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Posting Date: 02/02/2021
Submit an Adjustment to Correct Claims Partially Denied by Automated LCD-NCD Denials
Submit an Adjustment to Correct Claims Partially Denied by Automated LCD-NCD Denials NGS would like to remind providers that using adjustment reason code “LN” to submit adjusted claims (xx7, xxQ), where changes were made to an LCD/NCD denied [...]
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Posting Date: 03/29/2016
Screen Movements
Chapter III: Navigating the Online System Screen Movements Purpose To move within the FISS/DDE Provider Online System, providers will perform several different screen movements. The following chart outlines the various screen [...]
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Posting Date: 09/10/2018
Credit Balance Report - CMS 838 (R3)
Chapter VII: Online Reports View Submenu (04) Credit Balance Report - CMS 838 (R3) Purpose Credit balance reporting is used to certify whether you have any outstanding monies owed to the Medicare Program. Part A providers submit credit [...]
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Posting Date: 08/18/2022
MLN Connects® Newsletter for Thursday, August 18, 2022
MLN Connects® Newsletter for Thursday, August 18, 2022 Discontinuing Use of Certificates of Medical Necessity & Durable Medical Equipment Information Forms News CMS Discontinuing the Use of Certificates of Medical [...]
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Posting Date: 02/16/2015
Accessibility Statement
Accessibility Features of the National Government Services Website The NGSMedicare.com website employs many features to make information more accessible. If you have comments or suggestions, please use our Site Feedback mechanism to let us [...]
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Posting Date: 08/18/2022
MLN Connects® Special Edition for Thursday, August 18, 2022
MLN Connects® Special Edition for Thursday, August 18, 2022 Creating a Roadmap for the End of the COVID-19 Public Health Emergency News Creating a Roadmap for the End of the COVID-19 Public Health Emergency Health Care System Resiliency [...]
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Posting Date: 08/15/2022
New Enrollment Articles Added to Authorization and Accreditation
New Enrollment Articles Added to Authorization and Accreditation We’ve added Eligible Institutional Providers and Eligible Method II Providers articles to our website to provide clarification of Institutional Providers that submit the [...]
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Posting Date: 08/23/2022
Part A Prior Authorization Status Update Requests
Part A Prior Authorization Status Update Requests NGS has noticed an increase in calls to the NGS Provider Customer Service Department requesting an update on the status of a prior authorization request that was made within the last few days. [...]
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Posting Date: 07/29/2022
NGSConnex Security Requirements
NGSConnex Security Requirements We frequently receive suggestions to improve NGSConnex by implementing less restrictive or eliminating some of our security requirements. Although we understand these security requirements often feel excessive, [...]
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Posting Date: 02/23/2017
What to Expect After Registering
What to Expect After Registering Once you have registered with NGSConnex, you will need to request access for the screens in NGSConnex. To do this, you will need to log into NGSConnex with your User name and password you selected during the [...]
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Posting Date: 03/28/2019
What to Expect After Registering
What to Expect After Registering Once you have registered with NGSConnex, you will need to request access for the screens in NGSConnex. To do this, you will need to log into NGSConnex with your User name and password you selected during the [...]
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Posting Date: 08/24/2022
Provider Enrollment: Description of NPI and Link to NPPES Registry
Provider Enrollment: Description of NPI and Link to NPPES Registry We’ve added Description of NPI and a Link to NPPES Registry in the enrollment section of our website to assist with clarification of the NPI. Posted 8/24/2022
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Posting Date: 08/23/2022
New YouTube Video: Medical Documentation: A/B and DME Collaborative Presentation Now Available
New YouTube Video: Medical Documentation: A/B and DME Collaborative Presentation Now Available The A/B and DME MACs YouTube Video: Medical Documentation: A/B and DME Collaborative Presentation is available. This video offers providers and [...]
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Posting Date: 01/26/2021
RM 1_B_Who May File an Appeal
Who May Be a Representative Any individual may be appointed to act as a representative unless he/she is disqualified or suspended from acting as a representative in proceedings before the CMS or is otherwise prohibited by law. Possible [...]
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Posting Date: 01/26/2021
MPC results main content
MPC results main content [Component id="7aef8502-66de-4bf9-aa6c-eebd1494e2fa:NC9uZ3NtZWRpY2FyZWRlc2lnbm5ldy9ubyBzZWFyY2ggcmVzdWx0cyBtZW51IG5vIGxhc3QgbW9kaWZpZWQ=" name="ngsmedicaredesignnew/no search results menu no last modified" startPage="" [...]
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Posting Date: 01/26/2021
RM 2_B_Who May File an Appeal
Required Elements The following information must be included on an Appointment of Representative (CMS-1696) form or written statement: Name, address, phone number of party (i.e., the beneficiary, physician, or other supplier) Medicare [...]
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Posting Date: 06/08/2015
MR Denial Tool Page Top
Medical Review Denial Tool This tool allows you to quickly obtain additional details relating to complex and noncomplex medical review denials instead of spending unnecessary time contacting the Provider Contact Center for the [...]
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