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Posting Date: 01/02/2025
Preventive Services: Flu and PPV Vaccines
During this webinar, we will review the coverage, coding and billing guidelines under Medicare Part B for Influenza and Pneumococcal Pneumonia Virus vaccinations.
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Posting Date: 12/26/2024
Call Center Planned Outage Status
Call Center Planned Outage Offline Friday, 1/20/2025
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Posting Date: 01/03/2025
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction K Only)
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction K Only) SAD A53021 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53021 C9399, J0129, J0139, J0270, J0364, J0593, J0599, J0630, J0801, [...]
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Posting Date: 01/03/2025
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction 6 Only)
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction 6 Only) SAD A53022 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53022 C9399, J0129, J0139, J0270, J0364, J0593, J0599, J0630, J0801, [...]
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Posting Date: 01/03/2025
Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) ionizing, stereotactic guidance, robotic L35076 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35076 A56874 [...]
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Posting Date: 01/03/2025
Psychiatric Partial Hospitalization Programs
Psychiatric Partial Hospitalization Programs mental illness, family counseling, vocational training L33626 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33626 A56850 [...]
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Posting Date: 01/03/2025
Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane)
Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™) drug A52450 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52450 J9264, J9267
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Posting Date: 01/03/2025
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor N/A L37421 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37421 A57435 https://www.cms.gov/medicare-coverage-database/view/article.aspx?art[...]
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Posting Date: 01/03/2025
Off-Label Use of Intravenous Immune Globulin (IVIG)
Off-Label Use of Intravenous Immune Globulin (IVIG) L39314 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39314 A59105 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59105 A59251 [...]
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Posting Date: 01/03/2025
Noninvasive Vascular Studies
Noninvasive Vascular Studies NonInvasive, leg, clot, plethysmography, duplex scan, Doppler, cerebrovascular, arterial, venous, hemodialysis L33627 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33627 A56758 [...]
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Posting Date: 01/03/2025
Molecular Pathology Procedures
Molecular Pathology Procedures genetic testing, genetic counseling, gene, Tier 1, Tier 2 L35000 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35000 A56199 https://www.cms.gov/medicare-coverage-database/view/article.aspx?arti[...]
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Posting Date: 01/03/2025
Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms N/A L37810 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37810 A56867 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=5686[...]
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Posting Date: 01/03/2025
Implantable Continuous Glucose Monitors (I-CGM)
Implantable Continuous Glucose Monitors (I-CGM) N/A L38623 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38623 A58116 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116 A58342 [...]
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Posting Date: 01/03/2025
Facet Joint Interventions for Pain Management
Facet Joint Interventions for Pain Management Radiofrequency, Neurotomy, pain, cervical, lumbar, thoracic L35936 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35936 A57826 [...]
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Posting Date: 01/03/2025
Billing and Coding: Eculizumab
Billing and Coding: Eculizumab drug, hemolysis A54548 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54548 J1300, Q5139
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Posting Date: 01/03/2025
Billing and Coding: Bevacizumab and Biosimilars
Billing and Coding: Bevacizumab and Biosimilars drug, retinal A52370 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370 C9257, J3590, J9035, Q5107, Q5118, Q5126, Q5129, 67028
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Posting Date: 01/03/2025
Cardiac Catheterization and Coronary Angiography
Cardiac Catheterization and Coronary Angiography heart, circulatory L33557 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33557 A52850 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52850 36140, [...]
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Posting Date: 07/15/2022
LSO Responsibilities
LSO Responsibilities The LSO is responsible for managing and monitoring access for other NGSConnex users within the organization. LSOs are responsible for approving access to users requesting data access to a specific provider account [...]
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Posting Date: 01/02/2025
Improving Customer Experience
Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how we can [...]
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Posting Date: 01/03/2025
Getting Access to PECOS
During this webinar, we’ll discuss how to obtain access to the Internet-based Provider Enrollment Chain & Ownership System (PECOS) and gain connection to provider enrollment record as well as understand other Centers for Mediacre & Medicaid [...]
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Posting Date: 01/03/2025
All LOBs - Customer Xperience
Thank You For Your Feedback! /web/ngs/news-article-details?selectedArticleId=11220579
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Posting Date: 01/03/2025
12/12/2024 Part B POE Advisory Group Meeting
12/12/2024 Part B POE Advisory Group Meeting Meeting Minutes Meeting Time: 10:00 a.m.‒12:00 p.m. ET Member Attendees: Elizabeth Aldrich, Dawson Ballard, Doris Barnes, Sheila Bembeneck, Madelon Berger, Louise Bertrand, Kimberly Bischel, [...]
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Posting Date: 04/14/2022
Meeting Minutes
Meeting Minutes Jurisdiction 6 and Jurisdiction K Combined Meeting 12/12/2024 Meeting 9/18/2024 Meeting 6/12/2024 Meeting 3/13/2024 Meeting
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Posting Date: 07/18/2023
Medical Review: Targeted Probe and Educate Review Topics
Jurisdiction K Part B Targeted Probe and Educate: Medical Review Topics Topic CPT Code(s) Common Denials Resources Paring or Cutting of Benign Hyperkeratotic Lesion 11055, 11056, 11057 A07 – The [...]
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Posting Date: 01/03/2025
Prepare and Submit a Medicare Secondary Payer Claim
Table of Contents Background Step 1: Determine If You Must Submit an MSP Claim Step 2: Prepare an MSP Claim MSP Billing Code Table Step 3: Check for a Matching MSP Record for the Beneficiary in the Common Working File Step [...]
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Posting Date: 06/14/2023
Meeting Minutes
Meeting Minutes Jurisdiction 6 Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Island, Oregon, Puerto Rico, U.S. Virgin Islands, Washington and Wisconsin [...]
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Posting Date: 11/15/2022
Proper Billing for TEZSPIRE™ HCPCS Code J2356
Proper Billing for TEZSPIRE™ HCPCS Code J2356 Table of Contents Proper Billing for TEZSPIRE™ HCPCS Code J2356 Claim Completion Requirements Drug Wastage Appropriate Administration Coding Related Content [Return to Top] Proper [...]
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Posting Date: 04/15/2022
Jurisdiction K State Licensing and Certification Websites
State Licensing and Certification Websites The following list contains helpful links to websites of some organizations within the JK jurisdictions that can be used to verify your status. Table of Contents Connecticut Maine Massachusetts [...]
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Posting Date: 01/30/2020
DX Proc Codes ICD-10 (1B)
Chapter IV: Inquiries Submenu (01) DX Proc Codes ICD-10 (1B) Purpose The purpose of the DX/PROC CODES ICD-10 option is to provide a reference of ICD-10 code(s) used to identify a specific or various diagnosis codes or inpatient surgical [...]
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Posting Date: 11/16/2021
Jurisdiction 6 State Licensing and Certification Websites
State Licensing and Certification Websites The following list contains helpful links to websites of some organizations within the J6 jurisdictions that can be used to verify your status. Table of Contents Illinois Minnesota Wisconsin [...]
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Posting Date: 07/11/2023
Overcoming Barriers to Tobacco Counseling
Overcoming Barriers to Tobacco Counseling Healthcare providers do face several challenges when implementing tobacco cessation counseling into a clinical practice routine. These various factors influence the healthcare professionals’ [...]
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Posting Date: 10/06/2021
Screening Mammography
Preventive Services Guide Screening Mammography A mammogram is an X-ray of the breast. Screening mammograms are routinely administered to detect breast cancer in women who have no apparent symptoms. Coverage Guidelines and Frequency Limits [...]
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Posting Date: 01/26/2021
Other Medicare Contacts
Other Medicare Contacts Organization Contact Information ALJ BP Tower & Garage 200 Public Square, Suite 1300 Cleveland, OH 44114-2316 American Medical Association Website Phone: [...]
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Posting Date: 12/16/2021
Other Medicare Contacts
Other Medicare Contacts Organization Contact Information ALJ BP Tower & Garage 200 Public Square, Suite 1300 Cleveland, OH 44114-2316 American Medical Association Website [...]
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Posting Date: 12/16/2021
Other Medicare Contacts
Other Medicare Contacts Organization Contact Information ALJ BP Tower & Garage 200 Public Square, Suite 1300 Cleveland, OH 44114-2316 American Medical Association Website Phone: [...]
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Posting Date: 12/31/2024
Description of Application Fee
The application fee is imposed on institutional providers and suppliers to cover enrollment costs. The application fee for calendar year 2025 is $730. Related Content Federal Register Notice ‒ information about how the fee was calculated [...]
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Posting Date: 12/31/2024
How to Pay the Application Fee
The application fee must be paid electronically. Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee using the Provider Enrollment, [...]
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Posting Date: 01/05/2021
Description of Application Fee
Description of Application Fee The application fee is imposed on institutional providers and suppliers to cover enrollment costs. The application fee for calendar year 2025 is $730. Related Content Federal Register Notice ‒ information [...]
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Posting Date: 12/31/2024
Who Needs to Pay Application Fees
Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, nonphysician practitioners, physician [...]
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