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Posting Date: 12/23/2019
LCD and Article Revisions: December 2019/January 2020
LCD and Article Revisions: December 2019/January 2020 The medical policies and related articles can be found in our Medical Policy Center. LCD Revised in December and January EEG – Ambulatory Monitoring (L33399) Due to annual CPT/HCPCs [...]
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Posting Date: 12/24/2019
New Version of PC-ACE: January 2020
New Version of PC-ACE: January 2020 PC-ACE Version 4.5 contains several CMS mandates and product enhancements including but not limited to the items listed below. 10971 - Implementation of the MPA for the MD TCOC Model 11457 - October 2019 [...]
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Posting Date: 12/23/2019
MLN Connects® Special Edition for Monday, December 23, 2019
MLN Connects® Special Edition for Monday, December 23, 2019 New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1 Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use MBIs on claims (with [...]
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Posting Date: 12/24/2019
New Version of PC Print: January 2020
New Version of PC Print: January 2020 A new version of PC Print will soon be available on our website. This version contains the following enhancements: CR 11394 is to implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of [...]
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Posting Date: 12/27/2019
Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020
Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020 The Home Health Final Rule for calendar year 2020 finalized the guidelines for billing RAPs under the PDGM and some changes in the way RAPs are being [...]
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Posting Date: 12/06/2019
January 2020 EDI Front End Quarterly Release - New and Modified Edits
January 2020 EDI Front End Quarterly Release - New and Modified Edits The Part A and Part B edit changes are listed below: Part A Edit Changes Edit Reference Number Change Reason for Change Trading Partner/Results [...]
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Posting Date: 12/05/2019
MLN Connects® for Thursday, December 5, 2019
MLN Connects® for Thursday, December 5, 2019 DMEPOS Competitive Bidding Surveys: Comment by December 20 MLN Connects® for Thursday, December 5, 2019 View this edition as a PDF News Direct Contracting Risk-Sharing Options: Submit [...]
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Posting Date: 12/04/2019
NGS EDI 275 Claims Attachment
NGS EDI 275 Claims Attachment Currently, National Government Services Part A providers can electronically respond to requests for additional information (ADR letters) using the X12 275 Claims Attachment transaction through the EDI Gateway. [...]
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Posting Date: 12/03/2019
MLN Connects® Special Edition for Tuesday, December 3, 2019
MLN Connects® Special Edition for Tuesday, December 3, 2019 MBI Transition Ends This Month: Will You Be Paid On January 1? The 21 month transition period will end on December 31; use Medicare Beneficiary identifiers (MBIs) now. You are [...]
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Posting Date: 12/03/2019
Become a Medicare Diabetes and Prevention Program Provider Today
Become a Medicare Diabetes and Prevention Program Provider Today National Government Services is combining forces with CMS, health infrastructure and linking to healthy programs that afford a real opportunity to make a difference in the lives [...]
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Posting Date: 11/27/2019
MLN Connects® for Wednesday, November 27, 2019
MLN Connects® for Wednesday, November 27, 2019 Patients Over Paperwork Newsletter MLN Connects® for Wednesday, November 27, 2019 View this edition as a PDF News FY 2019 Medicare FFS Improper Payment Rate Lowest Since 2010 Patients [...]
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Posting Date: 11/26/2019
MLN Connects® Special Edition for Tuesday, November 26, 2019
MLN Connects® Special Edition for Tuesday, November 26, 2019 New Medicare Card: Claim Reject Codes After January 1 Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use MBIs on claims (with a few exceptions) after [...]
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Posting Date: 11/26/2019
MLN Connects® Special Edition Article for Tuesday, November 26, 2019
MLN Connects® Special Edition for Tuesday, November 26, 2019 HHAs: Avoid Payment Delays, Register for iQIES by December 23 Act now. Home Health Agencies (HHAs) need access to the upgraded Internet Quality Improvement and Evaluation System [...]
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Posting Date: 11/21/2019
MLN Connects® Special Edition for Thursday, November 21, 2019
MLN Connects® Special Edition for Thursday, November 21, 2019 HHAs: Avoid Payment Delays, Register for iQIES by December 23 Act now. Home Health Agencies (HHAs) need access to the upgraded Internet Quality Improvement and Evaluation System [...]
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Posting Date: 11/21/2019
MLN Connects® for Thursday, November 21, 2019
MLN Connects® for Thursday, November 21, 2019 Hospital Price Transparency: Register for Dec 3 Call MLN Connects® for Thursday, November 21, 2019 View this edition as a PDF News Promoting Interoperability Programs: Updated list of [...]
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Posting Date: 11/20/2019
Chimeric Antigen Receptor T-Cell Therapy Reminder
Chimeric Antigen Receptor T-Cell Therapy Reminder National Government Services is receiving certain CAR T-Cell therapy claims that are billed incorrectly resulting in claim rejection or erroneous claim adjudication. Please note that rejected [...]
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Posting Date: 11/19/2019
MLN Connects® Special Edition for Tuesday, November 19, 2019
MLN Connects® Special Edition for Tuesday, November 19, 2019 New Medicare Card: Get Paid January 1, 2020 – Use MBIs Now Do not wait. Update your patients' records and use Medicare Beneficiary identifiers (MBIs) now, before you are busy with [...]
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Posting Date: 11/18/2019
MLN Connects® Special Edition for Friday, November 15, 2019
MLN Connects® Special Edition for Friday, November 15, 2019 Hospital Price Transparency Requirements CY 2020 Hospital Outpatient Prospective Payment System Policy Changes On November 15, CMS finalized policies that lay the foundation for a [...]
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Posting Date: 11/12/2019
MLN Connects® Special Edition for Tuesday, November 12, 2019
MLN Connects® Special Edition for Tuesday, November 12, 2019 HICN Claims Reject We are 50 days out from the end of the Medicare Beneficiary Identifier (MBI) transition period. Use the MBI on Medicare claims and other transactions now. [...]
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Posting Date: 11/07/2019
Medicare Participation Enrollment for Calendar Year 2020
Medicare Participation Enrollment for Calendar Year 2020 The open enrollment period for Medicare participation during CY 2020 extends from 11/14/2019 through 12/31/2019. Physicians, practitioners and suppliers must make their Medicare [...]
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