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Posting Date: 04/13/2023
The Advance Beneficiary Notice of Noncoverage
The Advance Beneficiary Notice of Noncoverage We’ve updated our Advance Beneficiary Notice of Noncoverage article to include examples for using an ABN for outpatient therapy and using the KX and GA modifiers appropriately. We encourage you to [...]
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Posting Date: 04/13/2023
MLN Connects® Newsletter: April 13, 2023
MLN Connects® Newsletter: April 13, 2023 News COVID-19: End of Public Health Emergency CMS Roundup (Apr. 07, 2023) Medicare Shared Savings Program: Application Toolkit Materials Inpatient Rehabilitation Facility [...]
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Posting Date: 04/13/2023
Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them
Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them Providers, are your claims being denied for tobacco counseling services utilizing codes 99406 and 99407? In order to assist our providers in getting claims processed [...]
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Posting Date: 04/14/2023
CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual
CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual
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Posting Date: 04/19/2023
Telehealth Frequently Asked Questions are Updated
Telehealth Frequently Asked Questions are Updated We’ve updated our telehealth frequently asked questions to include changes and flexibilities due to the end of the PHE on 5/11/2023. Please view these FAQs for the answers you need to common [...]
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Posting Date: 04/20/2023
Providers Using NGSConnex to Submit Appeals and Supporting Documentation
Providers Using NGSConnex to Submit Appeals and Supporting Documentation We strongly recommend our providers use NGSConnex to submit your redetermination requests and any supporting documentation. Please be aware that if you do not submit [...]
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Posting Date: 04/20/2023
Medicare University Continuing to Experience Intermittent Issues
Medicare University Continuing to Experience Intermittent Issues We are continuing to experience intermittent outages with Medicare University. You do not need to report these issues with Medicare University to our Provider Contact Center. We [...]
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Posting Date: 04/20/2023
MLN Connects® Newsletter: April 20, 2023
MLN Connects® Newsletter: April 20, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Medical Review & Compliance: Respond to Additional Documentation Requests Hospice: [...]
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Posting Date: 04/14/2020
Hot Topics
Medicare Important Hot Topics Medicare and Coronavirus Medicare and Coronavirus – How to stay up-to-date! Medicare Beneficiary Fact Sheets Beneficiary Fact Sheets for Medicare Cost and Coverage Medicare Coverage Database The MCD [...]
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Posting Date: 07/01/2016
Introduction
Introduction The Congressional Affairs Outreach team at National Government Services, Inc. and our partners are committed to ensuring that congressional offices receive a timely response to all inquiries. For your convenience, National [...]
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Posting Date: 04/21/2023
LCD, Billing and Coding Article Updates for April and May 2023
LCD, Billing and Coding Article Updates for April and May 2023 Billing and Coding Article (A56937): Psychiatry and Psychology Services Removed sentence from article text section - “For psychotherapy sessions lasting 90 minutes or longer, the [...]
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Posting Date: 08/30/2021
Medicare Secondary Payer
Medicare Secondary Payer CMS transitioned COB activities for GHP and non-GHPs from the COBC and Non-GHP recovery functions from the BCRC to the new Medicare Secondary Payer Contractor. There will be no change to any of the COB processes under [...]
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Posting Date: 07/06/2021
Congressional Offices
Congressional Offices Home Communications Hot Topics MAC Directory Contacts Resources
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Posting Date: 11/15/2023
Fraud Awareness Week and National Rural Health Day
Fraud Awareness Week and National Rural Health Day Since this week is Fraud Awareness Week and National Rural Health Day is tomorrow on 11/16/2023, we wanted to share these valuable resources with you. Fraud Awareness Week Traditional [...]
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Posting Date: 11/15/2023
MLN Connects Newsletter: Take Our Provider Survey Today - November 15, 2023
MLN Connects® Newsletter: Take Our Provider Survey Today - November 15, 2023 You helped us before, and we want to learn more about your information needs. CMS is conducting a study to help us improve your experience with the Medicare [...]
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Posting Date: 10/27/2021
Submit a Reconsideration
Submit a Reconsideration The second level of appeal is the reconsideration and is carried out by the QIC. Time limit to initiate = 180 days from date of receipt of redetermination decision Time limit to complete the review = 60 days [...]
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Posting Date: 11/16/2023
MLN Connects® Newsletter: November 16, 2023
MLN Connects® Newsletter: November 16, 2023 News Unprecedented Efforts to Increase Transparency of Nursing Home Ownership Hospital Price Transparency: Use Required CMS Template Layout to Encode Hospital Standard Charge Information [...]
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Posting Date: 10/13/2021
Behavioral Health Integration
Behavioral Health Integration Table of Contents Behavioral Health Integration General Behavioral Health Integration Eligible conditions Service Components Billing Codes Frequently Asked Questions Related Content [Return [...]
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Posting Date: 06/21/2021
Vein Ablation Best Practices
Vein Ablation Best Practices Table of Contents Vein Ablation Best Practices Documentation requirements: Best Practice/Documentation Feedback/Tips and Help Billing/Coding Alerts Related Content [Return to Top] Vein [...]
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Posting Date: 11/20/2023
January 2024 Release "Dark Days" for the Common Working File Hosts
January 2024 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/28/2023 and Dark Days starting Friday, 12/29/2023 through Sunday, [...]
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