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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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Posting Date: 02/17/2021
Reminders on the Prior Authorization Program for Certain Hospital Outpatient Department Services
Reminders on the Prior Authorization Program for Certain Hospital Outpatient Department ServicesEffective for dates of service on or after 7/1/2020, a PAR is required for certain OPD services.Hospital Responsibility: Submission of [...]
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Posting Date: 02/16/2021
Nuclear Medicine Billing Reminder
Nuclear Medicine Billing ReminderNational Government Services has identified an issue with billing for nuclear medicine services under CPT codes 78429-78434.We are receiving claims without the service facility location on the electronic claim. [...]
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Posting Date: 02/12/2021
National Government Services Gap-fill Pricing Requests 2021
National Government Services Gap-fill Pricing Requests 2021NGS, the MAC for Jurisdictions 6 and K has received the new laboratory test codes identified by CMS that require gap-fill pricing for 2021.The Protecting Access to Medicare Act (PAMA) [...]
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Posting Date: 02/10/2021
Medicare Diabetes Programs
Medicare Diabetes ProgramsDiabetes is an important topic to National Government Services.Patients diagnosed with diabetes may experience challenges with managing their diabetes and are more likely to experience many complications from the [...]
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Posting Date: 02/08/2021
Psychotherapy Coverage Criteria: Approved Providers of Service
Psychotherapy Coverage Criteria: Approved Providers of ServiceApproved providers of service include physicians (MD/DO), clinical psychologists, clinical social workers, nurse practitioners, clinical nurse specialists and physician’s [...]
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