Implanted Spinal Neurostimulators

General Documentation Requirements for Trial or Permanent Implanted Spinal Neurostimulators National Government Services will begin accepting PARs for Implanted Spinal Neurostimulators on 6/17/2021 for services provided beginning on or after [...]

Outpatient Claims with Reason Code W7120 Returned in Error

Outpatient Claims with Reason Code W7120 Returned in Error A system error caused the CMS to return the following outpatient claims with reason code W7120: Bill types 13X and 85X Designated surgical ranges 10000-69999 or 0000T-9999T [...]

MLN Connects® Special Edition for Monday, August 2, 2021

MLN Connects® Special Edition for Monday, August 2, 2021 CMS Final Rule Improves Health Equity, Access to Treatment, Hospital Readiness, and COVID-19 Vaccination Data Reporting of Hospital Workers Hospital Inpatient Prospective Payment System [...]

Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services

Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services We’ve revised an FAQ within the Teaching Environment section of our E/M FAQs to further define documentation requirements. Review the information at [...]

How to Get Started

How to Get Started Making the change is easy. If you use a clearinghouse to submit claims, contact your clearinghouse to ask how to enroll for the electronic remittance service. If you currently have a claim submission software program, [...]

Provider Contact Center

MLN Connects® Newsletter for Thursday, May 19, 2022

MLN Connects® Newsletter for Thursday, May 19, 2022 Biosimilars: Safe, Effective, & May Reduce Patient Costs News Biosimilars: Safe, Effective, & May Reduce Patient Costs PECOS Scroll Functionality Clinical Laboratory [...]

PA RSNAT Coversheet

Medicare Provider Enrollment Application Fee Decision Tree Tool

Remote Physiological Monitoring and Cardiovascular Monitoring Service and Billing Information

Billing and Coding and SAD Article Updates for May/June 2022

Billing and Coding and SAD Article Updates for May/June 2022 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The article has been corrected to remove the following statement: (calcium 1000 mg daily and at least 400 IU vitamin D [...]

Modifier Usage

July 2022 Release "Dark Days" for the Common Working File Hosts

July 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming July 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, 6/30/2022 and Dark Days starting Friday, 7/1/2022 through Monday, 7/4/2022 [...]

Remote Monitoring Services

Remote Monitoring Services

Remote Monitoring Services In response to provider inquiries about the use of remote monitoring, National Government Services has developed a comprehensive summary of information for Remote Monitoring Services. NGS separately defined code [...]

Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023

Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023 CMS reduced the number of claims in the Comprehensive Error Rate Testing program report for reporting year 2023. We’ll send you a letter if your claims are [...]

New Version of PC-ACE: July 2021

New Version of PC-ACE: July 2021 PC-ACE Version 5.1 contains several CMS mandates and product enhancements including but not limited to the items listed below. 12206 – FFS Coverage of Costs for Kidney Acquisitions in MW Hospitals for [...]

Medicare University Scheduled Maintenance

Medicare University Scheduled Maintenance Due to scheduled maintenance, Medicare University will be unavailable beginning Tuesday, 6/15/2021 from 8:00 p.m–11:00 p.m. ET. As a result, the Medicare University will not be accessible. We [...]

Billing and Coding for Tempus Next Generation Sequencing Panel

Billing and Coding for Tempus Next Generation Sequencing Panel The Tempus Next Generation Sequencing Panel must be submitted with CPT code 81479. CPT 81479 (unlisted molecular pathology procedure) will be individually reviewed. Posted [...]

COVID-19 Accelerated and Advanced Payment YouTube Video

COVID-19 Accelerated and Advanced Payment YouTube Video National Government Services developed the Part B COVID-19 Accelerated and Advanced Payment, Repayment and Recoupment Process YouTube Video to address common questions we are receiving. [...]