-
Posting Date: 04/24/2025
NGSConnex: Part B Redetermination Electronic Notification of Decision Letters
National Government Services will discontinue issuing paper Medicare Part B redetermination requests that are submitted electronically through our portal, NGSConnex. Instead, they will only be accessible to view and print electronically through [...]
Read More -
Posting Date: 04/24/2025
MLN Connects® Newsletter: April 24, 2025
MLN Connects® Newsletter: April 24, 2025 News Open Payments: Review Your Data by May 15 Medicare Shared Savings Program: Application Toolkit Materials MLN Matters® Articles Inpatient Psychiatric Facilities: Return to Provider Claims [...]
Read More -
Posting Date: 04/24/2025
Skilled Nursing Facility and Swing Bed Quarterly Top Claim Errors
Do you struggle with your claim denials, rejections and return to provider (RTP) claims? Do you want to be proactive in preventing unnecessary errors? Join us in a review of top claim errors for your provider type based on recent data analysis. [...]
Read More -
Posting Date: 04/24/2025
Hospital, CMHC, CORF/ORF and ESRD Facilities Quarterly Top Claim Errors
Do you struggle with your claim denials, rejections and return to provider (RTP) claims? Do you want to be proactive in preventing unnecessary errors? Join us in a review of top claim errors for your provider type based on recent data analysis. [...]
Read More -
Posting Date: 04/14/2025
Part B Spring 2025 VC
Spring 2025 Virtual Conference Understanding Medicare Compliance for Part B Providers Tuesday, 6/3/2025 - Thursday, 6/5/2025 /documents/d/ngs/june-virtual-handout_508
Read More -
Posting Date: 04/25/2025
Part A - Promo 1
NGS Part A Collaborative Summit: Turning Insight Into Action; June 10, 11 and 12, 2025; Click Here and Register Now /documents/d/ngs/2025-pta-spring-vc-onepager-2
Read More -
Posting Date: 04/25/2025
(CORRECTION) Some Claims Editing for Reason Code U537I, HH Claim Falls Outside of an HH Admission Period for the Same Provider
The CWF can only hold the 36 most recent periods of care for any beneficiary. CWF also contains the indicator of when the HH admission (NOA) was processed. This indicator allows CWF to determine whether an HH admission period is on file with [...]
Read More -
Posting Date: 04/25/2025
Acute Care Hospitals: Advance Beneficiary Notice of Noncoverage (CMS-R-131 Form) for Outpatient Services
Acute care hospitals: Do you understand when and how to issue an Advance Beneficiary Notice of Noncoverage (ABN) for outpatient services? Join this session to learn more about the voluntary and mandatory ABN, three payment liability conditions, [...]
Read More -
Posting Date: 04/25/2025
Call Center Planned Outage Status
Call Center Planned Outage Offline Friday, 5/9/2025
Read More -
Posting Date: 03/11/2025
April Code Set Update for PC Print: April 2025
April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements: CR13891 Implement Operating Rules – Phase III [...]
Read More -
Posting Date: 04/08/2025
April Code Set Update for PC Print: April 2025
April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements: CR13891 Implement Operating Rules - Phase III [...]
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 process. [...]
Read More -
Posting Date: 01/08/2025
Counseling to Prevent Tobacco Use
In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]
Read More -
Posting Date: 01/02/2025
Counseling to Prevent Tobacco Use
In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]
Read More -
Posting Date: 01/08/2025
Ambulance Services and Establishing Medical Necessity for Part B Providers
This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.
Read More -
Posting Date: 01/22/2025
Medicare Secondary Payer: Preparing and Submitting Claims – Part 1
Join us for Part 1 of a two-part webinar. In Part 1, we will review Medicare Secondary Payer (MSP) claim coding and how to prepare/submit an MSP claim. This includes a review of the claim entry pages in the Fiscal Intermediary Standard System [...]
Read More