-
Posting Date: 11/11/2024
Reducing Unprocessable Claim Rejections
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 [...]
Read More -
Posting Date: 09/16/2020
Pricing <5>
table, td, th table { border-collapse: collapse; width: 50%; } Pricing <5> When Pricing is selected, the IVR will When Pricing is selected, the IVR will play the following: "To obtain pricing information, visit NGSMedicare.com and [...]
Read More -
Posting Date: 10/27/2022
Submitting Electronic Medical Records via CD or Thumb Drive
Submitting Electronic Medical Records via CD or Thumb Drive National Government Services can accept medical records submitted on a CD or thumb drive however, submitting via our free, secure, web-based portal NGSConnex is preferred and far more [...]
Read More -
Posting Date: 08/16/2021
Eligibility
Eligibility information is no longer available via the IVR. To obtain Eligibility information login to NGSConnex and select Eligibility Lookup. If you haven’t already registered for NGSConnex, you can obtain detailed step-by-step instructions [...]
Read More -
Posting Date: 11/12/2024
Mastering Critical Access Hospital Billing and Compliance
Are you new to critical access hospital (CAH) billing or need a refresher? Join us for an in-depth webinar designed specifically for billing professionals looking to enhance their knowledge of CAHs. This session will cover the fundamentals of [...]
Read More -
Posting Date: 04/19/2022
Documentation Submission Responsibilities
Documentation Submission Responsibilities When medical records are requested, the billing provider is responsible to obtain sufficient documentation to support the medical necessity of the service(s) billed. If the documentation is [...]
Read More -
Posting Date: 11/13/2024
Part B Claims Impacted by CWF CLIA File Issue
The CWF Host has recognized an issue in the CLIA file and has successfully reloaded the corrected CLIA file.
Read More -
Posting Date: 11/13/2024
Correct or Adjust a Claim Due to an MSP-Related Issue
Table of Contents Background Step 1: Identify the Fiscal Intermediary Shared System Direct Data Entry Status Location of the Claim and the Reason for the Claim Correction or Change Status Location TB9997 (Returned to Provider Claims) [...]
Read More -
Posting Date: 07/14/2024
Correcting Reason Code 37253
Correcting Reason Code 37253 To ensure home health claim information aligns with OASIS data, the iQIES OASIS claim data match is essential. If no matching assessment is found in iQIES when a claim is submitted, it will be returned with reason [...]
Read More -
Posting Date: 11/13/2024
Provider Enrollment: Opioid Treatment Program
During this webinar, we’ll provide a brief overview of an Opioid Treatment Program (OTP) provider, an understanding of submitting the CMS-855A or CMS-855B paper application and how to complete the provider enrollment Internet-based Provider [...]
Read More -
Posting Date: 06/08/2021
Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities
Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities The hospital is the entity required to bill POA indicators on all inpatient claims billed to Medicare. However, accurate coding of all diagnosis [...]
Read More -
Posting Date: 10/27/2022
Hospital Acquired Conditions and Present on Admission Resource for Physicians
Hospital Acquired Conditions and Present on Admission Resource for Physicians Did you know that documentation about your patient’s inpatient stay is vital for accurate submission of an inpatient hospital claim to Medicare? This resource [...]
Read More -
Posting Date: 07/31/2019
Revalidation Application Checklist
Revalidation Application Checklist Use the Revalidation Application Checklist to assist when revalidating your enrollment information. The general checklist will allow you to understand requirements while the PECOS and CMS-855 paper [...]
Read More -
Posting Date: 11/13/2024
Verify Bank Account Information
National Government Services receives numerous electronic funds transfer banking rejections each year due to frozen or closed bank accounts. To prevent interruption in Medicare payment, billing providers verify an active bank account is [...]
Read More -
Posting Date: 10/31/2024
November 2024
In This Issue National Government Services Articles for Part A and Part B Providers Local Coverage Determination Open Meeting Reminder – Beginning 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR NGSConnex: Overview, [...]
Read More -
Posting Date: 11/15/2024
Prevent Revalidation Processing Delays
When National Government Services receives a revalidation application, we often determine additional information is needed to process the application. In those cases, a request for additional information is sent which is commonly referred to as [...]
Read More -
Posting Date: 11/15/2024
How to Search on the Medicare Revalidation List Tool for Due Date
Table of Contents How to Search on the Medicare Revalidation List Tool for Due Date Find a Provider By NPI By Name Associated Datasets [Return to Top] How to Search on the Medicare Revalidation List Tool for Due Date [...]
Read More -
Posting Date: 11/15/2024
Revalidate My Enrollment
Step 1: Determine You Are in the Right Place Medicare provider enrollment revalidation is part of the Patient Protection and Affordable Care Act, Section 6401(a), which established a requirement for all enrolled providers/suppliers to [...]
Read More -
Posting Date: 11/15/2024
Revalidate My Enrollment
Step 1: Determine You Are in the Right Place Medicare provider enrollment revalidation is part of the Patient Protection and Affordable Care Act, Section 6401(a), which established a requirement for all enrolled providers/suppliers to [...]
Read More -
Posting Date: 11/14/2024
Deactivation of Billing Privileges/Suspension of Payment
Reasons for Deactivation of Medicare Billing Privileges/Suspension of Payment (not all inclusive) Inactivity Failure to complete revalidation within required time frame Unreported provider address and/or bank information Inactivity [...]
Read More