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Posting Date: 04/28/2021
Accelerated and Advanced Payment Nettings/Offsets Across Organization Affiliations
Accelerated and Advanced Payment Nettings/Offsets Across Organization AffiliationsWe are receiving an influx of calls to our Provider Contact Center with regard to recoupment of AAPs with providers questioning recoupments on funds they believe [...]
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Posting Date: 04/26/2021
Outpatient Prospective Payment System Part B Drug Payment and Status Indicator Change for Healthcare Common Procedure Coding System Q5122
Outpatient Prospective Payment System Part B Drug Payment and Status Indicator Change for Healthcare Common Procedure Coding System Q5122The following instructions have been provided by CMS to National Government Services for HCPCS code Q5122. [...]
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Posting Date: 04/26/2021
LCD and Article Updates for April and May 2021
LCD and Article Updates for April and May 2021April 2021 Medical Policy Article UpdatesBilling and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography (A52849)This article has been updated due to a provider request to [...]
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Posting Date: 04/15/2021
Clinicians Ordering Oxygen and Oxygen Equipment – COVID-19 PHE Reference Guide
Clinicians Ordering Oxygen and Oxygen Equipment – COVID-19 PHE Reference GuideAs a result of the COVID-19 PHE, CMS has issued waivers and flexibilities to assist Medicare beneficiaries in obtaining the services they need and allowing [...]
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Posting Date: 04/14/2021
Responding to an Additional Documentation Request
Responding to an Additional Documentation RequestMost recently, National Government Services has experienced an increasing volume of 56900 denials: medical records not submitted upon receipt of an ADR. In response to the lack of submission of [...]
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Posting Date: 04/14/2021
CGI Hosting an Upcoming Session on “Easier File Uploads for E-Filing in MCReF”
CGI Hosting an Upcoming Session on “Easier File Uploads for E-Filing in MCReF”Medicare Part A Cost Report: Easier File Uploads for e-Filing in MCReF Webcast:Date: Thursday 4/29/2021Time: 1:00–2:30 p.m. ETRegister today DescriptionMedicare [...]
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Posting Date: 04/12/2021
Behavioral Health Integration Services: Psychiatric Collaborative Care Model
Behavioral Health Integration Services: Psychiatric Collaborative Care ModelIntegrating behavioral health care with primary care (“behavioral health integration” or “BHI”) is an effective strategy for improving outcomes for the millions of [...]
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Posting Date: 04/07/2021
Checking the Status of Your Accelerated or Advanced Overpayment
Checking the Status of Your Accelerated or Advanced OverpaymentIf you requested an accelerated or advanced payment (AAP), then the overpayment amount is right at your fingertips. We would like to share some great tips on managing your accounts [...]
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Posting Date: 04/05/2021
COVID-19 Lump Sum Payments for RHCs and FQHCs
COVID-19 Lump Sum Payments for RHCs and FQHCsRHCs and FQHCs may request lump sum payments for administering COVID-19 vaccines in advance of cost report settlement. CMS, through your MAC, will pay you up front for COVID-19 vaccines and [...]
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Posting Date: 04/05/2021
Medicare Diabetes Maintenance Programs
Medicare Diabetes Maintenance ProgramsDiabetes management 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 [...]
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