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Posting Date: 03/11/2021
MLN Connects® for Thursday, March 11, 2021
MLN Connects® for Thursday, March 11, 2021 Hospitals: Are You Using Your PEPPER Data? View this edition as a: Webpage | PDF News PEPPERs for Short-term Acute Care Hospitals Colorectal Cancer: Medicare Covers Screening [...]
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Posting Date: 03/25/2021
MLN Connects® for Thursday, March 25, 2021
MLN Connects® for Thursday, March 25, 2021 Home Health Payment Corrections View this edition as a: Webpage | PDF News Medicare Shared Savings Program: Application Deadlines for January 1, 2022, Start Date Repetitive, Scheduled [...]
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Posting Date: 08/25/2020
LCD and Article Updates for September 2020
LCD and Article Updates for September 2020 The medical policies and related articles can be found in our Medical Policy Center. Article update for August Billing and Coding: Bevacizumab and biosimilars (A52370) ICD-10-CM codes C22.0, C22.8 [...]
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Posting Date: 06/23/2020
LCD and Article Updates for June and July 2020
LCD and Article Revisions for June and July The medical policies and related articles can be found in our Medical Policy Center. New LCDs and Articles effective 7/1/2020 Multimarker Serum Tests Related to Ovarian Cancer Testing [...]
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Posting Date: 07/23/2020
LCD and Article Updates for August 2020
LCD and Article Revisions for August 2020 The medical policies and related articles can be found in our Medical Policy Center. Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10-CM codes C22.0, C22.8 [...]
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Posting Date: 08/26/2020
How to Find a Local Coverage Determination
How to Find a Local Coverage Determination As the MAC for J6 and JK, NGS is responsible for posting and maintaining LCDs and articles for many Medicare billed services. These LCDs and articles can be found at the Medical Policy Center. Please [...]
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New Version of PC-ACE: January 2021
New Version of PC-ACE: January 2021 PC-ACE Version 4.9 contains several CMS mandates and product enhancements including but not limited to the items listed below. 11939 - Quarterly Update to the MPFSDB - October 2020 Update 11988 - [...]
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Posting Date: 03/12/2020
NGS Update on Fees for Code G2066
NGS Update on fees for code G2066 HCPCS code G2066 (Interrogation device evaluation[s], [remote] up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system or subcutaneous cardiac rhythm monitor [...]
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Posting Date: 09/29/2020
LCD and Article Updates for October 2020
LCD and Article Updates for October 2020 LCD Revisions: Transcranial Magnetic Stimulation (L33398) The notice period was extended to end on 9/30/2020 and the Revision Effective date has been changed from 8/1/2020 to 10/1/2020. Billing and [...]
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Posting Date: 12/23/2020
LCD and Article Updates for December 2020 and January 2021*
LCD and Article Updates for December 2020 and January 2021* Revised Billing and Coding Articles December 2020 and January 2021 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on compendia review, ICD-10 code C22.3 has been [...]
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Posting Date: 12/14/2020
Home Health Agency Change in Reimbursement – Medicare Patient’s Therapy Needs Have Not Changed
Home Health Agency Change in Reimbursement – Medicare Patient’s Therapy Needs Have Not Changed Ordering physicians should be aware that HHAs may be adjusting, or planning to revise, their therapy services in response to fears about decreased [...]
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Posting Date: 12/17/2020
From the Desk of the MAC Medical Directors: Caring for Medicare Patients is a Partnership
From the Desk of the MAC Medical Directors: Caring for Medicare Patients is a Partnership As a patient’s treating physician or nonphysician practitioner, you may order, refer and/or give health care services for your patient in partnership [...]
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Posting Date: 01/07/2020
Reminder: 2020 Payment Amounts for Immunization Administration Services Massachusetts Localities
Reminder: 2020 Payment Amounts for Immunization Administration Services Massachusetts Localities The 2020 PFS Final Rule requires National Government Services, as well as all MACs, to maintain for CY 2020, the CY 2019 national payment amounts [...]
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Posting Date: 02/20/2020
April 2020 Release "Dark Days" for the Common Working File Hosts
April 2020 Release "Dark Days" for the Common Working File Hosts For the upcoming April 2020 Release: For Production, CWF will be observing dark days starting Friday, 4/3/2020 through Sunday, 4/5/2020 to accommodate the anticipated duration [...]
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Posting Date: 10/19/2020
Evaluation and Management: Anticipated Changes for Office and Outpatient Services in 2021
Evaluation and Management: Anticipated Changes for Office and Outpatient Services in 2021 Pending confirmation in the upcoming CMS 2021 Final Rule, NGS is reminding Part B providers of expected changes to E/M guidelines for office and [...]
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Posting Date: 12/07/2020
Annual Participation Enrollment Period Extended to January 31, 2021
Annual Participation Enrollment Period Extended to January 31, 2021 NOTE: CMS is extending the 2021 Annual Participation Enrollment Program. The participation enrollment period will now end 1/31/2021, instead of 12/31/2020. Posted 12/7/2020
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Posting Date: 06/18/2020
Retirement of Noncovered Services and Category III CPT Codes LCDs and Articles
Retirement of Noncovered Services and Category III CPT Codes LCDs and Articles Effective 7/1/2020, National Government Services is retiring the Noncovered Services LCD (L33629) and Billing and Coding Article (A57812), and the Category III CPT® [...]
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Posting Date: 08/06/2020
Alert: Postcard Disguised as Official OCR Communication 8/6/2020
Alert: Postcard Disguised as Official OCR Communication 8/6/2020 National Government Services would like to make providers aware of an official notification sent out by the OCR regarding a mailing that was sent out attempting to make providers [...]
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Posting Date: 04/07/2020
Adopting Appropriate Claim Denials Management System: Modifiers 76/77
Adopting Appropriate Claim Denials Management System: Modifiers 76/77 We have identified providers who are submitting several appeals for modifiers 76 and/or 77 and this has caused additional work for your organization as well as National [...]
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Posting Date: 02/07/2020
Adjustment on Payments for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments
Adjustment on Payments for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments The American Hospital Association challenged CMS’ use of its authority under Subsection (t)(2)(F) of the Medicare statute to pay for [...]
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