View Outstanding Overpayments

View Outstanding Overpayments The View Outstanding Overpayments selection will provide a list of current outstanding overpayments for the provider account selected. In this section you have the opportunity to view/print an overpayment demand [...]

View Provider Earnings to Date

View Provider Earnings to Date Select the Financials button on the home page. In the Select a Provider panel, click the Select button next to the applicable provider account.  Select Provider Earnings to Date from the [...]

Overlap/Dispute Process

Steps for Success in a Targeted Probe and Educate Review

Steps for Success in a Targeted Probe and Educate Review We’ve provided tips and tricks to assist you with succeeding in a TPE review and the post-probe educational process. Content presented includes: Getting started with TPE Updating the [...]

End of Public Health Emergency Brings Change

End of Public Health Emergency Brings Change The end of the PHE is near and you may have questions. CMS and National Government Services want to ensure a seamless transition from the flexibilities enacted as a result of the COVID-19 [...]

Hospice Cap Self-Reporting Reminder for the 2022 Cap Year

Hospice Cap Self-Reporting Reminder for the 2022 Cap Year The hospice cap self-reporting for the 2022 cap year (10/1/2021-9/30/2022) is due no later than 2/28/2023. Hospice providers should submit the pro-forma calculation along with [...]

CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder

CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder National Government Services has received many calls in relation to the CMS updates to the Clinical Laboratory Fee Schedule for 2023. Providers have identified instances of not [...]

MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023

MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023     News Medicare Part B Drug Inflation Rebates HHS Releases Initial Guidance for Medicare Prescription Drug Inflation Rebate [...]

2023 Evaluation and Management Services – Prolonged Services

2023 Evaluation and Management Services – Prolonged Services Based on recent CMS clarifications for 2023 Evaluation and Management Services, particularly for prolonged services, National Government Services is now revising some previously [...]

Home Health Claims Incorrectly Receiving Reason Code U538E

HH final and adjusted claims with 2022 dates of service are receiving U538E incorrectly, when there is an older period on file. This prevents providers from being able to adjust these claims and update patient status from “06” to any other [...]