Billing and Coding: Complex Drug Administration Coding for Subcutaneous and Intramuscular Routes (A58620) Reminder

Billing and Coding: Complex Drug Administration Coding for Subcutaneous and Intramuscular Routes (A58620) Reminder National Government Services identified claim billing errors for complex drug administration coding for subcutaneous and [...]

COBA Medigap Claim-Based IDs

Prolonged Services: Non-Face-to-Face

Prolonged Services: Non-Face-to-Face Code Definition Provider Guidance As of 1/1/2017, CMS authorized non face-to-face prolonged services (CPT codes 99358‒99359) as payable services. In conjunction with this approval, CMS [...]

Span Date Billing Guide

Span Date Billing Guide Certain DMEPOS items must be submitted with span dates according to the number of days the item or service is being rendered. When billing with span dates, the “From” date should reflect the date that the item was [...]

Provider Revalidation Interactive Tool_Intro

Provider Revalidation Interactive Tool  This tool is designed to assist Part B applicants who are revalidating enrollment. If the reason for your application is other than revalidation, then please refer to the Enrollment tab on our [...]

Improving Customer Experience in 2021

Improving Customer Experience in 2021We are committed to improving your experience. Each day, we review comments from providers who submit surveys to let us know what is working well and how we can improve. We appreciate your feedback. This is [...]

May is National Mental Health Awareness Month

May is National Mental Health Awareness MonthAlthough May is the month of national focus on mental health awareness, it is a daily focus for many dealing with mental health conditions. Integrating behavioral health care with primary care [...]

Reminder: Medicare Part B Voluntary Refunds

Reminder: Medicare Part B Voluntary RefundsProviders submitting voluntary refunds need to be aware that when completing the Part B Voluntary Overpayment Refund Form, additional claim data is required:Complete the Part B Voluntary Overpayment [...]

Cognitive Assessment and Care Plan Services (CPT 99483)

Cognitive Assessment and Care Plan Services (CPT 99483)Medicare covers a separate visit for a cognitive assessment if your patient shows signs of cognitive impairment at their annual wellness visit or a routine visit. The cognitive assessment [...]

MACs to Host Multi-Jurisdictional CAC Meeting Regarding Facet Joint and Medial Nerve Branch Procedures

MACs to Host Multi-Jurisdictional CAC Meeting Regarding Facet Joint and Medial Nerve Branch ProceduresThe MACs will host a multi-jurisdictional CAC via Teleconference on 5/28/2020 from 1:00 p.m.‒4:00 p.m. CDT, 2:00 p.m.‒5:00 p.m. [...]

MAC Customer Experience Survey

MAC Customer Experience SurveyWe often receive feedback from our website users who get frustrated because our MCE survey displays before they are done visiting our website. We understand that it’s better for you to finish your visit before you [...]

Hospice Cap Self-Reporting Reminder

Hospice Cap Self-Reporting ReminderThe Hospice Cap Self-Reporting for the 2020 Cap Year (10/1/2019-9/30/2020) is due no later than 3/1/2021. Hospice providers should submit the pro-forma calculation along with supporting documentation and a [...]

New PC-ACE Version Will Soon Be Available

New PC-ACE Version Will Soon Be AvailableA new version PC-ACE Version 4.6.0.100 will be available 6/2/2020 for download from our website. This new PC-ACE version has been updated to include new HCPCS and ICD-10 diagnosis codes for COVID-19. [...]

There's Still Time to Register for the National Government Services Spring 2021 Virtual Conference

There's Still Time to Register for the National Government Services Spring 2021 Virtual ConferenceMedicare 2021: A Journey to a Healthier Future and PartnershipThe National Government Services POE Team's bi-annual virtual conference is [...]

MCReF/PS&R Official Supported Browser to Change on 6/21/2021

MCReF / PS&R Official Supported Browser to Change on 6/21/2021Beginning, Monday, 6/21/2021, the supported browser for MCReF system and PS&R system is changing from IE to Google Chrome. With this change, MCReF and PS&R will no longer [...]

Multi-Jurisdictional CAC Meeting on Amniotic Product Injections for Musculoskeletal Indications, Non-Wound

Multi-Jurisdictional CAC Meeting on Amniotic Product Injections for Musculoskeletal Indications, Non-WoundNoridian Healthcare Solutions along with CGS Administrators, First Coast Services Options, National Government Services, Novitas [...]

Accelerated and Advanced Payment Nettings/Offsets Across Organization Affiliations

Accelerated and Advanced Payment Nettings/Offsets Across Organization AffiliationsWe are receiving an influx of calls to our Provider Contact Center with regard to recoupment of AAPs with providers questioning recoupments on funds they believe [...]

Outpatient Prospective Payment System Part B Drug Payment and Status Indicator Change for Healthcare Common Procedure Coding System Q5122

Outpatient Prospective Payment System Part B Drug Payment and Status Indicator Change for Healthcare Common Procedure Coding System Q5122The following instructions have been provided by CMS to National Government Services for HCPCS code Q5122. [...]

LCD and Article Updates for April and May 2021

LCD and Article Updates for April and May 2021April 2021 Medical Policy Article UpdatesBilling and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography (A52849)This article has been updated due to a provider request to [...]

Clinicians Ordering Oxygen and Oxygen Equipment – COVID-19 PHE Reference Guide

Clinicians Ordering Oxygen and Oxygen Equipment – COVID-19 PHE Reference GuideAs a result of the COVID-19 PHE, CMS has issued waivers and flexibilities to assist Medicare beneficiaries in obtaining the services they need and allowing [...]