Search Results - NGSMEDICARE

Posting Date: 09/12/2017

JK: Medicare Paid Hospital Providers Twice for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient IPPS Hospital Stays

Medicare Paid Hospital Providers Twice for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient IPPS Hospital Stays Table of Contents Provider Action Payment Window Policy and Under Arrangement Policy [...]

Posting Date: 12/22/2020

Professional Services During a Patient Hospice Election

Professional Services during a Patient Hospice Election Table of Contents Article Overview Hospice Election Medicare Payment During Hospice Election Determining the Correct Entity to Bill Separately Payable Part B Services Hospice and [...]

Posting Date: 09/18/2023

Direct Data Entry Users May Need to Adjust Screen Size

Direct Data Entry Users May Need to Adjust Screen Size CMS recently issued Change Request 13138 “Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 1”. [...]

Posting Date: 10/14/2021

Drugs and Biologicals - Coverage and Billing

Drugs and Biologicals – Coverage and Billing Medicare Part B will provide coverage for drugs that are furnished “incident to” a physician’s service. Coverage applies to drugs are not usually self-administered by the patients who take them. In [...]

Posting Date: 02/10/2015

Outpatient Therapy Functional Reporting

Outpatient Therapy Functional Reporting Table of Contents Outpatient Therapy Functional Reporting Reporting Episode - similar to the therapy episode of care Required Functional Reporting Discharge Reporting Unique Functional Reporting [...]

Posting Date: 01/12/2021

Home Health Referrals

Home Health Referrals The certifying physician or allowed nonphysician practitioner, and/or the acute/post-acute care facility referring the patient for home care must ensure that the medical record justifies the referral for Medicare home [...]

Posting Date: 06/02/2020

Modifier CS and COVID-19 Billing

Modifier CS and COVID-19 Billing How should the CS modifier, which removes application of beneficiary cost-sharing (deductible and co-payment), be applied to telehealth services and/or E/M visits? The CS modifier should be applied for certain [...]

Posting Date: 07/20/2023

Submitter Type - Provider

Submitted Type – Provider When Provider is selected as the submitter type the four objectives below are displayed. Select one objective based on the description provided and then click Next. Outlined in the following sections [...]

Posting Date: 07/20/2023

Submitter Type - Billing Service

Submitter Type – Billing Service When Billing Service is selected as your submitter the three objectives below are displayed. Select one objective based on the description provided and then click Next. Outlined in the following [...]

Posting Date: 07/20/2023

Selecting the Contractor Code

Selecting the Contractor Code Select the contract in which the provider of service is enrolled in the Medicare Program in the Contract Code field. Click the drop-down arrow to display the available contractor codes. Select the [...]