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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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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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