Best Practices for a Successful Targeted Probe and Educate Review

End of the Public Health Emergency Frequently Asked Questions

End of the Public Health Emergency Frequently Asked Questions We’ve added new frequently asked questions to our website. We encourage our providers to view answers to questions about the End of the Public Health Emergency to ensure you have [...]

Drugs and Biologicals Frequently Asked Questions

Drugs and Biologicals Frequently Asked Questions We’ve added new frequently asked questions to our website. We encourage our providers to view answers to common questions about Drugs and Biologicals to ensure you have the information you need [...]

Government Efforts to Combat Cancer Deaths Related to Tobacco

Government Efforts to Combat Cancer Deaths Related to Tobacco Tobacco use is the leading preventable cause of cancer and cancer deaths. Lung cancer is what normally is thought of when talking about tobacco and cancer, but there are other [...]

Ways to Submit Requests

Ways to Submit Requests Suppliers have multiple options to submit PA requests to NGS. NGSConnex (preferred) Electronic submission of medical documentation (esMD) Fax JK: 315-442-4178 J6: 717-565-3840 U.S. Mail National [...]

Rhinoplasty and Related Services

General Documentation Requirements for Rhinoplasty and Related Services Checklist of prior authorization request (PAR) information to include: Medical documentation, with evaluation and management, supporting medical necessity of the [...]

MLN Connects® Newsletter: June 15, 2023

MLN Connects® Newsletter: June 15, 2023 News Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation CMS Announces Multi-State Initiative to Strengthen Primary Care [...]

Reactivating Reason Code 31755

Reactivating Reason Code 31755 As of 1/3/2023, reason code 31755 was reactivated per CMS instructions. This means the revenue code 0023 line-item date of service must match the date of service for the first home health visit on the claim. [...]