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Posting Date: 11/07/2022
Diabetes Screening
Preventive Services Guide Diabetes Screening Table of Contents Diabetes Screening Coverage Criteria and Frequency Limits HCPCS/CPT Coding Diagnosis Coding Cost Sharing Reimbursement Nonparticipating Providers Common Claim [...]
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Posting Date: 02/08/2022
KX Modifier Threshold
KX Modifier Threshold The Bipartisan Budget Act of 2018 repealed application of the Medicare outpatient therapy caps but retains the former cap amounts as a threshold above which claims must include the KX modifier as a confirmation that [...]
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Posting Date: 03/26/2024
Discarded Drugs/Wastage and JW, JZ Modifier
Discarded Drugs/Wastage and JW, JZ Modifier Medicare may pay for discarded drugs or wasted drugs and biologicals when: The provider/supplier must discard the remainder of a single-dose container after administering a dose or quantity to a [...]
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Posting Date: 02/03/2025
Medicare Part B Independent Physical, Occupational and Speech Therapy Providers
Medicare Part B Independent Physical, Occupational and Speech Therapy Providers National Government Services is addressing providers who frequently submit clerical error reopenings to add the KX modifier to Medicare Part B claims for physical, [...]
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Posting Date: 02/03/2025
New Medicare Part B Redetermination Notice Initiative
New Medicare Part B Redetermination Notice Initiative As we’ve communicated, beginning 3/3/2025, National Government Services will only issue electronic versions of the MRN when a Medicare Part B Redetermination request is electronically [...]
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Posting Date: 06/06/2023
Methods for Responding to an ADR
Methods for Responding to an ADR Table of Contents Submitting Documentation NGSConnex Mailing an ADR CD/DVD esMD Fax [Return to Top] Submitting Documentation NGSConnex is the preferred method of submission. National [...]
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Posting Date: 02/19/2024
Fee Schedules Description
Fee Schedule Lookup To initiate a search, select a fee schedule type from the drop-down menu, complete all required fields, then select Search. Note: If your search does not display the fee schedule or effective date (range) you enter, [...]
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Posting Date: 02/26/2022
Create an Account - Local Security Officer
Create an Account — Local Security Officer Table of Contents Create an Account — Local Security Officer (LSO) Step 1 – Account Step 2 – Individual Step 3 – Business [Return to Top] Create an Account — Local Security [...]
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Posting Date: 02/26/2022
Create an Account - Standard
Create an Account – Standard Table of Contents Create an Account – Standard Step 1 – Account Step 2 – Individual Step 3 – Business [Return to Top] Create an Account – Standard An NGSConnex Standard Account holder will [...]
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Posting Date: 02/26/2022
Change Your Password
Change Your Password Select the Manage Account button on the NGSConnex home page. Select User Profile. You must change your NGSConnex password at least once every 60 days. This is a CMS security requirement to have online access to [...]
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Posting Date: 07/13/2022
MSP Payment and Savings Calculator Bottom
How to Determine the Medicare Secondary Payment Amounts First, the MSP payment is determined by the following: Actual charge by physician/supplier or OTAF minus amount paid by primary Usual Medicare payment determination Fee [...]
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Posting Date: 02/06/2025
NGSMedicare.com Scheduled Maintenance on Sunday, 2/9/2025
NGSMedicare.com Scheduled Maintenance on Sunday, 2/9/2025 We will experience intermittent outages with NGSMedicare.com on Sunday, 2/9/2025 due to maintenance. NGSMedicare.com will be fully operational on Monday, 2/10/2025. We apologize for [...]
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