Medicare & You

Medicare & YouDownload the official Medicare & You handbook with important information about what’s covered by Medicare, preventive services, health plans, prescription drug plans, and your rights and appeals.

Correcting and Avoiding Reason Code C7080: Inpatient Overlap

Correcting and Avoiding Reason Code C7080: Inpatient OverlapThis edit is applied to a home health episode claim that overlaps an inpatient claim in the system. A home health agency may bill for a visit on the day of inpatient admission and/or [...]

Home Health Prospective Payment System Booklet

Counting 90-Day Election Periods

Counting 60-Day Election Periods

Counting 60-Day Election Periods - Leap Year

Billing Hospice Physician, Nurse Practitioner and Physician Assistant Services (Related To Terminal Diagnosis)

Hospice Notice of Change of Ownership

Hospice Claim Submission Job Aid

Notification Letters

Notification Letters Prior to the start of the TPE, providers are being placed on medical review will receive a notification letter. The notification will have the edit name, the reason for review, instructions for sending in the ADR and [...]

LVAM Request Form

Counting 90-Day Election Periods - Leap Year

Who May File an Appeal?

Who May File an Appeal?Any of the following persons or entities is considered a party to an appeal of a claim for items or services payable under Medicare and, therefore, may appeal the initial claim determination and any subsequent appeal [...]

What Documents are Needed

What Documents are NeededYou are required to submit all necessary medical documentation to support the services billed on your claim as part of your participation agreement; you must submit a complete medical record when requesting an appeal. [...]

Comprehensive Error Rate Testing Program

Medical Policy Contact Information

Medical Policy Contact Information

Medical Policy Contact Information

Medical Policy Contact Information

crosswalkUsage

CEDI NPI Crosswalk Tool:  A crosswalk is the link established between the National Provider Identifier (NPI) and durable medical equipment (DME) Provider Transaction Access Number (PTAN) (supplier ID). Verify your link using the tool [...]

Manage Account Enter E-mail Step 1 Description

Manage Account To get started, please validate your e-mail address account information. Step 1:  Please enter your e-mail address and password:

Overpayment Results-Home Health and Hospice

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Thank you for using the National Government Services Immediate Recoupment Request Form - Electronic/E-mail. Your request has been received and will be processed within [...]

Unsubscribe Confirmation Page Content

Unsubscribe Thank you for your recent submission. What you can expect: A confirmation e-mail will be sent to the e-mail address under which you registered your account.

Travel Allowance Resources

Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. Locality/Area and County Information for New York Locality/Area Counties 01 Manhattan 02 [...]

PsychCal_top

PSYCHIATRIC SERVICES CALCULATOR Due to the complex nature of the psychiatric service reduction, use this calculator in your day-to-day business operations to help determine the correct financial liability for both Medicare [...]

Molecular Pathology Resources

Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. Locality/Area and County Information for Illinois Locality/Area Counties 12 Bond, [...]

DMEFee Form Description

Note: This tool only provides pricing modifiers for the HCPCS entered in your search. Please refer to the medical policies for any additional modifier information for claims submission.

Overpayment E-mail-Part B

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Please do not reply to this message. This e-mail address is automated, unattended, and cannot help with questions or requests. Thank you for using the National [...]

Influenza Form Description

Overpayment E-mail-Part A

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Please do not reply to this message. This e-mail address is automated, unattended, and cannot help with questions or requests. Thank you for using the National [...]

Electronic Funds Transfer Form and Instructions

Electronic Funds Transfer

Benefits of EDI and Real Time Claim Status

OTP

This section gives you access/education about first time Enrollment.

CERT Text Durable Medical Equipment

Need to Appeal a CERT Denial? Log onto our secure NGSConnex online Web application and quickly file an appeal. Submitting an appeal electronically saves postage, print and mail costs and is easy to do through NGSConnex.com. If you do not [...]

Unsubscribe Step 3 Description

Step 3: Unsubscribe To unsubscribe completely from all e-mail updates, please select the Unsubscribe button below. You will be removed from all of our e-mail lists immediately.

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 [...]

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. [...]

Email Verification Requirement