News - NGSMEDICARE

Posting Date: 03/13/2023

2023 Evaluation and Management Services – New Frequently Asked Questions

2023 Evaluation and Management Services – New Frequently Asked Questions Based on recent CMS clarifications for 2023 evaluation and management services, we’ve added new frequently asked questions for ...

Posting Date: 03/09/2023

MLN Connects® Newsletter: March 9, 2023

MLN Connects® Newsletter: March 9, 2023 News Nutrition-Related Health Conditions: Recommend Medicare Preventive Services Compliance Advance Care Planning: Bill Correctly for Services Claims, Pricers a...

Posting Date: 03/09/2023

Physicians/Practitioners! Are You Ordering Oxygen for Your Patients?

Physicians/Practitioners! Are You Ordering Oxygen for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for coverage criteria to b...

Posting Date: 03/07/2023

Audiology Services

Audiology Services CMS finalized an exception to the physician order requirement for certain diagnostic testing services to broaden patient access to services furnished by audiologists in the CY 2023 ...

Posting Date: 03/03/2023

Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices

Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices Presented by Telligen QIN-QIO As part of our continuing work together, National Government Services wou...

Posting Date: 03/02/2023

MLN Connects® Newsletter: March 2, 2023

MLN Connects® Newsletter: March 2, 2023 News The Future of Medicare Enrollment: Save Time with PECOS's Consolidated Application Voluntary Prior Authorization Process for Certain Power Mobility Device ...

Posting Date: 02/28/2023

MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023

MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023 News COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet Posted 2/28/2023

Posting Date: 02/27/2023

Credit Balance Report Reminder for Jurisdiction 6 Part A Providers

Credit Balance Report Reminder for Jurisdiction 6 Part A Providers For the quarter ending 12/31/2022, CBR must be submitted and received by the ORU by 3/1/2023 to be considered timely. Failure to subm...

Posting Date: 02/24/2023

LCD, Billing and Coding Article Updates for March 2023

LCD, Billing and Coding Article Updates for March 2023 Billing and Coding: Billing and Coding: Implantable Automatic Defibrillators (A56326) Based on Transmittal 11832 (CR13070) ICD-10-CM and Other Co...

Posting Date: 02/24/2023

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

April 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming April 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/30/2023 and Dark Days starting F...

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 ...

Posting Date: 01/31/2023

2023 Gapfill Request

2023 Gapfill Request National Government Services, the MAC for JK and J6 is in receipt of the new laboratory test codes identified by the CMS to be gap-fill priced for 2023. The PAMA regulations instr...

Posting Date: 01/27/2023

Contractor Advisory Committee Meeting 3/16/2023: Hyaluronans

Contractor Advisory Committee Meeting 3/16/2023: Hyaluronans National Government Services will host a CAC Meeting via teleconference on 3/16/2023, from 1:00–4:00 p.m. ET. Discussions will focus on the...

Posting Date: 01/26/2023

MLN Connects® Newsletter: January 26, 2023

MLN Connects® Newsletter: January 26, 2023 News Medicare Enrollment in PECOS: Faster and Easier Application Process — Coming Summer 2023 Medicare Enrollment: Maintain the Same Owners in All Enrollment...

Posting Date: 01/25/2023

Billing and Coding Article Updates for January 2023

Billing and Coding Article Updates for January 2023 Billing and Coding: Bevacizumab and biosimilars (A52370) The reference for Bevacizumab-adcd (Vegzelma®) listed under the Ophthalmologic Guidelines s...

Posting Date: 01/23/2023

Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement

Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement It is imperative that hospice providers understand the federal Medicare requirements and mandatory medical record documentation t...

Posting Date: 01/23/2023

Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T)

Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T) National Government Services has updated its reimbursement policy on CPT codes 0598T and 0599T (...

Posting Date: 01/19/2023

MLN Connects® Newsletter: January 19, 2023

MLN Connects® Newsletter: January 19, 2023 News Additional Steps to Strengthen Nursing Home Safety and Transparency Increase in 2023 in Organizations and Beneficiaries Benefiting from Coordinated ...

Posting Date: 01/19/2023

Tobacco Cessation - An On Demand YouTube Video

Tobacco Cessation - An On Demand YouTube Video We know our providers are busy! Have you or a colleague been unavailable during what you thought would be a beneficial live webinar? The NGS POE team cre...

Posting Date: 01/18/2023

Oxygen: A/B and DME Collaborative Presentation

Oxygen: A/B and DME Collaborative Presentation View the A/B and DME Oxygen YouTube Video for information on oxygen. Posted 1/18/2023

Posting Date: 01/17/2023

Improving Customer Experience

Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let u...

Posting Date: 01/17/2023

Improving Customer Experience

Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let u...

Posting Date: 01/12/2023

MLN Connects® Newsletter: January 12, 2023

MLN Connects® Newsletter: January 12, 2023 News Key Dates for First Year of Inflation Reduction Act’s Medicare Drug Price Negotiation Program Cognitive Assessment: CY 2023 Updates Care Compare: Te...

Posting Date: 01/12/2023

The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available

The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available The revised CY 2023 MPFS is now available. You can view these Part B Physician Fee Schedule by accessing Resources > Tools & Calcul...

Posting Date: 01/12/2023

Physicians: Are You Ordering Knee Orthosis for Your Patients?

Physicians: Are You Ordering Knee Orthosis for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for the coverage criteria to be m...

Posting Date: 01/12/2023

Let's Chat About Counseling to Prevent Tobacco Use

Let's Chat About Counseling to Prevent Tobacco Use Do you have questions on how to bill Medicare for tobacco counseling? Join us on 1/24/2023 for the opportunity to ask questions about coverage and bi...

Posting Date: 01/10/2023

MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023

MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023 News CMS Awards 200 New Medicare-Funded Residency Slots to Ho...

Posting Date: 01/10/2023

Over-the-Counter COVID-19 Test Benefits

Over-the-Counter COVID-19 Test Benefits Beginning 4/4/2022, and through the end of the COVID-19 PHE, Medicare started paying for U.S. FDA-approved, authorized, or cleared OTC COVID-19 tests at no cost...

Posting Date: 01/05/2023

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: 01/05/2023

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: 01/05/2023

MLN Connects® Newsletter: January 5, 2023

MLN Connects® Newsletter: January 5, 2023 News COVID-19: Updated Vaccines for Children Ages Six Months – Five Years Advisory Panel on Hospital Outpatient Payment: Request for Nominations Certificates ...