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Posting Date: 05/28/2024
Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers on Tuesday, June 4th

Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers on Tuesday, June 4th! Our first in our series of Medicare Part B 2024 Spring/Summer Vir...

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Posting Date: 05/23/2024
Attention All Providers, Billing Services and Clearinghouses Who Submit and Receive NGS EDI Transactions

Attention All Providers, Billing Services and Clearinghouses Who Submit and Receive NGS EDI Transactions As a reminder, when submitting the EDI Enrollment Application to National Government Services, ...

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Posting Date: 05/23/2024
CPT 99459 Pelvic Examination Billing for Medicare

CPT 99459 Pelvic Examination Billing for Medicare National Government Services has received several inquiries regarding the use of CPT 99459, which was added to CPT coding for 2024 as an add-on code s...

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Posting Date: 05/23/2024
MLN Connects® Newsletter: May 23, 2024

MLN Connects® Newsletter: May 23, 2024 News Medicare Shared Savings Program: Apply by June 17 for January 1 Start Date Medicare Providers: Deadlines for Joining an Accountable Care Organization Instit...

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Posting Date: 05/23/2024
A/B and DME Collaborative YouTube Video

A/B and DME Collaborative YouTube Video The A/B DME MACs are offering a YouTube video on General Documentation Requirements. This video provides guidance to assist providers and suppliers with a bette...

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Posting Date: 05/23/2024
LCD and Article Updates May/June 2024

LCD and Article Updates May/June 2024 Billing and Coding Articles L37485 Prostate Rectal Spacers This policy is retired and is no longer in effect for services rendered on or after 5/1/2024. A52863 Bi...

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Posting Date: 05/22/2024
Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Beginning June 4th!

Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Beginning June 4th! Seats are filling up quickly for our 2024 Spring/Summer Virtual Con...

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Posting Date: 05/16/2024
Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Register Today!

Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Register Today! We’ve dedicated Tuesdays for the month of June to deliver valuable educ...

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Posting Date: 05/16/2024
MLN Connects® Newsletter: May 16, 2024

MLN Connects® Newsletter: May 16, 2024 News Administration Acts to Improve Access to Kidney Transplants DMEPOS: Updated List of Items Potentially Subject to Conditions of Payment Lymphedema Compressio...

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Posting Date: 05/16/2024
CR13566 - Outlier Reconciliation and Cost-to-Charge Ratio (CCR) Updates for the Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS

CR13566 - Outlier Reconciliation and Cost-to-Charge Ratio (CCR) Updates for the Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Posted 5/16/2024

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Posting Date: 05/16/2024
Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms To reduce requests for additional information, National Government Services offers several pro...

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Posting Date: 05/15/2024
Upcoming Annual Logon ID Recertification

Upcoming Annual Logon ID Recertification Upcoming Annual Logon ID Recertification for Maine, Massachusetts, New Hampshire, Vermont, Rhode Island Regions Beginning the week of 5/6/2024, the Maine, Mass...

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Posting Date: 05/15/2024
A/B DME MAC Collaborative Webinar: Nebulizers and Nebulizer Drugs

A/B DME MAC Collaborative Webinar: Nebulizers and Nebulizer Drugs Physicians/Practitioners! Are you Ordering Nebulizers and Nebulizer Drugs for your Patients? This is your opportunity to hear directly...

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Posting Date: 05/15/2024
Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS-855A Application

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS-855A Application To reduce requests for additional information, National Government Services offers several pro...

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Posting Date: 05/13/2024
Billing Fascia Iliaca Blocks with 64999

Billing Fascia Iliaca Blocks with 64999 National Government Services is receiving information that does not provide the documentation necessary to process claims for Fascia Iliaca Blocks when billed w...

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Posting Date: 05/09/2024
MLN Connects® Newsletter: May 9, 2024

MLN Connects® Newsletter: May 9, 2024 News HHS Releases New Data Showing Over 10 million People with Medicare Received a Free Vaccine Because of the President’s Inflation Reduction Act; Releases Draft...

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Posting Date: 05/06/2024
Registration Is Open for the Medicare Part B 2024 Spring/Summer Virtual Conference! Mastering Medicare: Tuesday Tutorials for Part B Providers

Registration is Open for the Medicare Part B 2024 Spring/Summer Virtual Conference! Mastering Medicare: Tuesday Tutorials for Part B Providers We’ve devoted Tuesdays in June to host a series of educat...

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Posting Date: 05/03/2024
Join Us for ‘Real Time” with CMS Chicago

Join Us for ‘Real Time' with CMS Chicago The CMS Chicago LEA would like to invite you to our “Real Time” with CMS Chicago, a bi- weekly webinar that occurs on the 2nd & 4th Wednesday of every Month at...

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Posting Date: 05/03/2024
Save the Dates! CMS National Provider Enrollment Conference in San Diego: 8/28/2024-8/29/2024

Save the Dates! CMS National Provider Enrollment Conference in San Diego: 8/28/2024-8/29/2024 Wednesday, 8/28/2024 and Thursday, 8/29/2024 from 8:00 a.m.–5:00 p.m. PT Register for the CMS National Pro...

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Posting Date: 05/02/2024
MLN Connects® Newsletter: May 2, 2024

MLN Connects® Newsletter: May 2, 2024 News CMS Statement on Proposed Local Coverage Determination for Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcer...

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Posting Date: 05/02/2024
Important Reminders for Your EDI Enrollment

Important Reminders for Your EDI Enrollment When completing the EDI Enrollment application, it’s important that the entity name and address you enter on the EDI enrollment form matches exactly to the ...

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Posting Date: 04/30/2024
2024 Medicare Cost Report Due Dates

2024 Medicare Cost Report Due Dates FYE 12/31/2023 cost reports are due by 5/31/2024. We strongly encourange early filing of the cost report. Early-filed cost reports that are rejected will receive a ...

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Posting Date: 04/30/2024
Save the Dates! National Government Services 2024 Spring/Summer Virtual Conference

Save the Dates! National Government Services 2024 Spring/Summer Virtual Conference Mastering Medicare: Tuesday Tutorials for Part B Providers Coming to you soon on 6/4/2024, 6/11/2024, 6/18/2024 and 6...

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Posting Date: 04/29/2024
LCD and Article Updates for April/May 2024

LCD and Article Updates for April/May 2024 Billing and Coding Articles Billing and Coding: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymp...

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Posting Date: 04/29/2024
National Government Services Proposed LCDs for Comment (4/25/2024-6/8/2024)

National Government Services Proposed LCDs for Comment (4/25/2024-6/8/2024) The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal co...

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Posting Date: 04/25/2024
MLN Connects® Newsletter: April 25, 2024 (UPDATE)

MLN Connects® Newsletter: April 25, 2024 (UPDATE) Editor's Note: CMS updated a message because we delayed the effective date that physicians who certify hospice services must enroll in or opt-out of M...

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Posting Date: 04/23/2024
Missing/Incomplete/Invalid Patient Identifier Remark Code N382

Missing/Incomplete/Invalid Patient Identifier Remark Code N382 If you receive a denial on your remittance with remark code ‘N382’ Missing/Incomplete/Invalid Patient Identifier, please use the IVR or N...

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Posting Date: 04/22/2024
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:...

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Posting Date: 04/22/2024
Top Claim Errors Have Been Reviewed and Updated

Top Claim Errors Have Been Reviewed and Updated Our top claim errors are updated on a quarterly basis to reflect current information. Visit Top Claim Errors under Resources > Claims and Appeals to lea...

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Posting Date: 04/22/2024
Frequently Asked Questions Have Been Reviewed and Updated

Frequently Asked Questions Have Been 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. Please take...

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Posting Date: 04/19/2024
Reminders for the New Hospice Certifying Physician Claim Edit Effective 5/1/2024

Reminders for the New Hospice Certifying Physician Claim Edit Effective 5/1/2024 Effective for hospice claim "From" dates on or after 5/1/2024, CMS implemented edits to enforce a new rule that would d...

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Posting Date: 04/18/2024
MLN Connects® Newsletter: April 18, 2024

MLN Connects® Newsletter: April 18, 2024 News PrEP for HIV: Prepare for Potential Medicare Part B Coverage Events Clinical Laboratory Fee Schedule Upcoming Meetings: Register to Present, Speak, or Att...

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Posting Date: 04/17/2024
Proper Medicare Part B Claim Submissions Due to the Change Healthcare Security Incident

Proper Medicare Part B Claim Submissions Due to the Change Healthcare Security Incident With many providers submitting paper claims due to the Change Healthcare security incident, it is important to s...

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Posting Date: 04/17/2024
Part B Top Claim Errors Updated

Part B Top Claim Errors Updated Using data analysis we update the Top Claim Errors on a quarterly basis and provide: the error reason code; a description of the error; the error type; details that inc...

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Posting Date: 04/15/2024
NGSConnex Medicare Part B Remittances

NGSConnex Medicare Part B Remittances We’ve added an enhancement that offers providers the option to view/print remittance advices in NGSConnex for up to 24 months from the date of search. You are req...

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Posting Date: 04/15/2024
Social Security Income Ratios

Social Security Income Ratios The federal fiscal year 2022 SSI ratios for IPPS hospitals, IRFs and LTCHs were posted on the CMS website. IPPS IRF LTCH We will update the latest published 2022 SSI rati...

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Posting Date: 04/15/2024
Top Tobacco Counseling Claim Errors - Tips to Avoid and Correct Claim Errors

Top Tobacco Counseling Claim Errors - Tips to Avoid and Correct Claim Errors National Government Services is committed to reducing provider burden associated with Medicare claim denials and claim subm...

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Posting Date: 04/11/2024
MLN Connects® Newsletter: April 11, 2024

MLN Connects® Newsletter: April 11, 2024 Proposed Payment Rules CMS Proposes New Policies to Support Underserved Communities, Ease Drug Shortages, and Promote Patient Safety News CMS Roundup (Apr. 5, ...

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Posting Date: 04/10/2024
Letter of Authorization for EDI

Letter of Authorization for EDI We’ve extended our Letter of Authorization PIN expiration period based on user feedback. Letter of Authorization PINs are now valid for 30 days and there is no limit on...

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Posting Date: 04/09/2024
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment

Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year d...

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Posting Date: 04/09/2024
Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment

Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year d...

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Posting Date: 04/09/2024
Get PECOS Access to Maintain Medicare Provider Enrollment Records

Get PECOS Access to Maintain Medicare Provider Enrollment Records Do you need to work on behalf of an individual provider and/or entity to update or submit Medicare enrollment information electronical...

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Posting Date: 04/09/2024
Get PECOS Access to Maintain Medicare Provider Enrollment Records

Get PECOS Access to Maintain Medicare Provider Enrollment Records Do you need to work on behalf of an individual provider and/or entity to update or submit Medicare enrollment information electronical...

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Posting Date: 04/09/2024
Upcoming Annual Logon ID Recertification

Upcoming Annual Logon ID Recertification Upcoming Annual Logon ID Recertification for Maine, Massachusetts, New Hampshire, Vermont, Rhode Island Regions Beginning the week of 05/06/2024, the Maine, Ma...

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Posting Date: 04/05/2024
You Asked, We Listened – Enhanced Website Search

You Asked, We Listened – Enhanced Website Search We often hear from our customers that our website search function returns too many results when searching for a specific topic. We’re happy to share, w...

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Posting Date: 04/05/2024
Submission of EDI Enrollment Forms

Submission of EDI Enrollment Forms We’ve added validation within the EDI Enrollment Form submission process that will verify provider information as the form is being completed. Previously, this valid...

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Posting Date: 04/04/2024
Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line

Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line Attention: Provider Enrollment and Credentialing Departments Revalidate before your due date to avoid a “Stay of ...

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Posting Date: 04/04/2024
Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line

Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line Attention: Provider Enrollment and Credentialing Departments Revalidate before your due date to avoid a “Stay of ...

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Posting Date: 04/04/2024
Understanding Revalidation Application Requirement of Submission

Understanding Revalidation Application Requirement of Submission The 42 Code of Federal Regulations Section 424.515(b): requires that a provider/supplier must submit a CMS-855 application with complet...

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Posting Date: 04/04/2024
Understanding Revalidation Application Requirement of Submission

Understanding Revalidation Application Requirement of Submission The 42 Code of Federal Regulations Section 424.515(b): requires that a provider/supplier must submit a CMS-855 application with complet...

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Posting Date: 04/04/2024
MLN Connects® Newsletter: April 4, 2024

MLN Connects® Newsletter: April 4, 2024 Proposed Payment Rules FY 2025 Skilled Nursing Facility Prospective Payment System Proposed Rule FY 2025 Inpatient Psychiatric Facilities Prospective Payment Sy...

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Posting Date: 04/02/2024
Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD

Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD Per the direction of CMS, as of 3/27/2024, National Government Services may grant extensions for responses t...

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Posting Date: 03/28/2024
MLN Connects® Newsletter: March 28, 2024

MLN Connects® Newsletter: March 28, 2024 Proposed Payment Rule FY 2025 Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule News CMS Roundup (Mar 22, 2024) Hospital Price Transpa...

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Posting Date: 03/27/2024
Drugs and Biologicals

Drugs and Biologicals We’ve updated the drugs and biologicals section of our website to offer easier navigation to the information you need. Updates include: Created a left-side navigation list with h...

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Posting Date: 03/27/2024
A/B and DME Collaborative General Documentation Requirements

A/B and DME Collaborative General Documentation Requirements The A/B and DME Collaborative General Documentation Requirements YouTube Video is available. Posted 3/27/2024

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Posting Date: 03/27/2024
NGSConnex Part B Claim Submission Issue – Mammography Claims

NGSConnex Part B Claim Submission Issue - Mammography Claims At this time, we are unable to accept mammography claims through Part B Claim Submission in NGSConnex. We are working to resolve the issue;...

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Posting Date: 03/25/2024
LCD and Article Updates for March/April 2024

LCD and Article Updates for March/April 2024 Local Coverage Determinations Fluid Jet System Treatment for LUTS/BPH (L38367) The age limitation of >80 years of age has been removed, effective for servi...

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Posting Date: 03/25/2024
Attention! New CMS-588 Electronic Funds Transfer Authorization Agreement (11/23) Version

Attention! New CMS-588 Electronic Funds Transfer Authorization Agreement (11/23) Version Effective 4/30/2024 the MACs may only accept the CMS-588 EFT (11/23) version, the outdated form will be returne...

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Posting Date: 03/25/2024
Attention Electronic Billers

Attention Electronic Billers National Government Services has experienced issues with electronic files downloaded by some of our trading partners (those who receive electronic files directly from NGS)...

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Posting Date: 03/22/2024
Important Reminder: Change Healthcare Security Incident

Important Reminder: Change Healthcare Security Incident This is an important reminder related to the Change Healthcare Security Incident and the efforts of the CMS and National Government Services. Ch...

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