Self-Service Pulse: What You Need To Know This Week

As your MAC, National Government Services wants to provide you with a comprehensive source containing the most current information available for our self-service tools.

Medicare BLAST is a quick, ten-question game that will challenge the Medicare knowledge of you and your peers. Who were our victorious winners on 5/15/2024?

Note: Some names may be blurred.

Congratulations to our winners! If you weren't able to play Medicare BLAST, don't worry. We will offer more opportunities to play in the near future.

Curious on the questions that were asked during this Medicare BLAST? Scroll to the bottom of this edition to obtain the questions and correct answers.

Watch your Email Updates for your next opportunity to emerge victorious with Medicare BLAST.

The Reason Code Look Up Tool For Top Claim Errors Tool

The Reason Code Look Up Tool for the Top Claim Errors is available for our Part A providers (Part A, HHH and FQHC) to search for common claim error reason codes including denials, rejections and RTPs.

To locate this tool, select Claims and Appeals from the dropdown.

Select Top Claim Errors.

You can search by keyword, reason code or you can select an Error Type from the dropdown.

 

NGSConnex: Adding Additional Providers to Your Current Account

Recently, we have received questions about how to add a new provider account to an existing NGSConnex User ID. The NGSConnex user must complete the request, and the Local Security Officer (LSO) for the provider organization, is responsible for approving the request for additional access.

When you initially registered for an NGSConnex account you were only able to request access to one provider account (NPI, PTAN, TIN), if you need to add additional provider accounts to your User ID you will need to follow these steps to request access.

• Select the ‘Manage Account’ button on the NGSConnex home page.

• Select the ‘User Profile’ button.

• Select the ‘New’ button in the ‘System Access’ section to add a new provider account to your User ID.

You will need to enter the following required information in the applicable fields and click ‘Save’.

If you will be the Local Security Officer (LSO) for the provider organization, select the ‘LSO/User Management’ checkbox and complete the applicable fields. If you will not be the LSO these fields do not need to be completed.

To learn more about NGSConnex, our secure self-service web portal you can view the NGSConnex User Guide:

• NGSConnex User Guide

​Medicare University Printing Your Transcript

Do you need to show your manager the education you received for your end-of-year review? You can generate and print your Medicare University transcript. On the My Courses tab, select the Transcript tab, then select the Print Report button. Show your manager the quality education you have received from NGS.

Span Date Searches in the IVR

As a Part B provider, you can conduct a date of service search within a span date billing. Providers are required to enter a date of service to search for claims. The IVR system will conduct the search to determine if the date entered matches the “from date,” the “to date” or if the date falls within a span date billing.

Refer to the Interactive Voice Response User Guide for all available features:

• Part A
• Part B

Completing the CMS 855I Paper Application

Watch this video to learn how to complete the CMS 855I Paper Application.

Medicare BLAST – Opioid Treatment Program

Answers are in bold.

1. HCPCS G-codes (G2067 through G2080, G2215, G2216 and G1028) are not used for weekly bundled opioid treatment services on Medicare Part B professional and institutional claims.
   
   a. True
   b. False
    
2. Providers not enrolled as opioid treatment program providers can bill HCPCS codes G2086 through G2088 for an episode of opioid use disorder treatment offered by physicians and other practitioners in the office setting.
   
   a. True
   b. False
    
3. HCPCS codes G2067 through G2075 describe the weekly bundled services provided to Medicare beneficiaries and are defined as seven continuous days of services.
   
   a. True
   b. False


4. The threshold for billing the codes describing weekly episodes (HCPCS codes G2067-G2075) is the delivery of at least five services in the weekly bundle.
   
   a. True
   b. False
    
5. Each bundled HCPCS code describes the specific medication and route of medication, given to the Medicare patient.
   
   a. True
   b. False
    
6. For instances in which a beneficiary switches from one drug to another, the opioid treatment program provider should not bill for one code describing a weekly bundled payment for that week. Determine which code to bill based on which drug you gave the beneficiary for most of the week.
   
   a. True
   b. False
    
7. Opioid treatment program providers may choose to apply a standard billing cycle by setting a particular day of the week to begin all episodes of care.
   
   a. True
   b. False
    
8. Opioid treatment program providers may not choose to adopt weekly billing cycles that vary across beneficiaries.
   
   a. True
   b. False
    
9. HCPCS code G2079 can only be used with the oral buprenorphine weekly episode of care code (HCPCS code G2068).
   
   a. True
   b. False
    
10. The add-on code for take-home doses of methadone can only be used with the methadone weekly episode of care code (HCPCS code G2067).
    
    a. True
    b. False

Related Content

• Visit Opioid Treatment to learn more about this topic.

Posted 5/20/2024