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Posting Date: 04/25/2025
Part A - Promo 1
NGS Part A Collaborative Summit: Turning Insight Into Action; June 10, 11 and 12, 2025; Click Here and Register Now /documents/d/ngs/2025-pta-spring-vc-onepager-2
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Posting Date: 04/25/2025
(CORRECTION) Some Claims Editing for Reason Code U537I, HH Claim Falls Outside of an HH Admission Period for the Same Provider
The CWF can only hold the 36 most recent periods of care for any beneficiary. CWF also contains the indicator of when the HH admission (NOA) was processed. This indicator allows CWF to determine whether an HH admission period is on file with [...]
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Posting Date: 03/11/2025
April Code Set Update for PC Print: April 2025
April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements: CR13891 Implement Operating Rules – Phase III [...]
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Posting Date: 04/08/2025
April Code Set Update for PC Print: April 2025
April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements: CR13891 Implement Operating Rules - Phase III [...]
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Posting Date: 04/08/2025
New Version of PC-ACE: April 2025
New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]
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Posting Date: 05/25/2022
Illinois, Minnesota, Wisconsin
Member Name Group Email Aldrich, Elizabeth IPW (Independent Physicians of Wisconsin), Allen Family Practice ealdrich@ipw-offices.org Anderson, Benita Aurora Health Care Benita.Anderson@aurora.org [...]
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Posting Date: 05/12/2023
NGSConnex: Initiating and Checking Status of Reconsiderations
Did you know that you can save time and money by requesting a reconsideration via NGSConnex? When you submit reconsideration requests electronically using NGSConnex, you no longer need to complete a form, copy documentation and waste time with [...]
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Posting Date: 06/07/2024
Exemption Process for the Prior Authorization Program for Certain Hospital Outpatient Department Services
The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization program for certain hospital outpatient department (OPD) services for date of service (DOS) on or after 7/1/2020 and subsequently added an exemption process. [...]
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Posting Date: 01/08/2025
Counseling to Prevent Tobacco Use
In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]
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Posting Date: 01/02/2025
Counseling to Prevent Tobacco Use
In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]
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Posting Date: 01/08/2025
Ambulance Services and Establishing Medical Necessity for Part B Providers
This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.
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Posting Date: 01/10/2025
Submitting Revalidation via PECOS
During this webinar, we’ll provide an understanding of how to utilize the Centers for Medicare & Medicaid Services (CMS) Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a [...]
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Posting Date: 01/28/2025
Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information
Are you responsible for looking up whether a service is covered in the Medicare program at your facility but you're not sure where to look for the most relevant information? Have you received national coverage determination (NCD) or local [...]
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Posting Date: 01/07/2025
Inpatient Psychiatric Facilities: Three-Day or Less Interruptions
To prevent return to provider (RTP) claims, join us for this webinar in which we will review “three-day or less interruptions” in a beneficiary’s inpatient psychiatric facility (IPF) stay, how to count the interruption days, how to report [...]
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Posting Date: 01/16/2025
Preventive Services Overview
Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep your patients from getting certain diseases. Register today for a [...]
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Posting Date: 01/02/2025
Preventive Services: Flu and PPV Vaccines
During this webinar, we will review the coverage, coding and billing guidelines under Medicare Part B for Influenza and Pneumococcal Pneumonia Virus vaccinations.
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Posting Date: 03/06/2025
Home Health and Hospice New Provider Orientation
This webinar is designed for new home health and hospice agencies in an effort to provide essential information on: Doing business with National Government Services as your Medicare Administrative Contractor (MAC), self-service tools to help [...]
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Posting Date: 01/17/2025
Home Health Billing Part Two: The Period of Care Claim
Part two of this home health billing series focuses on the period of care claim, how reimbursement is determined under the Patient-Driven Groupings Model and review of the key billing requirements for claim billing. This session is a great [...]
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Posting Date: 01/17/2025
Home Health Billing Part One: The Notice of Admission
Provider Outreach and Education is hosting a two-part home health billing series. Part one will focus on what you need to know before billing, verifying eligibility, and the required fields to properly submit the Notice of Admission (NOA). This [...]
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Posting Date: 01/17/2025
Getting Access to PECOS
During this webinar, we’ll discuss how to obtain access to the Internet-based Provider Enrollment Chain & Ownership System (PECOS) and gain connection to provider enrollment record as well as understand other Centers for Mediacre & Medicaid [...]
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