Self-Service Pulse

Self Service Pulse

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.

NGSMedicare.com
 

How to Avoid Claim Errors and Submit Your Claims Correctly the First Time for Part B Providers

Have you received CARCs or RARCs and you don’t know what to do? We have a webpage created just for you! On this page, we have a listing of the top claim errors with instructions on how to resolve the errors and tips on how to avoid the error in the future.

To access this information from the home page, select Resources. From the dropdown, select Claims and Appeals.

Resources dropdown highlighting Claims and Appeals

In the Claims section, select Top Claim Errors.

Claims and appeals page highlighting Top Claim Errors

Ngsconnex.com

Medical Review and Claims Additional Documentation Requests Letters in NGSConnex

To use this feature, log into NGSConnex and select the ADR tab on the NGSConnex homepage. In the Select a Provider panel, click the Select button next to the applicable provider account.

NGSConnex homepage with a yellow arrow pointing to the ADR tab.

The ADR Summary will display any claims that have been selected for review by MR or Claims in the ‘Awaiting Documentation’ status for the provider selected. If you would like to view other claims that have been selected for MR or Claims ADR, you can use the ‘Filters’ to search for other claims. Note: If the MR or Claims ADR is not listed in the ADR Summary you will not be able to view ADR Details or the ADR letter in Connex.

ADR Summary tab in NGSConnex.

 Select the Claim Number hyperlink to view additional claim details and to view the ADR letter associated with the claim selected.

Arrow pointing to the Claim Number hyperlink.

Select the ADR Letter link from the left-side navigation. If a letter is available, the View ADR Letter link will display and you can select it and view, save or print the letter. Note: If a letter is not yet available, the ADR Letter text will not display.

ADR letter link

You can find additional information and detailed step-by-step instructions in the NGSConnex User Guide.

Medicare University

Computer-Based Training Courses in Medicare University

Do you want to know what CBT is available in MU? When you access our website, you are a few clicks away from a listing of available CBTs for your specific line of business.

  • Once you are on the home page, Select the Education dropdown
  • Select Medicare University

Education dropdown highlighting Medicare University

  • Select Medicare University Course List

You will be provided with the course listing for your line of business.

Medicare University User Guide highlighting Medicare University Course List

Don’t have time to attend a webinar? These CBTs are available 24 hours a day, 7 days a week.

With Medicare University you can fit Medicare education into your busy schedule. Start your CBT today at Medicare University.

Interactive Voice Responce

Entering Medicare Beneficiary Identifier Easier with Phonetic Alphabet

Entering the MBI is much easier with the phonetic alphabet available with the IVR system.

When speaking an alpha character, please use the either the military word or the common word below. If the MBI is 1EG4-TE5-MK73, you will speak the following in the IVR, “1 Echo Golf 4 Tango Echo 5 Mike Kilo 7 3.”

Tips

  • Do not say things like “A as in Apple”; if there is an A, just say “Alpha” or “Apple.”
  • You can use the military or the common words provided. You can mix and match throughout speaking the MBI.
  • Do not use other words. Only use the words provided.
  • The MBI does not contain S, L, O, I, B and Z.
Letter Military Common
A ALPHA APPLE
B BRAVO BOY
C CHARLIE CAT
D DELTA DOG
E ECHO EDWARD
F FOXTROT FRANK
G GOLF GEORGE
H HOTEL HARRY
I INDIA IDEA
J JULIETTE JOHN
K KILO KING
L LIMA LOVE
M MIKE MARY
N NOVEMBER NANCY
O OSCAR ORANGE
P PAPA PETER
Q QUEBEC QUEEN
R ROMEO ROBERT
S SIERRA SAM
T TANGO TOM
U UNIFORM UNCLE
V VICTOR VICE
W WHISKEY WILLIAM
X XRAY X-RAY
Y YANKEE YELLOW
Z ZULU ZEBRA


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

YouTube

Check out our HH+H and Part A Podcasts!

We invite you to join our thoughtful conversations and helpful insights into the HH+H and Part A Medicare world in our podcasts. You can find us on Spotify and Apple Podcasts by searching for:

  • Navigating Medicare: Home Health & Hospice Insights for Providers
  • Navigating Medicare: Part A Insights for Providers

YouTube video Titled Check out our HHH and Part A Podcasts.
 

Posted 6/10/2024