Search Results - NGSMEDICARE

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 [...]

Posting Date: 02/21/2025

NCCI Lookup Tool Top

National Correct Coding Initiative Lookup Tool The NCCI PTP lookup tool is designed to help providers identify when certain codes are subject to the automated code pair edits. When two codes of an edit pair are identified, the major code [...]

Posting Date: 03/03/2025

The National Correct Coding Initiative Lookup Tool

The National Correct Coding Initiative Lookup Tool The National Correct Coding Initiative Lookup Tool is designed to help providers identify when certain codes are subject to the automated code pair edits. Search for coding pairs by entering a [...]

Posting Date: 04/03/2025

Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information

Are you responsible for looking up whether a service is covered in the Medicare Program at your facility but you're not sure where to look for the most relevant information? As a healthcare provider, you are responsible for understanding and [...]

Posting Date: 04/03/2025

CO-109

Avoiding/Correcting This Error This denial is received when your Medicare patient is enrolled in an MA plan, instead of “traditional fee-for-service” Medicare. MA plans are health plans offered by private companies approved by Medicare [...]

Posting Date: 01/17/2025

CO-109

Avoiding/Correcting This Error During patient registration it’s important for office staff to identify whether a beneficiary’s claims should be covered by another contractor. Providers shall use NGSConnex to verify patient eligibility [...]

Posting Date: 03/03/2023

LCD Open Meeting Records

Open Meeting Records Jurisdiction 6 and Jurisdiction K Open Meeting Records Meeting Date Audio Transcript 3/13/2025 – J6/JK Open Meeting Recording Transcript 10/24/2024 – J6/JK Open Meeting [...]

Posting Date: 01/15/2025

CO-16

The group practice information is either missing from this claim or invalid group information has been entered. Verify Items 33-33b on the CMS-1500 claim form, or its electronic equivalent the following information, on the claim, from [...]