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Occupational Therapy or Speech Language Pathology Claims Calendar Year 2024 KX Modifier Threshold The BBA of 2018 repealed application of the Medicare outpatient therapy caps but retains the former [...]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

About Us

National Government Services, Inc., a subsidiary of Anthem, Inc., has a long history of supporting federal health agencies, including the CMS. Throughout the country, NGS has served as a Medicare contractor since the inception of the Medicare [...]

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, [...]

Fraud and Abuse Right Hand FQHC

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, [...]

Clinical Literature

Multi-Jurisdictional Contractor Advisory Committee (CAC)/Subject Matter Expert Meeting March 10, 2022 Topic: SIJ Interventions and Procedures References for SIJ Injections and Procedures Diagnostics Buchanan P, Vodapally S, Lee DW, et [...]

Psychiatric and Psychology Services

Psychiatric and Psychology Services Psychiatric Evaluations The psychiatric diagnostic evaluation is an integrated psychosocial assessment, including history, mental status and recommendations. The evaluation may include communication with [...]

Revised LCD Comments Address - Updated

Revised LCD Comments Address - Updated Due to a technical issue with the LCD Comments mailbox for National Government Services, emailed comments have not been received by NGS. Please use this alternative address to submit all comments on [...]

National Government Services Proposed LCDs for Comment 9/29/2022-11/12/2022

National Government Services Proposed LCDs for Comment 9/29/2022-11/12/2022 The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from [...]