Reporting Multiple Qualifying Visits on the Same Date of Service for FQHC Reimbursement

Reporting Multiple Qualifying Visits on the Same Date of Service for FQHC Reimbursement FQHC providers are reimbursed based on a PPS, which pays the facility for all services provided during a qualifying visit. In addition to reporting the [...]

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Submit an Appeal Electronically via esMD

Submit an Appeal Electronically via esMD CMS developed a mechanism for contractors to receive first level appeals electronically from providers via a secure gateway known as Electronic Submission of Medical Documentation, or esMD. Some [...]

Submit an Appeal Electronically via esMD

Submit an Appeal Electronically via esMD CMS developed a mechanism for contractors to receive first level appeals electronically from providers via a secure gateway known as Electronic Submission of Medical Documentation, or esMD. Some [...]

Submit an Appeal Electronically via esMD

Submit an Appeal Electronically via esMD CMS developed a mechanism for contractors to receive first level appeals electronically from providers via a secure gateway known as Electronic Submission of Medical Documentation, or esMD. Some [...]

September 2023

In This Issue National Government Services Articles for Part A and Part B Providers Introducing PECOS 2.0 Duplicate Claim Editing Information Two Interactive Voice Response System Features Ending 9/30/2023 October 2023 Release "Dark [...]

August 2023

In This Issue National Government Services Articles for Part A and Part B Providers CR13220 - Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03 Tip Sheet for Medicare Providers on [...]

July 2023

In This Issue National Government Services Articles for Part A and Part B Providers Billing and Coding Article Updates for July 2023 National Government Services Proposed LCDs for Comment (6/22/2023-8/5/2023) End of the Public Health [...]

June 2023

In This Issue National Government Services Articles for Part A and Part B Providers Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating EDI Enrollment Spotlights Packet Completion Times Upcoming Change to the [...]

April 2023

In This Issue National Government Services Articles for Part A and Part B Providers Appealing a Denied Claim New Version of PC-ACE: April 2023 Type of Bill Code is a Requirement for All Prior Authorization Requests Change in Pricing [...]

March 2023

In This Issue National Government Services Articles for Part A and Part B Providers LCD, Billing and Coding Article Updates for March 2023 Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions April 2023 Release "Dark [...]

Outpatient Department Prior Authorization UTN Alert

Each UTN is Valid for One-Time Use The National Government Services Medical Review Department initiated prior authorization reviews for the following outpatient department procedures: Panniculectomy, Rhinoplasty, Vein Ablation, Blepharoplasty [...]

Outpatient Department Prior Authorization Type of Bill Alert

Providers Who Submit a Type of Bill 13X Are Required to Submit a Prior Authorization Request for the OPD PA Services The National Government Services Medical Review Department initiated prior authorization reviews for the following outpatient [...]

UTN Alert: Implanted Spinal Neurostimulator Trial and Permanent UTN

UTN Alert: Implanted Spinal Neurostimulator Trial and Permanent UTN The National Government Services Medical Review Department initiated prior authorization reviews for the following outpatient department procedures: Panniculectomy, [...]

Type of Bill Code is a Requirement for All Prior Authorization Requests

Type of Bill Code is a Requirement for All Prior Authorization Requests The National Government Services PA Department has seen an increase in cases that are submitted without a TOB code. PA staff conducts outreach to obtain this code; [...]

Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert

Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert Implanted Spinal Neurostimulator Prior Authorization National Government Services Medical Review initiated a prior authorization review outpatient department [...]