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Posting Date: 12/19/2022
Provider Contact Center News
Provider Contact Center News Effective immediately, all inquiries must be handled in our PCC. Our PCC is responsible for assisting our provider community and are trained to answer your questions. When additional information [...]
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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
Enrollment Application Fee for 2023
Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. Posted 12/30/2022
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Posting Date: 12/30/2022
Enrollment Application Fee for 2023
Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. Posted 12/30/2022
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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: 12/22/2022
Billing and Coding Article Updates for December 2022-January 2023
Billing and Coding Article Updates for December 2022-January 2023 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on Transmittal 11738 (CR 12998) January 2023 I/OCE Specifications Version 24.0, HCPCS code C9142 has been deleted [...]
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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: 01/10/2023
Over-the-Counter COVID-19 Test Benefits
Over-the-Counter COVID-19 Test Benefits Beginning 4/4/2022, and through the end of the COVID-19 PHE, Medicare started paying for U.S. FDA-approved, authorized, or cleared OTC COVID-19 tests at no cost to Medicare beneficiaries with Medicare [...]
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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: 07/29/2022
Documentation for Hospice Transfers
Documentation for Hospice Transfers The purpose of a hospice transfer is to allow the beneficiary the opportunity to switch agencies without affecting their benefit period in an effort to provide continuity of care. Instead of the beneficiary [...]
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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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