News - NGSMEDICARE

Posting Date: 05/22/2025

MLN Connects® Newsletter: May 22, 2025

MLN Connects® Newsletter: May 22, 2025 News Discarded Drugs: Get Updated Lists Medicare Provider Payment & Utilization Public Use Files: Annual Update Medicare Fee-for-Service Geographic Variation Pub...

Posting Date: 05/22/2025

MLN Connects® Newsletter: May 22, 2025

Departments of Labor, Health and Human Services, Treasury Announce Move to Strengthen Healthcare Price Transparency Trump administration issues request for information, guidance to expand access to re...

Posting Date: 05/21/2025

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues We were experiencing intermittent outages with NGSConnex and the IVR. In some cases, the IVR was not playing...

Posting Date: 05/21/2025

Local Coverage Determination Open Meeting

Local Coverage Determination Open Meeting National Government Services is hosting a Local Coverage Determination Open Meeting on 6/25/2025. Details are available by accessing the Local Coverage Deter...

Posting Date: 05/20/2025

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments Each year, National Government Services experiences numerous EFT rejections due to inactive or closed bank ac...

Posting Date: 05/20/2025

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments Each year, National Government Services experiences numerous EFT rejections due to inactive or closed bank ac...

Posting Date: 05/19/2025

May 31 is World No Tobacco Day

May 31 is World No Tobacco Day World No Tobacco Day (WNTD) on May 31 is a yearly celebration that informs the public of the dangers of using tobacco, the business practices of tobacco companies, what ...

Posting Date: 05/16/2025

Observance of Memorial Day 2025

Observance of Memorial Day 2025 In observance of Memorial Day 2025, our offices will be closed Friday, 5/23/2025 and Monday, 5/26/2025. Note: EDI claim files transmitted after 4:00 p.m. CT/5:00 p.m. E...

Posting Date: 05/16/2025

EDI Enrollment processing update

EDI Enrollment processing update National Government Services, EDI Enrollment Department will require all information submitted for EDI access to be valid and accurate. Exceptions will no longer be ma...

Posting Date: 05/15/2025

MLN Connects® Newsletter: May 15, 2025

MLN Connects® Newsletter: May 15, 2025 News CMS Releases Draft Guidance for the Third Cycle of Medicare Drug Price Negotiation Program to Lower Drug Prices for American Patients Opioid Treatment Progr...

Posting Date: 05/15/2025

Paperwork Segment – PWK

Paperwork Segment – PWK The paperwork segment of an electronic claim submission is commonly known as PWK. PWK can be used when an electronically submitted claim requires additional documentation for p...

Posting Date: 05/14/2025

Provider Enrollment: Eliminate Development Request for Additional Information

Provider Enrollment: Eliminate Development Request for Additional Information To eliminate requests for additional information and documentation on provider enrollment applications, ensure all necessa...

Posting Date: 05/14/2025

Provider Enrollment: Eliminate Development Request for Additional Information

Provider Enrollment: Eliminate Development Request for Additional Information To eliminate requests for additional information and documentation on provider enrollment applications, ensure all necessa...

Posting Date: 05/13/2025

Complying with Medicare Signature Requirements

Complying with Medicare Signature Requirements Medicare Compliance: Verify signature requirements have been met before you submit your medical records to prevent CERT errors. Review the CERT Alert art...

Posting Date: 05/13/2025

MLN Connects® Newsletter: May 13, 2025

MLN Connects® Newsletter: May 13, 2025 News CMS Seeks Public Input on Improving Technology to Empower Medicare Beneficiaries Posted 5/13/2025

Posting Date: 05/13/2025

Register Now and Join Us!

Register Now and Join Us! June 3-5, 2025 There's still time to register for the 2025 Spring Part B Virtual Conference. Immerse yourself in expert-led sessions designed to transform compliance understa...

Posting Date: 05/08/2025

Telehealth for Hospice Face-to-Face Recertification Extended Through September 30, 2025

Telehealth for Hospice Face-to-Face Recertification Extended Through September 30, 2025 Hospice physicians and nurse practitioners may continue to conduct the face-to-face encounter required for recer...

Posting Date: 05/08/2025

MLN Connects® Newsletter: May 8, 2025

MLN Connects® Newsletter: May 8, 2025 News Direct Graduate Medical Education: Get Annual Update Factors Compliance Walkers: Prevent Claim Denials Events HCPCS Public Meeting — June 2–3 Medicare Adviso...

Posting Date: 05/08/2025

Telehealth & Remote Patient Monitoring Updates

Telehealth & Remote Patient Monitoring Updates The CMS MLN Booklet® Telehealth & Remote Patient Monitoring has been updated with important information effective 10/1/2025. Posted 5/8/2025

Posting Date: 05/07/2025

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 Urological Supplies. This DME video tutorial provides information about urological supply requirements. Posted ...

Posting Date: 05/02/2025

Provider Enrollment: Resources from NGSMedicare.com to Streamline the CMS-855A Application Process

Provider Enrollment: Resources from NGSMedicare.com to Streamline the CMS-855A Application Process To eliminate the need for additional information requests, NGS offers a variety of provider enrollmen...

Posting Date: 05/02/2025

Portable X-Ray Cost Analysis Survey

Portable X-Ray Cost Analysis Survey NGS, in collaboration with other MACs, has launched a crucial initiative to assess and update transportation allowances for portable X-ray services, as mandated by ...

Posting Date: 05/02/2025

MLN Connects® Newsletter: May 1, 2025

MLN Connects® Newsletter: May 1, 2025 News Clinical Laboratory Fee Schedule Preliminary Gapfill Rates: Submit Comments by June 28 Compliance Acute Care Hospital Outpatient Services for Hospice Enrolle...

Posting Date: 05/02/2025

Changes to the Written General Inquiries Process at National Government Services, Inc.

Changes to the Written General Inquiries Process at National Government Services, Inc. Effective 5/27/2025, NGS will no longer accept inquiries submitted through the postal service to any of our P.O. ...

Posting Date: 05/02/2025

2024 Medicare Cost Report Due Dates

2024 Medicare Cost Report Due Dates FYE 12/31/2024 cost reports are due by 6/2/2025. We strongly encourage early filing of the cost report. Early-filed cost reports that are rejected will receive a gr...

Posting Date: 04/30/2025

Helping Your Patients Stop Smoking

Helping Your Patients Stop Smoking Quitting Tobacco – Slips and Relapses Quitting smoking has health benefits at any age, no matter how long or how much you have smoked. If you slip or relapse, don’t ...

Posting Date: 04/30/2025

Provider Enrollment: NGSMedicare.com Resources to Streamline CMS Enrollment Form Process

Provider Enrollment: NGSMedicare.com Resources to Streamline CMS Enrollment Form Process To eliminate the need for additional information requests, NGS offers a variety of provider enrollment resource...

Posting Date: 04/29/2025

Register Now for the Spring 2025 Virtual Conference

Register Now for the Spring 2025 Virtual Conference Don’t miss the opportunity to register for the 2025 Spring Part B Virtual Conference: Understanding Medicare Compliance for Part B Providers! Enhanc...

Posting Date: 04/24/2025

MLN Connects® Newsletter: April 24, 2025

MLN Connects® Newsletter: April 24, 2025 News Open Payments: Review Your Data by May 15 Medicare Shared Savings Program: Application Toolkit Materials MLN Matters® Articles Inpatient Psychiatric Facil...

Posting Date: 04/22/2025

Four Reasons Patients Fear Quitting Tobacco

Four Reasons Patients Fear Quitting Tobacco Stress: If you rely on cigarettes to loosen up during your day, you might worry about losing this release valve. It’s essential to remember that using nicot...

Posting Date: 04/21/2025

Revised and Updated Educational Frequently Asked Questions

Revised and Updated Educational Frequently Asked Questions Our educational FAQs have been updated. Please visit the Help and FAQs page under the Education section of our website to explore topics such...

Posting Date: 04/18/2025

Update-CMS Delay of Skin Substitutes Effective Date

Update-CMS Delay of Skin Substitutes Effective Date As part of the transition to a new Administration, CMS is reviewing its coverage policies for skin substitute products. CMS believes it is important...

Posting Date: 04/17/2025

New P.O. Boxes for Part B Claim Submitters in Connecticut and New York (Upstate Counties and Queens)

New P.O. Boxes for Part B Claim Submitters in Connecticut and New York (Upstate Counties and Queens) Effective 5/19/2025, National Government Services (NGS) is closing the following Paper Claim Submis...

Posting Date: 04/17/2025

MLN Connects® Newsletter: April 17, 2025

MLN Connects® Newsletter: April 17, 2025 News Clotting Factors: Medicare Part B Pays for Alhemo & Qfitlia Skilled Nursing Facilities: Revalidation Deadline Extended to August 1 Raise Awareness & Under...

Posting Date: 04/15/2025

Part B Spring 2025 Virtual Conference: Register Now

Register Now! Register now for the 2025 Spring Part B Virtual Conference: Understanding Medicare Compliance for Part B Providers happening on June 3–5,2025. This event will offer innovative ideas and ...

Posting Date: 04/15/2025

Collaborative Surgical Dressings Webinar Coming May 6, 2025

Collaborative Surgical Dressings Webinar Coming May 6, 2025 This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of surgical...

Posting Date: 04/14/2025

MLN Connects® Newsletter: April 14, 2025

MLN Connects® Newsletter: April 14, 2025 FY 2026 Proposed Payment Rules CMS Seeks Public Input on Inpatient Hospital Whole-Person Care, Proposes Updates to Medicare Payments Inpatient Rehabilitation F...

Posting Date: 04/14/2025

Get Access to Keep Provider Enrollment Records Up To Date with Medicare

Get Access to Keep Provider Enrollment Records Up To Date with Medicare If you need to manage Medicare enrollment information for an individual provider or entity electronically through PECOS, you mus...

Posting Date: 04/11/2025

MLN Connects® Newsletter: April 11, 2025

MLN Connects® Newsletter: April 11, 2025 News Dr. Mehmet Oz Shares Vision for CMS Skilled Nursing Facility Value-Based Purchasing Program: March 2025 Confidential Feedback Reports Skilled Nursing Faci...

Posting Date: 04/11/2025

National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite

National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite Attention Ambulance Suppliers and Providers Join the first virtual National A/B MAC Ambulance Provider/Supplier Coalition meeting ...

Posting Date: 04/10/2025

Prohibition of AI Assistant Usage for Recording Medicare Sessions

Prohibition of AI Assistant Usage for Recording Medicare Sessions National Government Services has observed a rise in attempts to use various AI assistants during NGS-hosted sessions. It is important ...

Posting Date: 04/10/2025

Benefits of Quitting Tobacco

Benefits of Quitting Tobacco Quitting tobacco use in any form is one of the most important actions people can take to improve their health. This is true regardless of their age or how long they have b...

Posting Date: 04/09/2025

Part A Top Reason Code changes

Part A Top Reason Code changes National Government Services, Inc. updates the Top Claim Errors on our website each quarter to ensure our Part A providers have the latest information on top claim error...

Posting Date: 04/08/2025

New Version of PC-ACE: April 2025

New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Pha...

Posting Date: 04/08/2025

Upcoming Annual Logon ID Recertification for Minnesota Region

Upcoming Annual Logon ID Recertification for Minnesota Region All users who access the FISS DDE system are required by the CMS to recertify their access annually. National Government Services will des...

Posting Date: 04/08/2025

[URGENT] NGSConnex Experiencing Intermittent Issues

NGSConnex Experiencing Intermittent Issues We are experiencing intermittent outages with NGSConnex. This is impacting Part A providers only. In some cases when a provider account is selected to perfor...

Posting Date: 04/07/2025

Social Security Income Ratios

Social Security Income Ratios The federal fiscal year 2023 SSI ratios for IPPS hospitals, IRF and LTCH were posted on the CMS website. IPPS IRF LTCH NGS will update the latest published 2023 SSI ratio...

Posting Date: 04/04/2025

Top J6 Part B Claim Errors are Available

Top J6 Part B Claim Errors are Available We conduct a comprehensive data analysis on a quarterly basis to update and disseminate the latest insights on the most common claim errors. This initiative pr...

Posting Date: 04/04/2025

MLN Connects® Newsletter: April 3, 2025

MLN Connects® Newsletter: April 3, 2025 News Home Infusion Therapy & Intravenous Immune Globulin Services: Get Monitoring Reports Medicare Providers & Suppliers: Report Managing Employees External Use...

Posting Date: 04/01/2025

Provider Contact Center – Make the Most of Your Call

Provider Contact Center – Make the Most of Your Call As of 5/1/2025, the Provider Contact Center (PCC) will service one PTAN/NPI combination per call. Before calling the PCC, make the most of your cal...

Posting Date: 03/31/2025

National Government Services Medicare Part B Redetermination Notice Initiative Is Here

National Government Services Medicare Part B Redetermination Notice Initiative Is Here As previously announced, National Government Services is pleased to announce we are discontinuing issuing paper M...

Posting Date: 03/31/2025

[RESOLVED] NGS Phone Lines Currently Unavailable

[RESOLVED] NGS Phone Lines Experiencing Outages The outages we were experiencing with our Provider Contact Center telephone lines have now been resolved. This includes EDI, Provider Enrollment Custome...

Posting Date: 03/28/2025

MLN Connects® Newsletter: March 27, 2025

MLN Connects® Newsletter: March 27, 2025 News Extension of Medicare Provisions Final National Coverage Determination: Transcatheter Tricuspid Valve Replacement Nutrition-Related Health Conditions: Rec...

Posting Date: 03/27/2025

Top JK Part B Claim Errors are Available

Top JK Part B Claim Errors are Available We conduct a comprehensive data analysis on a quarterly basis to update and disseminate the latest insights on the most common claim errors. This initiative pr...

Posting Date: 03/27/2025

Ensure Accurate Provider Enrollment Information on File

Ensure Accurate Provider Enrollment Information on File ATTENTION: Claims and Provider Enrollment Verify that accurate provider enrollment information is on file with Medicare. Are you familiar with t...

Posting Date: 03/26/2025

MLN Connects® Newsletter: March 25, 2025

MLN Connects® Newsletter: March 25, 2025 News ESRD: Payment for Phosphate Binders Effective January 1, 2025 Hospitals: Apply for Additional Residency Positions by March 31 Skilled Nursing Facilities: ...

Posting Date: 03/24/2025

Medicare Diabetes Prevention Program 2025 Changes

Medicare Diabetes Prevention Program 2025 Changes The MDPP Expanded Model is intended to prevent Medicare beneficiaries with an indication of prediabetes from developing diabetes. Prevention of diabet...

Posting Date: 03/20/2025

Safeguard Your Finances: Know Your Provider Enrollment Revalidation

Safeguard Your Finances: Know Your Provider Enrollment Revalidation Attention: Provider Enrollment and Credentialing Teams Ensure you revalidate before your deadline to prevent a "Stay of Enrollment"...

Posting Date: 03/20/2025

Common Tobacco Withdrawal Symptoms

Common Tobacco Withdrawal Symptoms Trying to quit tobacco use feels different for each person, but almost everyone will have some symptoms of nicotine withdrawal. When stopped, the body and brain must...

Posting Date: 03/19/2025

Safeguard Your Finances: Know Your Provider Enrollment Revalidation

Safeguard Your Finances: Know Your Provider Enrollment Revalidation Attention: Provider Enrollment and Credentialing Teams Ensure you revalidate before your deadline to prevent a "Stay of Enrollment" ...