News - NGSMEDICARE

Posting Date: 12/30/2022

Enrollment Application Fee for 2023

Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. Posted 12/30/2022

Posting Date: 12/30/2022

Enrollment Application Fee for 2023

Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. Posted 12/30/2022

Posting Date: 12/30/2022

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available We’ve published the 2023 Medicare Diabetes Prevention Program codes and payments. Visit MDPP Codes and Payment Amounts for the H...

Posting Date: 12/22/2022

MLN Connects® Newsletter: December 22, 2022

MLN Connects® Newsletter: December 22, 2022 News HHS Proposes to Standardize Electronic Health Care Attachments Transactions and Electronic Signature Processes to Improve the Care Experience for P...

Posting Date: 12/22/2022

Therapy Requirements for Inpatient Rehabilitation Facilities

Therapy Requirements for Inpatient Rehabilitation Facilities The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 1...

Posting Date: 12/22/2022

Billing and Coding Article Updates for December 2022-January 2023

Billing and Coding Article Updates for December 2022-January 2023 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on Transmittal 11738 (CR 12998) January 2023 I/OCE Specifications Versi...

Posting Date: 12/19/2022

Provider Contact Center News

Provider Contact Center News Effective immediately, all inquiries must be handled in our PCC. Our PCC is responsible for assisting our provider community and are trained to answer your questions. Wh...

Posting Date: 12/15/2022

Confirming Eligibility to Enroll

Confirming Eligibility to Enroll We’ve expanded our list of Eligible Nonphysicians who can enroll in Medicare to include the definition, qualifications and supporting documentation for each specialty...

Posting Date: 12/15/2022

MLN Connects® Newsletter: December 15, 2022

MLN Connects® Newsletter: December 15, 2022 News Opioid Treatment Programs: New Information for 2023 Part B Immunosuppressive Drug Benefit: Check Medicare Eligibility Home Health Quality Reporting Pro...

Posting Date: 12/14/2022

Bill Correctly: Power Mobility Device Repairs

Bill Correctly: Power Mobility Device Repairs An Office of Inspector General report stated that Medicare improperly paid claims for PMD repairs when suppliers didn’t provide sufficient documentation t...

Posting Date: 12/14/2022

Bill Correctly: Power Mobility Device Repairs

Bill Correctly: Power Mobility Device Repairs An Office of Inspector General report stated that Medicare improperly paid claims for PMD repairs when suppliers didn’t provide sufficient documentation t...

Posting Date: 12/09/2022

Interested in Becoming a Home Health or Hospice Provider Outreach and Education Advisory Group Member?

Interested in Becoming a Home Health or Hospice Provider Outreach and Education Advisory Group Member? Are you someone who would be interested in helping shape the education provided by your MAC? We w...

Posting Date: 12/08/2022

MLN Connects® Newsletter: December 8, 2022

MLN Connects® Newsletter: December 8, 2022 News CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process Rural Emergency Hospitals: New Institutional Pr...

Posting Date: 12/01/2022

MLN Connects® Newsletter: December 1, 2022

MLN Connects® Newsletter: December 1, 2022 News CMS Urges Timely Patient Access to COVID-19 Vaccines, Therapeutics Quality Payment Program: Preview Your Performance Information by December 20 Clinical...

Posting Date: 11/30/2022

National Government Services Medicare Part B Preventive Services Week

National Government Services Medicare Part B Preventive Services Week 12/6/2022 – 12/8/2022 Medicare offers many preventive service benefits that can help detect health problems early and keep your pa...

Posting Date: 11/29/2022

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

January 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/29/2022 and Dark Days start...

Posting Date: 11/23/2022

MLN Connects® Newsletter: November 23, 2022

MLN Connects® Newsletter: November 23, 2022 News Colorectal Cancer Screening Test: Reduced Coinsurance for Related Procedures Begins January 1 Ambulance Fee Schedule: CY 2023 Inflation Factor & Produc...

Posting Date: 11/22/2022

LCD, Billing and Coding Article Updates for November-December 2022

LCD, Billing and Coding Article Updates for November-December 2022 New LCDs and Articles (Effective 11/1/2022) Off-Label Use of Intravenous Immune Globulin (IVIG) – (L39314) This LCD addresses off-lab...

Posting Date: 11/17/2022

MLN Connects® Newsletter: November 17, 2022

MLN Connects® Newsletter: November 17, 2022 News Hospital Price Transparency: Download Machine-Readable File Sample Formats & Data Dictionaries Medical Review After the COVID-19 Public Health Emer...

Posting Date: 11/15/2022

Proper Billing for LEQVIO®

Proper Billing for LEQVIO® National Government Services has noticed improper billing of units and diagnosis related to HCPCS code J1306. We’ve published Proper Billing for LEQVIO® HCPCS Code J1306 to ...

Posting Date: 11/15/2022

Multijurisdictional CAC meeting Notice on Micro-Invasive Glaucoma Surgery

Multijurisdictional CAC meeting Notice on Micro-Invasive Glaucoma Surgery Information has been posted on our website about a multijurisdictional Contractor Advisory Committee Meeting Regarding Micro-i...

Posting Date: 11/15/2022

Proper Billing for TEZSPIRE™

Proper Billing for TEZSPIRE™ National Government Services has noticed improper billing of units related to HCPCS code J2356. We’ve published Proper Billing for TEZSPIRE™ HCPCS Code J2356 to assist our...

Posting Date: 11/14/2022

The CY 2023 Medicare Physician Fee Schedule Is Now Available

The CY 2023 Medicare Physician Fee Schedule Is Now Available The CY 2023 MPFS is now available. You can view the new fees using the Fee Schedule Lookup tool page on NGSMedicare.com. Posted 11/14/2022

Posting Date: 11/14/2022

Proper Steps for Notice of Admission Cancel/Resubmission

Proper Steps for Notice of Admission Cancel/Resubmission The purpose of the NOA is to open a new admission period for a home health beneficiary. There are few circumstances when the home health NOA mu...

Posting Date: 11/10/2022

MLN Connects® Newsletter: November 10, 2022

MLN Connects® Newsletter: November 10, 2022 News Teaching Hospitals: Phase 2 Section 131 Reviews — Submission Deadline November 18 Medicare Participation for CY 2023 CMS Innovation Center’s Strate...

Posting Date: 11/08/2022

Provider Enrollment: Reminder for Open Enrollment and Participation Agreement

Provider Enrollment: Reminder for Open Enrollment and Participation Agreement The 2023 Annual Participation Open Enrollment Period is approaching for another year. While this is an important time (fro...

Posting Date: 11/03/2022

MLN Connects® Newsletter: November 3, 2022

MLN Connects® Newsletter: November 3, 2022 News COVID-19 Vaccine: Novavax Booster Authorized Medicare Part B Immunosuppressive Drug: Get Information on New Benefit Part B Immunosuppressive Drug Bene...

Posting Date: 11/03/2022

Claims Frequently Asked Question

Claims Frequently Asked Question We have added a new FAQ to our website. View answers to a common question about how to bill for services unrelated to a liability, no fault, or workers compensation cl...

Posting Date: 11/03/2022

Announcement About Medicare Participation for Calendar Year 2023

Announcement About Medicare Participation for Calendar Year 2023 The Centers for Medicare & Medicaid Services has posted the Announcement About Medicare Participation for Calendar Year 2023. Posted 11...

Posting Date: 11/02/2022

MLN Connects® Newsletter: OPPS/ASC and PFS Final Payment Rules

MLN Connects® Newsletter: OPPS/ASC and PFS Final Payment Rules Final Rules Final Rules HHS Continues Biden-Harris Administration Progress in Promoting Health Equity in Rural Care Access Through Outp...

Posting Date: 11/01/2022

MLN Connects® Newsletter: Final Rules

MLN Connects® Newsletter: Final Rules Final Rules Calendar Year (CY) 2023 Home Health Prospective Payment System Rate Update and Home Infusion Therapy Services Requirements CY 2023 End-Stage Renal Dis...

Posting Date: 11/01/2022

Coming Soon ‒ The CY 2023 Medicare Physician Fee Schedule

Coming Soon ‒ The CY 2023 Medicare Physician Fee Schedule The CY 2023 MPFS will soon be available on the Fee Schedule Lookup tool located on NGSMedicare.com, after the CY 2023 physician fee schedule r...

Posting Date: 10/27/2022

Notice of Local Coverage Determination Retirement

Notice of Local Coverage Determination Retirement Based on comments received at our Open Meeting on 10/20/2022, National Government Services has decided to retire the Proposed LCD DL38262 Salvage High...

Posting Date: 10/27/2022

MLN Connects® Newsletter: October 27, 2022

MLN Connects® Newsletter: October 27, 2022 News COVID-19 Updated Booster Vaccines Covered Without Cost-Sharing for Eligible Children Ages 5–11 Oversight of Nation’s Poorest-Performing Nursing Homes In...

Posting Date: 10/27/2022

November is Lung Cancer Awareness Month

November is Lung Cancer Awareness Month Did you know that cigarette smoking is the number one risk factor for lung cancer? In the United States, cigarette smoking is linked to about 80% - 90% of lung ...

Posting Date: 10/25/2022

Pneumococcal Vaccine Frequently Asked Questions

Pneumococcal Vaccine Frequently Asked Questions We’ve added new frequently asked questions to our website. View answers to common questions about Pneumococcal Vaccine to ensure you have the informatio...

Posting Date: 10/25/2022

October and November 2022 Billing and Coding and Medical Policy Article Updates

October and November 2022 Billing and Coding and Medical Policy Article Updates Retired article: Billing and Coding: Complex Drug Administration Coding (A58620) Revised articles: Billing and Coding: M...

Posting Date: 10/21/2022

Revised LCD Comments Address - Updated

Revised LCD Comments Address - Updated Due to a technical issue with the LCD Comments mailbox for National Government Services, emailed comments have not been received by NGS. Please use this alternat...

Posting Date: 10/20/2022

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: 10/20/2022

MLN Connects® Newsletter: October 20, 2022

MLN Connects® Newsletter: October 20, 2022 News Skilled Nursing Facility Provider Preview Reports: Review by November 14 Help Your Patients Make Informed Health Care Decisions Ambulance Fee Schedule: ...

Posting Date: 10/19/2022

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming!

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming! Join us for our weekly webinar series on Medicare’s preventative service, "Counseling to Prevent Tobacco Use." Stat...

Posting Date: 10/19/2022

A/B and DME Collaborative Glucose Monitors and Supplies

A/B and DME Collaborative Glucose Monitors and Supplies View the A/B and DME Collaborative Glucose Monitors and Supplies YouTube Video for coverage criteria, documentation requirements and resources f...

Posting Date: 10/18/2022

Provider Outreach and Education Events

Provider Outreach and Education Events Our Provider Outreach and Education team offers a wealth of educational sessions for a variety of Medicare topics throughout the year. Because there are so many ...

Posting Date: 10/17/2022

The Home Health and Hospice Targeted Probe and Educate Process

The Home Health and Hospice Targeted Probe and Educate Process Medical Review conducts TPE on claims from all providers under the Medicare Program. Protect your revenue by gaining more knowledge regar...

Posting Date: 10/14/2022

Cardiac, Intensive Cardiac and Pulmonary Rehabilitation Services

Cardiac, Intensive Cardiac and Pulmonary Rehabilitation Services We’ve added Cardiac, Intensive Cardiac and Pulmonary Rehabilitation information to the Cardiac Specialty section of our website. These ...

Posting Date: 10/13/2022

MLN Connects® Newsletter: October 13, 2022

MLN Connects® Newsletter: October 13, 2022 News Protect Your Patients in October: Give Them a Flu Shot and COVID-19 Vaccine Vacating Differential Payment Rate for 340B-Acquired Drugs in 2022 Outpatien...

Posting Date: 10/12/2022

Introducing our new Medicare Topic: Tobacco Cessation

Introducing our new Medicare Topic: Tobacco Cessation Visit our new designated Tobacco Cessation Medicare Topic for everything health care providers need to know about Medicare coverage for tobacco ce...

Posting Date: 10/12/2022

Drugs and Biologicals Frequently Asked Questions

Drugs and Biologicals Frequently Asked Questions We’ve added new frequently asked questions to our website. View answers to common questions about Drugs and Biologicals to ensure you have the informat...

Posting Date: 10/10/2022

The Great American Smokeout is Coming!

The Great American Smokeout is Coming! As a health care professional who provides care to patients with Medicare, you can help protect the health of your patients by encouraging them to take advantage...

Posting Date: 10/06/2022

MLN Connects® Newsletter for Thursday, October 6, 2022

MLN Connects® Newsletter for Thursday, October 6, 2022 News Resources & Flexibilities to Assist with Public Health Emergency in South Carolina Implementation of Inflation Reduction Act Provision Addre...