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Posting Date: 09/17/2021
Review for codes 0207T and 0563T
Review for codes 0207T and 0563T Services for CPT 0207T (Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral), and CPT 0563T (Evacuation of meibomian glands, automated, using heat delivered through [...]
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Posting Date: 04/14/2021
MLN Connects® Special Edition for Wednesday, April 14, 2021
MLN Connects® Special Edition for Wednesday, April 14, 2021 J&J COVID-19 Vaccine: Health Alert The CDC issued a Health Alert, about the CDC and FDA’s recommended pause in the use of the J&J COVID-19 vaccine, in part, to ensure that [...]
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Posting Date: 04/20/2021
MLN Connects® Special Edition for Tuesday, April 20, 2021
MLN Connects® Special Edition for Tuesday, April 20, 2021 COVID-19 Update: FDA Revoked the EUA for Bamlanivimab When Administered Alone On April 16, the FDA revoked the Emergency Use Authorization (EUA) for bamlanivimab, when administered [...]
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Posting Date: 05/20/2021
MLN Connects® for Thursday, May 20, 2021
MLN Connects® for Thursday, May 20, 2021 Mental Health: Medicare Covers Preventive Services View this edition as a: Webpage | PDF News Hospice Outcomes & Patient Evaluation: Submit Beta Test Application by June 14 Mental [...]
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Posting Date: 06/03/2021
MLN Connects® for Thursday, June 3, 2021
MLN Connects® for Thursday, June 3, 2021 MACs Resume Medical Review View this edition as a: Webpage | PDF News Medicare Shared Savings Program: Submit Notice of Intent to Apply by June 7 Clinical Diagnostic Laboratories: Key Dates [...]
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Posting Date: 07/08/2021
MLN Connects® Newsletter for Thursday, July 8, 2021
MLN Connects® Newsletter for Thursday, July 8, 2021 COVID-19 Accelerated and Advance Payments: Updated FAQs View this edition as a: Webpage | PDF News COVID-19 Accelerated and Advance Payments: Updated FAQs COVID-19 Snapshot: [...]
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Posting Date: 07/22/2021
MLN Connects® Newsletter for Thursday, July 22, 2021
MLN Connects® Newsletter for Thursday, July 22, 2021 COVID-19: EUA for Tocilizumab Monoclonal Antibody Product View this edition as a: Webpage | PDF News COVID-19: EUA for Tocilizumab Monoclonal Antibody Product Medicare Ground [...]
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Posting Date: 01/14/2021
MLN Connects® for Thursday, January 14, 2021
MLN Connects® for Thursday, January 14, 2021 Ensuring our Nation’s Seniors Have Access to Latest Advancements View this edition as a: Webpage | PDF News Ensuring our Nation’s Seniors Have Access to Latest Advancements Opioid [...]
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Posting Date: 03/18/2021
MLN Connects® for Thursday, March 18, 2021
MLN Connects® for Thursday, March 18, 2021 Open Payments & You – Register for March 25 Call View this edition as a: Webpage | PDF News Clinical Laboratory Data Reporting Delayed Until 2022: Reminder Comprehensive Eye [...]
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Posting Date: 08/12/2021
MLN Connects® Newsletter for Thursday, August 12, 2021
MLN Connects® Newsletter for Thursday, August 12, 2021 COVID-19: Vaccinate Your Patients View this edition as a: Webpage | PDF News COVID-19: Vaccinate Your Patients CMS Resumes Targeted Probe & Educate Program Compliance [...]
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Posting Date: 04/28/2021
NGSConnex: Initiate and View Confirmation of Part A Quarterly Credit Balance Reports
NGSConnex: Initiate and View Confirmation of Part A Quarterly Credit Balance Reports Did you know as a Part A, HH+H and FQHC provider, you are able to use our secure self-service portal, NGSConnex, to submit your quarterly credit balance [...]
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Posting Date: 01/21/2021
MLN Connects® for Thursday, January 21, 2021
MLN Connects® for Thursday, January 21, 2021 Give Flu Shots through January & Beyond View this edition as a: Webpage | PDF News Hospital IPPS: FAQs on Market-Based MS-DRG Relative Weights MLN Web-Based Training: Complete Training [...]
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Posting Date: 02/11/2021
MLN Connects® for Thursday, February 11, 2021
MLN Connects® for Thursday, February 11, 2021 PFS Payment for Office & Outpatient E/M Visits View this edition as a: Webpage | PDF News Flu & Pneumococcal Shots: Protect Your Patients Compliance Hospices: Create an [...]
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Posting Date: 06/24/2021
MLN Connects® Newsletter for Thursday, June 24, 2021
MLN Connects® Newsletter for Thursday, June 24, 2021 2019 Quality Payment Program: Performance Information on Care Compare View this edition as a: Webpage | PDF News 2019 Quality Payment Program: Performance Information on Care Compare [...]
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Posting Date: 03/11/2021
MLN Connects® Special Edition for Wednesday, March 10, 2021
MLN Connects® Special Edition for Wednesday, March 10, 2021 CMS Updates Nursing Home Guidance with Revised Visitation Recommendations On March 10, CMS, in collaboration with the CDC, issued updated guidance for nursing homes to safely expand [...]
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Posting Date: 04/09/2021
MLN Connects® Special Edition for Thursday, April 8, 2021
MLN Connects® Special Edition for Thursday, April 8, 2021 4 Proposed FY 2020 Payment Rules SNF Prospective Payment System: FY 2022 Proposed Rule Hospice Payment Rate Update for FY 2022 IRF Prospective Payment System: FY 2022 Proposed Rule [...]
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Posting Date: 04/22/2021
MLN Connects® for Thursday, April 22, 2021
MLN Connects® for Thursday, April 22, 2021 COVID-19: Partnership to Vaccinate Dialysis Patients & Health Care Personnel View this edition as a: Webpage | PDF News Dialysis Facilities: Partnership to Vaccinate Dialysis Patients [...]
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Posting Date: 07/01/2021
MLN Connects® Newsletter for Thursday, July 1, 2021
MLN Connects® Newsletter for Thursday, July 1, 2021 Quality Payment Program: 2021 APM Incentive Payments View this edition as a: Webpage | PDF News Quality Payment Program: 2021 APM Incentive Payments Compliance Inhalant Drugs: [...]
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Posting Date: 07/06/2021
MLN Connects® Special Edition for Thursday, July 1, 2021
MLN Connects® Special Edition for Thursday, July 1, 2021 CMS Proposes Changes to Reduce Health Care Disparities Among Patients with Chronic Kidney Disease and End-Stage Renal Disease Proposed changes mark Innovation Center’s first direct [...]
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Posting Date: 08/05/2021
MLN Connects® Newsletter for Thursday, August 5, 2021
MLN Connects® Newsletter for Thursday, August 5, 2021 Coverage to Care & Connected Care View this edition as a: Webpage | PDF News Clinical Diagnostic Laboratories: Private Payor Rate-Based CLFS Resources Coverage to Care & [...]
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Posting Date: 12/20/2021
MLN Connects® Special Edition for Friday, December 17, 2021
MLN Connects® Special Edition for Friday, December 17, 2021 CMS Funding 1,000 New Residency Slots for Hospitals Serving Rural & Underserved Communities Administration takes action to address access to care, workforce shortages in [...]
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Posting Date: 06/17/2021
MLN Connects® Newsletter for Thursday, June 17, 2021
MLN Connects® Newsletter for Thursday, June 17, 2021 COVID-19: EUAs for Monoclonal Antibody Products View this edition as a: Webpage | PDF News COVID-19: EUA for Sotrovimab Monoclonal Antibody Product COVID-19: EUA for Regeneron [...]
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Posting Date: 06/10/2021
MLN Connects® Newsletter for Thursday, June 10, 2021
MLN Connects® Newsletter for Thursday, June 10, 2021 Cognitive Assessment: What’s in the Written Care Plan? View this edition as a: Webpage | PDF News Cognitive Assessment: What’s in the Written Care Plan? Hospital Outpatient [...]
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Posting Date: 06/29/2021
MLN Connects® Special Edition for Monday, June 28, 2021
MLN Connects® Special Edition for Monday, June 28, 2021 CMS to Improve Home Health Services for Older Adults and People with Disabilities Proposed rule would accelerate shift from volume-based incentives to quality-based incentives CMS [...]
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Posting Date: 05/27/2021
MLN Connects® for Thursday, May 27, 2021
MLN Connects® for Thursday, May 27, 2021 Critical Care E/M Services: Comparative Billing Report View this edition as a: Webpage | PDF News Critical Care Evaluation & Management Services: Comparative Billing Report in May [...]
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Posting Date: 05/13/2021
MLN Connects® for Thursday, May 13, 2021
MLN Connects® for Thursday, May 13, 2021 Cognitive Impairment: Medicare Provides Opportunities to Detect & Diagnose View this edition as a: Webpage | PDF News Cognitive Impairment: Medicare Provides Opportunities to Detect & [...]
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Posting Date: 05/11/2021
MLN Connects® Special Edition for Tuesday, May 11, 2021
MLN Connects® Special Edition for Tuesday, May 11, 2021 CMS Expanding Efforts to Grow COVID-19 Vaccine Confidence and Uptake Amongst Nation’s Most Vulnerable CMS Builds on Whole-of-Government COVID-19 Response with Vaccination Education, [...]
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Posting Date: 05/06/2021
MLN Connects® for Thursday, May 6, 2021
MLN Connects® for Thursday, May 6, 2021 COVID-19: Ambulance Treatment in Place Waiver View this edition as a: Webpage | PDF News New Program: HRSA COVID-19 Coverage Assistance Fund Ground Ambulance Services: Waiver for Treatment in [...]
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Posting Date: 04/29/2021
MLN Connects® for Thursday, April 29, 2021
MLN Connects® for Thursday, April 29, 2021 NPI: What You Need to Know View this edition as a: Webpage | PDF News Clinical Diagnostic Laboratories: Resources about the Private Payor Rate-Based CLFS Compliance Cardiac Device [...]
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Posting Date: 04/28/2021
MLN Connects® Special Edition for Tuesday, April 27, 2021
MLN Connects® Special Edition for Tuesday, April 27, 2021 CMS Proposes to Enhance the Medical Workforce in Rural and Underserved Communities to Support COVID-19 Recovery and Beyond Proposed rule would require hospitals to report vaccination [...]
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Posting Date: 04/16/2021
MLN Connects® for Friday, April 16, 2021
MLN Connects® for Friday, April 16, 2021 2% Payment Adjustment (Sequestration) Suspended Through December View this edition as a: Webpage | PDF News Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December [...]
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Posting Date: 04/08/2021
MLN Connects® for Thursday, April 8, 2021
MLN Connects® for Thursday, April 8, 2021 More FY20 PEPPERs Available View this edition as a: Webpage | PDF News PEPPERs for LTCHs, CAHs, IRFs, IPFs, Hospices, & SNFs Preparedness Resources: Cybersecurity & Post-Acute [...]
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Posting Date: 03/30/2021
MLN Connects® Special Edition for Tuesday, March 30, 2021
MLN Connects® Special Edition for Tuesday, March 30, 2021 Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension In anticipation of possible Congressional action to extend the 2% sequester reduction [...]
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Posting Date: 01/07/2021
MLN Connects® Special Edition for Thursday, January 7, 2021
MLN Connects® Special Edition for Thursday, January 7, 2021 Physician Fee Schedule Update On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a [...]
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Posting Date: 01/07/2021
MLN Connects® for Thursday, January 7, 2021
MLN Connects® for Thursday, January 7, 2021 COVID-19 Vaccines: CDC Long-Term Care Facility Toolkit View this edition as a: Webpage | PDF News COVID-19 Vaccines: CDC Long-Term Care Facility Toolkit MLN Web-Based Training: Complete [...]
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Posting Date: 07/26/2021
Incorrect Billing of CPT 76942 with Prostate Biopsy CPT 55700 When 76872 Billed for Same Session
Incorrect Billing of CPT 76942 with Prostate Biopsy CPT 55700 When 76872 Billed for Same Session Although AMA Guidelines state it is appropriate to bill CPT codes 76942, 77002, 77012 or 77021 if imaging is performed with 55700, NCCI lists [...]
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Posting Date: 07/23/2021
CPT Code 92229
CPT Code 92229 For CY 2021, Medicare began making payment for CPT code 92229 (Imaging of retina for detection or monitoring of disease; with point-of-care automated analysis with diagnostic report; unilateral or bilateral). In the CY 2021 [...]
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Posting Date: 07/23/2021
LCD and Associated Billing and Coding Article Updates for July/August 2021
LCD and Associated Billing and Coding Article Updates for July/August 2021 July 2021 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The following clarification has been added to the Documentation Requirements for [...]
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Posting Date: 06/09/2021
MLN Connects® Special Edition for Wednesday, June 9, 2021
MLN Connects® Special Edition for Wednesday, June 9, 2021 Biden Administration Continues Efforts to Increase Vaccinations by Bolstering Payments for At-Home COVID-19 Vaccinations for Medicare Beneficiaries As part of President Biden’s [...]
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Posting Date: 03/15/2021
MLN Connects® Special Edition for Monday, March 15, 2021
MLN Connects® Special Edition for Monday, March 15, 2021 Biden-Harris Administration Increases Medicare Payment for Life-Saving COVID-19 Vaccine On March 15, CMS increased the Medicare payment amount for administering the COVID-19 vaccine. [...]
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Posting Date: 08/09/2021
Behavioral Health Integration Services for Primary Care Providers
Behavioral Health Integration Services for Primary Care Providers Medicare BHI service for your patients that do not require the use of a behavioral health care team. Primary care physicians who are treating Medicare patients with [...]
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Posting Date: 06/16/2021
Cardiac Positron Emission Tomography Pricing Change
Cardiac Positron Emission Tomography Pricing Change Effective 1/1/2020 there nine CPT codes that describe PET as noted in the lists below. Of the nine listed codes, six (group 1) are new for 2020 and are contractor priced codes for the TC and [...]
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Posting Date: 06/29/2021
Article Updates for July 2021
Article Updates for July 2021Billing and Coding: Complex Drug Administration Coding (A58620)Under Article Text - Route of Administration Modifier revised the first sentence to read, “The use of the JA and JB modifiers is required for drugs [...]
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Posting Date: 06/29/2021
Credit Balance Report Reminders
Credit Balance Report RemindersFor the quarter ending 6/30/2021, CBRs can be submitted starting 7/1/2021 and must be submitted within 30 days to be considered timely.FISS/DDE users who submit the 838 detail page directly over the FISS/DDE [...]
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Posting Date: 06/29/2021
Provider Enrollment: Understand the Process to Opt Out of Medicare
Provider Enrollment: Understand the Process to Opt Out of MedicareProviders that render services to a Medicare beneficiary must enroll with Medicare and submit a claim on behalf of the beneficiary. However, select providers can stay in [...]
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Posting Date: 06/25/2021
July 2021 Release "Dark Days" for the Common Working File Hosts
July 2021 Release "Dark Days" for the Common Working File HostsFor the upcoming July 2021 Release:For Production, CWF will be observing the Gray Day on Thursday, July 1st and Dark Days starting Friday, July 2nd through Sunday, July 4th to [...]
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Posting Date: 06/24/2021
National Government Services Part B Medical Review Newsletter June 2021
National Government Services Part B Medical Review Newsletter June 2021We hope you are enjoying our newest service; a regular newsletter. Our goal is to help you stay up-to-date on the on the MR activities performed here at National Government [...]
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Posting Date: 06/18/2021
National Government Services: Raising Awareness about Care Management
National Government Services: Raising Awareness about Care ManagementAccording to the Center for Disease Control (CDC), an estimated 117 million adults have one or more chronic health conditions, and one in four adults have two or more chronic [...]
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Posting Date: 04/21/2020
Medicare Telehealth versus Telemedicine
Medicare Telehealth versus TelemedicineWe have received many questions that have indicated confusion between telehealth and telemedicine, and which rules apply to which services within these two benefit categories. While there is a perceived [...]
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Posting Date: 06/14/2021
Billing Tip for COVID-19 Vaccine as a Mass Immunizer Roster Biller - Use the Taxonomy Code
Billing Tip for COVID-19 Vaccine as a Mass Immunizer Roster Biller - Use the Taxonomy CodeNational Government Services highly recommends that Part B providers who are credentialed as a Mass Immunizer (specialty 73) and have multiple PTANs [...]
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Posting Date: 06/09/2021
Use NGSConnex to Submit Quarterly Credit Balance Reports
Use NGSConnex to Submit Quarterly Credit Balance ReportsWe recently posted a news article that explained the process and benefits of using NGSConnex to submit quarterly credit balance reports. Today’s article contains the resolutions for common [...]
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Posting Date: 06/10/2021
Reminder: General Anesthesia and Conscious Sedation is Not Medically Necessary for Facet Joint Interventions
Reminder: General Anesthesia and Conscious Sedation is Not Medically Necessary for Facet Joint InterventionsOn 4/25/2021 National Government Services revised the Local Coverage Determination L35936 “Facet Joint Interventions for Pain [...]
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Posting Date: 06/03/2021
Prior Authorization Exemption: Part B Provider Role
Prior Authorization Exemption: Part B Provider RoleCMS has identified certain Part A HOPDs as having a prior authorization affirmation rate of 90% or greater. As a result, these HOPDs are currently exempt from submitting prior authorization [...]
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Posting Date: 06/03/2021
National Government Services Proposed LCDs for Comment
National Government Services Proposed LCDs for CommentThe proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 6/3/2021 through 7/17/2021.These draft [...]
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Posting Date: 06/10/2021
Registration is Now Open for the 2021 Home Health and Hospice Medicare Administrative Contractor Collaborative Summit
Registration is Now Open for the 2021 Home Health and Hospice Medicare Administrative Contractor SummitRegistration is now open for the HH+H MAC Collaborative Summit, Operation Collaboration: We are all in this Together. This summit will [...]
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Posting Date: 06/03/2021
Lower Limb Orthosis: A/B and DME Collaborative Presentation
Lower Limb Orthosis: A/B and DME Collaborative PresentationThe A/B and DME MAC’s Lower Limb Orthosis: A/B and DME Collaborative Presentation - YouTube presentation is available. This video presentation provides suppliers information on the [...]
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Posting Date: 06/02/2021
What To Do If You Can’t Log Into NGSConnex
What To Do If You Can’t Log Into NGSConnexIf you attempt to log into NGSConnex and are unsuccessful you must first determine the reason you can’t log in.First Attempt to Log InOn your first attempt if you enter your User ID and/or password [...]
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Posting Date:
New NGSMedicare.com is Coming Soon
New NGSMedicare.com is Coming SoonWe continue to listen and gain invaluable insight from you on our provider content website, NGSMedicare.com. Coming mid-Summer 2021, you will be able to see your feedback put into action.Watch this video for a [...]
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Posting Date: 06/02/2021
Action Needed: Update Your Browser Now
Action Needed: Update Your Browser NowStarting July 2021, the NGSMedicare.com site will not support the Internet Explorer (IE) browser. For an optimal NGSMedicare.com experience, to access either the secure, self-service provider portal [...]
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Posting Date: 06/02/2021
A/B and DME MAC Collaborative Therapeutic Shoes for Persons with Diabetes
A/B and DME MAC Collaborative Therapeutic Shoes for Persons with DiabetesProviders – Do you need assistance in understanding what is needed when ordering diabetic shoes? This collaborative webinar on therapeutic shoes for persons with diabetes [...]
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