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Posting Date: 06/10/2019
Opt Out Affidavits Database
Opt Out Affidavits Database Need to verify if a provider has opted out of Medicare? A resource for a list of opt out providers is located on the Medicare Opt Out Affidavits Database, verify status with effective date range. Instructions for [...]
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Posting Date: 08/14/2019
October 2019 Release Dark Days for the Common Working File Hosts
October 2019 Release Dark Days for the Common Working File Hosts For the upcoming October 2019 Release, CWF will be observing dark days starting Friday, 10/4/2019 through Sunday, 10/6/2019 to accommodate the anticipated duration of this [...]
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Posting Date: 09/13/2019
October 2019 Fiscal Intermediary Standard System Direct Data Entry Screen Changes
October 2019 Fiscal Intermediary Standard System Direct Data Entry Screen Changes The following updates will be made to existing screens and implemented on 10/1/2019. Entry added for new Bone Density HCPCS 0508T eligibility dates to MAP175M. [...]
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Posting Date: 06/18/2019
New Version of PC-ACE: July 2019
New Version of PC-ACE: July 2019 PC-ACE Version 4.3 contains several CMS mandates and product enhancements including but not limited to the items listed below. CR11132 ‒ Update to Mammography Editing CR11192 ‒ April 2019 Integrated [...]
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Posting Date: 09/27/2019
New Version of PC-ACE: October 2019
New Version of PC-ACE: October 2019 PC-ACE Version 4.4 contains several CMS mandates and product enhancements including but not limited to the items listed below. CR11321 - Implement Operating Rules - Phase III Electronic Remittance Advice [...]
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Posting Date: 06/18/2019
New Version of PC Print: July 2019
New Version of PC Print: July 2019 PC Print version 7.1.0 will soon be available on our website. This version contains the following enhancement: Change Request 11204 contains the RARC and CARC published by WPC through March 2019 [...]
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Posting Date: 09/27/2019
New Version of PC Print: October 2019
New Version of PC Print: October 2019 PC Print version 7.1.1 will soon be available on our website. This version contains the following enhancements: CR11252 contains the RARC and CARC published by WPC through July 2019 [...]
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Posting Date: 06/18/2019
Travel Allowance for Laboratory Services
Travel Allowance for Laboratory Services We have seen an increase in incorrect billing for laboratory service travel allowances. Please see below helpful HCPCS billing information and a link to the CMS IOM on appropriate billing for [...]
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Posting Date: 06/28/2019
Revised Fee for Indium In 111 Capromab Pendetide
Revised Fee for Indium In 111 Capromab Pendetide Effective 1/1/2019, National Government Services is updating the fee for A9507 to $1,5804.00 based on the published price for the kit of this radiopharmaceutical agent. Posted 6/28/2019
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Posting Date: 06/25/2019
Reminder: Use Anesthesia Modifiers Appropriately
Reminder: Use Anesthesia Modifiers Appropriately National Government Services requires placement of pricing modifiers in the first modifier position to process your anesthesia claims correctly. Modifiers for anesthesia pricing must be [...]
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Posting Date: 06/10/2019
Reminder: Important Notice Regarding Handwriting on Claims Submitted to Medicare
Reminder: Important Notice Regarding Handwriting on Claims Submitted to Medicare As a reminder, National Government Services will return to the provider any paper claim submitted with handwriting on the face of the claim that is not a [...]
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Posting Date: 10/31/2019
RAP Overpayment Demand Letters Sent in Error
RAP Overpayment Demand Letters Sent in Error Attention Home Health Agencies As of 10/1/2019, due to the implementation of CR10776, HHAs may have received a demand letter for a RAP overpayment. This letter instructed HHAs to either write [...]
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Posting Date: 12/30/2019
Provider Enrollment Application Fee Amount for CY 2020
Provider Enrollment Application Fee Amount for CY 2020 On November 12, CMS issued a notice: Provider Enrollment Application Fee Amount for Calendar Year 2020 [CMS–6089–N (https://go.usa.gov/xppFM)]. Effective January 1, 2020, the application [...]
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Posting Date: 09/03/2019
Part A East Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration
Part A East Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration C2C Innovative Solutions, Inc., the Part A East QIC, is currently offering providers telephone discussions and reopenings under this [...]
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Posting Date: 05/05/2022
MLN Connects® Newsletter for Thursday, May 5, 2022
MLN Connects® Newsletter for Thursday, May 5, 2022 COVID-19 Patients Can Get Free Over-the-Counter Tests from Participating Providers News COVID-19: Patients Can Get Free Over-the-Counter Tests from Participating Providers [...]
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Posting Date: 04/08/2022
MLN Connects® Special Edition for Thursday, April 7, 2022
MLN Connects® Special Edition for Thursday, April 7, 2022 Returning to Certain Pre-COVID-19 Policies & Coverage of Monoclonal Antibodies for Alzheimer's Disease Stakeholder Call CMS Returning to Certain Pre-COVID-19 Policies in [...]
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Posting Date: 09/23/2021
MLN Connects® Newsletter for Thursday, September 23, 2021
MLN Connects® Newsletter for Thursday, September 23, 2021 COVID-19: Compare Nursing Homes by Vaccination Rate View this edition as a: Webpage | PDF News CMS Launches New Medicare.gov Feature to Compare Nursing Homes by [...]
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Posting Date: 10/14/2021
MLN Connects® Newsletter for Thursday, October 14, 2021
MLN Connects® Newsletter for Thursday, October 14, 2021 Pneumococcal Conjugate Vaccine, 20 Valent View this edition as a: Webpage | PDF News Pneumococcal Conjugate Vaccine, 20 Valent DATA 2000 Waiver Training Payments Still [...]
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Posting Date: 12/09/2021
MLN Connects® Newsletter for Thursday, December 9, 2021
MLN Connects® Newsletter for Thursday, December 9, 2021 CY 2022 Medicare Deductible, Coinsurance, & Premium Rates News PECOS: Multi-Factor Authentication Requirement Delayed HHS Seeks Public Comments to Advance Equity & [...]
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Posting Date: 12/16/2021
MLN Connects® Newsletter for Thursday, December 16, 2021
MLN Connects® Newsletter for Thursday, December 16, 2021 2% Payment Adjustment (Sequestration) Changes News Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Changes Flu Shot Disparities Opioid Treatment Programs: New [...]
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