Notification of the 2024 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review

Notification of the 2024 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 [...]

MLN Connects® Newsletter: October 12, 2023

MLN Connects® Newsletter: October 12, 2023     News CMS Roundup (Oct 6, 2023) Protect Your Patients: Give Them a Flu Shot Publications Direct Data Entry: 10-Digit Screen Expansion Medicare Preventive Services — [...]

Let’s Get Ready for The Great American Smokeout on 11/16/2023!

Let’s Get Ready for The Great American Smokeout on 11/16/2023! For more than 40 years, the American Cancer Society has hosted the Great American Smokeout on the third Thursday of November. This yearly event is a call for action, not just for [...]

Prior Authorization Exemption Process FAQ

Prior Authorization Exemption Process FAQ How many days notice will I receive before I switch from PAR submissions to an exemption cycle? Answer: MACs will provide a 60-day notice prior to any transition period, continuation, or withdrawal [...]

NGSConnex User Guide

Initiate a Claim Status Lookup

Initiate a Claim Status Lookup Click the Claim Status Lookup button from the NGSConnex homepage. In the Select a Provider panel, click the Select button next to the applicable provider account. To search for claims use the filter [...]

Check Status of Prior Authorization Requests

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Tip Sheet #2

National Government Services Office of Congressional Affairs Inquiry: Tip Sheet #2 Tips for a Congressional Inquiry to Move Forward Without Delay Each congressional inquiry includes a ‘Consent for Release’ form of Medicare personal records [...]

Reopening Not Appropriate to Change Diagnosis on Paid Claims

Reopening Not Appropriate to Change Diagnosis on Paid Claims National Government Services periodically receives reopening requests to change the diagnosis on a paid claim.  Submitting a new, or corrected diagnosis on a claim that has [...]