MLN Connects® Newsletter: December 8, 2022

MLN Connects® Newsletter: December 8, 2022     News CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process Rural Emergency Hospitals: New Institutional Provider Type Starting [...]

Reminder for Submission of Modifier 22

Reminder for Submission of Modifier 22 National Government Services would like to remind providers of the requirement for modifier 22. The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-04, [...]

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming!

You Can Help Your Patients Quit Tobacco Use - The Great American Smokeout Is Coming! Join us for our weekly webinar series on Medicare’s preventative service, "Counseling to Prevent Tobacco Use." Statistics show that tobacco use remains the [...]

Other Options <9>

Reason Code Lookup (touchtone 1) When Reason Code Lookup is selected, the IVR will request the five-digit reason code: Clearly speak or enter the reason code. Refer to the Phonetic Alphabet for assistance with speaking alpha characters [...]

National Government Services Medicare Part B Preventive Services Week

National Government Services Medicare Part B Preventive Services Week 12/6/2022 – 12/8/2022 Medicare offers many preventive service benefits that can help detect health problems early and keep your patients from getting certain diseases. [...]

OIG Guidance for COVID-19 Vaccination

OIG Guidance for COVID-19 Vaccination On 4/15/2021, the HHS-OIG issued Message from HHS-OIG Leadership on the COVID-19 Vaccination Program and Provider Compliance that states: As COVID-19 vaccinations continue to be administered nationwide, [...]

Confirming Eligibility to Enroll

Confirming Eligibility to Enroll  We’ve expanded our list of Eligible Nonphysicians who can enroll in Medicare to include the definition, qualifications and supporting documentation for each specialty.  Posted 12/15/2022

Provider Contact Center News

Provider Contact Center News ​​​​​​​ Effective immediately, all inquiries must be handled in our PCC.   Our PCC is responsible for assisting our provider community and are trained to answer your questions. When additional information [...]

MLN Connects® Newsletter: December 22, 2022

MLN Connects® Newsletter: December 22, 2022     News HHS Proposes to Standardize Electronic Health Care Attachments Transactions and Electronic Signature Processes to Improve the Care Experience for Patients and Providers [...]

Prior Authorization HCPCS Code Inquiry Tool

Enrollment Application Fee for 2023

Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. ​ Posted 12/30/2022

Enrollment Application Fee for 2023

Enrollment Application Fee for 2023 The Provider Enrollment Application Fee for Calendar Year 2023 is published. Visit Determine/Pay Application Fee for details. ​ Posted 12/30/2022

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available

Medicare Diabetes Prevention Program 2023 Payment Amounts are Available We’ve published the 2023 Medicare Diabetes Prevention Program codes and payments. Visit MDPP Codes and Payment Amounts for the HCPCS-G-Code, Description of MDPP Service [...]

Billing and Coding Article Updates for December 2022-January 2023

Billing and Coding Article Updates for December 2022-January 2023 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on Transmittal 11738 (CR 12998) January 2023 I/OCE Specifications Version 24.0, HCPCS code C9142 has been deleted [...]

Frequently Asked Questions Reviewed and Updated

Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are: ASCA CAR T-cell Therapy Claims EDI [...]

MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023

MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023​​     News CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving [...]

Over-the-Counter COVID-19 Test Benefits

Over-the-Counter COVID-19 Test Benefits Beginning 4/4/2022, and through the end of the COVID-19 PHE, Medicare started paying for U.S. FDA-approved, authorized, or cleared OTC COVID-19 tests at no cost to Medicare beneficiaries with Medicare [...]

MLN Connects® Newsletter: January 12, 2023

MLN Connects® Newsletter: January 12, 2023     News Key Dates for First Year of Inflation Reduction Act’s Medicare Drug Price Negotiation Program Cognitive Assessment: CY 2023 Updates Care Compare: Telehealth Indicator [...]

The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available

The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available The revised CY 2023 MPFS is now available. You can view these Part B Physician Fee Schedule by accessing Resources > Tools & Calculators > Fee Schedule Lookup. [...]

Documentation for Hospice Transfers

Documentation for Hospice Transfers The purpose of a hospice transfer is to allow the beneficiary the opportunity to switch agencies without affecting their benefit period in an effort to provide continuity of care. Instead of the beneficiary [...]