Initiate Audit and Reimbursement Document Submissions

Initiate Audit and Reimbursement Document Submissions Table of Contents Initiate Audit and Reimbursement Document Submissions Step 1: Provider Details Step 2: Audit & Reimbursement Step 3: Document Submission Step 4: Submit [...]

A&R Inquiries

A&R Inquiries Table of Contents A&R Inquiries Email Notification View/Initiate an A&R Inquiry Response Inquiry Details Step 1: Response Description Step 2: Attachments Step 3: Submit Response What to do if you [...]

Initiate a Prior Authorization Request

Initiate a Prior Authorization Request Table of Contents Initiate a Prior Authorization Request Request Details Requestor’s Information Rendering Physician Information Attachments [Return to Top] Initiate a Prior Authorization [...]

A/B and DME Collaborative General Documentation Requirements

A/B and DME Collaborative General Documentation Requirements The A/B and DME Collaborative General Documentation Requirements YouTube Video is available. Posted 3/27/2024

MLN Connects® Newsletter: March 28, 2024

MLN Connects® Newsletter: March 28, 2024 Proposed Payment Rule FY 2025 Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule News CMS Roundup (Mar 22, 2024) Hospital Price Transparency: Tools to Help Hospitals [...]

April 2024

In This Issue National Government Services Articles for Part A and Part B Providers Attention Electronic Billers Attention! New CMS-588 Electronic Funds Transfer Authorization Agreement (11/23) Version Important Reminder: Change [...]

Submitting Credit Balance Reports

Submitting Credit Balance Reports Table of Contents Submitting Credit Balance Reports Initiate a Credit Balance Report Credit Balance Certification Page [Return to Top] Submitting Credit Balance Reports This function allows [...]

Medicare Preventive Services Resource Guide Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep Medicare beneficiaries [...]

DSMT: Documentation & Physician Order Requirements

DSMT: Documentation & Physician Order Requirements Table of Contents DSMT: Documentation & Physician Order Requirements Documentation & Physician Order Requirements Provider Actions Related Content [Return to Top] DSMT: [...]

Claim Timely Filing Job Aid

Claim Timely Filing Job Aid Table of Contents Claim Timely Filing Job Aid Timely Filing Limits Date of Service Considerations Timely Filing Limits Chart Timely Filing Exceptions Related Content [Return to Top] [...]

Preventive Services

Medicare Preventive Services Resource Guide

Medicare Preventive Services Resource Guide Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep Medicare beneficiaries [...]

Medicare Secondary Payer Calculator

RC 55A00 or 55A01 Denials for Denosumab

National Government Services is aware of an issue that is causing claims to deny in error with reason code 55A00 or 55A01. The claims involved are for Denosumab (J0897) - Billing and Coding article – A52399 and are firing on edit 5XX84.

Part A Claims Returning to Provider (RTP) RC 38361

Claims are continuing to incorrectly RTP even when the prior claims are not No Pay Claims.

Rural Health Claims Impacted by FS2540

This utility will adjust Rural Health claims - 71X TOB Reimbursed incorrectly with the implementation of FS2540 in the A20232CP release Installed to production on 5/15/23 Note: changes for FS2540 were backed out with FS2540R1 on 6/13/23. [...]

Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD

Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD Per the direction of CMS, as of 3/27/2024, National Government Services may grant extensions for responses to ADRs to providers under active medical [...]