NGS serves 240 members of Congress. Administers the Medicare Part A (hospital insurance) contract for the states of Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont and Wisconsin serving over 12,000 Part A providers of service .
Does Medicare cover the NGS test?
A. Coverage. The Centers for Medicare & Medicaid Services (CMS) has determined that Next Generation Sequencing (NGS) as a diagnostic laboratory test is reasonable and necessary and covered nationally, when performed in a CLIA-certified laboratory, when ordered by a treating physician and when all of the following requirements are met:
Is NGS Medicare owned by Anthem?
Jan 27, 2020 · Indications and Limitations of Coverage. B. Nationally Covered Indications. 1. Somatic (Acquired) Cancer. Effective for services performed on or after March 16, 2018, the Centers for Medicare & Medicaid Services (CMS) has determined that Next Generation Sequencing (NGS) as a diagnostic laboratory test is reasonable and necessary and covered …
How to enroll in NGS Medicare?
Medicare Administrative Contractors (MACs) As of June 2019 MAC Jurisdiction Processes Part A & Part B Claims for the following states: MAC DME A Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Noridian Healthcare Solutions, LLC
What does NGS Medicare Connex pay for?
NGS WPS Novtas J15 CGS WPS Palmetto Palmetto Novitas FCSO . Title: A/B Jurisdiction Map_June 2021 Author: CMS Created Date: 6/11/2021 12:46:54 PM ...
What jurisdiction is NGS?
* As National Government Services, Inc. (NGS) is the incumbent contractor for A/B MAC Jurisdiction K, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers.Dec 28, 2021
What is NGS for Medicare?
NGSMedicare gives you access to the latest Medicare education and a wide variety of Medicare tools. NGSConnex, is your free, secure self-service portal to obtain beneficiary eligibility, claim status & more... saving you time and money!
What states are in Medicare jurisdiction K?
A/B MAC Jurisdiction K (formerly known as Jurisdiction 13 and 14) – Home Health and Hospice Facts. JK processes FFS Medicare HH+H claims for Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont.Dec 28, 2021
Is national government services the same as Medicare?
National Government Services, Inc. provides health care information and support services. The Company offers medicare insurance claims processing services, including hospital, health, and medical insurance administration. National Government Services serves customers throughout the United States.
Does Medicare Secondary cover primary copays?
Medicare is often the primary payer when working with other insurance plans. A primary payer is the insurer that pays a healthcare bill first. A secondary payer covers remaining costs, such as coinsurances or copayments.
What does NGS stand for?
Next-generation sequencing (NGS) is a massively parallel sequencing technology that offers ultra-high throughput, scalability, and speed. The technology is used to determine the order of nucleotides in entire genomes or targeted regions of DNA or RNA.
What are the different Medicare jurisdictions?
CMS has already accomplished consolidating three pairs of A/B MAC contract areas (six A/B MACs) into three jurisdictions: Jurisdiction F (formerly Jurisdictions 2 and 3); Jurisdiction H (formerly Jurisdictions 4 and 7); and Jurisdiction K (formerly Jurisdictions 13 and 14).
What does MAC mean for Medicare?
Medicare Administrative ContractorA Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.Jan 12, 2022
What is the MAC for Florida?
Welcome to First Coast Service Options, Inc. First Coast has proudly served as one of the nation's largest Medicare administrators for 50 years, and is the current Medicare Administrative Contractor (MAC) for Jurisdiction N (JN), which includes Florida, Puerto Rico and the U.S. Virgin Islands.
What Medicare jurisdiction is NY?
Jurisdiction KNational Government Services (NGS) administers Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) for Jurisdiction K which includes the State of New York.
What is the MAC for New York?
The Municipal Assistance Corporation for the City of New York (MAC) was established through State legislation on June 10, 1975, to address the New York City government's severe fiscal crisis.
Who owns national government services?
WellPoint, Inc.National Government Services is a subsidiary of WellPoint, Inc. and has served as a Medicare contractor since 1966. About the Premier 100: The Premier 100 was first created in 2000 to spotlight individuals who have had a positive impact on their organization through technology.
Description Information
Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.
Transmittal Information
11/2018 - The purpose of this Change Request (CR) is to inform contractors that effective March 16, 2018, the Centers for Medicare & Medicaid Services covers diagnostic laboratory tests using next generation sequencing when performed in a Clinical Laboratory Improvement Amendments- certified laboratory when ordered by a treating physician and when specific requirements are met.
National Coverage Analyses (NCAs)
This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.
What does Medicare Part B cover?
Part B also covers durable medical equipment, home health care, and some preventive services.
Does Medicare cover tests?
Medicare coverage for many tests, items, and services depends on where you live . This list includes tests, items, and services (covered and non-covered) if coverage is the same no matter where you live.
