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Posting Date: 08/01/2023
New and Improved EDI Enrollment Process
New and Improved EDI Enrollment Process Our new online EDI Enrollment Process is available. This new process includes real time verification of data entered into many of the fields, which improves accuracy, reduces the time needed to complete [...]
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Posting Date: 08/30/2023
RC 34963 – Provider Enrollment Issue
An issue in the PECOS is causing some Part A claims to RTP in error with RC 34963.
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Posting Date: 09/19/2022
Resetting Your EDI Password
Resetting Your EDI Password EDI passwords have to be regularly changed or reset to maintain data security. You should note that passwords expire every 60 days and can be changed or reset prior to expiration. Follow these steps to reset your [...]
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Posting Date: 08/31/2023
MLN Connects® Newsletter: August 31, 2023
MLN Connects® Newsletter: August 31, 2023 News HHS Selects the First Drugs for Medicare Drug Price Negotiation Medicare Shared Savings Program Saves Medicare More Than $1.8 Billion in 2022 and Continues to Deliver High-quality Care CMS [...]
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Posting Date: 08/30/2023
Revised: Two Interactive Voice Response System Features Ending 9/30/2023
Revised: Two Interactive Voice Response System Features Ending 9/30/2023 As of 10/1/2023, the following functions will no longer be available on our IVR; however, we are providing you with alternative options to obtain the same information. [...]
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Posting Date: 05/05/2023
Provider Enrollment: Resumed Revalidation Activities
Provider Enrollment: Resumed Revalidation Activities Attention: Provider Enrollment and Credentialing Departments Activities have resumed with revalidation due dates starting with 1/31/2022. Don’t wait to revalidate if CMS assigned a current [...]
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Posting Date: 04/24/2023
End of the Public Health Emergency: Over The Counter COVID-19 Test Kits
End of the Public Health Emergency: Over The Counter COVID-19 Test Kits With the end of the PHE on 5/11/ 2023, coverage for COVID-19 testing for Americans will change. Medicare beneficiaries who are enrolled in Medicare Part B will continue to [...]
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Posting Date: 04/21/2023
New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions
New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions As a reminder, effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the OPD [...]
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Posting Date: 04/13/2023
Registration is Open for the Part B Claim Submission Learning Day
Registration is Open for the Part B Claim Submission Learning Day Join us on Tuesday, 5/9/2023 for our Part B Claim Submission Learning Day! Our Part B POE Team is hosting a full day of educational webinars focused on submitting claims [...]
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Posting Date: 07/17/2023
Prior Authorization Outpatient Department Rejections Alert
Prior Authorization Outpatient Department Rejections Alert National Government Services has seen a significant increase in rejections due to invalid information provided on PAR cover sheets. Please see the following for top reasons for [...]
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Posting Date: 06/08/2023
MLN Connects® Newsletter: June 8, 2023
MLN Connects® Newsletter: June 8, 2023 News CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the Territory of Guam Due to Recent Typhoon CMS Roundup (June 2, 2023) Gender-Specific Services: Billing [...]
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Posting Date: 06/01/2023
MLN Connects® Newsletter: June 1, 2023
MLN Connects® Newsletter: June 1, 2023 News CMS Announces Plan to Ensure Availability of New Alzheimer’s Drugs COVID-19 Health Care Staff Vaccination Final Rule Medicare Secondary Payer Accident-Related Diagnosis Codes: How to Get Paid [...]
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Posting Date: 05/19/2023
Local Coverage Determination Open Meeting Announcement
Local Coverage Determination Open Meeting Announcement Jurisdiction 6/Jurisdiction K Part A/Part B MAC To ensure the development of LCDs occurs through a public and open process, we are soliciting scientific evidence and other [...]
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Posting Date: 03/23/2023
MLN Connects® Newsletter: March 23, 2023
MLN Connects® Newsletter: March 23, 2023 News Additional Residency Positions: Apply by March 31 Laboratory Testing Urinalysis: Comparative Billing Report in March Long-Term Care Hospital Provider Preview Reports: Review by April 14 [...]
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Posting Date: 03/22/2023
Appealing a Denied Claim
Appealing a Denied Claim At times, providers submit a claim that ends up being denied; the denial may include appeal rights. Providers can appeal all of their overpayment claims on one request for redetermination, which is the first level of [...]
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Posting Date: 03/16/2023
MLN Connects® Newsletter: March 16, 2023
MLN Connects® Newsletter: March 16, 2023 News HHS Releases Initial Guidance for Historic Medicare Drug Price Negotiation Program for Price Applicability Year 2026 Quality Payment Program: 2021 Care Compare Performance Information [...]
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Posting Date: 03/09/2023
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients?
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for coverage criteria to be met and allow your patients to receive [...]
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Posting Date: 03/03/2023
Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices
Attention Illinois Medicare Providers: Stepping Into a New Era with Opioids - CDC Best Practices Presented by Telligen QIN-QIO As part of our continuing work together, National Government Services would like to make our providers aware of a [...]
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Posting Date: 02/23/2023
MLN Connects® Newsletter: February 23, 2023
MLN Connects® Newsletter: February 23, 2023 News Hospital Price Transparency: Progress and Commitment to Achieving Its Potential Home Infusion Therapy Services Monitoring Report Immunosuppressive Drugs: Comparative [...]
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Posting Date: 02/14/2023
Changing Diagnosis Codes on Previously Processed Claims
Changing Diagnosis Codes on Previously Processed Claims National Government Services, is frequently asked about diagnosis code changes on claims that have already been processed. We hope this notification helps for a better understanding. [...]
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