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Posting Date: 10/18/2024
Medicare Part B Ambulance Coverage, Basics and Billing
During this webinar, we'll educate new staff, or those needing a refresher on basic Medicare Part B ambulance billing guidelines.
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Posting Date: 10/21/2024
NGSConnex: Overview, Access, Navigation and Eligibility Look Up
NGSConnex: Overview, Access, Navigation and Eligibility Look Up As we’ve communicated, beginning 11/18/2024, Beneficiary Eligibility information will not be offered on the IVR. This includes all beneficiary eligibility information that was [...]
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Posting Date: 02/26/2022
Medicare Advantage
Medicare Advantage Select Medicare Advantage from the left-side navigation. Information will display if the beneficiary is currently enrolled in a Part C Medicare Advantage plan, also commonly referred to as a Medicare HMO or Medicare [...]
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Posting Date: 04/06/2022
Medicare Secondary Payer
Medicare Secondary Payer Select Medicare Secondary Payer from the left-side navigation. The Medicare Secondary Payer section will display information about other insurance coverage the beneficiary may have, that is primary to Medicare. The [...]
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Posting Date: 02/26/2022
Qualified Medicare Beneficiary
Qualified Medicare Beneficiary Select Qualified Medicare Beneficiary from the left-side navigation. People with Medicare who are in the QMB program are also enrolled in Medicaid and get help with their Medicare premiums and cost-sharing. [...]
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Posting Date: 02/26/2022
Home Health Plan
Home Health Plan Select Home Health Plan from the left-side navigation. The Home Health Plan information section will display information if the beneficiary is currently in a home health episode of care. The Home Health Plan information will [...]
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Posting Date: 02/26/2022
Inpatient and SNF Spell History
Inpatient and SNF Spell History Select Inpatient and SNF Spell History from the left-side navigation. The Inpatient and SNF Spell History section will display information if the beneficiary is currently receiving inpatient or SNF care or has [...]
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Posting Date: 02/26/2022
End Stage Renal Disease
End Stage Renal Disease Select End Stage Renal Disease (ESRD) from the left-side navigation. The ESRD information panel provides information when a beneficiary is eligible for Medicare due to ESRD. This information is important because some [...]
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Posting Date: 02/26/2022
Preventive Services
Preventive Services Select Preventive Services from the left-side navigation. The Preventive Services section provides a list of Medicare-covered preventive services that are eligible for coverage for the beneficiary and when they are next [...]
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Posting Date: 09/27/2023
Audiology Screening
Audiology Screening Select Audiology Screening from the left-side navigation. The Audiology Screening section provides a list of Medicare-covered audiology screening services that are eligible for coverage for the beneficiary and when they [...]
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Posting Date: 02/26/2022
COVID-19 Vaccine
COVID-19 Vaccine Select Covid-19 Vaccine from the left-side navigation. The COVID-19 Vaccine Information panel provides information for the following HCPCS codes. 91300 – Pfizer-Biontech Covid-19 Vaccine 91301 – Moderna Covid-19 Vaccine [...]
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Posting Date: 02/26/2022
Pneumococcal Vaccine
Pneumococcal Vaccine Select Pneumococcal Vaccine from the left-side navigation. The Pneumococcal Vaccine panel provides information for the following HCPCS codes. 90670 ‒ Pneumococcal conjugate vaccine, 13-valent, for intramuscular use [...]
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Posting Date: 02/26/2022
Cardiac Rehabilitation
Cardiac Rehabilitation Select Cardiac Rehabilitation from the left-side navigation. Medicare Part B (Medical Insurance) provides coverage for a cardiac rehabilitation or physical therapy program if a Medicare beneficiary has had at least [...]
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Posting Date: 02/26/2022
Pulmonary Rehabilitation
Pulmonary Rehabilitation Select Pulmonary Rehabilitation from the left-side navigation. Medicare Part B (Medical Insurance) covers a comprehensive pulmonary rehabilitation program if a Medicare beneficiary has moderate to very severe COPD. [...]
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Posting Date: 02/26/2022
Acupuncture Benefits
Acupuncture Benefits Select Acupuncture Benefits from the left-side navigation. Medicare Part B (Medical Insurance) covers up to 12 acupuncture visits in 90 days for chronic low back pain. Medicare covers an additional eight sessions if [...]
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Posting Date: 02/26/2022
Diabetes Self Management Training (DSMT)
Diabetes Self Management Training (DSMT) Select Diabetes Self Management Training (DSMT) from the left-side navigation. Medicare Part B (Medical Insurance) covers outpatient DSMT if a patient has been diagnosed with diabetes. Medicare may [...]
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Posting Date: 02/26/2022
Medical Nutrition Therapy (MNT)
Medical Nutrition Therapy (MNT) Select Medical Nutrition Therapy (MNT) from the left-side navigation. Medicare Part B (Medical Insurance) may cover MNT services and certain related services if a patient has diabetes or kidney disease, or has [...]
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Posting Date: 02/26/2022
Accessing Eligibility for MDPP in NGSConnex
Accessing Eligibility for MDPP in NGSConnex Select Medicare Diabetes Prevention Program from the left-side navigation. The Medicare Diabetes Prevention Program expanded model is a structured intervention with the goal of preventing type 2 [...]
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Posting Date: 10/21/2024
Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating
Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating Did you know that tobacco cessation counseling is a covered Medicare service? Brief tobacco counseling provides substantial health benefits while producing cost savings. [...]
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Posting Date: 02/26/2022
Hospice Notice of Elections
Hospice Notice of Elections Select Notice of Elections Information from the left-side navigation. The Hospice Notice of Elections information section will display information if the beneficiary has currently elected to receive hospice care or [...]
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Posting Date: 02/26/2022
Hospice Benefit Periods
Hospice Benefit Periods Select Hospice Benefit Periods from the left-side navigation. The Hospice Benefit Periods information section will display information if the beneficiary has elected to receive hospice care or has elected to receive [...]
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Posting Date: 02/26/2022
Smoking Cessation Counseling
Smoking Cessation Counseling Select Smoking Cessation Counseling from the left-side navigation. Medicare Part B (Medical Insurance) covers up to eight visits of smoking and tobacco-use cessation counseling visits in a 12-month [...]
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Posting Date: 10/21/2024
10/21/2024
table, td, th table { border-collapse: collapse; width: 50%; } Self-Service Pulse: What You Need To Know This Week As your MAC, National Government Services wants to provide you with a comprehensive source containing the most [...]
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Posting Date: 11/12/2021
NGSConnex Online Web Application Can Save Time and Money
NGSConnex Online Web Application Can Save Time and Money NGSConnex is a free, secure web-based system that allows providers and suppliers to conduct business via online instead of calling into an IVR or contact center. NGSConnex provides [...]
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Posting Date: 11/19/2021
NGS Check Provider Enrollment Application Status Tool
NGS Check Provider Enrollment Application Status Tool The Check Provider Enrollment Application Status Tool can be used to check on the status of your CMS-855 enrollment application. Reviewed 10/21/2024
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Posting Date: 11/15/2021
National Correct Coding Initiative
National Correct Coding Initiative In 1996, CMS developed the NCCI to promote national correct coding methodologies and to eliminate improper coding. NCCI edits are developed based on coding conventions defined in the American Medical [...]
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Posting Date: 11/15/2021
National Coverage Determination
National Coverage Determination NCDs are policies developed by CMS that indicates whether and under what circumstances certain services are covered under the Medicare Program. NCDs are the same for all contractors across the country. [...]
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Posting Date: 11/15/2021
National ICD-10-CM-PCS: The Next Generation of Coding
National ICD-10-CM-PCS: The Next Generation of Coding The ICD-10-CM-PCS classification system provides significant improvements through greater detailed information and the ability to expand to capture additional advancements in clinical [...]
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Posting Date: 11/15/2021
National Provider Calls and Events
National Provider Calls and Events MLN Connects® National Provider Calls (MLN Connects® Calls) are educational conference calls held by CMS for the Medicare provider and supplier community to educate and inform participants about new policies [...]
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Posting Date: 11/19/2021
National Provider Identifier
National Provider Identifier A National Provider Identifier is a unique 10-digit identification number issued to health care providers in the United States by the CMS. The NPI has replaced the UPIN as the required identifier for Medicare [...]
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Posting Date: 11/15/2021
National Provider Identifier Registry
National Provider Identifier Registry The NPI Registry is free and enables providers to search provider National Plan & Provider Enumeration System information. All information produced by the NPI Registry is provided in accordance with [...]
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Posting Date: 11/15/2021
National Uniform Claim Committee
National Uniform Claim Committee The NUCC is a voluntary organization that replaced the Uniform Claim Form Task Force in 1995. The committee was created to develop a standardized data set for use by the noninstitutional health care [...]
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Posting Date: 11/15/2021
Open Door Forums
Open Door Forums CMS conducts ODFs. The ODF addresses the concerns and issues of providers. Providers may participate via conference call and have the opportunity to express concerns and ask questions. For more information, including signing [...]
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Posting Date: 11/15/2021
P.O. Box Mailing Addresses
P.O. Box Mailing Addresses For the P.O. Box mailing addresses, please visit the Contact Us page on our website. Reviewed 10/21/2024
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Posting Date: 11/15/2021
Patient Protection and Affordable Care Act of 2010
Patient Protection and Affordable Care Act of 2010 For information related to the HIPAA Privacy and Security Rules, visit the Office for Civil Rights website. The Privacy and Security Rules are available for download, and you will find [...]
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Posting Date: 11/16/2021
Physician Quality Payment Program
Physician Quality Payment Program The MACRA ended the SGR formula for clinician payment under the MPFS and established a quality payment incentive program, the QPP. This program provides clinicians with two ways to participate: through [...]
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Posting Date: 11/16/2021
Provider Contact Center
Provider Contact Center For information about the Provider Contact Center, please visit the Contact Us page on our website. Reviewed 10/21/2024
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Posting Date: 11/16/2021
Provider Enrollment
Provider Enrollment The Provider Enrollment Customer Service Department has direct telephone lines available for provider enrollment inquiries. Toll-Free Provider Enrollment Numbers Please use the following toll-free provider enrollment [...]
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