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  • Posting Date: 06/06/2023
    Results Letters

    Results Letters After National Government Services reviews the requested claims for your facility/office, you’ll receive a Results Letter with results from that round of TPE review. The Results Letter will contain the number of claims that [...]

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  • Posting Date: 06/06/2023
    Appeals

    Appeals Appeals Overview Providers, suppliers and beneficiaries may appeal claim determinations made by National Government Services. The appeals process aims to ensure the correct adjudication of claims. The CMS governs appeals activities [...]

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  • Posting Date: 11/25/2024
    LCD and Article Updates for November 2024

    LCD and Article Updates for November 2024 Local Coverage Determinations and Billing and Coding Articles The following Local Coverage Determinations and Billing and Coding Articles have been finalized and will become effective on the specific [...]

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  • Posting Date: 12/02/2024
    Get Help Completing My Enrollment Application

    Since your organization can apply for Medicare enrollment in two ways, online through the PECOS system and on paper, it is important to know where to go to learn about the expected processes and guidelines. There are two main areas where you [...]

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  • Posting Date: 12/02/2024
    Get Help Completing My Enrollment Application

    Since your organization can apply for Medicare enrollment in two ways, online through the PECOS system and on paper, it is important to know where to go to learn about the expected processes and guidelines. There are two main areas where you [...]

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  • Posting Date: 11/26/2024
    Counseling to Prevent Tobacco Use

    In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

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  • Posting Date: 10/24/2018
    Initiate Part B Reopenings or Non-MSP Overpayment Adjustments in NGSConnex

    Initiate Part B Reopenings or Non-MSP Overpayment Adjustments in NGSConnex Did you know that you can save time and money by requesting a Part B clerical error reopening electronically via NGSConnex? You will save time because electronic [...]

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  • Posting Date: 07/01/2024
    17729 and 17730 Hospice Claim Edits for Certifying Physicians

    17729 and 17730 Hospice Claim Edits for Certifying Physicians Effective for hospice claims with claim ‘From’ dates on or after 6/3/2024, new claim edits have been implemented per CR 13342 to enforce CMS’ rule to deny hospice claims if the name [...]

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  • Posting Date: 10/19/2021
    How to Determine if the Provider is Active and Get the Provider Enrolled in Medicare Part B

    How to Determine if the Provider is Active and Get the Provider Enrolled in Medicare Part B Table of Contents Determine if the Provider Has an Active Enrollment How to Enroll the Provider in Medicare Part B [Return to Top] Determine [...]

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  • Posting Date: 12/02/2024
    Get Help Completing My Enrollment Application

    Since your organization can apply for Medicare enrollment in two ways, online through the PECOS system and on paper, it is important to know where to go to learn about the expected processes and guidelines. There are two main areas where you [...]

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