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Posting Date: 12/12/2024
Intermittent Issues with NGSMedicare.com on 12/15/2024
Intermittent Issues with NGSMedicare.com on 12/15/2024 We will experience intermittent outages with NGSMedicare.com on Sunday, 12/15/2024 due to maintenance. NGSMedicare.com will be fully operational on Monday, 12/16/2024. We apologize for [...]
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Posting Date: 12/12/2024
Billing and Coding: Omalizumab
Billing and Coding: Omalizumab drug A52448 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52448 J2357
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Posting Date: 12/12/2024
HCPCS 82947 RTPs End-Stage Renal Dialysis Providers
As of 1/1/2024, Medicare has covered HbA1c tests for diabetic screening (HCPCS 82947) when billed with ICD-10 Z13.1. Some of these claims submitted by ESRD providers have been RTP'd in error.
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Posting Date: 12/12/2024
End Stage Renal Disease Claims Returning to Providers with Reason Code 31773
Due to an issue with the October 2024 release, ESRD facility claims, type of bill 72X, are RTPing in error.
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Posting Date: 10/20/2022
Claim Billing Guidance
Claim Billing Guidance With the end of the PHE, as of 5/11/2023, this information no longer applies. We will keep the information available for PHE-related services that occurred prior to the expiration date that have not yet been billed. [...]
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Posting Date: 12/16/2024
Join Us to Learn About NGSConnex
Join Us to Learn About NGSConnex We’re hosting a series of webinars focused on our free, secure internet portal, NGSConnex. During each session, we’ll review what NGSConnex has to offer. We’ll discuss registration, access, navigation and [...]
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Posting Date: 06/09/2021
Expedited Requests
Expedited Requests The requester may submit for an expedited review of the PAR if it is determined that a delay could seriously jeopardize the beneficiary’s life, health, or ability to regain maximum function. If the medical documentation does [...]
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Posting Date: 12/19/2024
Reminder for Correcting Hospice Edits for Certifying Physicians (17729, 17730)
Reminder for Correcting Hospice Edits for Certifying Physicians (17729, 17730) Reason Codes 17729 and 17730: Refer to specific hospice claim edits related to certifying physicians. Adjustments: Should be submitted for correcting input [...]
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Posting Date: 12/19/2024
MLN Connects® Newsletter: December 19, 2024
MLN Connects® Newsletter: December 19, 2024 News MBI Lookup Tools: CMS Seeks Input by February 17 CMS Roundup (December 13, 2024) Long-Term Care Hospital Provider Preview Reports: Review by January 15 Inpatient Rehabilitation Facility [...]
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Posting Date: 09/15/2022
Radiopharmaceutical Reimbursement
Radiopharmaceutical Reimbursement National Government Services has reviewed the radiopharmaceutical pricing methodology set forth in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Section 303(h) which states that [...]
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Posting Date: 12/19/2024
Preventive Services Overview
Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep your patients from getting certain diseases. Register today for a [...]
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Posting Date: 12/19/2024
Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information
Are you responsible for looking up whether a service is covered in the Medicare program at your facility but you're not sure where to look for the most relevant information? Have you received national coverage determination (NCD) or local [...]
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Posting Date: 02/26/2022
Initiate Eligibility Lookup
Initiate Eligibility Lookup Click the Eligibility Lookup button from the NGSConnex homepage. In the Select a Provider panel, click the Select button next to the applicable provider account. In the Select a [...]
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Posting Date: 12/17/2024
Provider Enrollment: Completing the CMS-855I Paper Application
During this webinar, we’ll provide an understanding of how to complete the CMS-855I provider enrollment paper application for a group member, sole proprietor or sole owner and we’ll also focus on reassigning Medicare benefits.
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Posting Date: 12/17/2024
PECOS: Manage Signatures and Additional Information Requests
During this webinar, we’ll give direction for the Provider Enrollment, Chain and Ownership System (PECOS) application on understanding how to manage signatures and respond to additional information request from submitted applications.
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Posting Date: 12/17/2024
Submitting Revalidation via PECOS
During this webinar, we’ll provide an understanding of how to utilize the Centers for Medicare & Medicaid Services (CMS) Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a [...]
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Posting Date: 12/17/2024
Let's Chat About Provider Enrollment Revalidation
During this session, you’ll have the opportunity to ask questions about all accepts of provider enrollment. Answers will be provided by a panel of subject-matter experts. As this is a question-and-answer session, there is no presentation available.
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Posting Date: 12/17/2024
Medicare Secondary Payer: Preparing and Submitting Claims – Part 1
Join us for Part 1 of a two-part webinar. In Part 1, we will review Medicare Secondary Payer (MSP) claim coding and how to prepare/submit an MSP claim. This includes a review of the claim entry pages in the Fiscal Intermediary Standard System [...]
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Posting Date: 12/17/2024
Medicare Secondary Payer: Preparing and Submitting Claims (Examples) – Part 2
Join us for Part 2 of a two-part webinar. In Part 2, we will briefly recap the Medicare Secondary Payer (MSP). claim coding and billing instructions we reviewed in Part 1. We will then focus on reviewing examples of MSP claims. Be sure you [...]
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Posting Date: 12/17/2024
Method II CAH Claims Not Paying Professional Services with Revenue Codes 096x-098x
Certain CAH claims (TOB 85X) with professional service revenue codes 096x – 098X did not process for payment because the fee amount was not correctly retrieved during processing. The affected claims have receipt/processed dates in October 2024.
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