We’ve Rebranded!

We’ve Rebranded! National Government Services is excited to share we’ve refreshed our brand! Our new brand line Where Next Begins reflects Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More.   Over the [...]

Implanted Spinal Neurostimulators

General Documentation Requirements for Trial or Permanent Implanted Spinal Neurostimulators National Government Services will begin accepting PARs for Implanted Spinal Neurostimulators on 6/17/2021 for services provided beginning on or after [...]

Outpatient Claims with Reason Code W7120 Returned in Error

Outpatient Claims with Reason Code W7120 Returned in Error A system error caused the CMS to return the following outpatient claims with reason code W7120: Bill types 13X and 85X Designated surgical ranges 10000-69999 or 0000T-9999T [...]

MLN Connects® Special Edition for Monday, August 2, 2021

MLN Connects® Special Edition for Monday, August 2, 2021 CMS Final Rule Improves Health Equity, Access to Treatment, Hospital Readiness, and COVID-19 Vaccination Data Reporting of Hospital Workers Hospital Inpatient Prospective Payment System [...]

Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services

Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services We’ve revised an FAQ within the Teaching Environment section of our E/M FAQs to further define documentation requirements. Review the information at [...]

How to Get Started

How to Get Started Making the change is easy. If you use a clearinghouse to submit claims, contact your clearinghouse to ask how to enroll for the electronic remittance service. If you currently have a claim submission software program, [...]

Provider Contact Center

MLN Connects® Newsletter for Thursday, May 19, 2022

MLN Connects® Newsletter for Thursday, May 19, 2022 Biosimilars: Safe, Effective, & May Reduce Patient Costs News Biosimilars: Safe, Effective, & May Reduce Patient Costs PECOS Scroll Functionality Clinical Laboratory [...]

Medicare Provider Enrollment Application Fee Decision Tree Tool

Remote Physiological Monitoring and Cardiovascular Monitoring Service and Billing Information

Billing and Coding and SAD Article Updates for May/June 2022

Billing and Coding and SAD Article Updates for May/June 2022 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The article has been corrected to remove the following statement: (calcium 1000 mg daily and at least 400 IU vitamin D [...]

Modifier Usage

July 2022 Release "Dark Days" for the Common Working File Hosts

July 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming July 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, 6/30/2022 and Dark Days starting Friday, 7/1/2022 through Monday, 7/4/2022 [...]

Remote Monitoring Services

Remote Monitoring Services

Remote Monitoring Services In response to provider inquiries about the use of remote monitoring, National Government Services has developed a comprehensive summary of information for Remote Monitoring Services. NGS separately defined code [...]

Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023

Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023 CMS reduced the number of claims in the Comprehensive Error Rate Testing program report for reporting year 2023. We’ll send you a letter if your claims are [...]

New Version of PC-ACE: July 2021

New Version of PC-ACE: July 2021 PC-ACE Version 5.1 contains several CMS mandates and product enhancements including but not limited to the items listed below. 12206 – FFS Coverage of Costs for Kidney Acquisitions in MW Hospitals for [...]

Medicare University Scheduled Maintenance

Medicare University Scheduled Maintenance Due to scheduled maintenance, Medicare University will be unavailable beginning Tuesday, 6/15/2021 from 8:00 p.m–11:00 p.m. ET. As a result, the Medicare University will not be accessible. We [...]

Billing and Coding for Tempus Next Generation Sequencing Panel

Billing and Coding for Tempus Next Generation Sequencing Panel The Tempus Next Generation Sequencing Panel must be submitted with CPT code 81479. CPT 81479 (unlisted molecular pathology procedure) will be individually reviewed. Posted [...]

COVID-19 Accelerated and Advanced Payment YouTube Video

COVID-19 Accelerated and Advanced Payment YouTube Video National Government Services developed the Part B COVID-19 Accelerated and Advanced Payment, Repayment and Recoupment Process YouTube Video to address common questions we are receiving. [...]

Proper Billing Units for HCPCS Code J7320

Proper Billing Units for HCPCS Code J7320 National Government Services has noticed improper billing units used for HCPCS code J7320, Hyaluronan or derivative, GenVisc 850, for intra-articular injection, 1 mg. GenVisc 850 is indicated for the [...]

Oxygen Coverage and Documentation Requirements

Oxygen Coverage and Documentation Requirements Please review this YouTube video that was developed from the A/B and DME MAC’s collaborative webinar titled ‘Oxygen Coverage and Documentation Requirements’. This video is a collaborative [...]

New NGSMedicare.com is Coming Soon

New NGSMedicare.com is Coming Soon We continue to listen and gain invaluable insight from you on our provider content website, NGSMedicare.com. Coming mid-Summer 2021, you will be able to see your feedback put into action. Posted 6/8/2021

NGSConnex Now Offers One Stop Electronic Appeals Solution

NGSConnex Now Offers One Stop Electronic Appeals Solution Medicare Part A providers and HH+H providers who are located in Jurisdiction 6 and submit fee-for-service claims to National Government Services now have the ability to submit [...]

MLN Connects® for Thursday, January 28, 2021

MLN Connects® for Thursday, January 28, 2021 Medicare Wellness Visits: Get Your Patients Off to a Heathy Start View this edition as a: Webpage | PDF News Care Compare: 2019 Preview Period Open through March 25 Open Payments Data [...]

MACs will host a Multi-Jurisdictional CAC Meeting Regarding Epidural Interventions for Chronic Pain Management

Medicare Administrative Contractors will Host a Multi-Jurisdictional Contractor Advisory Committee Meeting Regarding Epidural Interventions for Chronic Pain Management Due to the public health crisis, this meeting will be held via [...]

MLN Connects® for Thursday, February 4, 2021

MLN Connects® for Thursday, February 4, 2021 Improving Accuracy of Medicare Payments View this edition as a: Webpage | PDF News Improving Accuracy of Medicare Payments Cardiovascular Health: Medicare Covers Screening & Therapy [...]

MLN Connects® for Thursday, February 18, 2021

MLN Connects® for Thursday, February 18, 2021 COVID-19: EUA for Antibody Treatment View this edition as a: Webpage | PDF News CMS Takes Further Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment [...]

MLN Connects® for Thursday, February 25, 2021

MLN Connects® for Thursday, February 25, 2021 Medicare Secondary Payer: Billing for Services View this edition as a: Webpage | PDF News CMS Offers Comprehensive Support to the State of Texas to Combat Winter Storm Compliance [...]

MLN Connects® for Thursday, March 4, 2021

MLN Connects® for Thursday, March 4, 2021 COVID-19 Vaccine Codes: EUA for Janssen Biotech View this edition as a: Webpage | PDF News COVID-19 Vaccine Codes: EUA Effective Date for Janssen Biotech Inc. COVID-19 Vaccine [...]

MLN Connects® for Thursday, March 11, 2021

MLN Connects® for Thursday, March 11, 2021 Hospitals: Are You Using Your PEPPER Data?  View this edition as a: Webpage | PDF News PEPPERs for Short-term Acute Care Hospitals Colorectal Cancer: Medicare Covers Screening [...]

MLN Connects® for Thursday, March 25, 2021

MLN Connects® for Thursday, March 25, 2021 Home Health Payment Corrections View this edition as a: Webpage | PDF News Medicare Shared Savings Program: Application Deadlines for January 1, 2022, Start Date Repetitive, Scheduled [...]

LCD and Article Updates for September 2020

LCD and Article Updates for September 2020 The medical policies and related articles can be found in our Medical Policy Center. Article update for August Billing and Coding: Bevacizumab and biosimilars (A52370) ICD-10-CM codes C22.0, C22.8 [...]

LCD and Article Updates for June and July 2020

LCD and Article Revisions for June and July The medical policies and related articles can be found in our Medical Policy Center. New LCDs and Articles effective 7/1/2020 Multimarker Serum Tests Related to Ovarian Cancer Testing [...]

LCD and Article Updates for August 2020

LCD and Article Revisions for August 2020 The medical policies and related articles can be found in our Medical Policy Center. Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10-CM codes C22.0, C22.8 [...]

How to Find a Local Coverage Determination

How to Find a Local Coverage Determination As the MAC for J6 and JK, NGS is responsible for posting and maintaining LCDs and articles for many Medicare billed services. These LCDs and articles can be found at the Medical Policy Center. Please [...]

New Version of PC-ACE: January 2021

New Version of PC-ACE: January 2021 PC-ACE Version 4.9 contains several CMS mandates and product enhancements including but not limited to the items listed below. 11939 - Quarterly Update to the MPFSDB - October 2020 Update 11988 - [...]

NGS Update on Fees for Code G2066

NGS Update on fees for code G2066 HCPCS code G2066 (Interrogation device evaluation[s], [remote] up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system or subcutaneous cardiac rhythm monitor [...]

LCD and Article Updates for October 2020

LCD and Article Updates for October 2020 LCD Revisions: Transcranial Magnetic Stimulation (L33398) The notice period was extended to end on 9/30/2020 and the Revision Effective date has been changed from 8/1/2020 to 10/1/2020. Billing and [...]

LCD and Article Updates for December 2020 and January 2021*

LCD and Article Updates for December 2020 and January 2021* Revised Billing and Coding Articles December 2020 and January 2021 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10 code C22.3 has been [...]