Search Results - NGSMEDICARE

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 [...]

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

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 [...]

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 [...]

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[...]

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[...]

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 [...]

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[...]

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 [...]

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

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, [...]

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

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 [...]

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 [...]

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 [...]

Posting Date: 01/03/2025

All LOBs - Customer Xperience

Thank You For Your Feedback! /web/ngs/news-article-details?selectedArticleId=11220579

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, [...]

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

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 [...]

Posting Date: 01/03/2025

ASC Claim Hold Until 1/28/2025

Due to a January 2025 fee schedule pricing correction, CMS has instructed Part B MACs to hold Part B ASC claims impacted by CBSA updates until 1/28/2025. ASC claims not impacted by CBSA updates may be impacted by a 10-day hold.

Posting Date: 01/03/2025

FQHC Claim Hold Effective DOS 1/1/2025

CMS has issued claim hold instructions to all MACs, due to release and testing of a new FQHC pricer.

Posting Date: 01/03/2025

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services maintenance, restorative, skilled, modality, therapeutic, exercise, manual, cast, splint, biofeedback L33631 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33631 A56566 [...]

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 [...]

Posting Date: 01/06/2025

Obtaining Beneficiary Eligibility Information Through NGSConnex

Obtaining Beneficiary Eligibility Information Through NGSConnex As a reminder, our Customer Service Representatives aren’t permitted to share eligibility information because it’s available through NGSConnex. If you need help, we [...]