LCD Reconsideration Process

New LCD Request Process

MLN Connects® Newsletter: February 8, 2024

MLN Connects® Newsletter: February 8, 2024 News Medicare Shared Savings Program: Application Deadlines for a January 1, 2025, Start Date New Dental Specialty Codes for Medicare Hospices & Skilled Nursing Facilities: Report All [...]

National Government Services Proposed LCDs for Comment

National Government Services Proposed LCDs for Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 2/8/2024 through 3/23/2024. These [...]

Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP

Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP Use the Medicare Part B MSP Overpayment Request Form for the following situations, not for non-MSP overpayments: 07–MSP [...]

National Government Services Will Be Open On President's Day

National Government Services Will Be Open On President's Day National Government Services will be open on President's Day, Monday, 2/19/2024. The PCC will be open and available to take your calls. Posted 2/14/2024

Nephrology

Eligibility

ClaimTimelyFilingCalc-footer

Claims for services furnished to Medicare beneficiaries must be filed to the appropriate MAC no later than one calendar year after the date the services were rendered. Revised 10/20/2021

Care Management

American Medical Association’s Behavioral Health Integration Webinar Series

American Medical Association’s Behavioral Health Integration Webinar Series National Government Services is excited to provide some additional resources on BHI from the AMA. This webinar series, titled “BHI Overcoming Obstacles”, will prepare [...]

Additional Development Requests

Three Ways to Protect Your Medicare Enrollment Information

Protect Your Identity and Privacy

Protect Your Identity and Privacy

Help Prevent Bank Account Fraud

Common Claim Status/Locations

Resources Common Claim Status/Locations Status/Location Claim Disposition P B9996 Claim waiting the payment floor hold P B9997 Processed claim – finalized location P O9998 Processed claim [...]

FISS Reason Code Overview

Resources FISS Reason Code Overview FISS reason codes are five-digit codes that direct the outcome of a claim edit or process; they are the “traffic cops” of the system. The following chart outlines the various positions of the FISS reason [...]

Program Function/Escape Key Crosswalk

Resources  Program Function/Escape Key Crosswalk Program Function Key FISS/DDE <Esc> X-Walk Function F1/PF1 Esc 1 Serves as a “Help” key. Allows you to access information contained on the [...]