CMS-1561 Health Insurance Benefit Agreement

Pneumococcal Vaccine

Pneumococcal Vaccine Frequently Asked Questions

Pneumococcal Vaccine Frequently Asked Questions We’ve added new frequently asked questions to our website. View answers to common questions about Pneumococcal Vaccine to ensure you have the information needed to properly submit claims for [...]

CERT Text Part B

Need to Appeal a CERT Denial? Log onto our secure NGSConnex online Web application and quickly file an appeal. Submitting an appeal electronically saves postage, print and mail costs and is easy to do through NGSConnex.com. If you do not [...]

Attention All Medicare Providers: Are You Using an Outsource Company?

Attention All Medicare Providers: Are You Using an Outsource Company? Do you use an outsource company for your Medicare billing and account receivables? Do you know who is using your data? Do you know how they are using your data? How much is [...]

Prior Authorization Exemption: 56900 Denials Alert

Prior Authorization Exemption: 56900 Denials Alert NGS PA department has denied claims due to non-responses related to the postpayment ADR review for the Exemption process. Providers may submit the necessary documentation to the NGS PA [...]

October and November 2022 Billing and Coding and Medical Policy Article Updates

October and November 2022 Billing and Coding and Medical Policy Article Updates Retired article: Billing and Coding: Complex Drug Administration Coding (A58620) Revised articles: Billing and Coding: Molecular Pathology Procedures [...]

Notice of Local Coverage Determination Retirement

Notice of Local Coverage Determination Retirement Based on comments received at our Open Meeting on 10/20/2022, National Government Services has decided to retire the Proposed LCD DL38262 Salvage High-intensity Focused Ultrasound (HIFU) [...]

MLN Connects® Newsletter: October 27, 2022

MLN Connects® Newsletter: October 27, 2022 News COVID-19 Updated Booster Vaccines Covered Without Cost-Sharing for Eligible Children Ages 5–11 Oversight of Nation’s Poorest-Performing Nursing Homes Initial Nursing Facility Evaluation [...]

November is Lung Cancer Awareness Month

November is Lung Cancer Awareness Month Did you know that cigarette smoking is the number one risk factor for lung cancer? In the United States, cigarette smoking is linked to about 80% - 90% of lung cancer deaths. Lung cancer is the third [...]

340B-Acquired Drugs Payment Differential Cancellation

Previously applied differential payment rates for 340B-acquired drugs are no longer valid as of 9/28/2022, as per a ruling by the United States District Court for the District of Columbia. As a result, the CMS will revert to paying the default [...]

Comprehensive Error Rate Testing

MLN Connects® Newsletter: Final Rules

MLN Connects® Newsletter: Final Rules Final Rules Calendar Year (CY) 2023 Home Health Prospective Payment System Rate Update and Home Infusion Therapy Services Requirements ​​​​​​​ CY 2023 End-Stage Renal Disease (ESRD) Prospective [...]

Coming Soon ‒ The CY 2023 Medicare Physician Fee Schedule

Coming Soon ‒ The CY 2023 Medicare Physician Fee Schedule The CY 2023 MPFS will soon be available on the Fee Schedule Lookup tool located on NGSMedicare.com, after the CY 2023 physician fee schedule regulation is put on display. Once the Fee [...]

Assistant at Surgery Billing Documentation Reminder

Assistant at Surgery Billing Documentation Reminder Claims for assistant at surgery with a zero (0) indicator in the MPFSDB must have information to support and identify the assistant and also support the medical necessity of his/her [...]

MLN Connects® Newsletter: November 3, 2022

MLN Connects® Newsletter: November 3, 2022   News COVID-19 Vaccine: Novavax Booster Authorized Medicare Part B Immunosuppressive Drug: Get Information on New Benefit Part B Immunosuppressive Drug Benefit: Check Medicare Eligibility [...]

Claims Frequently Asked Question

Claims Frequently Asked Question We have added a new FAQ to our website. View answers to a common question about how to bill for services unrelated to a liability, no fault, or workers compensation claim to ensure you have the information [...]

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

Revalidate Provider Enrollment

This section gives you access and education about revalidating your enrollment.

Electronic Funds Transfer

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