-
Posting Date: 01/08/2025
MLN Connects® Newsletter: January 8, 2025
MLN Connects® Newsletter: January 8, 2025 News Medicare Part B Vaccine Administration: CY 2025 Payment Amounts Historically Excepted Tribal Federally Qualified Health Centers: CY 2025 Payment Rate DMEPOS: Adding New Product Category to [...]
Read More -
Posting Date: 01/09/2025
Fourth Quarter Top Ten EDI Part B Edits
Fourth Quarter Top Ten EDI Part B Edits Using data analysis, we’ve updated the Top Ten EDI Edits for the 2024 fourth quarter. Visit Quarterly Top Ten EDI Part B Edits to view the edits, their description and learn what you can do to correct [...]
Read More -
Posting Date: 01/14/2025
Helping Your Patients Stop Smoking
Helping Your Patients Stop Smoking Quitting tobacco use presents various challenges for patients, and staying motivated can be difficult. All health care providers, especially those with direct patient contact, have a unique opportunity to [...]
Read More -
Posting Date: 01/27/2025
Jurisdiction 6 Part B Top Claim Errors Are Updated
Jurisdiction 6 Part B Top Claim Errors Are Updated Did you know we publish the top claim errors on our website? This resources provides detailed information including: the error reason code; a description of the error; the error type; [...]
Read More -
Posting Date: 01/15/2025
Prepare and Submit a Medicare Secondary Payer Claim
Table of Contents Background Step 1: Determine If You Must Submit an MSP Claim Step 2: Prepare an MSP Claim MSP Billing Code Table Step 3: Check for a Matching MSP Record for the Beneficiary in the Common Working File Step [...]
Read More -
Posting Date: 07/20/2023
Contractor Advisory Committee Meeting
Contractor Advisory Committee Meeting As part of the 21st Century Cures Act, contractors are mandated to base an LCD on robust evidence. Part of the process is to convene SMEs as necessary to review the literature and provide input that [...]
Read More -
Posting Date: 01/15/2025
Multi-Jurisdictional Peripheral Nerve Blocks Contractor Advisory Committee Meeting on 2/3/2025
Multi-Jurisdictional Peripheral Nerve Blocks Contractor Advisory Committee Meeting on 2/3/2025 The Multi-Jurisdictional Peripheral Nerve Blocks Contractor Advisory Committee Meeting is scheduled for 2/3/2025 from 2:00–4:00 p.m. ET, via [...]
Read More -
Posting Date: 01/16/2025
MLN Connects® Newsletter: January 16, 2025
MLN Connects® Newsletter: January 16, 2025 News Resources & Flexibilities to Assist with the Public Health Emergency in California CMS Moves Closer to Accountable Care Goals with 2025 Accountable Care Organization Initiatives [...]
Read More -
Posting Date: 01/16/2025
FQHC and RHC Claims RTP for W7072
Between 10/1/2024 and 12/31/2024, RHC (TOB 071X) and FQHC (TOB 077X) claims that contained HCPCS code 93010 were RTP in error with reason code W7072.
Read More -
Posting Date: 01/17/2025
Letters Regarding Deactivation of Enrollment Due to Infrequent Billing - Correction of Fax Number
Letters Regarding Deactivation of Enrollment Due to Infrequent Billing - Correction of Fax Number If you received a letter from National Government Services dated 1/10/2025 regarding a deactivation of your enrollment due to infrequent billing, [...]
Read More -
Posting Date: 01/21/2025
2024 Calendar Year 1099 Form Information
2024 Calendar Year 1099 Form Information National Government Services will mail all 1099 Forms for calendar year 2024 no later than 1/31/2025. Medicare providers and beneficiaries, who are serviced by NGS regardless of their location, will [...]
Read More -
Posting Date: 01/22/2025
Connecticut ASC Fee Schedule Listing
Connecticut ASC Fee Schedule Listing CMS is using CBSA planning areas/numbers instead of counties for fee schedule listings for ASCs in the state of Connecticut. CBSAs refer collectively to metropolitan statistical areas and [...]
Read More -
Posting Date: 01/27/2025
Jurisdiction K Part B Top Claim Errors Are Updated
Jurisdiction K Part B Top Claim Errors Are Updated Did you know we publish the top claim errors on our website? This resources provides detailed information including: the error reason code; a description of the error; the error type; [...]
Read More -
Posting Date: 01/22/2025
Can a mass immunizer combine pneumococcal with other vaccines on one roster bill?
-
Posting Date: 01/22/2025
Does Medicare pay for counseling and education of the pneumococcal vaccine?
-
Posting Date: 01/22/2025
Is the pneumococcal vaccine subject to coinsurance and deductible?
-
Posting Date: 01/22/2025
What are the allowance limits for the cost of the pneumococcal vaccine?
-
Posting Date: 01/27/2025
Frequently Asked Questions Have Been Reviewed and Updated
Frequently Asked Questions Have Been 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. Please take time to review these FAQs for answers to [...]
Read More -
Posting Date: 04/13/2023
Medicare Telehealth Changes for 2024/2025
Medicare Telehealth Changes for 2024/2025 Table of Contents Major Medicare Telehealth Flexibilities Not Affected by the End of the PHE Reporting Home Address Direct Supervision Requirements Teaching Physicians Remote Evaluations, [...]
Read More -
Posting Date: 01/27/2025
Top Claim Errors Reviewed and Updated
Top Claim Errors Reviewed and Updated Using data analysis, we review and update the Top Claim Errors on a quarterly basis. View Top Claim Errors to quickly identify the information you need to avoid processing delays and get [...]
Read More -
Posting Date: 10/31/2024
Top Claim Errors Reviewed and Updated
Top Claim Errors Reviewed and Updated Using data analysis, we review and update the Top Claim Errors on a quarterly basis and provide: the error reason code; a description of the error; the error type; details that include steps you [...]
Read More -
Posting Date: 01/24/2025
Hospitals Must Correctly Code Claims Involving Chimeric Antigen Receptor T-cell and Other Immunotherapy to Receive Proper Payment
Hospitals Must Correctly Code Claims Involving Chimeric Antigen Receptor T-cell and Other Immunotherapy to Receive Proper Payment We have noticed that inpatient hospital claims for CAR T-cell and other immunotherapy are not always coded [...]
Read More