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Posting Date: 03/14/2022
NGS Review of Prior Authorization Request
NGS Review of Prior Authorization Request Table of Contents NGS Review of Prior Authorization Request Number of Trips Extended Affirmation Periods for Beneficiaries with Chronic Conditions Decision Letters Resubmitting a Prior [...]
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Posting Date: 06/09/2021
About Hospital OPD PA Model
About Hospital OPD PA Model Table of Contents About Hospital OPD PA Model General Information Related Content [Return to Top] About the Hospital OPD PA Model CMS implemented a PA program for certain hospital OPD services for DOS on [...]
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Posting Date: 06/14/2022
Documentation Information
Documentation Information It is recommended that PARs are submitted at least seven calendar days prior to the expected date of service to allow National Government Services the full standard timeframe to receive and review requests. For [...]
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Posting Date: 03/20/2025
Safeguard Your Finances: Know Your Provider Enrollment Revalidation
Safeguard Your Finances: Know Your Provider Enrollment Revalidation Attention: Provider Enrollment and Credentialing Teams Ensure you revalidate before your deadline to prevent a "Stay of Enrollment" or claim rejections, which could [...]
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Posting Date: 03/17/2025
Office/Outpatient Evaluation and Management Visit Complexity Add-on Code G2211
Office/Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 Effective 1/1/2024 Definition of G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing [...]
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Posting Date: 03/17/2025
Provider Enrollment: Top Reasons Behind Delays in Processing the Application
Provider Enrollment: Top Reasons Behind Delays in Processing the Application Medicare enrollment plays a vital role in ensuring compliance with CMS requirements. To help streamline the process and achieve the best results, it's important to [...]
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Posting Date: 03/17/2025
Fiscal Intermediary Standard System Direct Data Entry Screen Changes – April 2025
Fiscal Intermediary Standard System Direct Data Entry Screen Changes – April 2025 The April 2025 quarterly system release will update FISS DDE as described below: Inquiries Submenu (01) Option 1C (CMHC Payment Totals)/MAP1D62 - Monetary [...]
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Posting Date: 03/17/2025
Tobacco Cessation and Cognitive Behavioral Therapy
Tobacco Cessation and Cognitive Behavioral Therapy CBT is a type of psychotherapy that’s problem oriented. It may help your patients learn how to change unhelpful or unhealthy ways of thinking, feeling and behaving especially when related to [...]
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Posting Date: 03/17/2025
Provider Enrollment: Top Reasons Behind Delays in Processing the Application
Provider Enrollment: Top Reasons Behind Delays in Processing the Application Medicare enrollment plays a vital role in ensuring compliance with CMS requirements. To help streamline the process and achieve the best results, it's important to [...]
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Posting Date: 03/17/2025
MCReF Hospice Cap Functionality
MCReF Hospice Cap Functionality Attention Hospice providers: The new MCReF Hospice Cap functionality will be covered in the upcoming MCReF Webinar scheduled for 3/19/2025, from 1:00 – 3:00PM ET. The Hospice Cap provider community is [...]
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Posting Date: 03/17/2025
Hospital Inpatient or Observation Evaluation and Management Add-On Code G0545 for Infectious Diseases
Hospital Inpatient or Observation Evaluation and Management Add-On Code G0545 for Infectious Diseases Effective 1/1/2025 Definition of G0545 Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or [...]
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Posting Date: 02/26/2022
Account Suspensions
Account Suspensions Table of Contents Account Suspensions Unsuspend Your Account Invalid Login Attempts [Return to Top] Account Suspensions If an NGSConnex account has not been used within the last 30 days, the account will be [...]
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Posting Date: 01/25/2024
Caregiver Training Services
Caregiver Training Services Effective 1/1/2024, payment will be made when practitioners train caregivers to support patients with certain diseases or illnesses (e.g., dementia) in carrying out a treatment plan. A caregiver is defined as a [...]
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Posting Date: 03/19/2025
Safeguard Your Finances: Know Your Provider Enrollment Revalidation
Safeguard Your Finances: Know Your Provider Enrollment Revalidation Attention: Provider Enrollment and Credentialing Teams Ensure you revalidate before your deadline to prevent a "Stay of Enrollment" or claim rejections, which could result in [...]
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Posting Date: 10/26/2023
Navigating Medicare Home Health & Hospice Insights for Providers Podcast
Navigating Medicare Home Health & Hospice Insights for Providers Podcast Listen to our podcast on Spotify and Apple Podcasts! We invite you to join our thoughtful conversations and helpful insights into the Home Health & [...]
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Posting Date: 02/08/2024
Navigating Medicare Part A Insights for Providers Podcast
Navigating Medicare Part A Insights for Providers Podcast Listen to our podcast on Spotify and Apple Podcasts! Listen to our podcast, Navigating Medicare Part A Insights for Providers, now available on Spotify and Apple Podcasts! We will be [...]
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Posting Date: 03/20/2025
Common Tobacco Withdrawal Symptoms
Common Tobacco Withdrawal Symptoms Trying to quit tobacco use feels different for each person, but almost everyone will have some symptoms of nicotine withdrawal. When stopped, the body and brain must get used to not having nicotine. This can [...]
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Posting Date: 03/23/2022
Reopening versus Redetermination
Reopening versus Redetermination Table of contents Reopening versus Redetermination Reopening Telephone Reopening Unit Redeterminations [Return to Top] Reopening versus Redetermination Understanding your next steps are very [...]
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Posting Date: 03/24/2025
Medicare Diabetes Prevention Program 2025 Changes
Medicare Diabetes Prevention Program 2025 Changes The MDPP Expanded Model is intended to prevent Medicare beneficiaries with an indication of prediabetes from developing diabetes. Prevention of diabetes among this high-risk group of Medicare [...]
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