Search Results - NGSMEDICARE

Posting Date: 11/07/2022

Diabetic Self-Management Tool for Billing

Diabetic Self-Management Tool for Billing DSMT and MNT complementary services. This means Medicare will cover both DSMT and MNT without decreasing either benefit as long as the referring physician determines that both are medically necessary. [...]

Posting Date: 10/02/2024

Reimbursement for Pre-exposure Prophylaxis Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus Infection

Reimbursement for Pre-exposure Prophylaxis Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus Infection CMS has issued NCD 210.15 Pre-exposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent Human Immunodeficiency [...]

Posting Date: 09/09/2024

EDI Front End Clinical Edits

EDI Front End Clinical Edits EDI has begun to implement EDI clinical business edits into the NGS EDI front end. These edits will assist in proactively alerting providers of potential claim issues and provide resources to assist with avoiding [...]

Posting Date: 10/08/2024

CO-29

Avoiding/Correcting This Error Providers must file claims within a qualifying time limit to be eligible for Medicare reimbursement. The timely filing requirement is one calendar year after the date of service. The provider may not charge the [...]