Search Results - NGSMEDICARE

Posting Date: 04/14/2022

View Existing Medicare ID (PTAN) in PECOS and Effective/End Dates for Reassignment

View Existing Medicare ID (PTAN) in PECOS and Effective/End Dates for Reassignment Important: If you recently submitted an application to request a PTAN, please verify the approval letter was received prior to submission of claims. Log [...]

Posting Date: 03/22/2022

Connecticut

Connecticut Member Name Professional Title Association Business Name/Address Email Fitzgerald, Elizabeth Audit and Education Specialist Hartford Healthcare 181 Patricia Genova Drive Newington, CT [...]

Posting Date: 12/17/2021

General Information

General Information Certain diagnostic services provided by an IDTF are considered for Medicare payment when medically necessary. A referring/treating provider must order all covered services. The treating physician or nonphysician [...]

Posting Date: 05/23/2019

Performance Standards

Performance Standards If providers are credentialing as an IDTF, then the performance standards shall be reviewed thoroughly before submitting a Medicare application. Refer to the IDTF Performance Standards and Attachment 2 beginning on page [...]

Posting Date: 11/23/2021

Interpreting Physicians and Personnel (Technicians) Who Perform Tests

IDTF Billing Guide Interpreting Physicians and Personnel (Technicians) Who Perform Tests An IDTF may be either a mobile or stationary/fixed facility. Portable/Mobile Facility There are two types of mobile IDTFs. Each are large [...]

Posting Date: 11/19/2021

Supervising Physicians

Supervising Physicians Supervision means the imaging is done under the physician’s overall control and direction and the licensed supervising physician is directly overseeing and ensuring the quality of medical care. An IDTF must have one or [...]

Posting Date: 11/19/2021

Code Level Supervision

Code Level Supervision The supervision level required for diagnostic services is assigned by CMS. A list of diagnostic procedures and the supervision level required for each service is available in the CMS Medicare Physician Fee Schedule [...]

Posting Date: 06/15/2021

Lung Cancer Screening

Lung Cancer Screening Early detection by screening is an important strategy for patients with a high risk for lung cancer. The LDCT is an additional preventive service benefit under the Medicare program. CMS established NCD for lung cancer [...]

Posting Date: 05/14/2019

Claim Guidelines

Claim Guidelines The name and NPI of the referring/ordering provider must be in Items 17 and 17b of the CMS-1500 claim form or the EMC equivalent. An IDTF shall not be allowed to bill for any CPT or HCPCS codes that are solely therapeutic. [...]

Posting Date: 11/14/2024

Electronic Funds Transfer

EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or similar financial institution) [...]