Claim Completion Requirements for Facility Location (Item 32)

Claim Completion Requirements for Facility Location (Item 32) When a supplier submits a claim for DMEPOS provided in a location other than the beneficiary’s home (POS 12), the supplier must enter in Item 32, Facility Location, the name and [...]

Coverage and Correct Coding of Blincyto

Coverage and Correct Coding of BlincytoTM Joint DME MAC Publication On 12/3/2014, the FDA gave accelerated approval for Blinatumomab (BlincytoTM) for the treatment of Philadelphia negative relapsed/refractory acute lymphoblastic leukemia. [...]

2015 HCPCS Code Update

2015 HCPCS Code Update The following list identifies changes to level II HCPCS codes for 2015. Added Codes/Added Modifiers: New codes and modifiers are effective for dates of service on or after 1/1/2015. Discontinued Codes/Deleted [...]

Medical Policies/LCDs

What's New in Home Health Education?

What's New in Home Health Education? Updates are currently being made to home health YouTube tutorials and job aids to ensure that all federal regulation changes are captured. Most recently, we have updated the following educational materials [...]

Proper Billing for LEQVIO®

Proper Billing for LEQVIO® National Government Services has noticed improper billing of units and diagnosis related to HCPCS code J1306. We’ve published Proper Billing for LEQVIO® HCPCS Code J1306 to assist our provider community with billing [...]

Multijurisdictional CAC meeting Notice on Micro-Invasive Glaucoma Surgery

Multijurisdictional CAC meeting Notice on Micro-Invasive Glaucoma Surgery Information has been posted on our website about a multijurisdictional Contractor Advisory Committee Meeting Regarding Micro-invasive Glaucoma Surgery to be held on [...]

Proper Billing for TEZSPIRE™

Proper Billing for TEZSPIRE™ National Government Services has noticed improper billing of units related to HCPCS code J2356. We’ve published Proper Billing for TEZSPIRE™ HCPCS Code J2356 to assist our provider community with billing for this [...]