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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
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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 [...]
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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
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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 [...]
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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 [...]
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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, [...]
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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 [...]
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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 [...]
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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. [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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. [...]
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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 [...]
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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 [...]
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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 [...]
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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. [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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.) [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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Posting Date: 02/16/2023
MLN Connects® Newsletter: February 16, 2023
MLN Connects® Newsletter: February 16, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Unprecedented Efforts to Increase Transparency of Nursing Home Ownership CMS Proposes [...]
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Posting Date: 02/17/2023
New Service Added to the Hospital Outpatient Department Prior Authorization Program
New Service Added to the Hospital Outpatient Department Prior Authorization Program Effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the HOPD services requiring prior authorization as a [...]
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Posting Date: 02/23/2023
MLN Connects® Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023
MLN Connects®Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023 News Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers Posted 2/23/2023
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Posting Date: 02/28/2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023 News COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet Posted 2/28/2023
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Posting Date: 03/02/2023
MLN Connects® Newsletter: March 2, 2023
MLN Connects® Newsletter: March 2, 2023 News The Future of Medicare Enrollment: Save Time with PECOS's Consolidated Application Voluntary Prior Authorization Process for Certain Power Mobility Device Accessory Items Expanded Home [...]
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Posting Date: 03/09/2023
MLN Connects® Newsletter: March 9, 2023
MLN Connects® Newsletter: March 9, 2023 News Nutrition-Related Health Conditions: Recommend Medicare Preventive Services Compliance Advance Care Planning: Bill Correctly for Services Claims, Pricers and Codes Medicare [...]
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Posting Date: 03/23/2023
DDE Logon ID and Password Reminders
DDE Logon ID and Password Reminders CMS’ information security policy strictly prohibits the sharing or loaning of Medicare assigned IDs and passwords. Users should take appropriate measures to prevent unauthorized disclosure or modification of [...]
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Posting Date: 03/23/2023
Knee Orthosis: A/B and DME Collaborative Presentation
Knee Orthosis: A/B and DME Collaborative Presentation View the A/B and DME Knee Orthosis YouTube video for information on knee orthosis. Posted 3/23/2023
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Posting Date: 03/23/2023
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220 Some home health NOAs and claims were incorrectly hitting reason codes U5210 and U5220. These reason codes state there is no Medicare entitlement for the dates of service when [...]
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