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Posting Date: 02/01/2021
Diabetes and Mental Health Awareness Policy Education Topics Are Available
Diabetes Awareness and Mental Health Awareness Policy Education Topics Are AvailableWe’ve enhanced our policy education web page to provide you with detailed information about Diabetes Awareness and Mental Health Awareness services.Did you know [...]
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Posting Date: 01/27/2021
2020 Calendar Year 1099 Form Information
2020 Calendar Year 1099 Form Information National Government Services will mail all 1099 Forms for calendar year 2020 by 1/31/2021.Medicare providers and beneficiaries, who are serviced by NGS regardless of their location, will receive a single [...]
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Posting Date: 01/27/2021
LCD and Article Updates for January and February 2021
LCD and Article Updates for January and February 2021Billing and Coding: Filgrastim, Pegfilgrastim, Tbo-filgrastim and biosimilars (A52408)HCPCS code Q5122 has been added to the "CPT/HCPCS Codes" section.Billing and Coding: Intravenous Immune [...]
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Posting Date: 01/13/2021
Chiropractors and Physical Therapists Billing Medicare for Therapy Services
Chiropractors and Physical Therapists Billing Medicare for Therapy ServicesIf a chiropractor or a physical therapist submits an “always therapy” code, they MUST submit the appropriate physical therapy modifier (GN, GO, GP) with the code.If the [...]
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Posting Date: 01/08/2021
New Documentation Requirements for Filing Medicare Cost Reports
New Documentation Requirements for Filing Medicare Cost ReportsAttention: The FY 2019 Medicare IPPS final rule changed the required supporting documentation that must be submitted with the Medicare cost report. CMS also published MLN Matters [...]
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Posting Date: 01/13/2021
COVID-19 Cost Report Due Date Extensions
COVID-19 Cost Report Due Date Extensions Due to updated instructions received from CMS relative to the COVID-19 public health emergency, and in [...]
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Posting Date: 11/03/2020
Caring for Medicare Patients is a Partnership
Caring for Medicare Patients is a PartnershipCaring and treating your patients is not something that is done within a silo for any practitioner. In order to provide the best possible service and the best medical outcome for any patient requires [...]
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Posting Date: 01/15/2021
IDM Go-Live Guidance for Providers using PS&R and/or MCReF
IDM Go-Live Guidance for Providers using PS&R and/or MCReFThe EIDM system that you use for accessing PS&R and MCReF is being replaced by the new IDM system on the weekend of 1/15/2021. Your account will be automatically converted from [...]
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Posting Date: 07/07/2021
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators Alert
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators AlertImplanted Spinal Neurostimulator Prior AuthorizationNational Government Services Medical Review initiated prior authorization reviews for the outpatient [...]
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Posting Date: 01/13/2021
Provider Enrollment for Part A Providers
Provider Enrollment for Part A ProvidersHave you changed location? Remember to update your address and phone number in PECOS so National Government Services departments can reach you if needed.How do I update my information?Part A providers can [...]
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Posting Date: 12/04/2020
Provider Enrollment Application Fee Amount for CY 2021
Provider Enrollment Application Fee Amount for CY 2021On 11/23/2020, CMS issued a notice: Provider Enrollment Application Fee Amount for Calendar Year 2021. Effective 1/1/2021, the application fee is $599 for institutional providers (as that [...]
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Posting Date: 07/09/2021
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as Unprocessable
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as UnprocessableThis notice is being published as a reminder to all Medicare Part B providers. When you are submitting a claim to National [...]
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Posting Date: 07/08/2021
Integrating Behavioral Health Care with Primary Care
Integrating Behavioral Health Care with Primary CareWhat is BHI? Medicare Behavioral Health Integration is a service for your patient that does not require the use of a behavioral health care team.Primary care physicians who are treating [...]
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Posting Date: 07/08/2021
Psychiatric Collaborative Care Education for the Provider and Beneficiary
Psychiatric Collaborative Care Education for the Provider and BeneficiaryDid you know that the psychiatric CoCM integrates primary and behavioral health care and is considered an effective strategy in improving outcomes for beneficiaries [...]
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Posting Date: 08/15/2022
New Enrollment Articles Added to Authorization and Accreditation
New Enrollment Articles Added to Authorization and Accreditation We’ve added Eligible Institutional Providers and Eligible Method II Providers articles to our website to provide clarification of Institutional Providers that submit the [...]
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Posting Date: 08/24/2022
Provider Enrollment: Description of NPI and Link to NPPES Registry
Provider Enrollment: Description of NPI and Link to NPPES Registry We’ve added Description of NPI and a Link to NPPES Registry in the enrollment section of our website to assist with clarification of the NPI. Posted 8/24/2022
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Posting Date: 08/23/2022
New YouTube Video: Medical Documentation: A/B and DME Collaborative Presentation Now Available
New YouTube Video: Medical Documentation: A/B and DME Collaborative Presentation Now Available The A/B and DME MACs YouTube Video: Medical Documentation: A/B and DME Collaborative Presentation is available. This video offers providers and [...]
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Posting Date: 08/25/2022
MLN Connects® Newsletter for Thursday, August 25, 2022
MLN Connects® Newsletter for Thursday, August 25, 2022 Medicare Secondary Payer: Manual Updates News Interns and Residents Information System XML Format: Updated Vendor List Claims, Pricers, & Codes Integrated Outpatient [...]
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Posting Date: 08/26/2022
Treatment Plans for Cardiac Rehabilitation Services
Treatment Plans for Cardiac Rehabilitation Services In order for cardiac rehabilitation services to be covered under Medicare, an individualized treatment plan is required. The individualized treatment plan is a written plan tailored to [...]
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Posting Date: 07/28/2022
MLN Connects® Special Edition for Wednesday, July 27, 2022
MLN Connects® Special Edition for Wednesday, July 27, 2022 3 Final FY 2023 Payment Rules: Hospices, Inpatient Psychiatric Facilities, & Inpatient Rehabilitation Hospices: Learn What’s New for Fiscal Year 2023 Inpatient Psychiatric [...]
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Posting Date: 08/01/2022
MLN Connects® Special Edition for Friday, July 29, 2022
MLN Connects® Special Edition for Friday, July 29, 2022 Skilled Nursing Facilities: Final FY 2023 Payment Rule Skilled Nursing Facilities: Learn What’s New for Fiscal Year 2023 CMS Seeks Public Feedback to Improve Medicare Advantage [...]
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Posting Date: 09/01/2022
MLN Connects® Newsletter for Thursday, September 1, 2022
MLN Connects® Newsletter for Thursday, September 1, 2022 Payment Allowances for Influenza Vaccine News CORRECTION: Monkeypox & Smallpox Vaccines: Include Product Code on Claims COVID-19: Novavax Vaccine Authorized for Patients [...]
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Posting Date: 09/12/2022
MLN Connects® Special Edition for Monday, September 12, 2022
MLN Connects® Special Edition for Monday, September 12, 2022 News Updated COVID-19 Vaccines Providing Protection Against Omicron Variant Available at No Cost Posted 9/12/2022
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Posting Date: 09/15/2022
MLN Connects® Newsletter for Thursday, September 15, 2022
MLN Connects® Newsletter for Thursday, September 15, 2022 Make Your Voice Heard News Make Your Voice Heard Request for Information Seeks Public Comment to Promote Efficiency, Reduce Burden, & Advance Equity within CMS Programs [...]
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Posting Date: 09/19/2022
EDI Self-Service Gateway Password Portal
EDI Self-Service Gateway Password Portal The EDI Gateway Self-Service Password Portal is a simple/secure, web-based process for changing or resetting passwords for EDI Trading Partners. There are differences in the steps for these password [...]
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Posting Date: 09/22/2022
MLN Connects® Newsletter for Thursday, September 22, 2022
MLN Connects® Newsletter for Thursday, September 22, 2022 Encourage Preferred Flu Vaccines for Patients 65+ News Flu Shot: Encourage Preferred Vaccines for Patients 65+ Cataract Surgery: Comparative Billing Report Do You Only Order or [...]
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Posting Date: 09/22/2022
Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound
Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound National Government Services has received approval from CMS to deny related claims (modifier 26 and/or TC) in accordance to the CMS IOM Publication 100-08, Medicare Program [...]
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Posting Date: 09/29/2022
MLN Connects® Newsletter for Thursday, September 29, 2022
MLN Connects® Newsletter for Thursday, September 29, 2022 News Resources & Flexibilities to Assist with Public Health Emergency in Puerto Rico Resources & Flexibilities to Assist with Public Health Emergency in Florida [...]
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Posting Date: 10/04/2022
Free Medicare Home Health YouTube Videos
Free Medicare Home Health YouTube Videos National Government Services has a plethora of educational Medicare Home Health YouTube videos regarding billing and documentation. These videos are free, short in length and very informative. They [...]
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Posting Date: 10/04/2022
Free Medicare Hospice YouTube Videos
Free Medicare Hospice YouTube Videos National Government Services has an array of educational Medicare Hospice YouTube videos regarding billing and documentation. These videos are free, short in length and very informative. They contain [...]
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Posting Date: 10/05/2022
Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1
Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1 The revised Enrollment for Eligible Ordering/Certifying Physicians and Other Eligible Professionals (Form CMS-855O) is required beginning 1/1/2023. We’ll [...]
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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 Addressing Medicare Payments [...]
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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 Outpatient Prospective Payment System Final [...]
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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 choices, we’ve improved the Search [...]
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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: CY 2023 Ambulance Inflation Factor [...]
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Posting Date: 09/19/2022
Attention All Medicare Providers: Are You Using an Outsource Company?
Attention All Medicare Providers: Are You Using an Outsource Company? Do you use an outsource company for your Medicare billing and account receivables? Do you know who is using your data? Do you know how they are using your data? How much is [...]
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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 Initial Nursing Facility Evaluation [...]
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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 Disease (ESRD) Prospective [...]
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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 regulation is put on display. Once the Fee [...]
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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 Benefit: Check Medicare Eligibility [...]
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