MLN Connects® Newsletter for Thursday, June 16, 2022

MLN Connects® Newsletter for Thursday, June 16, 2022 ICD-10-CM Diagnosis Codes: Fiscal Year 2023 News Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023 Men’s Health: Talk to Your Patients About [...]

MLN Connects® Newsletter for Thursday, June 9, 2022

MLN Connects® Newsletter for Thursday, June 9, 2022 Learn about the CMS National Quality Strategy News CMS National Quality Strategy: A Person-Centered Approach to Improving Quality Strategy to Strengthen Behavioral Health Care [...]

MLN Connects® Newsletter for Thursday, June 2, 2022

MLN Connects® Newsletter for Thursday, June 2, 2022 ICD-10-PCS Procedure Codes: Fiscal Year 2023 News Medicare Shared Savings Program: Application Deadlines for January 1 Start Date Claims, Pricers, & Codes ICD-10-PCS Procedure [...]

MLN Connects® Newsletter for Thursday, May 26, 2022

MLN Connects® Newsletter for Thursday, May 26, 2022 Biosimilars: Interchangeable Products May Increase Patient Access News COVID-19: New Administration Code for Pfizer Pediatric Vaccine Booster Dose Biosimilars: Interchangeable [...]

Physicians/Practitioners Who Order Ambulance Transport: Helping Your Patients With Prior Authorization

Physicians/Practitioners Who Order Ambulance Transport: Helping Your Patients With Prior Authorization The RSNAT Prior Authorization Model is a Medicare Fee-for-Service program that was recently instituted throughout the National Government [...]

MLN Connects® Newsletter for Thursday, June 23, 2022

MLN Connects® Newsletter for Thursday, June 23, 2022 Medical Records Correspondence Address News Ambulance Prior Authorization Model Expands August 1 Orthoses Referring Providers: Comparative Billing Report in June Medical Records [...]

June/July 2022 Billing and Coding and Self-Administered Drug Article Updates

June/July 2022 Billing and Coding and Self-Administered Drug Article Updates Billing and Coding Articles Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10 code C45.2 has been added to the Group 1 [...]

Attention Ambulance Suppliers: Important Information on Claim Denials

Attention Ambulance Suppliers: Important Information on Claim Denials If you are billing claims with either A0426 or A0428, please continue to read. National Government Services has been receiving electronic claims with the 2300 REF segment [...]

A/B Rebilling Facts

A/B Rebilling Facts The following information applies to inpatient hospital admissions on/after 10/1/2013 per final rule CMS-1599-F. Background When a Medicare Part A payment cannot be made because an inpatient admission is found to not be [...]

Condition Code G0 Reminder

Condition Code G0 Reminder National Government Services has noticed an increase in the number of claims reporting CC G0 (zero) inappropriately. Please review the following information so that your claims are not rejected or denied due to [...]

Federally Qualified Health Centers Behavioral Health Claims Job Aid

Federally Qualified Health Centers Behavioral Health Claims Job Aid Historically, FQHCs reported behavioral health with codes 90805, 90807 and 90809 with revenue code 0900. However, those codes terminated effective 12/31/2012. Effective [...]

Federally Qualified Health Centers Contracting with Medicare Advantage Plans

Federally Qualified Health Centers Contracting with Medicare Advantage Plans Requirements to Receive Wrap-Around Payments from Medicare The FQHC must have a written contract with the Medicare Advantage (MA) plan that contain the terms [...]

MLN Connects® Newsletter for Thursday, May 5, 2022

MLN Connects® Newsletter for Thursday, May 5, 2022 COVID-19 Patients Can Get Free Over-the-Counter Tests from Participating Providers News COVID-19: Patients Can Get Free Over-the-Counter Tests from Participating Providers [...]

J6 Medicare Secondary Payer Part B Carrier Voluntary Refund Form

MLN Connects® Newsletter for Thursday, July 7, 2022

MLN Connects® Newsletter for Thursday, July 7, 2022 Expanding Access to Emergency Care Services in Rural Communities News Taking Action to Expand Access to Emergency Care Services in Rural Communities People with Disabilities: Help [...]

MLN Connects® Special Edition for Tuesday, June 21, 2022

MLN Connects® Special Edition for Tuesday, June 21, 2022 Home Health & ESRD Proposed CY 2023 Payment Rules Home Health Agencies: Calendar Year 2023 Proposed Rule — Submit Comments by August 16 ESRD Facilities: Calendar Year 2023 [...]

Reminder: 340B-Acquired Drug Claim Appeal Requests

Reminder: 340B-Acquired Drug Claim Appeal Requests Beginning 1/1/2018, separately payable Part B drugs (assigned status indicator “K”), other than vaccines (assigned status indicator “L” or “M”) and drugs on pass-through payment status [...]

Billing Not Otherwise Classified Codes

Billing Not Otherwise Classified Codes When billing NOC codes, if you give a comparable code for the service performed, please include the actual name of the surgical or medical procedure. In some cases, this will eliminate the need to develop [...]

MLN Connects® Special Edition for Thursday, July 7, 2022

MLN Connects® Special Edition for Thursday, July 7, 2022 CMS Proposes Physician Payment Rule to Expand Access to High-Quality Care On July 7, CMS issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would [...]

MLN Connects® Special Edition for Friday, July 15, 2022

MLN Connects® Special Edition for Friday, July 15, 2022 CMS Proposes Rule to Advance Health Equity, Improve Access to Care & Promote Competition and Transparency CMS is proposing actions to advance health equity and improve access to care [...]