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Posting Date: 04/25/2025
Understanding the 2026 Cost Analysis Survey for Medicare Allowances on Portable X-Ray Transportation Codes R0070 and R0075
Understanding the 2026 Cost Analysis Survey for Medicare Allowances on Portable X-Ray Transportation Codes R0070 and R0075 Introduction Medicare plays a critical role in ensuring beneficiaries receive medically necessary diagnostic services, [...]
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Posting Date: 05/02/2025
2024 Medicare Cost Report Due Dates
2024 Medicare Cost Report Due Dates FYE 12/31/2024 cost reports are due by 6/2/2025. We strongly encourage early filing of the cost report. Early-filed cost reports that are rejected will receive a grace period to resubmit prior to [...]
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Posting Date: 05/05/2025
Ambulance Services and Establishing Medical Necessity for Part B Providers
This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.
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Posting Date: 01/13/2022
Billing the Home Health Notice of Admission via DDE
Billing the Home Health Notice of Admission via DDE Table of Contents Billing the Home Health Notice of Admission via DDE NOA Claim Page 1 NOA Claim Page 4 Notes Related Content [Return to Top] Billing the Home Health [...]
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Posting Date: 02/10/2025
Reminder: New Medicare Part B Redetermination Notice Initiative
Reminder: New Medicare Part B Redetermination Notice Initiative As a reminder, beginning 3/3/2025, National Government Services will only issue electronic versions of the MRN when a Medicare Part B Redetermination request is electronically [...]
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Posting Date: 02/03/2025
2025 Gapfill Request
2025 Gapfill Request National Government Services, the MAC for JK and J6 is in receipt of the new laboratory test codes identified by the CMS to be gap-fill priced for 2025. The PAMA regulations instruct the MACs to establish local payment [...]
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Posting Date: 02/03/2025
2025 Gapfill Request Reminder
2025 Gapfill Request Reminder National Government Services, the MAC for JK and J6, is in receipt of the new laboratory test codes identified by CMS to be gap-fill priced for 2025. Please access the complete information on our website: 2025 [...]
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Posting Date: 02/10/2025
Medicare Advantage Information For Part A and Part B Not Offered on the IVR Beginning 3/14/2025
Medicare Advantage Information For Part A and Part B Not Offered on the IVR Beginning 3/14/2025 Effective the evening of 3/14/2025, the Medicare IVR system will no longer provide information regarding the Medicare Advantage: plan [...]
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Posting Date: 11/07/2022
Medicare Diabetes Prevention Program
Medicare Diabetes Prevention Program Table of Contents Background What is the Medicare Diabetes Prevention Program? Overview of MDPP What is Covered Through the Model? What Does this Mean for Beneficiaries? What Does this Mean [...]
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Posting Date: 10/14/2021
Membership Rosters
Membership Rosters Jurisdiction 6 and Jurisdiction K Home Health POE Advisory Group Roster Member Provider/Institution State Abreau-Costa, Maria Mozaic Senior Life Connecticut Adam, Sherie [...]
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Posting Date: 11/07/2022
Diabetes Self-Management Training
Preventive Services Guide Diabetes Self-Management Training According to the Centers for Disease Control and Prevention, approximately 38.4 million Americans have diabetes and 27.2 million people aged 65 years or older (48.8%) have been [...]
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Posting Date: 11/07/2022
Common Questions for Diabetes Self-Management Training and Medical Nutrition Therapy
Common Questions for Diabetes Self-Management Training and Medical Nutrition Therapy Table of Contents Diabetes Programs Billing for Services DSMT and MNT Telehealth Services Related Content [Return to Top] Diabetes Programs [...]
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Posting Date: 12/15/2021
Meeting Schedules
Meeting Schedule Part A POE AG Meetings for Jurisdiction 6 and Jurisdiction K J6: Illinois, Minnesota, Wisconsin and Federally-Qualified Health Centers in all states JK: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island [...]
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Posting Date: 02/11/2025
The National Correct Coding Initiative
The National Correct Coding Initiative The purpose of the NCCI PTP edits is to prevent improper payment when incorrect code combinations are reported. The NCCI contains one table of edits for physicians/practitioners and one table of edits for [...]
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Posting Date: 07/14/2024
Expanded Home Health Value-Based Purchasing Model
Expanded Home Health Value-Based Purchasing Model Overview The HHVBP Model is an initiative by CMS aimed at improving the quality of care provided by home health agencies while also fostering greater efficiency. It builds on the original [...]
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Posting Date: 02/13/2025
Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating
Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating Did you know that tobacco cessation counseling is a covered Medicare service? Brief tobacco counseling provides substantial health benefits while producing cost savings. [...]
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Posting Date: 02/12/2025
HCPCS 90658 Claim Hold
Claim hold for CPT 90658 (influenza vaccine)
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Posting Date: 02/12/2025
FQHC Claim Hold Effective DOS 1/1/2025
CMS has issued claim hold instructions to all MACs, due to release and testing of a new FQHC pricer.
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Posting Date: 02/13/2025
[RESOLVED] Medicare Claim Process System Experiencing Outages
[RESOLVED] Medicare Claim Process System Experiencing Outages We were experiencing outages with our IVR and NGSConnex claim status functionality. Technical support was engaged and the issue is now resolved. The IVR and NGSConnex claim status [...]
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