Drugs and Biologicals

Drugs and Biologicals We’ve updated the drugs and biologicals section of our website to offer easier navigation to the information you need. Updates include: Created a left-side navigation list with hyperlinks to specific information Added [...]

Providers Performing Facet Joint Injections (CPT Code 64476) 

Providers Performing Facet Joint Injections (CPT Code 64476) The OIG released the results of an investigation into facet joint injections. Per the OIG report: "Facet joint injections are typically performed using radiological guidance [...]

Related Content

Related Content LCD L33394 - Drugs and Biologicals, Coverage of, for Label and Off-Label Uses Drug Coverage under Different Parts of Medicare Medicare Program Discarded Drugs and Biologicals - JW Modifier and JZ Modifier Policy Frequently [...]

Create an Account - Local Security Officer (LSO)

Create an Account — Local Security Officer (LSO) Table of Contents Create an Account — Local Security Officer (LSO) Step 1 – Account Step 2 – Individual Step 3 – Business [Return to Top] Create an Account — Local Security [...]

LSO Responsibilities

LSO Responsibilities Table of Contents LSO Responsibilities Approve/Decline/Modify/Remove Access [Return to Top] LSO Responsibilities The LSO is responsible for managing access for other NGSConnex users within the organization. [...]

Log In

Log In Table of Contents Log In Log into NGSConnex Log In Issues [Return to Top] Log In In order to login to NGSConnex, go to our website landing page. Read the standard disclaimer and click Accept to continue. [Return to [...]

Intravitreal Beovu (Brolucizumab-dbl) Billing

Intravitreal Beovu (Brolucizumab-dbl) Billing National Government Services has seen multiple variations of billing from providers for Intravitreal Beovu. This job aid provides clarification and proper billing for this drug. For Medicare [...]

Navigation Structure

Navigation Structure Table of Contents NGSConnex Home Page Breadcrumbs Progress Bar Select a Provider Select a Beneficiary Cancel Reset Search [Return to Top] NGSConnex Home Page After you successfully log in to NGSConnex the [...]

Preventive Services

Medicare Preventive Services Resource Guide

Medicare Preventive Services Resource Guide Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep Medicare beneficiaries [...]

Medicare Secondary Payer Calculator

Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD

Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD Per the direction of CMS, as of 3/27/2024, National Government Services may grant extensions for responses to ADRs to providers under active medical [...]

Medicare Preventive Services Resource Guide Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep Medicare beneficiaries [...]

Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment

Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year due to frozen or closed bank accounts. [...]

Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment

Provider Enrollment: Verify Bank Account Information to Prevent Interruption in Medicare Payment National Government Services receives numerous electronic funds transfer banking rejections each year due to frozen or closed bank accounts. [...]

Prevent an MSP Rejection on a Medicare Primary Claim

Table of Contents Prevent an MSP Rejection on a Medicare Primary Claim Step 1: Identify the MSP Record for the Beneficiary on the CWF that Needs Correction Step 2: Prepare a Medicare Primary Claim for the Beneficiary’s Services Step 3: [...]

Hospital-Issued Notices of Noncoverage

Prolonged Services Timetable 2024

Prolonged Services Timetable 2024 CPT Code HCPCS Code for Prolonged Service CPT and CMS Base Time CMS-Extra Minutes Needed CMS Time Requirement for Prolonged Services Date Span 99205 G2212 60 15 [...]

Part A Ambulance Claims Not Retaining Fractional Units

Fractional Units are not being retained on ambulance mileage HCPCS entered via DDE. This results in reason code 32226 (Units required but not present).  

ESRD Claims Are Paying Incorrectly

National Government Services has been made aware of ESRD claims with HCPCS code 90999 processing at rates that are cents instead of hundreds of dollars. This is causing the claims to pay incorrectly. This issue appears to have started mid-July, 2023.