-
Posting Date: 07/23/2020
LCD and Article Updates for August 2020
LCD and Article Revisions for August 2020 The medical policies and related articles can be found in our Medical Policy Center. Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10-CM codes C22.0, C22.8 [...]
Read More -
Posting Date: 08/26/2020
How to Find a Local Coverage Determination
How to Find a Local Coverage Determination As the MAC for J6 and JK, NGS is responsible for posting and maintaining LCDs and articles for many Medicare billed services. These LCDs and articles can be found at the Medical Policy Center. Please [...]
Read More -
Posting Date:
New Version of PC-ACE: January 2021
New Version of PC-ACE: January 2021 PC-ACE Version 4.9 contains several CMS mandates and product enhancements including but not limited to the items listed below. 11939 - Quarterly Update to the MPFSDB - October 2020 Update 11988 - [...]
Read More -
Posting Date: 03/12/2020
NGS Update on Fees for Code G2066
NGS Update on fees for code G2066 HCPCS code G2066 (Interrogation device evaluation[s], [remote] up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system or subcutaneous cardiac rhythm monitor [...]
Read More -
Posting Date: 09/29/2020
LCD and Article Updates for October 2020
LCD and Article Updates for October 2020 LCD Revisions: Transcranial Magnetic Stimulation (L33398) The notice period was extended to end on 9/30/2020 and the Revision Effective date has been changed from 8/1/2020 to 10/1/2020. Billing and [...]
Read More -
Posting Date: 12/23/2020
LCD and Article Updates for December 2020 and January 2021*
LCD and Article Updates for December 2020 and January 2021* Revised Billing and Coding Articles December 2020 and January 2021 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10 code C22.3 has been [...]
Read More -
Posting Date: 12/14/2020
Home Health Agency Change in Reimbursement – Medicare Patient’s Therapy Needs Have Not Changed
Home Health Agency Change in Reimbursement – Medicare Patient’s Therapy Needs Have Not Changed Ordering physicians should be aware that HHAs may be adjusting, or planning to revise, their therapy services in response to fears about decreased [...]
Read More -
Posting Date: 12/17/2020
From the Desk of the MAC Medical Directors: Caring for Medicare Patients is a Partnership
From the Desk of the MAC Medical Directors: Caring for Medicare Patients is a Partnership As a patient’s treating physician or nonphysician practitioner, you may order, refer and/or give health care services for your patient in partnership [...]
Read More -
Posting Date: 01/07/2020
Reminder: 2020 Payment Amounts for Immunization Administration Services Massachusetts Localities
Reminder: 2020 Payment Amounts for Immunization Administration Services Massachusetts Localities The 2020 PFS Final Rule requires National Government Services, as well as all MACs, to maintain for CY 2020, the CY 2019 national payment amounts [...]
Read More -
Posting Date: 02/20/2020
April 2020 Release "Dark Days" for the Common Working File Hosts
April 2020 Release "Dark Days" for the Common Working File Hosts For the upcoming April 2020 Release: For Production, CWF will be observing dark days starting Friday, 4/3/2020 through Sunday, 4/5/2020 to accommodate the anticipated duration [...]
Read More -
Posting Date: 10/19/2020
Evaluation and Management: Anticipated Changes for Office and Outpatient Services in 2021
Evaluation and Management: Anticipated Changes for Office and Outpatient Services in 2021 Pending confirmation in the upcoming CMS 2021 Final Rule, NGS is reminding Part B providers of expected changes to E/M guidelines for office and [...]
Read More -
Posting Date: 12/07/2020
Annual Participation Enrollment Period Extended to January 31, 2021
Annual Participation Enrollment Period Extended to January 31, 2021 NOTE: CMS is extending the 2021 Annual Participation Enrollment Program. The participation enrollment period will now end 1/31/2021, instead of 12/31/2020. Posted 12/7/2020
Read More -
Posting Date: 06/18/2020
Retirement of Noncovered Services and Category III CPT Codes LCDs and Articles
Retirement of Noncovered Services and Category III CPT Codes LCDs and Articles Effective 7/1/2020, National Government Services is retiring the Noncovered Services LCD (L33629) and Billing and Coding Article (A57812), and the Category III CPT® [...]
Read More -
Posting Date: 08/06/2020
Alert: Postcard Disguised as Official OCR Communication 8/6/2020
Alert: Postcard Disguised as Official OCR Communication 8/6/2020 National Government Services would like to make providers aware of an official notification sent out by the OCR regarding a mailing that was sent out attempting to make providers [...]
Read More -
Posting Date: 04/07/2020
Adopting Appropriate Claim Denials Management System: Modifiers 76/77
Adopting Appropriate Claim Denials Management System: Modifiers 76/77 We have identified providers who are submitting several appeals for modifiers 76 and/or 77 and this has caused additional work for your organization as well as National [...]
Read More -
Posting Date: 02/07/2020
Adjustment on Payments for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments
Adjustment on Payments for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments The American Hospital Association challenged CMS’ use of its authority under Subsection (t)(2)(F) of the Medicare statute to pay for [...]
Read More -
Posting Date: 09/29/2020
Issues with Medicare Beneficiary Submitted Claims ‒ We Need Your Help
Issues with Medicare Beneficiary Submitted Claims ‒ We Need Your Help National Government Services has seen an increase of Medicare beneficiary submitted claims that often times result in a negative outcome. While most Medicare fee-for-service [...]
Read More -
Posting Date: 06/16/2020
Changes in Guidance for E/M Telephone Services (99441-99443)
Changes in Guidance for E/M Telephone Services (99441-99443) We are informing providers of a recent revision in interpretation and guidance for use of CPT codes 99441-99443 for telephone E/M services. Since these telephone services have been [...]
Read More -
Posting Date: 02/10/2020
Change in Hospice Cap Review Timeline and Letter Changes
Change in Hospice Cap Review Timeline and Letter Changes National Government Services wants all hospice providers to be aware that we are changing the timing of the final hospice cap reviews. The final hospice cap review will [...]
Read More -
Posting Date: 04/06/2020
Call Center Will Not Close for Training on 4/10/2020 and 4/24/2020
Call Center Will Not Close for Training on 4/10/2020 and 4/24/2020 The Provider Contact Center will not be closing for training on 4/10/2020 and 4/24/2020 from 12:00-4:00 p.m. ET. Instead, we will keep our lines open to ensure you can continue [...]
Read More