aug 21 00:00:00 GMT 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: Thu Aug 17 00:00:00 GMT 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: Thu Aug 10 00:00:00 GMT 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: Wed Aug 09 00:00:00 GMT 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: Tue Aug 08 00:00:00 GMT 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: Thu Aug 03 00:00:00 GMT 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: Wed Aug 02 00:00:00 GMT 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: Tue Aug 01 00:00:00 GMT 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: Tue Aug 01 00:00:00 GMT 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: Thu Jul 27 00:00:00 GMT 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: Thu Jul 27 00:00:00 GMT 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: Tue Jul 25 00:00:00 GMT 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: Tue Jul 25 00:00:00 GMT 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: Fri Jul 21 00:00:00 GMT 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: Fri Jul 21 00:00:00 GMT 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: Thu Jul 20 00:00:00 GMT 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: Thu Jul 20 00:00:00 GMT 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: Tue Jul 18 00:00:00 GMT 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: Tue Jul 18 00:00:00 GMT 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: Mon Jul 17 00:00:00 GMT 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: Mon Jul 17 00:00:00 GMT 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: Mon Jul 17 00:00:00 GMT 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:...