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Posting Date: 11/12/2020
MLN Connects® for Thursday, November 12, 2020
MLN Connects® for Thursday, November 12, 2020 COVID-19: Non-Physician Practitioner Billing for Audio Services MLN Connects® for Thursday, November 12, 2020 View this edition as a: Webpage | PDF News Critical Care: Comparative [...]
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Posting Date: 10/06/2020
Notification of the 2020 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review
Notification of the 2020 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review The amount that must remain in controversy for ALJ hearing requests filed on or [...]
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Posting Date: 03/26/2020
New Version of PC-ACE: April 2020
New Version of PC-ACE: April 2020 PC-ACE Version 4.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. CR 11353 - New Medicare Provider Specialty Code (D5) and Billing Codes [...]
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Posting Date: 01/28/2021
New Uniform Thresholds for Determining Low Medicare Utilization Providers
New Uniform Thresholds for Determining Low Medicare Utilization Providers Effective for all cost reports received on or after 6/19/2020, the MACs are instructed to use the following defined “Low Medicare Utilization Thresholds” compared to [...]
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Posting Date: 04/08/2020
New NGS Part A Redetermination Request Form
New NGS Part A Redetermination Request Form Save time and money by using of the following options instead of mailing a written redetermination request form: Initiate an adjustment in the FISS DDE for fully covered or rejected claims Use [...]
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Posting Date: 09/16/2020
National Government Services and the Public Health Emergency
National Government Services and the Public Health Emergency The health and well-being of our beneficiaries, providers, associates and communities is our top priority. We understand the uncertainty and concerns you may be experiencing during [...]
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Posting Date: 09/01/2020
National Government Services Provider Enrollment Appeals Mailbox Reminder
National Government Services Provider Enrollment Appeals Mailbox Reminder National Government Services, Inc. has seen an increase in submissions to the PE appeals mailbox (NGS-PE-Appeals@Anthem.com) that are not appropriate. The NGS PE appeals [...]
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Posting Date: 03/27/2020
National Government Services Accepting and Processing Claims for Expanded Coverage of Telehealth Services as of 3/6/2020
National Government Services Accepting and Processing Claims for Expanded Coverage of Telehealth Services as of 3/6/2020 On 3/17/2020, CMS issued MLN Connects® Special Edition for Tuesday, March 17, 2020, President Trump Expands Telehealth [...]
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Posting Date: 10/30/2020
Medicare Usage of CPT 99072
Medicare Usage of CPT 99072 National Government Services has received many questions regarding CPT 99072 for Medicare usage since the AMA announced the code on 9/8/2020. Many providers have been asking if CMS will cover this code for Medicare [...]
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Posting Date: 02/24/2020
Chiropractors Billing Medicare for Therapy Services
Chiropractors Billing Medicare for Therapy Services Chiropractors in the Medicare fee-for-service realm are only allowed to be considered for spinal manipulation via submission of CPT codes 98940‒98942. Medicare pays for these services when [...]
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