Medical Review: Targeted Probe and Educate Review Topics

Jurisdiction 6 Part B Targeted Probe and Educate: Medical Review Topics Topic CPT Code(s) Common Denials Resources Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous or [...]

Privacy Notice Policy

Privacy Notice Policy National Government Services, Inc. (NGS) is a contractor with the Centers for Medicare & Medicaid Services (CMS) under the authority granted in Sections 1842, 1862(b) and 1874 of Title XVIII of the Social Security Act [...]

Contractor Advisory Committee Meeting Records

Contractor Advisory Committee (CAC) Meeting Records Jurisdiction 6 and Jurisdiction K CAC Meeting Records Meeting Date Audio Transcript Key Questions Bibliography 2/3/2025 - Topic: Peripheral Nerve Blocks [...]

Home Health Billing When a New MBI is Assigned

Home Health Billing When a New MBI is Assigned A patient’s MBI number is required on all home health billing submitted to Medicare. CMS will issue a new MBI when an original MBI may have been, or has been compromised. There are times a home [...]

MLN Connects® Newsletter: March 6, 2025

MLN Connects® Newsletter: March 6, 2025 News Therapy Services: Get Updates for CY 2025 Hospitals: Apply for Additional Residency Positions by March 31 Compliance Oral Anticancer & Antiemetic Drugs: Prevent Claim Denials Claims, [...]

ASC Claim Hold Until 1/28/2025

Due to a January 2025 fee schedule pricing correction, CMS has instructed Part B MACs to hold Part B ASC claims impacted by CBSA updates until 1/28/2025. ASC claims not impacted by CBSA updates may be impacted by a 10-day hold. 

Understanding the Strength of Medical Evidence

Immunization Roster Billing

Immunization Roster Billing Table of Contents Immunization Roster Billing Claim Submission Options for Roster Billing Electronic Claim Submissions Paper Claim Submissions Vaccine Billing and Coding Resources [Return to Top] [...]