EDI Email Inquiry Form Right Hand

Helpful Resources EDI Help Desk E-mail Terms of Service EDI Inquiry Form Assistance Protected Health Information and Personally Identifiable Information E-mail Guidelines

LCD and Billing and Coding Article Updates January/February 2024

LCD and Billing and Coding Article Updates January/February 2024 Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG) (A59105) A list of labeled and compendia approved diagnoses have been added to the Group 2 section for [...]

MLN Connects® Newsletter: January 25, 2024

MLN Connects® Newsletter: January 25, 2024 News CMS Announces New Actions to Help Hospitals Meet Obligations under EMTALA CMS Announces New Model to Advance Integration in Behavioral Health Doctor & Clinician Utilization (Procedure [...]

Submit Supporting Documentation

We encourage you to submit cost reports and supporting documentation electronically whenever possible. In addition to the environmental benefits of this approach, it is also more time and cost efficient. The following documents should be sent [...]

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2024

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2024 The January 2024 quarterly system release was implemented on 1/2/2024 with two minor changes to certain DDE screens. The following four screens had changes to [...]

A/B DME MAC Collaborative Webinar: General Documentation Requirements

A/B DME MAC Collaborative Webinar: General Documentation Requirements Physicians/Practitioners! Are you ordering durable medical equipment, prosthetics, orthotics and supplies for your patients? This is your opportunity to hear directly from [...]

KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims CY 2024

KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims Calendar Year 2024 KX Modifier Threshold The BBA of 2018 repealed application of the Medicare outpatient therapy caps but retains the former [...]

2023 Calendar Year 1099 Form Information

2023 Calendar Year 1099 Form Information National Government Services will mail all 1099 Forms for Calendar Year 2023 by 1/31/2024 Medicare providers and beneficiaries, who are serviced by NGS regardless of their location, will receive a [...]

2024 Telehealth Billing – Item 32 Address Completion Clarification

2024 Telehealth Billing – Item 32 Address Completion Clarification    National Government Services is providing this article for clarification on the billing of telehealth services; specifically, the completion of Item 32 on [...]

Collect and Report Retirement Dates on Medicare Claims

Table of Contents Collect and Report Retirement Dates on Medicare Claims Recording Retirement Dates in the Provider’s Records Reporting Retirement Dates on Claims Related Content [Return to Top] Collect and Report Retirement Dates on [...]

Determine if Medicare will Make an MSP Payment

Table of Contents Step 1: Determine if Medicare Will Make an MSP Payment MSP Payment May be Made If: No MSP Payment is Made by Medicare If: Step 2: Determine the Amount of Secondary Benefits Billing Reminders Which Can [...]

Determine Beneficiary Responsibility on an MSP Claim

Table of Contents Determine Beneficiary Responsibility on an MSP Claim Step 1: Review the Remittance Advice Step 2: Ensure the Primary Payer’s Payment Satisfied the Medicare Deductible and Coinsurance Amounts Step 3: Assess Beneficiary’s [...]

Medicare Secondary Payer: Don’t Deny Services & Bill Correctly

MLN Connects® Newsletter: February 1, 2024

MLN Connects® Newsletter: February 1, 2024 News Participation Continues to Grow in CMS' Accountable Care Organization Initiatives in 2024 CMS Roundup (Jan 26, 2024) Claims, Pricers, & Codes HCPCS Application Summaries & [...]

February 2024

In This Issue National Government Services Articles for Part A and Part B Providers 2024 Annual Update to the Therapy Code List: Caregiver Training Codes 2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring A/B [...]

Correct Coding of Molecular Testing Panels (Revised)

Correct Coding of Molecular Testing Panels (Revised) The submission of claims using individual gene CPT codes, when gene panels are ordered, is considered incorrect coding. Correct coding requires that when a panel code is ordered, it should [...]

Fraud and Abuse Right Hand HHH

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Fraud and Abuse Right Hand Part A

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Fraud and Abuse Right Hand Part B

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]