Fraud and Abuse Right Hand FQHC

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Clinical Literature

Multi-Jurisdictional Contractor Advisory Committee (CAC)/Subject Matter Expert Meeting March 10, 2022 Topic: SIJ Interventions and Procedures References for SIJ Injections and Procedures Diagnostics Buchanan P, Vodapally S, Lee DW, et [...]

Psychiatric and Psychology Services

Psychiatric and Psychology Services Psychiatric Evaluations The psychiatric diagnostic evaluation is an integrated psychosocial assessment, including history, mental status and recommendations. The evaluation may include communication with [...]

Revised LCD Comments Address - Updated

Revised LCD Comments Address - Updated Due to a technical issue with the LCD Comments mailbox for National Government Services, emailed comments have not been received by NGS. Please use this alternative address to submit all comments on [...]

National Government Services Proposed LCDs for Comment 9/29/2022-11/12/2022

National Government Services Proposed LCDs for Comment 9/29/2022-11/12/2022 The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from [...]

LCD Reconsideration Process

New LCD Request Process

MLN Connects® Newsletter: February 8, 2024

MLN Connects® Newsletter: February 8, 2024 News Medicare Shared Savings Program: Application Deadlines for a January 1, 2025, Start Date New Dental Specialty Codes for Medicare Hospices & Skilled Nursing Facilities: Report All [...]

National Government Services Proposed LCDs for Comment

National Government Services Proposed LCDs for Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 2/8/2024 through 3/23/2024. These [...]

Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP

Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP Use the Medicare Part B MSP Overpayment Request Form for the following situations, not for non-MSP overpayments: 07–MSP [...]

National Government Services Will Be Open On President's Day

National Government Services Will Be Open On President's Day National Government Services will be open on President's Day, Monday, 2/19/2024. The PCC will be open and available to take your calls. Posted 2/14/2024

MLN Connects® Newsletter: February 15, 2024

MLN Connects® Newsletter: February 15, 2024 News CMS Roundup (Feb 9, 2024) Marriage and Family Therapists & Mental Health Counselors: New Specialty Codes for Medicare Medicare Physician Fee Schedule Database: April Update MLN [...]

Centers for Medicare & Medicaid Services Office of Legislation

Health Benefits of Quitting Smoking

Health Benefits of Quitting Smoking Help your Patients Kick the Habit! Smoking leads to multiple diseases and potentially death, but this is preventable – anyone at any age can benefit from quitting smoking. Medicare covers tobacco cessation [...]

Change to Roster Claims Information Entry in the Fiscal Intermediary Standard System Direct Data Entry

Change to Roster Claims Information Entry in the FISS DDE Effective 1/28/2013, the FISS maintainer has made a change to the way roster claims are entered. After entering the required information into the FISS DDE, providers will have to hit [...]

Common Working File (CWF) Host Dark Days for April 2024 Release

Common Working File (CWF) Host Dark Days for April 2024 Release For the upcoming April 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/28/2024 and Dark Days starting Friday, 3/29/2024 through Sunday, 3/31/2024 [...]

Proper Billing for Patient Supplied Drugs

Proper Billing for Patient Supplied Drugs Drugs, including biologicals, must represent an expense to the physician or legal entity billing for the services or supplies. In some instances, the patient purchases the drug or, the physician [...]