Search Results - NGSMEDICARE

4,622 Results for

Posting Date: 04/02/2025

When billing an unclassified drug code such as J3490, are the units of service on the claim always equal to one?

Read More
Posting Date: 04/02/2025

What is the correct way to bill an unlisted drug or biological?

Read More
Posting Date: 04/02/2025

What is the proper way to submit professional physician claim with multiple NDC numbers for the same drug code?

Read More
Posting Date: 04/02/2025

J3357, Ustekinumab (Stelara) is listed on the Self-Administered Drug Exclusion List: Medical Policy Article A53021, and it says “acceptable”. Does this mean it is excluded or not?

Read More
Posting Date: 04/02/2025

Is the shingles vaccine covered by Medicare?

Read More
Posting Date: 04/02/2025

ASCA: Where do we mail our Administrative Simplification Compliance Act (ASCA) waiver request?

Read More
Posting Date: 04/02/2025

ASCA: When applying for an ASCA waiver, do I need to complete the Waiver Request form for each provider number?

Read More
Posting Date: 04/02/2025

ASCA: If my Administrative Simplification Compliance Act Waiver Request is denied, what will happen to my paper claims?

Read More
Posting Date: 04/02/2025

ASCA: How will the Administrative Simplification Compliance Act enforcement review affect me as a “small provider/supplier?” Will I be required to submit claims electronically?

Read More
Posting Date: 04/02/2025

ASCA: What kind of supporting documentation should I attach to my Administrative Simplification Compliance Act Waiver Request?

Read More
Posting Date: 04/02/2025

ASCA: How will I know the outcome of my Administrative Simplification Compliance Act waiver request form?

Read More
Posting Date: 04/02/2025

ASCA: I was under Administrative Simplification Compliance Act review once and received an approved waiver request to send paper claims, why am I under review again?

Read More
Posting Date: 04/02/2025

ASCA: Must an Administrative Simplification Compliance Act waiver be mailed or can it be faxed?

Read More
Posting Date: 04/02/2025

Can chemotherapy be split into two doses on two different dates of service if the patient was unable to complete a full dose in one day? For example, the patient's port was not functioning properly.

Read More
Posting Date: 04/02/2025

Can Medicare Part B providers who bill on the professional CMS-1500 claim form, and electronic equivalent, bill unclassified drug code C9399?

Read More
Posting Date: 04/02/2025

Are unclassified drug codes included in average sales price (ASP) files?

Read More
Posting Date: 04/02/2025

How do I bill a bilateral joint injection and HCPCS J1040 for two units?

Read More
Posting Date: 04/02/2025

Does Medicare Part B make payment for the unused portion of a multi-dose vial of a drug/biological?

Read More
Posting Date: 04/02/2025

Have the payable diagnoses for IVIG and Rituximab changed? I don’t see all of the previously payable diagnoses in the applicable drug local coverage determinations (LCDs) and articles.

Read More
Posting Date: 04/02/2025

Does the waste with the JW modifier appended always go on the second line regardless of the billed amount? For example, the billed amount for the waste is higher than the administered amount.

Read More