-
Posting Date: 10/10/2024
Jurisdiction K Part B Top Claim Errors are Updated
Jurisdiction K Part B Top Claim Errors are Updated Using data analysis we update the Top Claim Errors on a quarterly basis and provide: the error reason code; a description of the error; the error type; details that include steps you can [...]
Read More -
Posting Date: 11/07/2022
Diabetic Self-Management Tool for Billing
Diabetic Self-Management Tool for Billing DSMT and MNT complementary services. This means Medicare will cover both DSMT and MNT without decreasing either benefit as long as the referring physician determines that both are medically necessary. [...]
Read More -
Posting Date: 10/10/2024
NGSConnex: Inquiries and Remittance Advice
Did you know you can initiate general claim inquiries through the NGSConnex portal? Do you have trouble understanding the remittance advice? If you answered yes, this session is for you! During this webinar, we’ll provide instruction on how to [...]
Read More -
Posting Date: 10/02/2024
Reimbursement for Pre-exposure Prophylaxis Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus Infection
Reimbursement for Pre-exposure Prophylaxis Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus Infection CMS has issued NCD 210.15 Pre-exposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent Human Immunodeficiency [...]
Read More -
Posting Date: 09/09/2024
EDI Front End Clinical Edits
EDI Front End Clinical Edits EDI has begun to implement EDI clinical business edits into the NGS EDI front end. These edits will assist in proactively alerting providers of potential claim issues and provide resources to assist with avoiding [...]
Read More -
Posting Date: 01/28/2022
Admission and Discharge Services
Admission and Discharge Services Is it permissible for an NPP to perform an initial hospital admission or discharge service on behalf of the attending physician, or on a split/shared basis, when both are members of the same provider [...]
Read More -
Posting Date: 01/27/2022
Advanced Care Planning
Advanced Care Planning Please define documentation requirements when billing advanced care planning (CPT 99497 and 99498). Answer: ACP codes may be used with or without a base E/M code on the same date of service, based on whether a [...]
Read More -
Posting Date: 01/28/2022
Behavioral/Mental Health Services
Behavioral/Mental Health Services Please explain the parameters for mental health services delivered via telehealth to a beneficiary who is at home. Note: CMS has extended the PHE-period waiver for in-person visit requirements for [...]
Read More