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Posting Date: 11/30/2020
Don’t Forget the CMS-588 Electronic Funds Transfer Authorization Agreement
Don’t Forget the CMS-588 Electronic Funds Transfer Authorization Agreement The CMS-588 Electronic Funds Transfer Authorization Agreement is to be submitted for billing providers upon initial enrollment, change in bank information and during [...]
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Posting Date: 08/20/2020
Opioid Treatment Add-on Code G2078 and G2079 MUE Values
Opioid Treatment Add-on Code G2078 and G2079 MUE Values The July 2020 quarterly update for the NCCI added an MUE value of one for OTP HCPCS codes G2067-G2075 and G2078 and G2079. It was later determined by CMS that the incorrect MUE value was [...]
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Posting Date: 09/18/2020
October 2020 Release "Dark Days" for the Common Working File Hosts
October 2020 Release "Dark Days" for the Common Working File Hosts For the upcoming October 2020 Release: For Production, CWF will be observing dark days starting Friday, 10/2/2020 through Sunday, 10/4/2020 to accommodate the anticipated [...]
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Posting Date: 09/15/2020
October 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes
October 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes The DDE CWF Inquiry Screen (MAP175M) will display the ABPM and will include the technical and professional dates for HCPCS 93784. The MBI Eligibility FROM and [...]
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Posting Date: 06/24/2020
Registered Dietitians and COVID-19 Allowances for Billing
Registered Dietitians and COVID-19 Allowances for Billing National Government Services has received clarification from CMS in regard to registered dietitians/nutritionists billing. When CPT codes 98966‒98968 were originally opened to coverage [...]
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Posting Date: 05/07/2020
Radiopharmaceuticals Invoice or Acquisition Cost Submission Reminder
Radiopharmaceuticals Invoice or Acquisition Cost Submission Reminder National Government Services has identified situations where claims are being submitted for radiopharmaceuticals without an invoice or acquisition cost provided. For [...]
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Posting Date: 03/02/2020
Quality Innovation Networks - Quality Improvement Organizations Quality Initiatives
Quality Innovation Networks - Quality Improvement Organizations Quality Initiatives CMS leads a national health care quality improvement network of Quality Innovation Networks – Quality Improvement Organizations (QIN-QIOs). Locally, an [...]
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Posting Date: 08/28/2020
Providers' Obligation to Report and Refund Medicare Overpayments with Appropriate Forms
Providers' Obligation to Report and Refund Medicare Overpayments with Appropriate Forms Healthcare providers have an obligation to report and refund federal program overpayments and continue to do so, but National Government Services would [...]
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Posting Date: 10/07/2020
Provider Enrollment Reconsideration Request Reminders
Provider Enrollment Reconsideration Request Reminders National Government Services has been receiving reconsiderations of provider enrollment credentialing requests that do not fall into the appropriate criteria for reconsiderations due to the [...]
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Posting Date: 06/09/2020
Proper Billing for Telehealth Services Claims
Proper Billing for Telehealth Services Claims We have received a high volume of paper CMS-1500 claim forms for telehealth services with dates of service during the PHE that we have to reject because they are improperly coded with two different [...]
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Posting Date: 07/23/2020
Prior Authorization Request Reminders
Prior Authorization Request Reminders Effective for dates of service on or after 7/1/2020, a PAR is required for certain OPD services. For additional information on the Medicare Prior Authorization Program go to our website > log in to any [...]
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Posting Date: 06/04/2020
Prior Authorization Program Becomes Effective for Dates of Service on/after 7/1/2020
Prior Authorization Program Becomes Effective for Dates of Service on/after 7/1/2020 The CMS is implementing a prior authorization program for certain hospital outpatient department services effective for dates of service on or after 7/1/2020. [...]
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Posting Date: 01/16/2020
Reminder: Providers on Automatic Immediate Recoupments
Reminder: Providers on Automatic Immediate Recoupments If you are set up for automatic recoupments, please refrain from submitting checks and overpayment forms. Submitting receipts run the risk of money being offset and your check being [...]
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Posting Date: 12/17/2020
Physicians/Practitioners Medical Records Play a Vital Role in Ordering and Providing DMEPOS to Your Patients
Physicians/Practitioners: Medical Records Play a Vital Role in Ordering and Providing DMEPOS to Your Patients For any DMEPOS item to be covered by Medicare, the patient’s medical record must contain sufficient information about the patient’s [...]
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Posting Date: 06/09/2020
Update on Claims for COVID-19 Testing
Update on Claims for COVID-19 Testing As per CMS PHE guidelines, National Government Services is modifying internal claim editing to permit the following COVID-19-related procedure codes to process as potentially payable without ICD-10 [...]
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Posting Date: 12/14/2020
The CY 2021 MPFS Is Now Available
The CY 2021 MPFS Is Now Available The CY 2021 MPFS is now available. You can view the new fees using the Fee Schedule Lookup tool page on our website. Posted 12/14/2020
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Posting Date: 05/11/2020
Skin Substitutes and Wound Care Products Billing Reminder
Skin Substitutes and Wound Care Products Billing Reminder CMS provides pricing for some wound care products; however, there are many that do not have established pricing. If a skin substitute/wound care product does not have established [...]
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Posting Date: 04/15/2020
Request for Anticipated Payment Auto-Cancellation Extension
Request for Anticipated Payment Auto-Cancellation Extension Due to CMS guidelines during the Public Health Emergency, all RAPs processed during the PHE will have an additional 90 days from the date of the processed RAP to submit the claim for [...]
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Posting Date: 07/27/2020
Repayment of Accelerated and Advance Payments for Part B Providers Begins July 27
Repayment of Accelerated and Advance Payments for Part B Providers Begins July 27 Did you know that repayment period for the relief funds advanced payment begins 120 days after a provider received the payment? For the first 120 days, claims [...]
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Posting Date: 01/31/2020
Reminder: Hospitals Billing for the Appropriate Use Criteria for Advanced Diagnostic Imaging
Reminder: Hospitals Billing for the Appropriate Use Criteria for Advanced Diagnostic Imaging On 1/9/2020, CMS issued additional instructions in SE20002, Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging- Approval of Using the K3 [...]
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