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  • Posting Date: 12/01/2015
    Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process

    Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process Table of Contents Reason Codes T5052, N5052, U5210, U5220 and U5200 - Preventing RTP and Rejection Claims Why Is Beneficiary [...]

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  • Posting Date: 04/28/2015
    Identifying Payers Primary to Medicare

    Section 4: Getting Ready to Bill Medicare Identifying Payers Primary to Medicare Information for All Providers Table of Contents Determine if Medicare is Primary Payer MSP Information Collection Requirements—Frequency Retirement [...]

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  • Posting Date: 08/25/2022
    Use Our Provider Self-Service Tools To Spend Less Time on the Phone

    Use Our Provider Self-Service Tools To Spend Less Time on the Phone Did you know our PCC experiences high call volumes at the beginning and the ending of each month? To avoid experiencing prolonged hold times, you can use our provider [...]

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  • Posting Date: 11/18/2024
    U5210

    Avoiding/Correcting This Error Each beneficiary should be screened for eligibility. Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS Provider [...]

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  • Posting Date: 11/18/2024
    U5200

    Avoiding/Correcting This Error Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS/DDE Provider Online System or NGSConnex to verify [...]

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  • Posting Date: 07/08/2021
    Attention Home Health Agencies Receiving C7010 Billing Error

    Attention Home Health Agencies Receiving C7010 Billing Error Over the past several months one of the top RTP reason codes for home health claims is C7010 – overlap with a hospice election period. The following information will help you avoid [...]

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  • Posting Date: 03/26/2021
    Main Menu Options

    table, td, th table { border-collapse: collapse; width: 50%; } Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for [...]

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  • Posting Date: 04/23/2024
    Missing/Incomplete/Invalid Patient Identifier Remark Code N382

    Missing/Incomplete/Invalid Patient Identifier Remark Code N382 If you receive a denial on your remittance with remark code ‘N382’ Missing/Incomplete/Invalid Patient Identifier, please use NGSConnex self-service option to verify the MBI number [...]

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