Urgent: Beginning Monday 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR

Urgent: Beginning Monday 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR As we’ve communicated, beginning Monday 11/18/2024, beneficiary eligibility information will not be offered on the IVR. This includes all [...]

Urgent: Starting Today 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR

Urgent: Starting Today 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR As we’ve communicated, starting today, 11/18/2024, you won’t have access to beneficiary eligibility information on the IVR. This includes all [...]

Hospital

Hospital Billing for Beneficiaries Enrolled in Option Code C Medicare Advantage Organization Plans

Hospital Billing for Beneficiaries Enrolled in Option Code C Medicare Advantage Organization Plans  A Medicare beneficiary can choose to enroll in an option code C MAO plan. If they do, that plan replaces their original Medicare. Original [...]

Medicare Coverage at Rural Health Clinics for Primary Health Care Services for Medicare Patients

Medicare Coverage at Federally Qualified Health Centers for Primary Health Care Services for Medicare Patients

About PA RSNAT Model

  About PA RSNAT Model Table of Contents About PA RSNAT Model Background How it Works Ambulance HCPCS Codes [Return to Top] About PA RSNAT Model The Centers for Medicare & Medicaid Services implemented a prior [...]

2020 Changes Driven by You – National Government Services Self-Service Tools

2020 Changes Driven by You – National Government Services Self-Service Tools We are committed to improving your experience while using our secure self-service tools which includes our NGSConnex portal, our NGSMedicare.com website and our IVR [...]

Hospice Certification and Recertification

Hospice Certification and Recertification We have experienced an increasing number of CERT errors due to documentation requirements not being met. Below is the documentation required for hospice certification and recertification. The hospice [...]

Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated and Advance Payments for Part A Providers and Part B Suppliers Frequently Asked Questions

Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated and Advance Payments for Part A Providers and Part B Suppliers Frequently Asked Questions Please see the below for the latest FAQs related to the CHOPD Accelerated and Advance [...]