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Posting Date: 04/02/2025
PECOS: In PECOS, how do you find an enrollment to submit an application?
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Posting Date: 04/02/2025
REVALIDATION: Do I need to revalidate if it has not been five years since my last revalidation?
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Posting Date: 04/02/2025
PECOS: In PECOS, how do you find an enrollment to submit an application?
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Posting Date: 04/02/2025
Implantable Continuous Glucose Monitors (I-CGM)
Implantable Continuous Glucose Monitors (I-CGM) N/A L38623 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38623 A58116 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116 A58342 [...]
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Posting Date: 05/20/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
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Posting Date: 03/15/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
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Posting Date: 01/03/2025
Billing and Coding: Eculizumab
Billing and Coding: Eculizumab drug, hemolysis A54548 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54548 J1299, Q5151, Q5152
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Posting Date: 04/02/2025
Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound
Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound L39139 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39139 A58893 [...]
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Posting Date: 03/16/2022
Telehealth Services
Telehealth Services Table of Contents General Information Originating Site Distant Site List of Covered Medicare Telehealth Services Billing Facility Fee for Originating Site Payment for Professional Fee Place of [...]
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Posting Date: 01/24/2025
Telehealth Extension 2025
Telehealth Extension 2025 A Congressional continuing resolution bill has extended telehealth coverage for services in all U.S. geographic locations through 9/30/2025. Based on this guidance, National Government Services will continue to pay [...]
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Posting Date: 06/08/2021
Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities
Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities The hospital is the entity required to bill POA indicators on all inpatient claims billed to Medicare. However, accurate coding of all diagnosis [...]
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Posting Date: 02/21/2025
NCCI Lookup Tool Top
National Correct Coding Initiative Lookup Tool The NCCI PTP lookup tool is designed to help providers identify when certain codes are subject to the automated code pair edits. When two codes of an edit pair are identified, the major code [...]
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Posting Date: 03/03/2023
LCD Open Meeting Records
Open Meeting Records Jurisdiction 6 and Jurisdiction K Open Meeting Records Meeting Date Audio Transcript 3/13/2025 – J6/JK Open Meeting Recording Transcript 10/24/2024 – J6/JK Open Meeting [...]
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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 [...]
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Posting Date: 01/16/2025
Let’s Chat: Prior Authorization for Certain Hospital Outpatient Department Services
This Let’s Chat session focuses on Prior Authorization for certain hospital outpatient department (OPD) services and is an informal opportunity for you to chat with our staff about the selected topic. During the session, you may ask us [...]
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Posting Date: 02/26/2025
Provider Enrollment: Initially Enrolling a Dentist in the Medicare Program
During this webinar, we’ll address the Medicare dental specialty codes and provide an overview of how to enroll using Provider Enrollment, Chain and Ownership System (PECOS) as well as using the CMS-855I paper application. This session is [...]
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Posting Date: 02/19/2025
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 [...]
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Posting Date: 02/13/2025
PECOS: Manage Signatures and Additional Information Requests
During this webinar, we’ll give direction for the Provider Enrollment, Chain and Ownership System (PECOS) application on understanding how to manage signatures and respond to additional information request from submitted applications.
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Posting Date: 03/07/2025
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: 02/28/2025
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: 02/28/2025
Home Health Billing Part One: The Notice of Admission
Provider Outreach and Education is hosting a two-part home health (HH) 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). [...]
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Posting Date: 03/19/2025
Home Health Top Claim Errors
Do you see the same rejections and returns to provider (RTPs) over and over? Do you know how to correct the most common errors and, more importantly, how to avoid them in the future? In this session, we’ll review the most common reason codes [...]
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Posting Date: 03/26/2025
Hospice Top Claim Errors
Do you see the same rejections and returns to provider (RTPs) over and over? Do you know how to correct the most common errors and more importantly how to avoid them in the future? In this session, we’ll review the most common reason codes [...]
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Posting Date: 03/12/2025
Fraud Prevention and Detection
During this webinar, we'll provide you with insight into Medicare fraud and abuse, along with descriptions of laws that help to prevent fraud and abuse from occurring. Education will be provided to increase awareness of integrity issues and [...]
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