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Posting Date: 02/17/2021
Reminders on the Prior Authorization Program for Certain Hospital Outpatient Department Services
Reminders on the Prior Authorization Program for Certain Hospital Outpatient Department ServicesEffective for dates of service on or after 7/1/2020, a PAR is required for certain OPD services.Hospital Responsibility: Submission of [...]
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Posting Date: 02/16/2021
Nuclear Medicine Billing Reminder
Nuclear Medicine Billing ReminderNational Government Services has identified an issue with billing for nuclear medicine services under CPT codes 78429-78434.We are receiving claims without the service facility location on the electronic claim. [...]
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Posting Date: 02/12/2021
National Government Services Gap-fill Pricing Requests 2021
National Government Services Gap-fill Pricing Requests 2021NGS, the MAC for Jurisdictions 6 and K has received the new laboratory test codes identified by CMS that require gap-fill pricing for 2021.The Protecting Access to Medicare Act (PAMA) [...]
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Posting Date: 02/10/2021
Medicare Diabetes Programs
Medicare Diabetes ProgramsDiabetes is an important topic to National Government Services.Patients diagnosed with diabetes may experience challenges with managing their diabetes and are more likely to experience many complications from the [...]
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Posting Date: 02/08/2021
Psychotherapy Coverage Criteria: Approved Providers of Service
Psychotherapy Coverage Criteria: Approved Providers of ServiceApproved providers of service include physicians (MD/DO), clinical psychologists, clinical social workers, nurse practitioners, clinical nurse specialists and physician’s [...]
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Posting Date: 02/08/2021
Psychotherapy Coverage Criteria: Treatment Plans
Psychotherapy Coverage Criteria: Treatment PlansIndividualized Treatment Plan: (A plan is not required if only a few brief services will be furnished)The plan must include:Date plan was established (can be no older than one year prior to the [...]
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Posting Date: 02/04/2021
Medicare Opioid Treatment Program Enrollment and Billing 2021 Updates
Medicare Opioid Treatment Program Enrollment and Billing 2021 UpdatesThe CMS has modified coverage for the Medicare OTP beginning 1/1/2021.The modifications include:Coverage of OTP services in outpatient hospital settingA CMS-855A provider [...]
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Posting Date: 02/03/2021
The NGS Immunization Roster Billing Job Aid is Now Available
The NGS Immunization Roster Billing Job Aid is Now AvailableWe’ve developed the Immunization Roster Billing Job Aid to provide you with instructions that will help you submit your claims correctly the first time. If you are enrolled as a mass [...]
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