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Industry News: Connecticut

Consolidated Laboratory Fee Schedule Update
Monday, January 16, 2012

Effective for dates of service January 1, 2012 and forward, the Department of Social Services will incorporate the 2012 HCPCS changes (additions, deletions and description changes) to its Consolidated Laboratory Fee Schedule.

Molecular Pathology Codes

Enhancements to National Government Services Connex
Tuesday, March 29, 2011

Administers the Medicare Part A contract for the states of Connecticut, Illinois, Indiana, Kentucky, Michigan, New York, Ohio, Virginia, West Virginia, and Wisconsin. They also administer the Medicare Part B contract for the states of Connecticut, Indiana, Kentucky, and New York.

The National Government Services Connex online inquiry application offers providers and suppliers the ability to:
• receive claim status;
• receive beneficiary eligibility information;
• view provider demographics;
• view financial data, and
• order duplicate remittances.

Section 935 Recoupment Basics
Thursday, May 27, 2010
Recoupment is the act of recovery by a Medicare contractor—such as National Government Services or by a recovery audit contractor (RAC)—of any outstanding Medicare debt by reducing present or future Medicare remittance advice payments and applying the amount withheld to the indebtedness. It applies to the recovery of funds for all Medicare Part A and Medicare Part B claims for which a demand letter is issued.

National Government Services Launches Enhanced Medical Policy Center Search Function
Thursday, May 27, 2010

National Government Services has finalized several elements of its enhanced Medical Policy Center (MPC) search function on the NGSMedicare.com Web site. The following improvements are effective immediately:

Reminders on How to Prevent Duplicate Claim Submissions
Thursday, March 04, 2010

NGS is in the process of identifying providers in Jurisdiction 13 (Connecticut and New York) who continually submit multiple duplicate claims. Providers who have a high amount of duplicate claim submissions to National Government Services will be contacted in the next few weeks.

Health Net of Connecticut Sued for Security Breach
Tuesday, February 02, 2010

Connecticut Attorney General Richard Blumenthal is suing Health Net of Connecticut over the company's May 2009 loss of a hard drive holding information on nearly 450,000 enrollees. According to Blumenthal's office, the complaint filed in U.S. District Court in Hartford marks the first time a state attorney general has invoked new authority under the American Recovery and Reinvestment Act of 2009 to pursue breaches of personal health information.