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Posting Date: 08/29/2019
MLN Connects® for Thursday, August 29, 2019
MLN Connects® for Thursday, August 29, 2019 New Medicare Card: Open Door Forum — September 11 MLN Connects® for Thursday, August 29, 2019 View this edition as a PDF News Promoting Interoperability: 2019 PDMP Bonus Measure [...]
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Posting Date: 04/19/2021
NGSConnex Security Requirements
NGSConnex Security Requirements We frequently receive suggestions to improve NGSConnex by implementing less restrictive or eliminating some of our security requirements. Although we understand these security requirements often feel excessive, [...]
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Posting Date: 08/22/2019
MLN Connects® for Thursday, August 22, 2019
MLN Connects® for Thursday, August 22, 2019 New Medicare Card: Read the Updated MLN Matters Article MLN Connects® for Thursday, August 22, 2019 View this edition as a PDF News Overall Hospital Quality Star Ratings: Upcoming [...]
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Posting Date: 08/15/2019
MLN Connects® for Thursday, August 15, 2019
MLN Connects® for Thursday, August 15, 2019 New Medicare Card: Transition Period Ends in Less Than 5 Months MLN Connects® for Thursday, August 15, 2019 View this edition as a PDF News New Medicare Card: Transition Period Ends in [...]
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Posting Date: 08/08/2019
MLN Connects® for Thursday, August 8, 2019
MLN Connects® for Thursday, August 8, 2019 New Medicare Card: Will Your Claims Reject? MLN Connects® for Thursday, August 8, 2019 View this edition as a PDF News New Medicare Card: Will Your Claims Reject? Securing Access to [...]
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Posting Date: 08/07/2019
MLN Connects® Special Edition - Wednesday, August 7, 2019
MLN Connects® Special Edition - Wednesday, August 7, 2019 Don't Miss Out: Register for Payment Rule Listening Sessions Today Physician Fee Schedule Proposed Rule: Understanding 3 Key Topics Listening Session — August 12 OPPS and ASC [...]
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Posting Date: 08/05/2019
Reminder: Medicare Part B Providers Receiving Hardcopy Standard Paper Remittances – Moving to Biweekly Mailing Schedule
Reminder: Medicare Part B Providers Receiving Hardcopy Standard Paper Remittances – Moving to Biweekly Mailing Schedule Beginning 8/9/2019, we will change from a weekly to biweekly mailing schedule for Part B hard copy SPR. The only exception [...]
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Posting Date: 08/05/2019
MLN Connects® Special Edition - Friday, August 2, 2019
MLN Connects® Special Edition - Friday, August 2, 2019 IPPS/LTCH: FY 2020 PPS Final Rule IRF: FY 2020 Payment and Policy Changes Hospice: FY 2020 Hospice Payment Rate Final Rule IPPS/LTCH: FY 2020 PPS Final Rule On August 2, CMS [...]
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Posting Date: 08/01/2019
August is National Immunization Awareness Month
August is National Immunization Awareness Month This annual health observance is a great opportunity to educate seniors and other Medicare beneficiaries about the importance of disease control and prevention through immunization. [...]
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Posting Date: 08/01/2019
MLN Connects® for Thursday, August 1, 2019
MLN Connects® for Thursday, August 1, 2019 Protect Your Patients’ Identities: Use the MBI Now MLN Connects® for Thursday, August 1, 2019 View this edition as a PDF News SNF: FY 2020 Payment and Policy Changes IPF: FY 2020 [...]
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Posting Date: 07/30/2019
MLN Connects® Special Edition - Monday, July 29, 2019
MLN Connects® Special Edition - Monday, July 29, 2019 Medicare and ASC Payment System CY 2020 Proposed Rule ESRD and DMEPOS CY 2020 Proposed Rule PFS: Proposed Policy, Payment, and Quality Provisions Changes for CY 2020 On July 29, [...]
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Posting Date: 07/25/2019
MLN Connects® for Thursday, July 25, 2019
MLN Connects® for Thursday, July 25, 2019 Questions about Using the MBI? MLN Connects® for Thursday, July 25, 2019 View this edition as a PDF News New Medicare Card: Questions about Using the MBI? 2020 QRDA III Implementation Guide, [...]
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Posting Date: 07/29/2022
Targeted Probe and Educate Letters – An Informational Overview
Targeted Probe and Educate Letters – An Informational Overview As part of our contractual obligation with the CMS, NGS, your Jurisdiction 6 or K MAC performs TPE to analyze provider compliance with CMS regulatory requirements. The TPE review [...]
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Posting Date: 08/01/2022
Understanding your Remittance Advice for Merit-Based Incentive Payment System Adjustments
Understanding your Remittance Advice for Merit-Based Incentive Payment System Adjustments National Government Services has seen an increase in invalid overpayment requests related to the MIPS program. MIPS is part of the QPP that determines [...]
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Posting Date: 02/03/2022
MLN Connects® Special Edition for Thursday, February 3, 2022
MLN Connects® Special Edition for Thursday, February 3, 2022 Biden-Harris Administration Will Cover Free Over-the-Counter COVID-19 Tests Through Medicare CMS Developing Initiative to Enable Access to Eight Free Over-the-Counter COVID-19 Tests [...]
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Posting Date: 08/02/2022
Top Claim Errors
Top Claim Errors Did you know we publish the top claim errors on our website? This information provides you with: the error reason code; a description of the error; the error type; details that include steps you can take to [...]
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Posting Date: 08/04/2022
MLN Connects® Newsletter for Thursday, August 4, 2022
MLN Connects® Newsletter for Thursday, August 4, 2022 ICD-10-CM Code Files: Fiscal Year 2023 News Hospices: Volunteer to Test Hospice Outcomes & Patient Evaluation Instrument Immunization: Protect Your Patients Claims, Pricers, [...]
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Posting Date: 08/10/2022
October 2022 Release "Dark Days" for the Common Working File Hosts
October 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming October 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, September 29th and Dark Days starting Friday, September 30th through [...]
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Posting Date: 08/11/2022
MLN Connects® Newsletter for Thursday, August 11, 2022
MLN Connects® Newsletter for Thursday, August 11, 2022 Monkeypox & Smallpox Vaccines: New Product Codes News Monkeypox & Smallpox Vaccines: New Product Codes Payment Allowance Update for COVID-19 Monoclonal Antibody Therapy [...]
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Posting Date: 05/10/2022
Are You Registered? The Spring 2022 Virtual Conference Medicare for You Begins Tomorrow!
Are You Registered? The Spring 2022 Virtual Conference Medicare for You Begins Tomorrow! Medicare for You offers valuable information that is fundamental for you, as a provider, to submit claims with the needed information so you realize the [...]
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Posting Date: 03/29/2016
Screen Movements
Chapter III: Navigating the Online System Screen Movements Purpose To move within the FISS/DDE Provider Online System, providers will perform several different screen movements. The following chart outlines the various screen [...]
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Posting Date: 08/18/2022
MLN Connects® Newsletter for Thursday, August 18, 2022
MLN Connects® Newsletter for Thursday, August 18, 2022 Discontinuing Use of Certificates of Medical Necessity & Durable Medical Equipment Information Forms News CMS Discontinuing the Use of Certificates of Medical [...]
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Posting Date: 08/18/2022
MLN Connects® Special Edition for Thursday, August 18, 2022
MLN Connects® Special Edition for Thursday, August 18, 2022 Creating a Roadmap for the End of the COVID-19 Public Health Emergency News Creating a Roadmap for the End of the COVID-19 Public Health Emergency Health Care System Resiliency [...]
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Posting Date: 12/09/2019
CMS Is Using Multi-Factor Authentication Process for Online Provider Enrollment System Applications
CMS Is Using Multi-Factor Authentication Process for Online Provider Enrollment System Applications CMS announced they utilize an MFA process for users of their Provider Enrollment Systems. MFA is a second layer of security used to [...]
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Posting Date: 08/21/2019
CMS to Begin Using MFA Process for Online Provider Enrollment System Applications
CMS to Begin Using MFA Process for Online Provider Enrollment System Applications CMS recently announced they will begin utilizing a MFA process for users of their Provider Enrollment Systems. MFA is a second layer of security used to [...]
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Posting Date: 09/10/2018
Credit Balance Report - CMS 838 (R3)
Chapter VII: Online Reports View Submenu (04) Credit Balance Report - CMS 838 (R3) Purpose Credit balance reporting is used to certify whether you have any outstanding monies owed to the Medicare Program. Part A providers submit credit [...]
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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 grace period to resubmit prior to [...]
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Posting Date: 08/05/2020
Practitioners - Are You Ordering Surgical Dressings for Your Patients?
Practitioners - Are You Ordering Surgical Dressings for Your Patients? In order for a DME supplier to provide surgical dressings to your patients, there are actions you can take to make sure that all the required supporting medical record [...]
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Posting Date: 04/22/2021
Provider Contact Center
Provider Contact Center Table of Contents Want to talk to us? Make the Most of Your Call Customer Care Representative Assistance Interactive Voice Response System NGSConnex Online Inquiry System Freedom of Information Act (FOIA) [...]
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Posting Date: 06/01/2018
Avoiding Reason Code 38200
Avoiding Reason Code 38200 Claims are rejected with reason code 38200 when the FISS finds a previously submitted billing transaction that is a duplicate of the recently submitted billing transaction where all of the following fields on the [...]
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Posting Date: 07/14/2024
Correcting Reason Code 37253
Correcting Reason Code 37253 To ensure home health claim information aligns with OASIS data, the iQIES OASIS claim data match is essential. If no matching assessment is found in iQIES when a claim is submitted, it will be returned with reason [...]
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Posting Date: 05/08/2023
Home Health Billing When a New MBI is Assigned
Home Health Billing When a New MBI is Assigned A patient’s MBI number is required on all home health billing submitted to Medicare. CMS will issue a new MBI when an original MBI may have been, or has been compromised. There are times a home [...]
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Posting Date: 11/21/2024
Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q)
Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q) This stringent claim editing process helps ensure that Medicare does not make payments for services rendered to beneficiaries who are not eligible due to being [...]
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Posting Date: 07/14/2024
Expanded Home Health Value-Based Purchasing Model
Expanded Home Health Value-Based Purchasing Model Overview The HHVBP Model is an initiative by CMS aimed at improving the quality of care provided by home health agencies while also fostering greater efficiency. It builds on the original [...]
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Posting Date: 12/05/2017
Disposable Negative Pressure Wound Therapy Services Under Home Health
Disposable Negative Pressure Wound Therapy Services Under Home Health Effective for services furnished on or after 1/1/2017, Medicare will make separate payment to HHAs for dNPWT services for patients under the home health benefit. NPWT [...]
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Posting Date: 10/22/2015
Hospice Documentation Tips
Hospice Documentation Tips Medicare coverage of hospice depends on a physician’s certification that an individual’s prognosis is a life expectancy of six months or less if the terminal illness runs its normal course. It is important that the [...]
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Posting Date: 10/04/2021
Documentation Requirements for the Medicare Hospice Election Statement
Documentation Requirements for the Medicare Hospice Election Statement Election of Hospice Hospice care is a benefit under the hospital insurance program. To be eligible to elect hospice care under Medicare, the beneficiary must be entitled [...]
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Posting Date: 07/24/2017
Home Health Therapy Billing
Home Health Therapy Billing Table of Contents Home Health Therapy Billing 32X TOB: Billing Therapy Under a Home Health Plan of Care Discipline Revenue Codes (UB-04 FLs 42-43) Discipline HCPCS Codes (UB-04 FL 44) Service Units [...]
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Posting Date: 05/02/2018
Filing an Electronic Notice of Cancelation (Type of Bill 8XD)
Filing an Electronic Notice of Cancelation (Type of Bill 8XD) Table of Contents Filing an Electronic Notice of Cancelation (Type of Bill 8XD) Steps to Cancel a NOE Steps to Cancel a Benefit Period Submitting the 8XD Related Content [...]
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Posting Date: 09/30/2021
Filing an Electronic Notice of Transfer (Type of Bill 8XC)
Filing an Electronic Notice of Transfer (Type of Bill 8XC) Table of Contents Filing an Electronic Notice of Transfer (Type of Bill 8XC) Correcting the Transfer Date on a Previous Submitted Notice of Transfer Related Content [Return to [...]
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