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Posting Date: 03/22/2021
About Appeals
About AppealsProviders and beneficiaries have the right to appeal claim determinations made by National Government Services. The purpose of the appeals process is to ensure the correct adjudication of claims. Appeals activities conducted by NGS [...]
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Posting Date: 03/23/2021
New Documentation Requirements for Filing Medicare Cost Reports
New Documentation Requirements for Filing Medicare Cost ReportsAttention: The FY 2019 Medicare IPPS final rule changed the required supporting documentation that must be submitted with the Medicare cost report. CMS also published MLN Matters [...]
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Posting Date: 03/18/2021
Provider Enrollment: Change in Practice Location
Provider Enrollment: Change in Practice LocationThe fastest way to update a provider enrollment record is through PECOS for the individual (NPI Type 1) or entity/group (NPI Type 2). PECOS allows you to edit, add and delete information according [...]
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Posting Date: 10/09/2020
COVID-19 Accelerated/Advance Payment Revised Repayment Terms
COVID-19 Accelerated/Advance Payment Revised Repayment TermsThe recently enacted Continuing Appropriations Act, 2021 and Other Extensions Act amended the repayment terms for the COVID-19 accelerated/advance payments. The changes to the [...]
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Posting Date: 03/29/2021
COVID-19: RHC and FQHC Lump Sum Payments
COVID-19: RHC and FQHC Lump Sum PaymentsRural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) may request lump sum payments for administering COVID-19 vaccines in advance of cost report settlement. CMS will pay you for [...]
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Posting Date: 03/30/2021
Responding to a Hospice ADR
Responding to a Hospice ADRNational Government Services performs medical review audits of services billed to Medicare to validate that the documentation supports coverage and level of services billed.When you receive an ADR, it is important to [...]
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Posting Date: 03/29/2021
Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After 1/1/2021
Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After 1/1/2021CR12108Posted 3/29/2021
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Posting Date: 03/29/2021
Update to Rural Health Clinic (RHC) Payment Limits
Update to Rural Health Clinic (RHC) Payment LimitsCR12185Posted 3/29/2021
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Posting Date: 03/26/2021
Local Coverage Determination L33626: Psychiatric Partial Hospitalization Programs
Local Coverage Determination L33626: Psychiatric Partial Hospitalization ProgramsA psychiatric partial hospitalization is a distinct and organized intensive psychiatric outpatient treatment of less than 24 hours of daily care, designed to [...]
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Posting Date: 03/15/2021
Outpatient Prospective Payment System Payment Rate for HCPCS Code A9591
Outpatient Prospective Payment System Payment Rate for HCPCS Code A9591CMS identified an error with the January 2021 OPPS Pricer file where the OPPS payment rate for HCPCS A9591 was incorrect.The correct OPPS payment rate for A9591 [...]
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Posting Date: 03/09/2021
National Government Services Part A Medical Review Newsletter March 2021
National Government Services Part A Medical Review Newsletter March 2021The National Government Services Medical Review department would like to welcome you to our newest service; a regular newsletter. It is our hope that you will find [...]
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Posting Date: 03/08/2021
PTB Prescription Drug Management
Prescription Drug ManagementWe have received many questions as to what prescription drug management consists of in the new 2021 E/M Medical Decision Making table. The quick answer is that the concept of prescription drug management has not [...]
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Posting Date: 03/01/2021
2021 Medicare Participating Physicians Directory
2021 Medicare Participating Physicians DirectoryThe Medicare Participating Physicians Directory (MEDPARD) listing includes all providers in Part B Jurisdiction 6 and Jurisdiction K who have agreed to accept assignment on all Medicare-covered [...]
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Posting Date: 03/02/2021
Save the Date: National Government Services Spring 2021 Virtual Conference
Save the Date: National Government Services Spring 2021 Virtual ConferenceMedicare 2021: A Journey to a Healthier Future and PartnershipThe National Government Services Provider Outreach and Education Team will be holding our latest bi-annual [...]
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Posting Date: 03/01/2021
New Consolidated Home Page Coming Soon
New Consolidated Home Page Coming SoonComing soon, NGSConnex and NGSMedicare are uniting to become your new consolidated home page - NGSMedicare.com.You will have one single point of entry on NGSMedicare.com to access both NGSConnex, the secure [...]
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Posting Date: 02/26/2021
New Home Health Video Tutorials
New Home Health Video TutorialsGreat news for our HH providers! The NGSMedicare.com YouTube video portal is now fully loaded with eight short, educational HH eligibility videos. Be the first to take a look by heading out to our YouTube channel [...]
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Posting Date: 02/24/2021
National Government Services Part B Medical Review Newsletter March 2021
National Government Services Part B Medical Review Newsletter March 2021The National Government Services Medical Review department would like to welcome you to our newest service; a regular newsletter. It is our hope that you will find this [...]
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Posting Date: 02/25/2021
Article Updates for February and March 2021
Article Updates for February and March 2021Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999 (A58649)This article contains coding and other guidelines that reflect proper billing for insertion of an IUD [...]
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Posting Date: 02/24/2021
COVID-19 Vaccine and/or Monoclonal Antibodies in Rural Health Clinics and Federally Qualified Health Centers
COVID-19 Vaccine and/or Monoclonal Antibodies in Rural Health Clinics and Federally Qualified Health CentersAdministration of the COVID-19 vaccine and/or monoclonal antibodies does not qualify as a stand-alone visit. Independent and [...]
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Posting Date: 01/12/2021
COVID-19 Vaccine and Monoclonal Antibody
COVID-19 Vaccine and Monoclonal AntibodyThe National Government Services COVID-19 Vaccine and Monoclonal Antibody web page is now available. In addition to important resources, the Medicare Part A and Part B Billing for the COVID-19 Vaccine and [...]
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