Anesthesia CPT 00537 Being Underpaid for 2022

The 2022 Anesthesia Base Unit for 00537 was not updated for dates of service starting 1/1/2022 which has caused services being underpaid.

Part A FISS Cancel Adjustment Issue

FISS Maintainer will be creating a file to identify the cancel claim records that posted to the CWF as original claims (those with a CD value of “3” instead of “4”) and will be providing those files to CWF. The CWF Maintainer will run those [...]

Part A Invalid MBI Cross-Reference Issue

National Government Services is informing Part A providers of a claim processing issue causing invalid MBI cross-referencing. This is resulting in multiple, inactivated HICN being associated with the impacted claims.

Setting Your Security Questions

Setting Your Security Questions Setting up Security Questions is part of the required process for establishing an EDI Gateway Self-Service Portal account. Follow these steps to set up your account Security Questions. Access the Trading [...]

Cardiac, Intensive Cardiac and Pulmonary Rehabilitation Services

Cardiac, Intensive Cardiac and Pulmonary Rehabilitation Services We’ve added Cardiac, Intensive Cardiac and Pulmonary Rehabilitation information to the Cardiac Specialty section of our website. These resources provide detailed coverage and [...]

LCD, Billing and Coding Article Updates for November-December 2022

LCD, Billing and Coding Article Updates for November-December 2022 New LCDs and Articles (Effective 11/1/2022) Off-Label Use of Intravenous Immune Globulin (IVIG) – (L39314) This LCD addresses off-label uses for IVIG. We define off-label as [...]

January 2023 Release "Dark Days" for the Common Working File Hosts

January 2023 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2023 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/29/2022 and Dark Days starting Friday, 12/30/2022 through Sunday, [...]

MLN Connects® Newsletter: December 8, 2022

MLN Connects® Newsletter: December 8, 2022     News CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process Rural Emergency Hospitals: New Institutional Provider Type Starting [...]

Reminder for Submission of Modifier 22

Reminder for Submission of Modifier 22 National Government Services would like to remind providers of the requirement for modifier 22. The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-04, [...]

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming!

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming! Join us for our weekly webinar series on Medicare’s preventative service, "Counseling to Prevent Tobacco Use." Statistics show that tobacco use remains the [...]

Other Options <9>

Reason Code Lookup (touchtone 1) When Reason Code Lookup is selected, the IVR will request the five-digit reason code: Clearly speak or enter the reason code. Refer to the Phonetic Alphabet for assistance with speaking alpha characters [...]

National Government Services Medicare Part B Preventive Services Week

National Government Services Medicare Part B Preventive Services Week 12/6/2022 – 12/8/2022 Medicare offers many preventive service benefits that can help detect health problems early and keep your patients from getting certain diseases. [...]

OIG Guidance for COVID-19 Vaccination

OIG Guidance for COVID-19 Vaccination On 4/15/2021, the HHS-OIG issued Message from HHS-OIG Leadership on the COVID-19 Vaccination Program and Provider Compliance that states: As COVID-19 vaccinations continue to be administered nationwide, [...]

Confirming Eligibility to Enroll

Confirming Eligibility to Enroll  We’ve expanded our list of Eligible Nonphysicians who can enroll in Medicare to include the definition, qualifications and supporting documentation for each specialty.  Posted 12/15/2022

Provider Contact Center News

Provider Contact Center News ​​​​​​​ Effective immediately, all inquiries must be handled in our PCC.   Our PCC is responsible for assisting our provider community and are trained to answer your questions. When additional information [...]

MLN Connects® Newsletter: December 22, 2022

MLN Connects® Newsletter: December 22, 2022     News HHS Proposes to Standardize Electronic Health Care Attachments Transactions and Electronic Signature Processes to Improve the Care Experience for Patients and Providers [...]

Prior Authorization HCPCS Code Inquiry Tool

Enrollment Application Fee for 2023

Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. ​ Posted 12/30/2022

Enrollment Application Fee for 2023

Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. ​ Posted 12/30/2022

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available We’ve published the 2023 Medicare Diabetes Prevention Program codes and payments. Visit MDPP Codes and Payment Amounts for the HCPCS-G-Code, Description of MDPP Service [...]