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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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Posting Date: 12/23/2021
MLN Connects® Newsletter for Thursday, December 23, 2021
MLN Connects® Newsletter for Thursday, December 23, 2021 COVID-19 Vaccine Access in Long-Term Care Settings News COVID-19 Vaccine Access in Long-Term Care Settings DMEPOS Final Rule NPPES: Public Reporting of Digital Contact [...]
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Posting Date: 01/06/2022
MLN Connects® Newsletter for Thursday, January 6, 2022
MLN Connects® Newsletter for Thursday, January 6, 2022 Provider Compliance Product List Updated News COVID-19 Vaccine Access in Long-term Care Settings SNF VBP: Nominate Technical Expert Panel Members by January 16 COVID-19 [...]
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Posting Date: 01/13/2022
MLN Connects® Newsletter for Thursday, January 13, 2022
MLN Connects® Newsletter for Thursday, January 13, 2022 COVID-19: Long-term Care, Remdesivir, & Booster Doses News COVID-19: Updated Materials for Visiting Nursing Homes During Omicron Surge COVID-19: Vaccine Access in [...]
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Posting Date: 01/27/2022
MLN Connects® Newsletter for Thursday, January 27, 2022
MLN Connects® Newsletter for Thursday, January 27, 2022 COVID-19: Tools to Determine if Vaccine Requirements Apply News COVID-19: Tools to Determine if Vaccine Requirements Apply COVID-19 Vaccine Codes: Pfizer Pre-Diluted Vaccine [...]
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Posting Date: 03/10/2022
MLN Connects® Newsletter for Thursday, March 10, 2022
MLN Connects® Newsletter for Thursday, March 10, 2022 COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD News COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD Program for [...]
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Posting Date: 03/31/2022
MLN Connects® Newsletter for Thursday, March 31, 2022
MLN Connects® Newsletter for Thursday, March 31, 2022 Continuous Glucose Monitor: Provide Supplies for a Calendar Month News Home Health Providers: Services Provided Data for April 2022 Refresh Continuous Glucose Monitor: Provide [...]
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Posting Date: 04/07/2022
MLN Connects® Newsletter for Thursday, April 7, 2022
MLN Connects® Newsletter for Thursday, April 7, 2022 Improve the Health of Minority Populations with Covered Preventive Services News Fiscal Year 2021 Program for Evaluating Payment Patterns Electronic Reports Preventive Services & [...]
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Posting Date: 04/12/2022
MLN Connects® Special Edition for Monday, April 11, 2022
MLN Connects® Special Edition for Monday, April 11, 2022 HHS Takes Actions to Promote Safety & Quality in Nursing Homes On April 11, CMS issued its FY 2023 SNF PPS proposed rule, which includes asking for public feedback on how staffing [...]
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Posting Date: 04/14/2022
MLN Connects® Newsletter for Thursday, April 14, 2022
MLN Connects® Newsletter for Thursday, April 14, 2022 COVID-19: New Codes for Moderna Vaccine Booster Doses News Launch of the Cross-Cutting Initiatives Value-Based Insurance Design Model: Medicare Advantage Organizations Pay for [...]
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Posting Date: 04/21/2022
MLN Connects® Newsletter for Thursday, April 21, 2022
MLN Connects® Newsletter for Thursday, April 21, 2022 Medicare Provider Compliance News News Hospice Quality Reporting Program: Key Dates & Measure Change Ambulance Ground Transport: Comparative Billing Report in April Hospices: [...]
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Posting Date: 04/28/2022
MLN Connects® Newsletter for Thursday, April 28, 2022
MLN Connects® Newsletter for Thursday, April 28, 2022 Get Patient Eligibility Information for Additional Services News Patient Eligibility Information for Additional Services — Now Available Physicians, Teaching Hospitals, Physician [...]
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Posting Date: 09/09/2021
MLN Connects® Special Edition for Thursday, September 9, 2021
MLN Connects® Special Edition for Thursday, September 9, 2021 Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings New action will protect patients of the 50,000 providers and over 17 million health care [...]
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Posting Date: 08/09/2021
Important Information on How to Resolve NGSConnex Account Suspensions
Important Information on How to Resolve NGSConnex Account Suspensions If you are an NGSConnex user and not the LSO for your provider organization and your NGSConnex account has been suspended for one of the following reasons, you must contact [...]
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Posting Date: 07/25/2022
New Medical Review Frequently Asked Questions
New Medical Review Frequently Asked Questions We’ve added Medical Review Frequently Asked Questions to our website. Visit our Help and FAQs web page for common questions and answers related to Medical Review and other topics including: EDI, [...]
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Posting Date: 09/30/2021
Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference!
Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference! The National Government Services POE Team is holding our latest bi-annual virtual conference on Tuesday, 11/9/2021 and Wednesday, 11/10/2021. This [...]
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Posting Date: 10/18/2021
National Government Services Medicare Fall 2021 Virtual Conference
National Government Services Medicare Fall 2021 Virtual Conference The National Government Services POE Team's biannual virtual conference is scheduled for Tuesday, 11/9/2021 and Wednesday, 11/10/2021. This two full-day virtual conference [...]
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Posting Date: 11/30/2021
Save Time and Money by Submitting your Appeals (Reopenings & Redeterminations) Electronically
Save Time and Money by Submitting your Appeals (Reopenings & Redeterminations) Electronically Two easy ways to submit. National Government Services will now allow Medicare Part A and Part B providers to submit claim appeal requests, [...]
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Posting Date: 12/27/2021
Improving Customer Experience in 2021
Improving Customer Experience in 2021 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 us know what is working well and how [...]
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Posting Date: 04/07/2022
Provider Action To Be Taken Following the Provider-Based Mid-Build Audit
Provider Action To Be Taken Following the Provider-Based Mid-Build Audit The off-campus PBDs that were “mid-build” prior to 11/2/2015 received mid-build determination letters in January 2021 from the CMS mid-build audit contractor, Cahaba [...]
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Posting Date: 12/03/2021
National Influenza Vaccination Week
National Influenza Vaccination Week National Influenza Vaccination Week is Observed 12/5/2021–12/11/2021 Influenza (flu) is a contagious respiratory illness caused by the influenza virus and causes mild to severe illness. Millions of people [...]
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