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Posting Date: 06/29/2021
Conflict of Interest Disclosure
Conflict of Interest Disclosure Statement Form
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Posting Date: 07/05/2023
CR13220 - Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03
CR13220 - Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03 Posted 7/5/2023
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Posting Date: 07/06/2023
MLN Connects® Newsletter: July 6, 2023
MLN Connects® Newsletter: July 6, 2023 News CY 2024 Home Health Prospective Payment System Proposed Rule HHS Announces Actions to Lower Health Care Costs and Allow Medicare to Negotiate Lower Drug Prices CMS Roundup (June 30, 2023) [...]
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Posting Date: 01/11/2021
Audit and Reimbursement
Audit and Reimbursement Cost Report Filing State/Region Contact Information Jurisdiction 6 and Jurisdiction K Bobbi Jo Luciano Office: South Portland, ME 207-253-3382 Email: [...]
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Posting Date: 07/07/2023
MLN Connects® Newsletter: Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval - July 7, 2023
MLN Connects® Newsletter: Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval - July 7, 2023 News Broader Medicare coverage is now available for Biogen and Eisai’s Leqembi (the brand name for lecanemab) following [...]
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Posting Date: 07/11/2023
Overcoming Barriers to Tobacco CounselingÂ
Overcoming Barriers to Tobacco Counseling Healthcare providers face several challenges when implementing tobacco cessation counseling into a clinical practice routine. These various factors influence the healthcare professionals’ performance [...]
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Posting Date: 07/12/2023
Submitting Necessary/Appropriate Documentation
Submitting Necessary/Appropriate Documentation National Government Services has noticed an increase in the submission of improper documentation. We’ve added two new sections to our Submit Medical Record Documentation Electronically job aid to [...]
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Posting Date: 07/13/2023
MLN Connects® Newsletter: July 13, 2023
MLN Connects® Newsletter: July 13, 2023 News Hospital Outpatient Prospective Payment System: Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 National Coverage Determination: Pre-exposure Prophylaxis Using [...]
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Posting Date: 07/14/2023
MLN Connects® Newsletter: PFS & OPPS/ASC Proposed Payment Rules – July 13, 2023
MLN Connects® Newsletter: PFS & OPPS/ASC Proposed Payment Rules – July 13, 2023 Proposed Rules CMS Physician Payment Rule Advances Health Equity CMS Proposes Policies to Expand Behavioral Health Access and Further Efforts to Increase [...]
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Posting Date: 07/17/2023
Frequently Asked Questions Reviewed and Updated
Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are: ASCA Appeals CAR T-cell Therapy [...]
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Posting Date: 07/17/2023
Frequently Asked Questions Reviewed and Updated
Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are: ASCA CAR T-cell Therapy Claims EDI [...]
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Posting Date: 07/17/2023
Frequently Asked Questions Reviewed and Updated
Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are: ASCA CAR T-cell Therapy Claims EDI [...]
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Posting Date: 07/17/2023
Frequently Asked Questions Reviewed and Updated
Frequently Asked Questions Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are: ASCA CAR T-cell Therapy Claims EDI [...]
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Posting Date: 04/16/2024
Reimbursing Place of Service 10 at the Nonfacility Rate for Medicare Telehealth Services
In CY 2024, CMS issued a change to processing for telehealth services billed with POS 10. As of 1/1/2024, these claims are to be paid at the nonfacility PFS rate. A system processing issue resulted in incorrect payments at the facility rate and [...]
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Posting Date: 05/22/2024
Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Beginning June 4th!
Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Beginning June 4th! Seats are filling up quickly for our 2024 Spring/Summer Virtual Conference: Mastering Medicare- Tuesday [...]
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Posting Date: 04/19/2022
More Medicare Resources
More Medicare Resources Medicare.gov Your online Medicare resource Replace Your Medicare Card Learn how to replace your Medicare card
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Posting Date: 05/23/2024
Attention All Providers, Billing Services and Clearinghouses Who Submit and Receive NGS EDI Transactions
Attention All Providers, Billing Services and Clearinghouses Who Submit and Receive NGS EDI Transactions As a reminder, when submitting the EDI Enrollment Application to National Government Services, only one form should be completed for any [...]
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Posting Date: 05/23/2024
CPT 99459 Pelvic Examination Billing for Medicare
CPT 99459 Pelvic Examination Billing for Medicare National Government Services has received several inquiries regarding the use of CPT 99459, which was added to CPT coding for 2024 as an add-on code service. This means the code is only payable [...]
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Posting Date: 05/14/2018
Appropriate Use of Occurrence Code 27 and Occurrence Span Code 77
Appropriate Use of Occurrence Code 27 and Occurrence Span Code 77 Table of Contents Appropriate Use of Occurrence Code 27 and Occurrence Span Code 77 Example of the Proper Use of OC 27 Example of the Proper Use of OC 27 with OSC 77 [...]
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Posting Date: 09/23/2015
Completing the Advance Beneficiary Notice for Home Health Agency Demand Claims
Completing the Advance Beneficiary Notice of Noncoverage for Home Health Agency Demand Claims The purpose of the ABN is to appropriately notify a Medicare beneficiary of services that the HHA believes Medicare will not cover. In order for the [...]
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