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Posting Date: 03/01/2021
2021 Medicare Participating Physicians Directory
2021 Medicare Participating Physicians DirectoryThe Medicare Participating Physicians Directory (MEDPARD) listing includes all providers in Part B Jurisdiction 6 and Jurisdiction K who have agreed to accept assignment on all Medicare-covered [...]
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Posting Date: 03/02/2021
Save the Date: National Government Services Spring 2021 Virtual Conference
Save the Date: National Government Services Spring 2021 Virtual ConferenceMedicare 2021: A Journey to a Healthier Future and PartnershipThe National Government Services Provider Outreach and Education Team will be holding our latest bi-annual [...]
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Posting Date: 03/01/2021
New Consolidated Home Page Coming Soon
New Consolidated Home Page Coming SoonComing soon, NGSConnex and NGSMedicare are uniting to become your new consolidated home page - NGSMedicare.com.You will have one single point of entry on NGSMedicare.com to access both NGSConnex, the secure [...]
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Posting Date: 02/26/2021
New Home Health Video Tutorials
New Home Health Video TutorialsGreat news for our HH providers! The NGSMedicare.com YouTube video portal is now fully loaded with eight short, educational HH eligibility videos. Be the first to take a look by heading out to our YouTube channel [...]
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Posting Date: 02/24/2021
National Government Services Part B Medical Review Newsletter March 2021
National Government Services Part B Medical Review Newsletter March 2021The National Government Services Medical Review department would like to welcome you to our newest service; a regular newsletter. It is our hope that you will find this [...]
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Posting Date: 02/25/2021
Article Updates for February and March 2021
Article Updates for February and March 2021Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999 (A58649)This article contains coding and other guidelines that reflect proper billing for insertion of an IUD [...]
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Posting Date: 02/24/2021
COVID-19 Vaccine and/or Monoclonal Antibodies in Rural Health Clinics and Federally Qualified Health Centers
COVID-19 Vaccine and/or Monoclonal Antibodies in Rural Health Clinics and Federally Qualified Health CentersAdministration of the COVID-19 vaccine and/or monoclonal antibodies does not qualify as a stand-alone visit. Independent and [...]
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Posting Date: 01/12/2021
COVID-19 Vaccine and Monoclonal Antibody
COVID-19 Vaccine and Monoclonal AntibodyThe National Government Services COVID-19 Vaccine and Monoclonal Antibody web page is now available. In addition to important resources, the Medicare Part A and Part B Billing for the COVID-19 Vaccine and [...]
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Posting Date: 02/17/2021
Reminders on the Prior Authorization Program for Certain Hospital Outpatient Department Services
Reminders on the Prior Authorization Program for Certain Hospital Outpatient Department ServicesEffective for dates of service on or after 7/1/2020, a PAR is required for certain OPD services.Hospital Responsibility: Submission of [...]
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Posting Date: 02/16/2021
Nuclear Medicine Billing Reminder
Nuclear Medicine Billing ReminderNational Government Services has identified an issue with billing for nuclear medicine services under CPT codes 78429-78434.We are receiving claims without the service facility location on the electronic claim. [...]
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Posting Date: 02/12/2021
National Government Services Gap-fill Pricing Requests 2021
National Government Services Gap-fill Pricing Requests 2021NGS, the MAC for Jurisdictions 6 and K has received the new laboratory test codes identified by CMS that require gap-fill pricing for 2021.The Protecting Access to Medicare Act (PAMA) [...]
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Posting Date: 02/10/2021
Medicare Diabetes Programs
Medicare Diabetes ProgramsDiabetes is an important topic to National Government Services.Patients diagnosed with diabetes may experience challenges with managing their diabetes and are more likely to experience many complications from the [...]
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Posting Date: 02/08/2021
Psychotherapy Coverage Criteria: Approved Providers of Service
Psychotherapy Coverage Criteria: Approved Providers of ServiceApproved providers of service include physicians (MD/DO), clinical psychologists, clinical social workers, nurse practitioners, clinical nurse specialists and physician’s [...]
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Posting Date: 02/08/2021
Psychotherapy Coverage Criteria: Treatment Plans
Psychotherapy Coverage Criteria: Treatment PlansIndividualized Treatment Plan: (A plan is not required if only a few brief services will be furnished)The plan must include:Date plan was established (can be no older than one year prior to the [...]
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Posting Date: 02/04/2021
Medicare Opioid Treatment Program Enrollment and Billing 2021 Updates
Medicare Opioid Treatment Program Enrollment and Billing 2021 UpdatesThe CMS has modified coverage for the Medicare OTP beginning 1/1/2021.The modifications include:Coverage of OTP services in outpatient hospital settingA CMS-855A provider [...]
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Posting Date: 02/03/2021
The NGS Immunization Roster Billing Job Aid is Now Available
The NGS Immunization Roster Billing Job Aid is Now AvailableWe’ve developed the Immunization Roster Billing Job Aid to provide you with instructions that will help you submit your claims correctly the first time. If you are enrolled as a mass [...]
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Posting Date: 02/01/2021
April 2021 Release "Dark Days" for the Common Working File Hosts
April 2021 Release "Dark Days" for the Common Working File HostsFor the upcoming April 2021 Release:For Production, CWF will be observing the Gray Day on Thursday, 4/1/2021 and Dark Days starting Friday, 4/2/2021 through Sunday, 4/4/2021 to [...]
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Posting Date: 02/01/2021
Penalty for Requests for Anticipated Payments Received More Than Five Days Early
Penalty for Requests for Anticipated Payments Received More Than Five Days EarlyThere has been an issue identified in which the Home Health Pricer program is incorrectly applying a penalty to RAPs received more than five days earlier than the [...]
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Posting Date: 02/01/2021
Diabetes and Mental Health Awareness Policy Education Topics Are Available
Diabetes Awareness and Mental Health Awareness Policy Education Topics Are AvailableWe’ve enhanced our policy education web page to provide you with detailed information about Diabetes Awareness and Mental Health Awareness services.Did you know [...]
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Posting Date: 01/27/2021
2020 Calendar Year 1099 Form Information
2020 Calendar Year 1099 Form Information National Government Services will mail all 1099 Forms for calendar year 2020 by 1/31/2021.Medicare providers and beneficiaries, who are serviced by NGS regardless of their location, will receive a single [...]
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