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Posting Date: 02/26/2022
View Claim Details
View Claim Details Select the Claim Number hyperlink to view additional claim details. If the claim was denied, you can view the reason for denial. You can view the following claim details from the Left-Side navigation. Claim Header [...]
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Posting Date: 03/22/2024
Important Reminder: Change Healthcare Security Incident
Important Reminder: Change Healthcare Security Incident This is an important reminder related to the Change Healthcare Security Incident and the efforts of the CMS and National Government Services. Change Healthcare is a clearinghouse vendor [...]
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Posting Date: 08/30/2021
Understanding the Medicare Summary Notice and Options
Understanding the Medicare Summary Notice and Options If you get a Medicare-covered service, you’ll get an MSN in the mail every three months. The notice shows all your services that your Medicare provider of service billed to Medicare during [...]
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Posting Date: 03/25/2024
Attention Electronic Billers
Attention Electronic Billers National Government Services has experienced issues with electronic files downloaded by some of our trading partners (those who receive electronic files directly from NGS). This was not a widespread issue and only [...]
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Posting Date: 03/25/2024
Attention! New CMS-588 Electronic Funds Transfer Authorization Agreement (11/23) Version
Attention! New CMS-588 Electronic Funds Transfer Authorization Agreement (11/23) Version Effective 4/30/2024 the MACs may only accept the CMS-588 EFT (11/23) version, the outdated form will be returned. NOTE: An electronic application [...]
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Posting Date: 03/25/2024
LCD and Article Updates for March/April 2024
LCD and Article Updates for March/April 2024 Local Coverage Determinations Fluid Jet System Treatment for LUTS/BPH (L38367) The age limitation of >80 years of age has been removed, effective for services rendered on or after 4/1/2024. [...]
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Posting Date: 01/06/2023
FQHC PPS Calculator
FQHC PPS Calculator 1/1/2024-12/31/2024 2023 2022 2021 2020 2019 Updated 3/26/2024
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Posting Date: 03/26/2024
Medicare Part B General Billing
Medicare Part B General Billing Claims for drugs and biologicals are mandatory assignment. Claims submitted as nonassigned will be converted to adjudicate as assigned. When billing drugs or biologicals, the drug name, dosage and invoice price [...]
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Posting Date: 03/26/2024
Patient-Supplied or Free-of-Charge Drugs
Patient-Supplied or Free-of-Charge Drugs When a patient purchases a drug and the physician administers it, the cost of the drug is not covered because it does not represent a cost to the physician. However, the administration of the drug is a [...]
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Posting Date: 11/12/2020
Providers Performing Facet Joint Injections (CPT Code 64476)
Providers Performing Facet Joint Injections (CPT Code 64476) The OIG released the results of an investigation into facet joint injections. Per the OIG report: "Facet joint injections are typically performed using radiological guidance [...]
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Posting Date: 03/26/2024
Related Content
Related Content LCD L33394 - Drugs and Biologicals, Coverage of, for Label and Off-Label Uses Drug Coverage under Different Parts of Medicare Medicare Program Discarded Drugs and Biologicals - JW Modifier and JZ Modifier Policy Frequently [...]
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Posting Date: 11/02/2021
Intravitreal Beovu (Brolucizumab-dbl) Billing
Intravitreal Beovu (Brolucizumab-dbl) Billing National Government Services has seen multiple variations of billing from providers for Intravitreal Beovu. This job aid provides clarification and proper billing for this drug. For Medicare [...]
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Posting Date: 03/27/2024
Drugs and Biologicals
Drugs and Biologicals We’ve updated the drugs and biologicals section of our website to offer easier navigation to the information you need. Updates include: Created a left-side navigation list with hyperlinks to specific information Added [...]
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Posting Date: 03/27/2024
NGSConnex Part B Claim Submission Issue – Mammography Claims
NGSConnex Part B Claim Submission Issue - Mammography Claims At this time, we are unable to accept mammography claims through Part B Claim Submission in NGSConnex. We are working to resolve the issue; please watch for Email Updates on the [...]
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Posting Date: 03/07/2022
Copy Claim Entry
Copy Claim Entry Table of Contents Copy Claim Entry Claim Lines Information – Add, Edit or Delete Ready to Submit Claim [Return to Top] Copy Claim Entry Part B providers who have a completed EDI enrollment form on file can submit [...]
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Posting Date: 02/26/2022
Check Appeal History
Check Appeal History Table of Contents Check Appeal History Attaching Additional Supporting Documentation Attachments Submit [Return to Top] Check Appeal History Click the Appeals button from the NGSConnex homepage. [...]
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Posting Date: 02/26/2022
Initiate a General Inquiry
Initiate a General Inquiry Table of Contents Initiate a General Inquiry Step 1: Provider Details Step 2: Inquiry Information Step 3: Attachments [Return to Top] Initiate a General Inquiry Click the Inquiries button from [...]
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Posting Date: 03/17/2022
Initiate a Prior Authorization Request
Initiate a Prior Authorization Request Table of Contents Initiate a Prior Authorization Request Request Details Requestor’s Information Certifying Physician Information Attachments [Return to Top] Initiate a Prior [...]
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Posting Date: 04/06/2022
Check Status of Prior Authorization Requests
Check Status of Prior Authorization Requests Table of Contents Check Status of Prior Authorization Requests View the Prior Authorization Submission Attachments [Return to Top] Check Status of Prior Authorization Requests You will [...]
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Posting Date: 10/14/2022
View Financial Claim Number Information
View Financial Claim Number Information Table of Contents View Financial Claim Number Information Financial Claim Number Patient Search [Return to Top] View Financial Claim Number Information The FCN can be found on the Medicare [...]
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