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Posting Date: 04/15/2024
Top Tobacco Counseling Claim Errors - Tips to Avoid and Correct Claim Errors
Top Tobacco Counseling Claim Errors - Tips to Avoid and Correct Claim Errors National Government Services is committed to reducing provider burden associated with Medicare claim denials and claim submission errors. Don’t wait until you receive [...]
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Posting Date: 07/10/2017
The Medicare Hospice Benefit: Effects on Other Provider Types
The Medicare Hospice Benefit: Effects on Other Provider Types Table of Contents The Medicare Hospice Benefit: Effects on Other Provider Types What is Hospice Care Providing Services Related to the Terminal Condition Providing Services [...]
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Posting Date: 03/26/2021
Main Menu Options
Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for provider numbers, Medicare numbers, PTAN, NPI, TIN, dates of service, [...]
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Posting Date: 11/18/2024
Micro-Invasive Glaucoma Surgery (MIGS)
Micro-Invasive Glaucoma Surgery (MIGS) N/A L37244 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37244 A56588 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56588 A59912 [...]
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Posting Date: 12/01/2015
Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process
Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process Table of Contents Reason Codes T5052, N5052, U5210, U5220 and U5200 - Preventing RTP and Rejection Claims Why Is Beneficiary [...]
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Posting Date: 04/28/2015
Identifying Payers Primary to Medicare
Section 4: Getting Ready to Bill Medicare Identifying Payers Primary to Medicare Information for All Providers Table of Contents Determine if Medicare is Primary Payer MSP Information Collection Requirements—Frequency Retirement [...]
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Posting Date: 08/25/2022
Use Our Provider Self-Service Tools To Spend Less Time on the Phone
Use Our Provider Self-Service Tools To Spend Less Time on the Phone Did you know our PCC experiences high call volumes at the beginning and the ending of each month? To avoid experiencing prolonged hold times, you can use our provider [...]
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Posting Date: 03/26/2021
Main Menu Options
table, td, th table { border-collapse: collapse; width: 50%; } Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for [...]
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Posting Date: 04/23/2024
Missing/Incomplete/Invalid Patient Identifier Remark Code N382
Missing/Incomplete/Invalid Patient Identifier Remark Code N382 If you receive a denial on your remittance with remark code ‘N382’ Missing/Incomplete/Invalid Patient Identifier, please use NGSConnex self-service option to verify the MBI number [...]
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Posting Date: 11/19/2024
Interactive Voice Response Touch-Tone Instructions
Interactive Voice Response Touch-Tone Instructions Alpha-Numeric Touch-Tone Entries Use this function to enter elements that contain both alpha and numeric characters. Each button on a telephone keypad has a corresponding set of letters. Each [...]
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Posting Date: 12/02/2024
The CY 2025 Medicare Physician Fee Schedule Is Now Available
The CY 2025 Medicare Physician Fee Schedule Is Now Available The CY 2025 MPFS is now available. You can view the new fees using the Fee Schedule Lookup tool page on NGSMedicare.com. Posted 12/2/2024
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Posting Date: 11/20/2024
Start Your Morning with a Podcast - Navigating Medicare: Part A Insights for Providers
Start Your Morning with a Podcast - Navigating Medicare: Part A Insights for Providers Did you know we have a podcast channel on both Spotify and Apple Podcasts that are just for our providers? On your way to work each day, listen to these [...]
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Posting Date: 11/21/2024
All Part B Providers – Register Now!
All Part B Providers – Register Now! Don't miss your chance to attend! Don't miss your chance to attend the National Government Services Medicare Part B 2024 Preventive Services Virtual Conference! Registration is happening now, and seats are [...]
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Posting Date: 02/24/2022
Request a Redetermination
Request a Redetermination The first level of appeal is carried out by the affiliated contractor/MAC. Time limit to initiate = 120 days from date of receipt of the initial determination notice Time limit to complete the review = 60 days [...]
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Posting Date: 06/30/2021
Submit a Reconsideration
Submit a Reconsideration The second level of appeal is the reconsideration request and is carried out by the QIC. Time limit to initiate = 180 days from date of receipt of redetermination decision Time limit to complete the review = 60 [...]
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Posting Date: 06/30/2021
Medicare Appeals Council Review
Medicare Appeals Council Review The fourth level of appeal is carried out by the MAC; this may also be referred to as the Department Appeals Board or DAB. Time limit to initiate = 60 days from date of receipt of ALJ decision Time limit to [...]
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Posting Date: 01/04/2021
Reopenings for Minor Errors and Omissions
Reopenings for Minor Errors and Omissions Providers may request a reopening of the original claims processing decision by contacting the TRU. The TRU can be used when you wish to revise the initial determination of a specific service or [...]
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Posting Date: 12/20/2016
Reopening Request Timeframes
Reopening Request Timeframes According to the CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 34, Section 10.6.2, Timeframes for Party Requested Reopenings: A party may request a contractor reopen and revise its initial [...]
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Posting Date: 10/06/2022
ALJ Hearing
ALJ Hearing The third level of appeal is an ALJ hearing. Time limit to initiate = 60 days from the date of receipt of reconsideration (QIC decision) Time limit to complete the review = 90 days Amount in controversy = The amount that must [...]
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Posting Date: 01/18/2022
Federal Court Review
Federal Court Review The fifth level of appeal is carried out by the Federal District Court (U.S. District Court). Time limit to initiate = 60 days from date of receipt of Medicare Appeals Council decision Amount in Controversy = The [...]
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