Search Results - NGSMEDICARE

Posting Date: 01/14/2025

39934

Avoiding/Correcting This Error You can find line level information by accessing MAP171D in the FISS/DDE Provider Online System: Hit <F2>/<PF2> once or <F11>/<PF11> twice from Claim Page 02 of the claim to access [...]

Posting Date: 01/14/2025

U5200

Avoiding/Correcting This Error Verify that the MBI on the claim is for the correct beneficiary. If the MBI is correct, verify the beneficiary’s entitlement information, correct, and resubmit if appropriate. If the MBI is incorrect, submit [...]

Posting Date: 01/14/2025

U5211

Avoiding/Correcting This Error Verify the MBI and dates of service. If appropriate, correct the information and submit a new claim or update returned claim. If the actual date of death was reported in error to the Social Security office, [...]

Posting Date: 01/14/2025

U5600

Avoiding/Correcting This Error Providers should develop and implement a process to ensure that duplicate claims are not being submitted. If the claim is truly a duplicate, no action is necessary If this is not a duplicate and the provider [...]

Posting Date: 01/14/2025

37364

Avoiding/Correcting This Error There was an issue with NOAs incorrectly editing for U537F. Once the system was fixed, NOAs could be resubmitted and subsequently processed. NOAs submitted late due to this issue may have affected more than one [...]

Posting Date: 01/14/2025

38055

Avoiding/Correcting This Error Verify the claim history using the FFS/DDE Provider Online system, your remittance advice and/or the CWF to determine the episode claim that is causing the overlap If there are services that should have been [...]

Posting Date: 01/14/2025

38200

Avoiding/Correcting This Error This reason code may be applied when an NOA and period of care claim are submitted at the same time or when an NOA and one is already in the system. If the NOA and claim were submitted at the same time, and no [...]

Posting Date: 01/14/2025

39934

Avoiding/Correcting This Error You can find line level information by accessing MAP171D in the FISS/DDE Provider Online System: Hit <F2>/<PF2> once or <F11>/<PF11> twice from Claim Page 02 of the claim to access [...]

Posting Date: 01/15/2025

Prepare and Submit a Medicare Secondary Payer Claim

Table of Contents Background Step 1: Determine If You Must Submit an MSP Claim Step 2: Prepare an MSP Claim MSP Billing Code Table Step 3: Check for a Matching MSP Record for the Beneficiary in the Common Working File Step [...]

Posting Date: 07/20/2023

Contractor Advisory Committee Meeting

Contractor Advisory Committee Meeting As part of the 21st Century Cures Act, contractors are mandated to base an LCD on robust evidence. Part of the process is to convene SMEs as necessary to review the literature and provide input that [...]

Posting Date: 01/15/2025

Multi-Jurisdictional Peripheral Nerve Blocks Contractor Advisory Committee Meeting on 2/3/2025

Multi-Jurisdictional Peripheral Nerve Blocks Contractor Advisory Committee Meeting on 2/3/2025 The Multi-Jurisdictional Peripheral Nerve Blocks Contractor Advisory Committee Meeting is scheduled for 2/3/2025 from 2:00–4:00 p.m. ET, via [...]

Posting Date: 01/16/2025

MLN Connects® Newsletter: January 16, 2025

MLN Connects® Newsletter: January 16, 2025 News Resources & Flexibilities to Assist with the Public Health Emergency in California CMS Moves Closer to Accountable Care Goals with 2025 Accountable Care Organization Initiatives [...]

Posting Date: 01/16/2025

FQHC and RHC Claims RTP for W7072

Between 10/1/2024 and 12/31/2024, RHC (TOB 071X) and FQHC (TOB 077X) claims that contained HCPCS code 93010 were RTP in error with reason code W7072.

Posting Date: 01/17/2025

Letters Regarding Deactivation of Enrollment Due to Infrequent Billing - Correction of Fax Number

Letters Regarding Deactivation of Enrollment Due to Infrequent Billing - Correction of Fax Number If you received a letter from National Government Services dated 1/10/2025 regarding a deactivation of your enrollment due to infrequent billing, [...]

Posting Date: 01/21/2025

2024 Calendar Year 1099 Form Information

2024 Calendar Year 1099 Form Information National Government Services will mail all 1099 Forms for calendar year 2024 no later than 1/31/2025. Medicare providers and beneficiaries, who are serviced by NGS regardless of their location, will [...]

Posting Date: 01/02/2025

Improving Customer Experience

Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how we can [...]

Posting Date: 01/22/2025

Connecticut ASC Fee Schedule Listing

Connecticut ASC Fee Schedule Listing CMS is using CBSA planning areas/numbers instead of counties for fee schedule listings for ASCs in the state of Connecticut. CBSAs refer collectively to metropolitan statistical areas and [...]

Posting Date: 04/24/2018

Fee Schedule Assistance

Fee Schedule Assistance Connecticut Illinois Locality/Area and County Information Maine, Massachusetts, New Hampshire, Rhode Island, Vermont Locality/Area and County Information New York Locality/Area and County Information Locate and [...]

Posting Date: 01/28/2022

Behavioral/Mental Health Services

Behavioral/Mental Health Services Please explain the parameters for mental health services delivered via telehealth to a beneficiary who is at home. Answer: As of 1/1/2025, CMS has permanently extended permission for behavioral and mental [...]

Posting Date: 01/27/2025

Jurisdiction K Part B Top Claim Errors Are Updated

Jurisdiction K Part B Top Claim Errors Are Updated Did you know we publish the top claim errors on our website? This resources provides detailed information including: the error reason code; a description of the error; the error type; [...]