Search Results - NGSMEDICARE

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

Posting Date: 11/03/2022

Claims Frequently Asked Question

Claims Frequently Asked Question We have added a new FAQ to our website. View answers to a common question about how to bill for services unrelated to a liability, no fault, or workers compensation claim to ensure you have the information [...]

Posting Date: 11/03/2022

Announcement About Medicare Participation for Calendar Year 2023

Announcement About Medicare Participation for Calendar Year 2023 The Centers for Medicare & Medicaid Services has posted the Announcement About Medicare Participation for Calendar Year 2023. Posted 11/3/2022

Posting Date: 11/10/2022

MLN Connects® Newsletter: November 10, 2022

MLN Connects® Newsletter: November 10, 2022 News Teaching Hospitals: Phase 2 Section 131 Reviews — Submission Deadline November 18 Medicare Participation for CY 2023 CMS Innovation Center’s Strategy to Support [...]

Posting Date: 11/14/2022

The CY 2023 Medicare Physician Fee Schedule Is Now Available

The CY 2023 Medicare Physician Fee Schedule Is Now Available The CY 2023 MPFS is now available. You can view the new fees using the Fee Schedule Lookup tool page on NGSMedicare.com. Posted 11/14/2022

Posting Date: 12/11/2020

What's New in Home Health Education?

What's New in Home Health Education? Updates are currently being made to home health YouTube tutorials and job aids to ensure that all federal regulation changes are captured. Most recently, we have updated the following educational materials [...]

Posting Date: 11/17/2022

MLN Connects® Newsletter: November 17, 2022

MLN Connects® Newsletter: November 17, 2022 News Hospital Price Transparency: Download Machine-Readable File Sample Formats & Data Dictionaries Medical Review After the COVID-19 Public Health Emergency: New FAQ [...]

Posting Date: 11/29/2022

January 2023 Release "Dark Days" for the Common Working File Hosts

January 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/29/2022 and Dark Days starting Friday, 12/30/2022 through Sunday, [...]

Posting Date: 12/08/2022

MLN Connects® Newsletter: December 8, 2022

MLN Connects® Newsletter: December 8, 2022 News CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process Rural Emergency Hospitals: New Institutional Provider Type Starting [...]

Posting Date: 10/19/2022

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming!

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming! Join us for our weekly webinar series on Medicare’s preventative service, "Counseling to Prevent Tobacco Use." Statistics show that tobacco use remains the [...]

Posting Date: 11/30/2022

National Government Services Medicare Part B Preventive Services Week

National Government Services Medicare Part B Preventive Services Week 12/6/2022 – 12/8/2022 Medicare offers many preventive service benefits that can help detect health problems early and keep your patients from getting certain diseases. [...]

Posting Date: 12/22/2022

MLN Connects® Newsletter: December 22, 2022

MLN Connects® Newsletter: December 22, 2022 News HHS Proposes to Standardize Electronic Health Care Attachments Transactions and Electronic Signature Processes to Improve the Care Experience for Patients and Providers [...]

Posting Date: 12/30/2022

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available We’ve published the 2023 Medicare Diabetes Prevention Program codes and payments. Visit MDPP Codes and Payment Amounts for the HCPCS-G-Code, Description of MDPP Service [...]

Posting Date: 01/05/2023

Frequently Asked Questions Reviewed and Updated

Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are: ASCA CAR T-cell Therapy Claims EDI [...]

Posting Date: 01/10/2023

MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023

MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023 News CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving [...]

Posting Date: 01/12/2023

MLN Connects® Newsletter: January 12, 2023

MLN Connects® Newsletter: January 12, 2023 News Key Dates for First Year of Inflation Reduction Act’s Medicare Drug Price Negotiation Program Cognitive Assessment: CY 2023 Updates Care Compare: Telehealth Indicator [...]

Posting Date: 01/12/2023

The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available

The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available The revised CY 2023 MPFS is now available. You can view these Part B Physician Fee Schedule by accessing Resources > Tools & Calculators > Fee Schedule Lookup. [...]

Posting Date: 07/22/2016

Provider Letter of Authorization

Provider Letter of Authorization This form is completed by the provider/facility that is authorizing access to a third party billing service to perform FISS/DDE functions on their behalf. What is the Billing Service Name? This is the [...]

Posting Date: 07/22/2016

EDI Enrollment Agreement Form

EDI Enrollment Agreement Form This form is a required document by CMS allowing a provider to exchange electronic transactions with the MAC. This form is effective as long as the provider is exchanging Medicare claims with the MAC, carrier, or [...]

Posting Date: 07/22/2016

EDI Gateway Self-Service Password Portal

EDI Gateway Self-Service Password Portal As an EDI Trading Partner, you will be able to use the EDI Gateway Self-Service Password Portal located on the EDI web page on our website. This provides a simple and secure web-based process for [...]

Posting Date: 07/22/2016

Choose Transaction Status

Choose Transaction Status In this section, be sure to select all transactions you would like to be setup with. NGS EDI does not require a separate packet per transaction. Setup or change your setup for sending claims (837) electronically. [...]

Posting Date: 07/22/2016

Submitting the Packet

Submitting the Packet Once the General Enrollment Information section is complete and submitted, the necessary enrollment forms will be presented. All information previously answered will be auto-populated on each individual EDI form. You will [...]

Posting Date: 07/22/2016

General Information

General Information If information entered belongs to a Corporate Office, select the “Corporate Office” checkbox. What is the Entity Name? This is the provider name that was submitted on the CMS-855 form when applying to participate with [...]

Posting Date: 07/22/2016

EDI Registration Form

EDI Registration Form This form is used for batch billing enrollment: Part A/B providers who submit batch transactions to Medicare, such as transmitting 837 claims, receiving 835 electronic remittances and requesting 276/277 claims status [...]

Posting Date: 07/22/2016

Part A Logon Request Form: Billing Service Using a Letter of Authorization PIN

Part A Logon Request Form Billing Service Using a Letter of Authorization PIN This option allows a billing service to complete the Part A Logon Request Form after the Letter of Authorization has been completed by the provider/facility [...]

Posting Date: 07/22/2016

Entry Process Questions

Entry Process Questions I need to complete a Logon Request Form This option is used for a provider/facility to request/modify access to the Part A FISS/DDE system. (EDI Enrollment Agreement is included within this packet if needed.) [...]

Posting Date: 07/22/2016

EDI ERA Enrollment Form

EDI ERA Enrollment Form The EDI ERA Enrollment Form is required to be on file for each PTAN/NPI currently setup or requesting to be setup for the first time to receive electronic remittances through NGS. Should I Complete This Form? The [...]

Posting Date: 07/22/2016

Part A Logon Request Form: Provider/Facility Requesting Access

Part A Logon Request Form Provider/Facility Requesting Access This form is for Part A providers requesting access to the Fiscal Intermediary Standard System (FISS)/Direct Data Entry (DDE) Online System and check patient eligibility. Note: Up [...]

Posting Date: 07/22/2016

Tracking my Enrollment Packet and Checking Status

Tracking my Enrollment Packet and Checking Status Once your packet is submitted (See the section on Submitting the Packet), a confirmation message is displayed on the screen with the assigned Packet ID (PID) number. The PID will be sent to the [...]

Posting Date: 01/19/2023

MLN Connects® Newsletter: January 19, 2023

MLN Connects® Newsletter: January 19, 2023 News Additional Steps to Strengthen Nursing Home Safety and Transparency Increase in 2023 in Organizations and Beneficiaries Benefiting from Coordinated Care in Accountable [...]

Posting Date: 01/23/2023

Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T)

Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T) National Government Services has updated its reimbursement policy on CPT codes 0598T and 0599T (Noncontact Real-Time Fluorescence Wound [...]

Posting Date: 02/09/2023

CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder

CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder National Government Services has received many calls in relation to the CMS updates to the Clinical Laboratory Fee Schedule for 2023. Providers have identified instances of not [...]

Posting Date: 02/10/2023

MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023

MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 News Medicare Part B Drug Inflation Rebates HHS Releases Initial Guidance for Medicare Prescription Drug Inflation Rebate [...]