Search Results - NGSMEDICARE

Posting Date: 09/23/2021

Hospice Beneficiary Election Statement Addendum Frequently Asked Questions

Hospice Beneficiary Election Statement Addendum Frequently Asked Questions National Government Services, in collaboration with Palmetto GBA, CGS and CMS, developed these FAQs to assist providers in a better understand of the federal [...]

Posting Date: 02/10/2022

Multi-Jurisdictional Contractor Advisory Committee (CAC)/Subject Matter Expert Meeting

Multi-Jurisdictional Contractor Advisory Committee (CAC)/Subject Matter Expert Meeting March 10, 2022 Topic: SIJ Interventions and Procedures Questions for SIJ Interventions For all questions, answers must be based on clinical literature [...]

Posting Date: 01/07/2021

MLN Connects® Special Edition for Thursday, January 7, 2021

MLN Connects® Special Edition for Thursday, January 7, 2021 Physician Fee Schedule Update On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a [...]

Posting Date: 01/07/2021

MLN Connects® for Thursday, January 7, 2021

MLN Connects® for Thursday, January 7, 2021 COVID-19 Vaccines: CDC Long-Term Care Facility Toolkit View this edition as a: Webpage | PDF News COVID-19 Vaccines: CDC Long-Term Care Facility Toolkit MLN Web-Based Training: Complete [...]

Posting Date: 05/14/2020

Modifier 95 as it Relates to Medicare Part B and COVID-19 Billing

Modifier 95 as it Relates to Medicare Part B and COVID-19 Billing Modifier 95 Defined: Synchronous telemedicine service rendered via real-time interactive audio and video telecommunications system. During the COVID-19 PHE, and through CY 2023 [...]

Posting Date: 05/14/2020

Modifier CR as it Relates to Medicare Part B and COVID-19 Billing

Modifier CR as it Relates to Medicare Part B and COVID-19 Billing In 2005, CMS created modifier “CR” (description: Catastrophe/disaster related) to assist MACs in processing claims as a result of Hurricane Katrina. This modifier was also [...]

Posting Date: 04/10/2023

Home Health Diagnosis Codes Grouper Update for 4/1/2023

Home Health Diagnosis Codes Grouper Update for 4/1/2023 Effective 4/1/2023, CMS is implementing new HH Grouper edits. The HH Grouper program has various data validity edits that make sure it uses consistent and accurate data when calculating [...]

Posting Date: 11/04/2021

Clarification on the Proper Use of the CS Modifier

Clarification on the Proper Use of the CS Modifier Per MLN Matters® article SE20011, the CS modifier (cost-sharing waiver for COVID-19 testing) is applicable to certain services furnished beginning on 3/18/2020 through the end of the PHE, [...]

Posting Date: 04/07/2023

New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier

New Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier Effective 4/1/2023, CMS implemented a new consistency edit to validate that the attending physician NPI. An Attending Provider [...]

Posting Date: 04/13/2023

The Advance Beneficiary Notice of Noncoverage

The Advance Beneficiary Notice of Noncoverage We’ve updated our Advance Beneficiary Notice of Noncoverage article to include examples for using an ABN for outpatient therapy and using the KX and GA modifiers appropriately. We encourage you to [...]

Posting Date: 04/13/2023

MLN Connects® Newsletter: April 13, 2023

MLN Connects® Newsletter: April 13, 2023 News COVID-19: End of Public Health Emergency CMS Roundup (Apr. 07, 2023) Medicare Shared Savings Program: Application Toolkit Materials Inpatient Rehabilitation Facility [...]

Posting Date: 04/13/2023

Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them

Top Tobacco Counseling Claim Denials and How to Avoid/Correct Them Providers, are your claims being denied for tobacco counseling services utilizing codes 99406 and 99407? In order to assist our providers in getting claims processed [...]

Posting Date: 04/14/2023

CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual

Posting Date: 04/19/2023

Telehealth Frequently Asked Questions are Updated

Telehealth Frequently Asked Questions are Updated We’ve updated our telehealth frequently asked questions to include changes and flexibilities due to the end of the PHE on 5/11/2023. Please view these FAQs for the answers you need to common [...]

Posting Date: 04/20/2023

Providers Using NGSConnex to Submit Appeals and Supporting Documentation

Providers Using NGSConnex to Submit Appeals and Supporting Documentation We strongly recommend our providers use NGSConnex to submit your redetermination requests and any supporting documentation. Please be aware that if you do not submit [...]

Posting Date: 04/20/2023

Medicare University Continuing to Experience Intermittent Issues

Medicare University Continuing to Experience Intermittent Issues We are continuing to experience intermittent outages with Medicare University. You do not need to report these issues with Medicare University to our Provider Contact Center. We [...]

Posting Date: 04/20/2023

MLN Connects® Newsletter: April 20, 2023

MLN Connects® Newsletter: April 20, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Medical Review & Compliance: Respond to Additional Documentation Requests Hospice: [...]

Posting Date: 04/14/2020

Hot Topics

Medicare Important Hot Topics Medicare and Coronavirus Medicare and Coronavirus – How to stay up-to-date! Medicare Beneficiary Fact Sheets Beneficiary Fact Sheets for Medicare Cost and Coverage Medicare Coverage Database The MCD [...]

Posting Date: 07/01/2016

Introduction

Introduction The Congressional Affairs Outreach team at National Government Services, Inc. and our partners are committed to ensuring that congressional offices receive a timely response to all inquiries. For your convenience, National [...]

Posting Date: 04/21/2023

LCD, Billing and Coding Article Updates for April and May 2023

LCD, Billing and Coding Article Updates for April and May 2023 Billing and Coding Article (A56937): Psychiatry and Psychology Services Removed sentence from article text section - “For psychotherapy sessions lasting 90 minutes or longer, the [...]

Posting Date: 08/30/2021

Medicare Secondary Payer

Medicare Secondary Payer CMS transitioned COB activities for GHP and non-GHPs from the COBC and Non-GHP recovery functions from the BCRC to the new Medicare Secondary Payer Contractor. There will be no change to any of the COB processes under [...]

Posting Date: 07/06/2021

Congressional Offices

Congressional Offices Home Communications Hot Topics MAC Directory Contacts Resources

Posting Date: 08/02/2022

MLN Connects® Special Edition for Monday, August 1, 2022

MLN Connects® Special Edition for Monday, August 1, 2022 New CMS Rule Increases Payments for Acute Care Hospitals & Advances Health Equity, Maternal Health On August 1, CMS issued a final rule for inpatient and long-term care [...]

Posting Date: 04/26/2023

EDI Enrollment Spotlights Packet Completion Times

EDI Enrollment Spotlights Packet Completion Times We ask that you allow seven – ten business days for processing of all requests. All requests are worked in the order in which they are received. Currently, our processing times are taking a [...]

Posting Date: 04/27/2023

MLN Connects® Newsletter: April 27, 2023

MLN Connects® Newsletter: April 27, 2023 News Hospital Price Transparency Enforcement Updates For the First Time, HHS Is Making Ownership Data for All Medicare-Certified Hospice and Home Health Agencies Publicly Available [...]

Posting Date: 04/26/2023

NGS Cost Report Submission Reminders

NGS Cost Report Submission Reminders We strongly encourage filing of the cost report via the Medicare Cost Report E‐Filing (MCReF) System. If the cost report is submitted via MCReF, it does not need to be mailed Cost Report submissions [...]

Posting Date: 06/09/2021

Ways to Submit Requests

Ways to Submit Requests NGSConnex Part A: NGSConnex User Guide Part B: NGSConnex User Guide esMD Content type 8.5 Fax JK: 317-841-4530 J6: 317-841-4528 Mail National Government Services, Inc. [...]

Posting Date: 05/04/2023

MLN Connects® Newsletter: May 4, 2023

MLN Connects® Newsletter: May 4, 2023 News FAQs on CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency Guidance for the Expiration of the COVID-19 Public Health Emergency COVID-19 Over-the-Counter [...]

Posting Date: 05/05/2023

New versus Established Patients

New versus Established Patients We’ve updated this frequently asked question based on recent clarification from CMS. Please clarify appropriate billing for outpatient/office services when a consulting provider has already performed a [...]

Posting Date: 05/05/2023

Oxygen and Oxygen Equipment: A/B and DME Collaborative Presentation

Oxygen and Oxygen Equipment: A/B and DME Collaborative Presentation View the A/B and DME Oxygen and Oxygen Equipment YouTube video for information on oxygen. Posted 5/5/2023

Posting Date: 05/08/2023

[URGENT] Part A DDE is Available!

[URGENT] Part A DDE is Available! Part A DDE is available and can be accessed by Part A, HHH and FQHC providers. The issue of providers not being able to sign is due to an unexpected change in the Data Center Menu options. Part A DDE [...]

Posting Date: 05/09/2023

Urgent News: May 2023 Dark Days for Data Center Migration Postponed

Urgent News: May 2023 Dark Days for Data Center Migration Postponed The Medicare Part A CMS Data Center Migration scheduled for 5/12/2023 to 5/15/2023 has been postponed. All systems and IVR will be available on 5/15/2023. For FISS DDE users, [...]

Posting Date: 05/04/2023

Provider Enrollment: Resumed Revalidation Activities

Provider Enrollment: Resumed Revalidation Activities Attention: Provider Enrollment and Credentialing Departments Activities have resumed with revalidation due dates starting with 1/31/2022. Don’t wait to revalidate if CMS assigned a current [...]

Posting Date: 05/10/2023

Medicare Part A CMS Data Center Migration – Rescheduled May 2023 Dark Days for Data Center Migration

May 2023 Dark Days for CMS Data Center Migration – Rescheduled May 2023 Dark Days for Data Center Migration As we previously communicated, the Medicare Part A CMS Data Center Migration was postponed. The new date for the migration is [...]

Posting Date: 05/11/2023

MLN Connects® Newsletter: May 11, 2023

MLN Connects® Newsletter: May 11, 2023 News CMS Roundup (May 5, 2023) Medicare Ground Ambulance Data Collection System: Report Information Compliance Bill Correctly: Power Mobility Devices Repairs MLN Matters® [...]

Posting Date: 05/18/2023

MLN Connects® Newsletter: May 18, 2023

MLN Connects® Newsletter: May 18, 2023 News COVID-19: Public Health Emergency Ended May 11 End of COVID-19 Public Health Emergency FAQs Advancing Health Equity Through The CMS Innovation Center: First Year Progress And What’s To [...]

Posting Date: 05/18/2023

Medical Review: Targeted Probe and Educate Review Topics Updated

Medical Review: Targeted Probe and Educate Review Topics Updated The Medical Review: TPE Review Topics page on our website has been updated. This page lists the topics and CPT codes under review by the National Government Services MR [...]

Posting Date: 02/26/2021

Jurisdiction K MAC Fact Sheet

Jurisdiction K Medicare Administrative Contractor Fact Sheet National Government Services, Inc. has a long history of supporting federal health agencies such as CMS. Throughout the country, NGS has efficient operation, financial and human [...]

Posting Date: 03/01/2021

Jurisdiction 6 MAC Fact Sheet

Jurisdiction 6 Medicare Administrative Contractor Fact Sheet National Government Services, Inc. has a long history of supporting federal health agencies such as CMS. Throughout the country, NGS has efficient operation, financial and human [...]

Posting Date: 04/11/2023

MLN Connects® Newsletter: CMS Proposes Policies to Improve Patient Safety and Promote Health Equity — April 10, 2023

MLN Connects® Newsletter: CMS Proposes Policies to Improve Patient Safety and Promote Health Equity — April 10, 2023 Proposed Rule CMS Proposes Policies to Improve Patient Safety and Promote Health Equity Posted 4/11/2023