Jurisdiction K Medicare Administrative Contractor Fact Sheet
National Government Services, Inc. has a long history of supporting federal health agencies such as CMS. Throughout the country, NGS has efficient operation, financial and human resources in place that position the organization as a national leader in Medicare for over 55 years.
Facts at a Glance
- Serves as a Medicare contractor with the CMS since 1966.
- Certified by SAI Global for the International Organization for Standardization – ISO 9001:2015.
- Serves nearly seven million people with Medicare in seven states. NGS serves 62 members of Congress.
- Administers the Medicare Part A (hospital insurance) contract for the states of Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island and Vermont serving nearly 4,000 Part A providers of service.
- Administers the Medicare home health and hospice contract for the states of Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont serving over 600 home health and hospice providers of service.
- Administers the Medicare freestanding FQHC contract serving over 1,000 FQHCs in seven states.
- Administers the Medicare Part B (medical insurance) contract for the states of Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island and Vermont serving over 275,000 Part B physicians and providers of service.
- Processed over 114 million Medicare claims and administered benefits of more than $57 billion from the Medicare Trust Fund in 2020.
- Responded to over one million phone and IVR calls, 30,000 written inquiries, and 96 Congressional inquiries from the Medicare community in 2010.
- Developed and maintains web-based self-service tools that allows Medicare providers to have millions of interactions to answer their educational and billing needs in 2020.
- Appraised at Maturity Level 2 of the CMMI® and two divisions appraised at Maturity Level 5, including the NGD and the CEDI.
- Developed and maintains the NGD system 24 hours a day, 365 days a year. NGD interacts with all Medicare claims processing systems and other multiple government data sources, which is capable of hosting 20,000 agents, thousands of web users and the ability to process over 100 million inquiries per year.
Current as of May 2023