Increased Volume of Appeal Status Inquiries

Increased Volume of Appeal Status Inquiries National Government Services has seen an increase in pending reopenings and redetermination levels, resulting in cases being completed beyond the 60 calendar-day timeframe. We are sharing some [...]

PC-ACE Medicare Secondary Payer Reference Guide for Part B

PC-ACE Medicare Secondary Payer Reference Guide for Part B Payers (Insurance) Setup Payer Information Screen Patient Selection and Setup Setting up the Patient’s Insurance Information MSP Claim Entry (Line Level) MSP Claim Entry (Claim [...]

MLN Connects® Special Edition for Monday, April 18, 2022

MLN Connects® Special Edition for Monday, April 18, 2022 CMS Proposes Policies to Advance Health Equity & Maternal Health, Support Hospitals On April 18, CMS issued a proposed rule for inpatient and long-term hospitals that builds on the [...]

Part B Issue for Coinsurance Payments on Drug Code Claims

Due to an issue with a recent system update, 20% coinsurance for drug codes has been incorrectly calculated during the period of 10/27/2021-11/1/2021.

Anesthesia Conversion Factor Pricing Incorrect for 2022

The incorrect conversion file was loaded to production for dates of service starting 1/1/2022 which caused incorrect payments.

April and May 2022 Billing and Coding Article Updates

April/May 2022 Billing and Coding Article Updates Billing and Coding Articles Billing and Coding: Complex Drug Administration Coding (A58620) J0248 remdesivir (Veklury®) was added under Infusions Non-Chemotherapy Generic/Trade Names table [...]

Home Health PPS PC Pricer

MLN Connects® Special Edition for Thursday, July 29, 2021

MLN Connects® Special Edition for Thursday, July 29, 2021 4 Final FY 2022 Payment Rules Hospice Payment Rate Update: FY 2022 Final Rule IRF Prospective Payment System: FY 2022 Final Rule IPF Prospective Payment System: FY 2022 Final Rule [...]

Tips for Success

Tips for Success Speak naturally and clearly in a quiet environment. Use mute when you are not speaking. Avoid the use of cellular phones or speaker phones. Have all of the information available and organized before you call. Use [...]

Tips for Success

Tips for Success Speak naturally and clearly in a quiet environment. Use mute when you are not speaking. Avoid the use of cellular phones or speaker phones. Have all of the information available and organized before you call. Use [...]