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  • Posting Date: 06/06/2023
    Medical Review Portal in NGSConnex

    Medical Review Portal in NGSConnex If you submit fee-for-service claims to National Government Services and you are a registered NGSConnex account holder, you can respond to Medical Review ADRs and submit supporting documentation [...]

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  • Posting Date: 06/06/2023
    Medical Documentation Signature Requirements

    Medical Documentation Signature Requirements Table of Contents Medical Documentation Signature Requirements Missing Signature Illegible Signature Signatures for Amendments, Corrections and Delayed Entries Related Content [Return to [...]

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  • Posting Date: 06/06/2023
    Address Corrections for Providers

    Address Corrections for Providers An ADR is sent to the provider’s or physician’s address that is listed in PECOS. This is the last address that was submitted to the MAC’s Provider Enrollment Department and approved by CMS. Questions [...]

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  • Posting Date: 06/06/2023
    Additional Developmental Request Letters Overview

    Additional Development Request Letters Overview National Government Services may require additional information in order to appropriately process claims submitted to the Medicare Program. These requests for additional information letters are [...]

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  • Posting Date: 06/06/2023
    How to Find and Respond to TPE ADR

    How to Find and Respond to TPE ADR Once you receive notification your facility is being placed on medical review, you’ll receive instructions on how to find the ADR. The ADR is a request to submit documentation for review to ensure proper [...]

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  • Posting Date: 06/06/2023
    Results Letters

    Results Letters After National Government Services reviews the requested claims for your facility/office, you’ll receive a Results Letter with results from that round of TPE review. The Results Letter will contain the number of claims that [...]

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  • Posting Date: 06/06/2023
    Appeals

    Appeals Appeals Overview Providers, suppliers and beneficiaries may appeal claim determinations made by National Government Services. The appeals process aims to ensure the correct adjudication of claims. The CMS governs appeals activities [...]

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  • Posting Date: 11/25/2024
    LCD and Article Updates for November 2024

    LCD and Article Updates for November 2024 Local Coverage Determinations and Billing and Coding Articles The following Local Coverage Determinations and Billing and Coding Articles have been finalized and will become effective on the specific [...]

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  • Posting Date: 12/02/2024
    Get Help Completing My Enrollment Application

    Since your organization can apply for Medicare enrollment in two ways, online through the PECOS system and on paper, it is important to know where to go to learn about the expected processes and guidelines. There are two main areas where you [...]

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  • Posting Date: 12/02/2024
    Get Help Completing My Enrollment Application

    Since your organization can apply for Medicare enrollment in two ways, online through the PECOS system and on paper, it is important to know where to go to learn about the expected processes and guidelines. There are two main areas where you [...]

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