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Posting Date: 04/06/2023
MLN Connects® Newsletter: April 6, 2023
MLN Connects® Newsletter: April 6, 2023 News Resources & Flexibilities to Assist with Public Health Emergency in Mississippi Due to Recent Storms Program for Evaluating Payment Patterns Electronic Reports Advance Beneficiary [...]
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Posting Date: 09/20/2016
MSP Payment and Savings Calculator Top
Medicare Secondary Payer Payment Calculator The MSP payment calculator is intended to provide an approximation of what an MSP payment may be for assigned claims. This calculator does not reflect applicable coinsurance, deductible, or other [...]
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Posting Date: 04/10/2023
Reminder: Maintaining Ownership Consistency of Multiple Medicare Enrollments with same Tax Identification Number
Reminder: Maintaining Ownership Consistency of Multiple Medicare Enrollments with same Tax Identification Number View CMS’ “Medicare Enrollment: Maintain the Same Owners in All Enrollment Records” article within MLN Connects® Newsletter: [...]
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Posting Date: 07/27/2020
Modifiers Used During the COVID-19 Public Health Emergency
Modifiers Used During the COVID-19 Public Health Emergency Modifier Part A Billed on UB04? Part B Billed on 1500? Details References Exceptions/Special Usage CS Exception Yes Waives [...]
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Posting Date: 05/14/2020
Modifier 95 as it Relates to Medicare Part B and COVID-19 Billing
Modifier 95 as it Relates to Medicare Part B and COVID-19 Billing Modifier 95 Defined: Synchronous telemedicine service rendered via real-time interactive audio and video telecommunications system. During the COVID-19 PHE, and through CY 2023 [...]
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Posting Date: 05/14/2020
Modifier CR as it Relates to Medicare Part B and COVID-19 Billing
Modifier CR as it Relates to Medicare Part B and COVID-19 Billing In 2005, CMS created modifier “CR” (description: Catastrophe/disaster related) to assist MACs in processing claims as a result of Hurricane Katrina. This modifier was also [...]
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Posting Date: 04/10/2023
Home Health Diagnosis Codes Grouper Update for 4/1/2023
Home Health Diagnosis Codes Grouper Update for 4/1/2023 Effective 4/1/2023, CMS is implementing new HH Grouper edits. The HH Grouper program has various data validity edits that make sure it uses consistent and accurate data when calculating [...]
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Posting Date: 11/04/2021
Clarification on the Proper Use of the CS Modifier
Clarification on the Proper Use of the CS Modifier Per MLN Matters® article SE20011, the CS modifier (cost-sharing waiver for COVID-19 testing) is applicable to certain services furnished beginning on 3/18/2020 through the end of the PHE, [...]
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Posting Date: 04/07/2023
New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier
New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier Effective 4/1/2023, CMS implemented a new consistency edit to validate that the attending physician NPI. An Attending Provider [...]
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Posting Date: 04/13/2023
The Advance Beneficiary Notice of Noncoverage
The Advance Beneficiary Notice of Noncoverage We’ve updated our Advance Beneficiary Notice of Noncoverage article to include examples for using an ABN for outpatient therapy and using the KX and GA modifiers appropriately. We encourage you to [...]
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Posting Date: 04/13/2023
MLN Connects® Newsletter: April 13, 2023
MLN Connects® Newsletter: April 13, 2023 News COVID-19: End of Public Health Emergency CMS Roundup (Apr. 07, 2023) Medicare Shared Savings Program: Application Toolkit Materials Inpatient Rehabilitation Facility [...]
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Posting Date: 04/13/2023
Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them
Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them Providers, are your claims being denied for tobacco counseling services utilizing codes 99406 and 99407? In order to assist our providers in getting claims processed [...]
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Posting Date: 04/14/2023
CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual
CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual
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Posting Date: 04/19/2023
Telehealth Frequently Asked Questions are Updated
Telehealth Frequently Asked Questions are Updated We’ve updated our telehealth frequently asked questions to include changes and flexibilities due to the end of the PHE on 5/11/2023. Please view these FAQs for the answers you need to common [...]
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Posting Date: 04/20/2023
Providers Using NGSConnex to Submit Appeals and Supporting Documentation
Providers Using NGSConnex to Submit Appeals and Supporting Documentation We strongly recommend our providers use NGSConnex to submit your redetermination requests and any supporting documentation. Please be aware that if you do not submit [...]
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Posting Date: 04/20/2023
Medicare University Continuing to Experience Intermittent Issues
Medicare University Continuing to Experience Intermittent Issues We are continuing to experience intermittent outages with Medicare University. You do not need to report these issues with Medicare University to our Provider Contact Center. We [...]
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Posting Date: 04/20/2023
MLN Connects® Newsletter: April 20, 2023
MLN Connects® Newsletter: April 20, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Medical Review & Compliance: Respond to Additional Documentation Requests Hospice: [...]
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Posting Date: 04/14/2020
Hot Topics
Medicare Important Hot Topics Medicare and Coronavirus Medicare and Coronavirus – How to stay up-to-date! Medicare Beneficiary Fact Sheets Beneficiary Fact Sheets for Medicare Cost and Coverage Medicare Coverage Database The MCD [...]
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Posting Date: 07/01/2016
Introduction
Introduction The Congressional Affairs Outreach team at National Government Services, Inc. and our partners are committed to ensuring that congressional offices receive a timely response to all inquiries. For your convenience, National [...]
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Posting Date: 04/21/2023
LCD, Billing and Coding Article Updates for April and May 2023
LCD, Billing and Coding Article Updates for April and May 2023 Billing and Coding Article (A56937): Psychiatry and Psychology Services Removed sentence from article text section - “For psychotherapy sessions lasting 90 minutes or longer, the [...]
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