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Posting Date: 01/06/2025
Time Requirements to Notify Medicare of Changes
Report Changes to Your Enrollment Records You must report changes of information in your Medicare enrollment records within 30 days for: Change(s) in ownership or control, including changes in authorized officials(s) All other changes to [...]
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Posting Date: 10/16/2023
Tips for Documenting Homebound Status
Tips for Documenting Homebound Status Comprehensive and accurate documentation is crucial to providing safe and effective care to Medicare beneficiaries. National Government Services' medical review team reviews this documentation while making [...]
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Posting Date: 03/22/2023
Hierarchy of Medicare Regulations
Hierarchy of Medicare Regulations Have you wondered how Medicare determines what is covered? Below you will find the hierarchy of how Medicare regulations are created. Social Security Act Title XVIII of the Social Security Act is [...]
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Posting Date: 10/19/2023
MLN Connects® Newsletter: October 19, 2023
MLN Connects® Newsletter: October 19, 2023 News 2024 Medicare Parts A & B Premiums and Deductibles Help CMS Improve Provider Resources — Respond by November 9 CMS Health Information Handler Helps You Submit [...]
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Posting Date: 10/26/2023
Part B Top Claim Errors Are Updated
Part B Top Claim Errors Are Updated Our top claim errors are updated on a quarterly basis to reflect current information. Visit Top Claim Errors to learn what you can do to avoid claim processing delays. We’ve listed the error reason code, a [...]
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Posting Date: 07/21/2023
Prior Authorization Outpatient Department Exemption Additional Documentation Requests
Prior Authorization Outpatient Department Exemption Additional Documentation Requests National Government Services Prior Authorization initiated the process of issuing ADRs to exempt providers. Please monitor your facility’s ADR location [...]
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Posting Date: 10/26/2023
Coming Soon ‒ The CY 2024 Medicare Physician Fee Schedule
Coming Soon - The CY 2024 Medicare Physician Fee Schedule The CY 2024 MPFS will soon be available on the Fee Schedule Lookup tool located on NGSMedicare.com, after the CY 2024 physician fee schedule regulation is put on display. Once the Fee [...]
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Posting Date: 10/10/2022
The Great American Smokeout is Coming!
The Great American Smokeout is Coming! As a health care professional who provides care to patients with Medicare, you can help protect the health of your patients by encouraging them to take advantage of Medicare-covered preventive services, [...]
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Posting Date: 04/06/2022
Tips to Find Local Coverage Determinations and Billing and Coding Instructions (REVISED 4/6/2022)
Tips to Find Local Coverage Determinations and Billing and Coding Instructions (REVISED 4/6/2022) We often receive suggestions through our website surveys to make it easier to find LCDs and the associated Billing and Coding articles. All [...]
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Posting Date: 04/30/2021
Tips to Find Local Coverage Determinations and Billing and Coding Instructions
Tips to Find Local Coverage Determinations and Billing and Coding Instructionssp We frequently receive suggestions through our website surveys to make it easier to find LCDs and the associated Billing and Coding articles. All LCDs and [...]
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Posting Date: 02/22/2023
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures National Government Services, as your MAC, is bringing to your attention a newly created LCD policy change that will effect providers who render and bill for [...]
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Posting Date: 01/13/2021
Local Coverage Determination Open Meeting Announcement
Local Coverage Determination Open Meeting Announcement Jurisdiction 6/Jurisdiction K Part A/Part B MAC Open Meeting Date Meeting Time Meeting Location Wednesday, 2/24/2021 12:00‒4:00 p.m. CT 1:00‒5:00 p.m. ET [...]
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Posting Date: 02/10/2022
National Government Services Proposed LCDs for Comment
National Government Services Proposed LCDs for Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 2/10/2022 through 3/26/2022. These [...]
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Posting Date: 04/01/2021
Revised Coverage Policies for Facet Joint Interventions for Pain Management
Revised Coverage Policies for Facet Joint Interventions for Pain Management FUTURE Local Coverage Determination (LCD) Facet Joint Interventions for Pain Management (L35936) Billing and Coding: Facet Joint Interventions for Pain Management [...]
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Posting Date: 11/14/2023
Announcement About Medicare Participation for Calendar Year 2024
Announcement About Medicare Participation for Calendar Year 2024 The Centers for Medicare & Medicaid Services has posted the Announcement About Medicare Participation for Calendar Year 2024. Posted 11/14/2023
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Posting Date: 08/02/2022
MLN Connects® Special Edition for Monday, August 1, 2022
MLN Connects® Special Edition for Monday, August 1, 2022 New CMS Rule Increases Payments for Acute Care Hospitals & Advances Health Equity, Maternal Health On August 1, CMS issued a final rule for inpatient and long-term care [...]
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Posting Date: 04/14/2020
NGS Telehealth Billing FAQs for COVID-19
NGS Telehealth Billing FAQs for COVID-19 Changes What has changed in Medicare coverage for telehealth services? Answer: There are 85 new codes added to the list of services that can be delivered via telehealth. List of Telehealth [...]
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Posting Date: 07/05/2023
CR13220 - Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03
CR13220 - Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03 Posted 7/5/2023
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Posting Date: 07/17/2023
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 Appeals CAR T-cell Therapy [...]
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Posting Date: 07/17/2023
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: 07/17/2023
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: 07/17/2023
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: 07/20/2023
Activation of Validation Edits for Providers with Multiple Service Locations (MLN Matters Number: SE19007 Revised)
Activation of Validation Edits for Providers with Multiple Service Locations (MLN Matters Number: SE19007 Revised) Posted 7/20/2023
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Posting Date: 07/21/2023
Multi-Jurisdictional CAC Meeting Notice on Cervical Fusion
Multi-Jurisdictional CAC Meeting Notice on Cervical Fusion Information has been posted on our website in regards to multi-jurisdictional Contractor Advisory Committee Meeting regarding Cervical Fusion to be held on 8/16/2023. For more [...]
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Posting Date: 07/25/2023
National Government Services CAC Meeting Notice on KidneyIntelX Test
National Government Services CAC Meeting Notice on KidneyIntelX Test Information has been posted on our website in regards to the National Government Services l Contractor Advisory Committee Meeting regarding KidneyIntelX Test to be [...]
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Posting Date: 01/26/2023
MLN Connects® Newsletter: January 26, 2023
MLN Connects® Newsletter: January 26, 2023 News Medicare Enrollment in PECOS: Faster and Easier Application Process — Coming Summer 2023 Medicare Enrollment: Maintain the Same Owners in All Enrollment Records Hospitals: Revised [...]
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Posting Date: 11/02/2022
MLN Connects® Newsletter: OPPS/ASC and PFS Final Payment Rules
MLN Connects® Newsletter: OPPS/ASC and PFS Final Payment Rules Final Rules Final Rules HHS Continues Biden-Harris Administration Progress in Promoting Health Equity in Rural Care Access Through Outpatient Hospital and Surgical [...]
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Posting Date: 09/08/2022
MLN Connects® Newsletter for Thursday, September 8, 2022
MLN Connects® Newsletter for Thursday, September 8, 2022 Prostate Cancer: Talk to Your Patients about Screening News Short-Term Acute Care Hospitals: Program for Evaluating Payment Patterns Electronic Reports Prostate Cancer: Talk to [...]
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Posting Date: 05/05/2022
Chronic Disease Management and Preventive Services Learning and Action Series
Chronic Disease Management and Preventive Services Learning and Action Series A Collaborative Learning Opportunity with the Medicare Administrative Contractors National Government Services, Novitas Solutions, Wisconsin Physician Services [...]
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Posting Date: 03/31/2022
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes Just a reminder: The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare fee-for-service claims. As a result of [...]
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Posting Date: 08/21/2023
Customer Experience Surveys
Customer Experience Surveys We are pleased to offer two new surveys for you to tell us about your experience with our Provider Contact Center. When you use our IVR system, access the survey from the main menu after you complete your [...]
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Posting Date: 05/18/2021
Tips to Ensure an Optimal NGSMedicare.com Experience
Tips to Ensure an Optimal NGSMedicare.com Experience Most of you are probably aware, but if not, on Friday, 5/14/2021, we launched our new combined homepage. These changes were a result of your feedback. You now only need to go to [...]
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Posting Date: 04/12/2021
Skilled Nursing Facility Patient Driven Payment Model Billing For Noncovered Days With An Occurrence Span Code 76
Skilled Nursing Facility Patient Driven Payment Model Billing For Noncovered Days With An Occurrence Span Code 76 The CR 11992 updated the CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 6, Sections 40.3.2 and 40.6 to [...]
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Posting Date: 09/07/2021
There’s Still Time to Register – National Government Services Preventive Service Week
There’s Still Time to Register – National Government Services Preventive Service Week National Government Services Provider Outreach and Education Team is holding a Special Virtual Conference on Medicare Preventive Services. Join us on [...]
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Posting Date: 05/19/2023
Local Coverage Determination Open Meeting Announcement
Local Coverage Determination Open Meeting Announcement Jurisdiction 6/Jurisdiction K Part A/Part B MAC To ensure the development of LCDs occurs through a public and open process, we are soliciting scientific evidence and other [...]
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Posting Date: 03/22/2023
Appealing a Denied Claim
Appealing a Denied Claim At times, providers submit a claim that ends up being denied; the denial may include appeal rights. Providers can appeal all of their overpayment claims on one request for redetermination, which is the first level of [...]
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Posting Date: 02/23/2023
MLN Connects® Newsletter: February 23, 2023
MLN Connects® Newsletter: February 23, 2023 News Hospital Price Transparency: Progress and Commitment to Achieving Its Potential Home Infusion Therapy Services Monitoring Report Immunosuppressive Drugs: Comparative [...]
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Posting Date: 02/09/2023
MLN Connects® Newsletter: February 9, 2023
MLN Connects® Newsletter: February 9, 2023 News DMEPOS: Get Benefit Category Determinations Nurse Practitioners and Clinical Nurse Specialists: Update to List of National Certifying Bodies Help Address Heart Health [...]
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Posting Date: 02/02/2023
MLN Connects® Newsletter: February 2, 2023
MLN Connects® Newsletter: February 2, 2023 News Aligning Quality Measures across CMS — The Universal Foundation Medicare Ground Ambulance Data Collection System: Portal to Report is Open Skilled Nursing Facilities: Care Compare January [...]
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Posting Date: 01/12/2023
Let's Chat About Counseling to Prevent Tobacco Use
Let's Chat About Counseling to Prevent Tobacco Use Do you have questions on how to bill Medicare for tobacco counseling? Join us on 1/24/2023 for the opportunity to ask questions about coverage and billing for Medicare’s preventative service [...]
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Posting Date: 01/05/2023
MLN Connects® Newsletter: January 5, 2023
MLN Connects® Newsletter: January 5, 2023 News COVID-19: Updated Vaccines for Children Ages Six Months – Five Years Advisory Panel on Hospital Outpatient Payment: Request for Nominations Certificates of Medical Necessity and DME [...]
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Posting Date: 12/15/2022
MLN Connects® Newsletter: December 15, 2022
MLN Connects® Newsletter: December 15, 2022 News Opioid Treatment Programs: New Information for 2023 Part B Immunosuppressive Drug Benefit: Check Medicare Eligibility Home Health Quality Reporting Program: Get Final OASIS-E Instrument [...]
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Posting Date: 12/01/2022
MLN Connects® Newsletter: December 1, 2022
MLN Connects® Newsletter: December 1, 2022 News CMS Urges Timely Patient Access to COVID-19 Vaccines, Therapeutics Quality Payment Program: Preview Your Performance Information by December 20 Clinical Laboratory Fee Schedule: CY 2023 [...]
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Posting Date: 11/23/2022
MLN Connects® Newsletter: November 23, 2022
MLN Connects® Newsletter: November 23, 2022 News Colorectal Cancer Screening Test: Reduced Coinsurance for Related Procedures Begins January 1 Ambulance Fee Schedule: CY 2023 Inflation Factor & Productivity Adjustment Medicare [...]
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Posting Date: 09/07/2023
MLN Connects® Newsletter: September 7, 2023
MLN Connects® Newsletter: September 7, 2023 News New Version of CMS.gov HHS Proposes Minimum Staffing Standards to Enhance Safety and Quality in Nursing Homes CMS Announces Resources and Flexibilities to Assist with [...]
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Posting Date: 09/14/2023
MLN Connects® Newsletter: September 14, 2023
MLN Connects® Newsletter: September 14, 2023 News Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation CMS Roundup (Sept 8, 2023) New Provider [...]
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Posting Date: 04/19/2022
Ambulatory Surgical Center Pass-Through Devices
Ambulatory Surgical Center Pass-Through Devices What is a Pass-Through Device? Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Drugs and devices qualifying for pass-through status [...]
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Posting Date: 09/14/2023
MLN Connects® Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – September 14, 2023
MLN Connects® Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – September 14, 2023 News COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older Posted 9/14/2023
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Posting Date: 09/21/2023
MLN Connects® Newsletter: September 21, 2023
MLN Connects® Newsletter: September 21, 2023 News CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of Georgia Organ Transplantation Affinity Group: Strengthening [...]
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Posting Date: 09/28/2023
MLN Connects® Newsletter: September 28, 2023
MLN Connects® Newsletter: September 28, 2023 News CMS Statement on Current Status of Blood Tests for Organ Transplant Rejection CMS Roundup (Sept 22, 2023) Cardiovascular Disease: Talk with Your Patients about [...]
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Posting Date: 10/05/2023
MLN Connects® Newsletter: October 5, 2023
MLN Connects® Newsletter: October 5, 2023 News Administration Moves Forward with Medicare Drug Price Negotiations to Lower Prescription Drug Costs for People with Medicare CMS Requests Public Input on Coverage of [...]
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Posting Date: 10/06/2023
MLN Connects® Newsletter: October 6, 2023
MLN Connects® Newsletter: October 6, 2023 News COVID-19: Updated Novavax COVID-19 Vaccine, Adjuvanted for Patients 12 & Older Posted 10/6/2023
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Posting Date: 10/11/2023
Notification of the 2024 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review
Notification of the 2024 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review The amount that must remain in controversy for ALJ hearing requests filed on or [...]
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Posting Date: 10/12/2023
MLN Connects® Newsletter: October 12, 2023
MLN Connects® Newsletter: October 12, 2023 News CMS Roundup (Oct 6, 2023) Protect Your Patients: Give Them a Flu Shot Publications Direct Data Entry: 10-Digit Screen Expansion Medicare Preventive Services — [...]
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Posting Date: 10/12/2023
Let’s Get Ready for The Great American Smokeout on 11/16/2023!
Let’s Get Ready for The Great American Smokeout on 11/16/2023! For more than 40 years, the American Cancer Society has hosted the Great American Smokeout on the third Thursday of November. This yearly event is a call for action, not just for [...]
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Posting Date: 12/02/2021
MLN Connects® Newsletter for Thursday, December 2, 2021
MLN Connects® Newsletter for Thursday, December 2, 2021 National Influenza Vaccination Week News National Influenza Vaccination Week Clinical Laboratory Fee Schedule: CY 2022 Final Payment Determinations Skilled Nursing Care & [...]
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Posting Date: 01/06/2022
MLN Connects® Special Edition for Friday, January 7, 2022
MLN Connects® Special Edition for Friday, January 7, 2022 COVID-19: New HCPCS Code for Remdesivir Antiviral Medication Following the recent statement from the National Institutes of Health (NIH) COVID-19 Treatment Guidelines Panel regarding [...]
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Posting Date: 02/03/2022
MLN Connects® Newsletter for Thursday, February 3, 2022
MLN Connects® Newsletter for Thursday, February 3, 2022 Provider Compliance Virtual Focus Group — February 24 News COVID-19: Letter to Health Care Facility Administrators on Health Care Worker Vaccination Rule COVID-19 Vaccine & [...]
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Posting Date: 02/17/2022
MLN Connects® Newsletter for Thursday, February 17, 2022
MLN Connects® Newsletter for Thursday, February 17, 2022 Expanded Coverage: Lung Cancer Screening with Low Dose Computed Tomography News CMS Expands Coverage of Lung Cancer Screening with Low Dose Computed Tomography There’s Still Time [...]
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Posting Date: 02/18/2022
MLN Connects® Special Edition for Friday, February 18, 2022
MLN Connects® Special Edition for Thursday, February 18, 2022 COVID-19 Monoclonal Antibodies: FDA Authorized Bebtelovimab On February 11, the FDA authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of [...]
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