-
Posting Date: 06/26/2024
Enrolling in Medicare
Enrolling in Medicare To be eligible to bill and receive direct payment for professional services under Medicare Part B, the medical professional and dentist must be enrolled in Medicare and meet all other requirements for billing under the [...]
Read More -
Posting Date: 06/26/2024
Dental Services
Dental Services If you're a new or seasoned provider billing dental services to Fee-for-Service Medicare or Original Medicare, this article guides you through recently clarified payment provisions for dental services in 2023, the provider [...]
Read More -
Posting Date: 06/26/2024
New Medicare Provider
New Medicare Provider To assist you in understanding the Medicare Program, visit our New Provider Center and review our Medicare Part B 101 Manual; which will provide you with an overview and additional resources. The Part B Provider Outreach [...]
Read More -
Posting Date: 10/12/2022
Inpatient Services in Connection With Dental Procedures
Inpatient Services in Connection With Dental Procedures When a patient is an inpatient of a hospital for a dental procedure and the dentist's service is covered under Part B, the inpatient hospital services furnished are covered under Part [...]
Read More -
Posting Date: 10/12/2022
Modifier GY
Modifier GY Providers should be aware of the guidelines for submitting the noncovered outpatient dental service for a denial when the patient has supplemental insurance or if a denial is needed for any other reason. Modifier GY is reported [...]
Read More -
Posting Date: 06/20/2024
Attention Clearinghouses and Vendors!
Attention Clearinghouses and Vendors! National Government Services is ready to accept Medicare Part B dental claims from your dental providers using the 837D dental claim transaction. Dental providers have the following options for submission [...]
Read More -
Posting Date: 06/07/2019
Opt Out Search
Opt Out Search Doctors/practitioners included in the opt out database are those who have elected to “opt out” of the Medicare Program and enter into private contracts with Medicare beneficiaries if specific requirements are met. By “opting [...]
Read More -
Posting Date: 08/27/2021
Physicians or Practitioners Eligible to Enter Into Private Contracts
Physicians or Practitioners Eligible to Enter into Private Contracts Eligible physicians and practitioners Physicians Physician assistants Nurse practitioners Clinical nurse specialists Certified registered nurse anesthetists Certified [...]
Read More -
Posting Date: 06/27/2024
LCD and Article Updates for June/July 2024
LCD and Article Updates for June/July 2024 Articles Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms A56867 Due to the quarterly CPT/HCPCS code update, PLA code 0204U was deleted from CPT/HCPCS Codes [...]
Read More -
Posting Date: 06/27/2024
MLN Connects® Newsletter: June 27, 2024
MLN Connects Newsletter: June 27, 2024 News CY 2025 Home Health Prospective Payment System Proposed Rule PrEP Using Antiretroviral Therapy to Prevent HIV Infection: Technical FAQs for Pharmacies Claims, Pricers, & Codes Medicare [...]
Read More