-
Posting Date: 03/13/2025
Denials for HCPCS G2211
NCCI editing for HCPCS G2211 code was updated on 12/05/2024 to require HCPCS G0463 as the primary code for G2211 add-on code. This has resulted in denials of claims for the add-code G2211 when billed with CPTs 99202-99205 and 99211-99215. [...]
Read More -
Posting Date: 04/08/2025
New Version of PC-ACE: April 2025
New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]
Read More -
Posting Date: 05/25/2022
Illinois, Minnesota, Wisconsin
Member Name Group Email Aldrich, Elizabeth IPW (Independent Physicians of Wisconsin), Allen Family Practice ealdrich@ipw-offices.org Anderson, Benita Aurora Health Care Benita.Anderson@aurora.org [...]
Read More -
Posting Date: 05/12/2023
NGSConnex: Initiating and Checking Status of Reconsiderations
Did you know that you can save time and money by requesting a reconsideration via NGSConnex? When you submit reconsideration requests electronically using NGSConnex, you no longer need to complete a form, copy documentation and waste time with [...]
Read More -
Posting Date: 06/07/2024
Exemption Process for the Prior Authorization Program for Certain Hospital Outpatient Department Services
The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization program for certain hospital outpatient department (OPD) services for date of service (DOS) on or after 7/1/2020 and subsequently added an exemption [...]
Read More -
Posting Date: 03/06/2025
Home Health and Hospice New Provider Orientation
This webinar is designed for new home health and hospice agencies in an effort to provide essential information on: Doing business with National Government Services as your Medicare Administrative Contractor (MAC), self-service tools to help [...]
Read More -
Posting Date: 02/06/2025
Provider Enrollment: Opioid Treatment Program
During this webinar, we’ll provide a brief overview of an Opioid Treatment Program (OTP) provider, an understanding of submitting the CMS-855A or CMS-855B paper application and how to complete the provider enrollment Internet-based Provider [...]
Read More -
Posting Date: 02/17/2025
Medicare Secondary Payer: Preparing and Submitting Conditional Claims (Examples) – Part 2
Join us for Part 2 of a two-part webinar. In Part 2, we will briefly recap the conditional claim coding and billing instructions we reviewed in Part 1 (on 2/26/2025). We will then focus on reviewing examples of conditional claims. A conditional [...]
Read More -
Posting Date: 01/17/2025
Reducing Unprocessable Claims
When claims are submitted with invalid, incomplete or incorrect information, our claims processing system will detect these errors and will reject claims as unprocessable. Our goal is to assist our providers in submitting claims correctly the [...]
Read More -
Posting Date: 02/04/2025
Understanding the Reopening and Appeal Process Open Forum
National Government Services is committed to reducing provider burden associated with Medicare claim denials, reopenings and appeals. Filing an inquiry on a Medicare claim can be frustrating and costly to your organization. This delay in [...]
Read More -
Posting Date: 02/06/2025
Proper Part B Claim Submissions
This webinar is intended to educate providers and office staff members on how to complete a clean claim to avoid claim rejections, developments or denials. We will guide you through the CMS-1500 claim form and the electronic equivalent loops [...]
Read More -
Posting Date: 02/20/2025
Steps to Claim Corrections
This webinar includes the top continuous errors we find at National Government Services with claim submissions. Join us to learn how to correct your claims. We will also include an interactive segment on the different claim scenarios that cause [...]
Read More -
Posting Date: 02/13/2025
Acute Care Hospitals: A Peek Inside the Three-Day Payment Window
To prevent return to provider (RTP) claims, join us for this webinar in which we will review the three-day payment window policy (a.k.a. bundling, preadmission services, diagnosis-related group [DRG] window, 72-hour rule) and provide billing [...]
Read More -
Posting Date: 01/16/2025
Let’s Chat: Prior Authorization for Certain Hospital Outpatient Department Services
This Let’s Chat session focuses on Prior Authorization for certain hospital outpatient department (OPD) services and is an informal opportunity for you to chat with our staff about the selected topic. During the session, you may ask us [...]
Read More -
Posting Date: 01/29/2025
NGSConnex: Part B Redetermination Notifications
Beginning in March 2025, National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex. During this webinar, we’ll share information and [...]
Read More -
Posting Date: 02/07/2025
The Medicare Appeals Process: What You Need to Know
This informative session will help you navigate Medicare’s appeals process by providing information on what an appeal is, how to determine if a claim can be appealed, who may file an appeal, the appeal levels, timeframes and documentation [...]
Read More -
Posting Date: 01/17/2025
Provider Enrollment: Completing the CMS-855I Paper Application
During this webinar, we’ll provide an understanding of how to complete the CMS-855I provider enrollment paper application for a group member, sole proprietor or sole owner and we’ll also focus on reassigning Medicare benefits.
Read More -
Posting Date: 01/17/2025
Provider Enrollment: Completing the CMS-855A Paper Application
During this webinar, we’ll provide an understanding of how to complete the CMS-855A provider enrollment paper application.
Read More -
Posting Date: 01/31/2025
Provider Enrollment: Completing the CMS-855B Paper Application
During this webinar, we'll provide an understanding of how to complete the CMS-855B provider enrollment paper application for a clinic, group, or supplier.
Read More -
Posting Date: 02/14/2025
Medicare Secondary Payer: Preparing and Submitting Conditional Claims – Part 1
Join us for Part 1 of a two-part webinar. In Part 1, we review conditional claim coding and how to prepare/submit a conditional claim. This includes a review of the claim entry pages in the Fiscal Intermediary Standard System Direct Data Entry. [...]
Read More