Search Results - NGSMEDICARE

Posting Date: 12/12/2024

Your Lunchtime Treat! Listen to the Navigating Medicare: Part A Insights for Providers Podcast

Your Lunchtime Treat! Listen to the Navigating Medicare: Part A Insights for Providers Podcast “Lunch, listen and learn” twice a month with Medicare Part A! We have more than 15 Part A podcasts geared toward our Part A providers and their [...]

Posting Date: 12/12/2024

Intermittent Issues with NGSMedicare.com on 12/15/2024

Intermittent Issues with NGSMedicare.com on 12/15/2024 We will experience intermittent outages with NGSMedicare.com on Sunday, 12/15/2024 due to maintenance. NGSMedicare.com will be fully operational on Monday, 12/16/2024. We apologize for [...]

Posting Date: 12/12/2024

Billing and Coding: Omalizumab

Billing and Coding: Omalizumab drug A52448 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52448 J2357

Posting Date: 12/12/2024

HCPCS 82947 RTPs End-Stage Renal Dialysis Providers

As of 1/1/2024, Medicare has covered HbA1c tests for diabetic screening (HCPCS 82947) when billed with ICD-10 Z13.1. Some of these claims submitted by ESRD providers have been RTP'd in error.

Posting Date: 12/12/2024

End Stage Renal Disease Claims Returning to Providers with Reason Code 31773

Due to an issue with the October 2024 release, ESRD facility claims, type of bill 72X, are RTPing in error.

Posting Date: 12/20/2024

Part A Fall 2024 Virtual Conference Playback

Part A Fall 2024 Virtual Conference Playback As part of our efforts to educate our provider community, we have posted all 16 educational sessions from our recent Part A Fall 2024 Virtual Conference: Keeping Compliant with Medicare Starts [...]

Posting Date: 12/20/2024

Attention FQHCs: Who Is Your MAC?

Attention FQHCs: Who Is Your MAC? National Government Services serves as the CMS Jurisdiction 6 and K MAC for FQHCs in 44 states, Washington D.C. and the five United States Territories of American Samoa, Guam, Northern Mariana Islands, Puerto [...]

Posting Date: 12/20/2024

What Is Fraud_Part A_B_FQHC_HHH

What Is Fraud? What Is Medicare Fraud? Medicare Fraud is intentionally submitting false information to a government contractor to receive money or a benefit by knowingly and willfully executing a scheme to defraud this health care benefit [...]

Posting Date: 12/20/2024

What Is Abuse_Part A_B_FQHC_HHH

What Is Abuse? What Is Abuse? Abuse describes incidents or practices that are: not medically necessary as defined by Medicare guidelines; or inconsistent with accepted sound medical, business or fiscal practices. Abuse occurs when individuals [...]

Posting Date: 12/20/2024

Fraud and Abuse_Part A_B_FQHC_HHH

Fraud & Abuse Fraud & Abuse Medicare fraud can cost the United States government hundreds of millions of dollars each year and the dollars lost increase the strain on the Medicare Trust Fund. CMS works with other government contractors and law [...]

Posting Date: 12/20/2024

How Do I Report Suspected Fraud_Part A_B_FQHC_HHH

How Do I Report Suspected Fraud? How Do I Report Suspected Fraud? Table of Contents How Do I Report Suspected Fraud? Department of Health and Human Services OIG CMS Fraud Prevention Tools Instructions for Accessing the Medscape Modules [Return [...]

Posting Date: 06/02/2023

Billing Original Fee-for-Service Medicare? You Can Help STOP Assignment Violations!

Billing Original Fee-for-Service Medicare? You Can Help STOP Assignment Violations! Table of Contents Billing Original Fee-for-Service Medicare? You can Help STOP Assignment Violations! What is the Definition of Medicare Assignment? [...]

Posting Date: 02/23/2017

What is NGSConnex?

What is NGSConnex? NGSConnex is a free, secure, web-based application developed by National Government Services just for you! NGSConnex provides access to a wide array of self-service functions that save you time and money, such as: Obtain [...]

Posting Date: 01/02/2025

The Medicare Appeals Process: What You Need to Know

This informative session will help you navigate Medicare’s appeals process by providing information on what an appeal is, how to determine if a claim can be appealed, who may file an appeal, the appeal levels, timeframes and documentation [...]

Posting Date: 01/02/2025

Who is My LSO?

Who is My LSO? Select the Manage Account button on the NGSConnex home page. Select User Profile and scroll down to the ‘System Access’ section. Select the Checkbox next to the provider record you want to determine the LSO for. [...]

Posting Date: 01/02/2025

Magnetic Resonance Angiography (MRA)

Magnetic Resonance Angiography (MRA) gadolinium, contrast, imaging L33633 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33633 A56747 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747 70544, [...]

Posting Date: 01/02/2025

LCD/Billing and Coding Article Updates – December 2024–January 2025

LCD/Billing and Coding Article Updates – December 2024–January 2025 Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG) (L39189) – Effective 12/15/2024 Under the Indications of Coverage, added the following language: "The use of [...]

Posting Date: 01/02/2025

Proper Part B Claim Submissions

This webinar is intended to educate providers and office staff members on how to complete a clean claim to avoid claim rejections, developments or denials. We will guide you through the CMS-1500 claim form and the electronic equivalent loops [...]

Posting Date: 01/02/2025

Reducing Unprocessable Claims

When claims are submitted with invalid, incomplete or incorrect information, our claims processing system will detect these errors and will reject claims as unprocessable. Our goal is to assist our providers in submitting claims correctly the [...]

Posting Date: 01/02/2025

Steps to Claim Corrections

This webinar includes the top continuous errors we find at National Government Services with claim submissions. Join us to learn how to correct your claims. We will also include an interactive segment on the different claim scenarios that cause [...]