MLN Connects® Newsletter: August 4, 2025

FY 2026 Final Payment Rules Hospital Inpatient Prospective Payment System & Long-Term Care Hospital Prospective Payment System Inpatient Rehabilitation Facility Prospective Payment System Inpatient Psychiatric Facility Prospective [...]

Hospice Billing Coffee Break

Provider Outreach and Education is hosting a 30-minute coffee break to help answer your troublesome hospice billing questions. This is a great opportunity to discuss areas of billing more in depth and review helpful guides and resources. Keep [...]

Medicare Co-Surgery Billing for Part B Providers

This event is a great opportunity to deepen your understanding of Medicare co-surgery policy modifier 62. The individual skills of two surgeons may be required to perform surgery on the same patient during the same operative session. By [...]

NGS’ Prolonged Services Timetable 2025

NGS’ Prolonged Services Timetable 2025 CPT Code Prolonged Code Base Time CMS-Extra Minutes Needed CMS Prolonged Time Date Span 99205 G2212 60-74 15 from highest time threshold 89 DOS [...]

Prolonged Services

Prolonged Services Note: View NGS’ Prolonged Services Timetable 2025 and the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section [...]

Medicare Secondary Payer: Adjustment Claims

In this webinar, we will review how to prepare and submit adjustments (Type of Bill XX7) to change processed or rejected claims for Medicare Secondary Payer (MSP)-related reasons. We discuss adjusting Medicare primary, MSP, and cost-avoided [...]

NGS Services

Outpatient Physical and Occupational Therapy Services: A Focus on Coverage and Documentation Requirements

During this session we will provide an overview of coverage and documentation requirements for outpatient physical and occupational therapy services as outlined in local coverage determination (LCD) L33631. Topics to be discussed include: [...]