MLN Connects® Newsletter for Thursday, October 14, 2021

MLN Connects® Newsletter for Thursday, October 14, 2021 Pneumococcal Conjugate Vaccine, 20 Valent View this edition as a: Webpage | PDF News Pneumococcal Conjugate Vaccine, 20 Valent DATA 2000 Waiver Training Payments Still [...]

MLN Connects® Newsletter for Thursday, December 9, 2021

MLN Connects® Newsletter for Thursday, December 9, 2021 CY 2022 Medicare Deductible, Coinsurance, & Premium Rates News PECOS: Multi-Factor Authentication Requirement Delayed HHS Seeks Public Comments to Advance Equity & [...]

MLN Connects® Newsletter for Thursday, December 16, 2021

MLN Connects® Newsletter for Thursday, December 16, 2021 2% Payment Adjustment (Sequestration) Changes News Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Changes Flu Shot Disparities Opioid Treatment Programs: New [...]

MLN Connects® Newsletter for Thursday, December 23, 2021

MLN Connects® Newsletter for Thursday, December 23, 2021 COVID-19 Vaccine Access in Long-Term Care Settings   News COVID-19 Vaccine Access in Long-Term Care Settings DMEPOS Final Rule NPPES: Public Reporting of Digital Contact [...]

MLN Connects® Newsletter for Thursday, January 6, 2022

MLN Connects® Newsletter for Thursday, January 6, 2022 Provider Compliance Product List Updated   News COVID-19 Vaccine Access in Long-term Care Settings SNF VBP: Nominate Technical Expert Panel Members by January 16 COVID-19 [...]

MLN Connects® Newsletter for Thursday, January 13, 2022

MLN Connects® Newsletter for Thursday, January 13, 2022 COVID-19: Long-term Care, Remdesivir, & Booster Doses   News COVID-19: Updated Materials for Visiting Nursing Homes During Omicron Surge COVID-19: Vaccine Access in [...]

MLN Connects® Newsletter for Thursday, January 27, 2022

MLN Connects® Newsletter for Thursday, January 27, 2022 COVID-19: Tools to Determine if Vaccine Requirements Apply   News COVID-19: Tools to Determine if Vaccine Requirements Apply COVID-19 Vaccine Codes: Pfizer Pre-Diluted Vaccine [...]

MLN Connects® Newsletter for Thursday, March 10, 2022

MLN Connects® Newsletter for Thursday, March 10, 2022 COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD News COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD Program for [...]

MLN Connects® Newsletter for Thursday, March 31, 2022

MLN Connects® Newsletter for Thursday, March 31, 2022 Continuous Glucose Monitor: Provide Supplies for a Calendar Month News Home Health Providers: Services Provided Data for April 2022 Refresh Continuous Glucose Monitor: Provide [...]

MLN Connects® Newsletter for Thursday, April 7, 2022

MLN Connects® Newsletter for Thursday, April 7, 2022 Improve the Health of Minority Populations with Covered Preventive Services News Fiscal Year 2021 Program for Evaluating Payment Patterns Electronic Reports Preventive Services & [...]

MLN Connects® Special Edition for Monday, April 11, 2022

MLN Connects® Special Edition for Monday, April 11, 2022 HHS Takes Actions to Promote Safety & Quality in Nursing Homes On April 11, CMS issued its FY 2023 SNF PPS proposed rule, which includes asking for public feedback on how staffing [...]

MLN Connects® Newsletter for Thursday, April 14, 2022

MLN Connects® Newsletter for Thursday, April 14, 2022 COVID-19: New Codes for Moderna Vaccine Booster Doses News Launch of the Cross-Cutting Initiatives Value-Based Insurance Design Model: Medicare Advantage Organizations Pay for [...]

MLN Connects® Newsletter for Thursday, April 21, 2022

MLN Connects® Newsletter for Thursday, April 21, 2022 Medicare Provider Compliance News News Hospice Quality Reporting Program: Key Dates & Measure Change Ambulance Ground Transport: Comparative Billing Report in April Hospices: [...]

MLN Connects® Newsletter for Thursday, April 28, 2022

MLN Connects® Newsletter for Thursday, April 28, 2022 Get Patient Eligibility Information for Additional Services News Patient Eligibility Information for Additional Services — Now Available Physicians, Teaching Hospitals, Physician [...]

U537F Assigning in Error On Some Notices of Admission

National Government Services has identified an issue where U537F is assigning incorrectly on some NOAs, due to the CWF not correctly recognizing discharges (patient status other than 30 on the last HH period). There is no workaround. Please [...]

MLN Connects® Special Edition for Thursday, September 9, 2021

MLN Connects® Special Edition for Thursday, September 9, 2021 Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings New action will protect patients of the 50,000 providers and over 17 million health care [...]

Important Information on How to Resolve NGSConnex Account Suspensions

Important Information on How to Resolve NGSConnex Account Suspensions If you are an NGSConnex user and not the LSO for your provider organization and your NGSConnex account has been suspended for one of the following reasons, you must contact [...]

Hospice Levels of Care: Routine Home Care

Hospice Levels of Care: Routine Home Care There are four levels of care in the Medicare hospice benefit. Hospices are paid a per diem rate based on the number of days and level of care provided during the election period. The four levels of [...]

New Medical Review Frequently Asked Questions

New Medical Review Frequently Asked Questions We’ve added Medical Review Frequently Asked Questions to our website. Visit our Help and FAQs web page for common questions and answers related to Medical Review and other topics including: EDI, [...]

Medical Review

Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference!

Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference! The National Government Services POE Team is holding our latest bi-annual virtual conference on Tuesday, 11/9/2021 and Wednesday, 11/10/2021. This [...]

National Government Services Medicare Fall 2021 Virtual Conference

National Government Services Medicare Fall 2021 Virtual Conference The National Government Services POE Team's biannual virtual conference is scheduled for Tuesday, 11/9/2021 and Wednesday, 11/10/2021. This two full-day virtual conference [...]

Save Time and Money by Submitting your Appeals (Reopenings & Redeterminations) Electronically

Save Time and Money by Submitting your Appeals (Reopenings & Redeterminations) Electronically Two easy ways to submit. National Government Services will now allow Medicare Part A and Part B providers to submit claim appeal requests, [...]

Improving Customer Experience in 2021

Improving Customer Experience in 2021 We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how [...]

Provider Action To Be Taken Following the Provider-Based Mid-Build Audit

Provider Action To Be Taken Following the Provider-Based Mid-Build Audit The off-campus PBDs that were “mid-build” prior to 11/2/2015 received mid-build determination letters in January 2021 from the CMS mid-build audit contractor, Cahaba [...]

National Influenza Vaccination Week

National Influenza Vaccination Week National Influenza Vaccination Week is Observed 12/5/2021–12/11/2021 Influenza (flu) is a contagious respiratory illness caused by the influenza virus and causes mild to severe illness. Millions of people [...]

July and August 2022 Billing and Coding Article Updates

July/August 2022 Billing and Coding Article Updates Billing and Coding Articles Billing and Coding: Botulinum Toxins (A52848) Based on comments received, ICD-10-CM codes N39.41 and N39.46 have been added to the Group 4 ICD-10 code list [...]

Change Request 10484, Pub.100-20, Rev2357: Additional Instructions to Hospitals on the Election of a Medicare SSI Component of the DSH Payment Adjustment for Cost Reports FY 2004 and Earlier

Change Request 10484, Pub.100-20, Rev2357: Additional Instructions to Hospitals on the Election of a Medicare SSI Component of the DSH Payment Adjustment for Cost Reports FY 2004 and Earlier Please click on the following link to read the [...]

Appeal Submission Process for Claims with Multiple Line Items

Appeal Submission Process for Claims with Multiple Line Items We have identified instances where providers are submitting several appeals for one claim internal control number. If you need to appeal (redetermination) a claim with multiple [...]

MLN Connects® for Thursday, January 16, 2020

MLN Connects® for Thursday, January 16, 2020 Quality Payment Program: Learn About the MIPS 2020 Performance Period MLN Connects® for Thursday, January 16, 2020 View this edition as a PDF News CMS Reduces Psychiatric Hospital Burden [...]

MLN Connects® for Thursday, January 9, 2020

MLN Connects® for Thursday, January 9, 2020 Read the Latest Quality Payment Program Updates MLN Connects® for Thursday, January 9, 2020 View this edition as a PDF News Quality Payment Program: 2018 Performance Data Quality [...]

Notification to Providers: Preventive and Screening Services

Notification to Providers: Preventive and Screening Services Centralized billing is a process in which a provider, who provides mass immunization services for influenza virus and pneumococcal pneumonia virus (PPV) immunizations, can send all [...]

MLN Connects® for Thursday, February 27, 2020

MLN Connects® for Thursday, February 27, 2020 COVID-19 Coding Guidance MLN Connects® for Thursday, February 27, 2020 View this edition as a PDF News Quality Payment Program: MIPS 2019 Data Submission Period Open through March 31 [...]

Make Today the Day - Sign Up for Medicare Diabetic and Prevention Program Email Updates

Make Today the Day ‒ Sign Up for Medicare Diabetic and Prevention Program Email Updates The MDPP supplier Email Updates are the mechanism by which MDPP suppliers will receive important information and reminders, such as upcoming due [...]

Amending Medical Records

Amending Medical Records Amendments, Corrections and Delayed Entries in Medical Documentation    All services provided to beneficiaries are expected to be documented in the medical record at the time they are rendered. [...]

Did You Know that the Medicare Part B Overpayment Form Has Been Retired?

Did You Know that the Medicare Part B Overpayment Form Has Been Retired? Our records indicate some providers are still using the retired Medicare Part B Overpayment Form. The new process for provider-initiated non MSP overpayments is as [...]

Article Revisions: February 2020

Article Revisions: February 2020 The medical policies and related articles can be found in our Medical Policy Center. Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy (A57826) The [...]

MLN Connects® for Thursday, February 20, 2020

MLN Connects® for Thursday, February 20, 2020 Bill Correctly for Medicare Telehealth Services MLN Connects® for Thursday, February 20, 2020 View this edition as a PDF   News CMS Develops New Code for Coronavirus Lab Test [...]

MLN Connects® for Thursday, February 13, 2020

MLN Connects® for Thursday, February 13, 2020 Protect Your Patients from Influenza MLN Connects® for Thursday, February 13, 2020 View this edition as a PDF News DMEPOS Items Subject to Prior Authorization Influenza Activity [...]

Reassignment of Medicare Benefits: Revised CMS-855R Required May 1

Reassignment of Medicare Benefits: Revised CMS-855R Required May 1 Physicians and non-physician practitioners: Use the revised CMS-855R (Reassignment of Benefits) application once it is posted on the CMS Forms List (go.usa.gov/cuu5Y) in early [...]