Part A Electronic Medicare Secondary and Tertiary Payer Specifications for ANSI Inbound Claim

Resources Part A Electronic Medicare Secondary and Tertiary Payer Specifications for ANSI Inbound Claims The following information is intended to provide you and your software vendor with a reference for electronically billing MSP and MTP [...]

Electronic Medicare Secondary Payer Specifications for Inbound Claims

Resources Electronic Medicare Secondary Payer Specifications for Inbound Claims The following information is intended to provide you and your software vendor with a reference point for electronically billing MSP claims. Use this information [...]

End-Stage Renal Disease: Medicare Part A Quick Reference Manual

CMS FQHC and RHC Flexibilities to Fight COVID-19 Update

EDI Application Status Search Tool

End-Stage Renal Disease: Medicare Part A Quick Reference Manual

Physician Dialysis Services

Accessing NGSConnex from Outside the United States or US Territories

Accessing NGSConnex from Outside the United States or US Territories We have security protocols to safeguard PHI and PII any time someone accesses the NGSConnex portal from outside the United States. If you access NGSConnex from outside the [...]

Chronic Disease Management and Preventive Services Learning and Action Series

Chronic Disease Management and Preventive Services Learning and Action Series A Collaborative Learning Opportunity with the Medicare Administrative Contractors National Government Services, Novitas Solutions, Wisconsin Physician Services [...]

Claims/Attachments Submenu

  Chapter II: Online Menu Functions Overview Claims/Attachments Submenu Purpose The CLAIMS/ATTACHMENTS submenu is primarily used for data entry of claims. Influenza virus vaccine, pneumococcal pneumonia vaccine and COVID-19 vaccine [...]

Check Search

Check Search Select the Financials button on the home page. In the Select a Provider panel, click the Select button next to the applicable provider account. Select Checks/EFT or Special Checks from the Financial Options drop-down [...]

View Checks and Special Checks Search

View Checks and Special Checks Search Select the Financials button on the home page. In the Select a Provider panel, click the Select button next to the applicable provider account. Select Checks/EFT or Special Checks from the [...]

Reminder: Submitting Paper Claims

Reminder: Submitting Paper Claims All paper claims are required to be submitted on the original red/white CMS-1500 (02/12) claim form. To ensure our OCR system can process claims efficiently: Use Courier New font for computer-generated [...]

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Online Menu Selection Quick-Reference Guide

Chapter II: Online Menu Functions Overview Online Menu Selection Quick-Reference Guide Main Menu Option 01: Inquiries Main Menu Option 02: Claims/ Attachments Main Menu Option 03: Claims Correction Main Menu Option 04: [...]

Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes

Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes Just a reminder: The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare fee-for-service claims. As a result of [...]

MLN Connects® Newsletter: August 10, 2023

MLN Connects® Newsletter: August 10, 2023 News Immunization: Protect Your Patients Claims, Pricers, & Codes Outpatient Rehabilitation Claims with Reason Code W7072: Do You Need to Resubmit Claims? MLN Matters® Articles HCPCS [...]

Claim Summary (12)

Chapter IV: Inquiries Submenu (01) Claims Summary (12) Purpose The CLAIM SUMMARY option allows providers to access specific data from the claim record for pending and processed claims. Note: Claim Summary is an “inquiry-only” option. You [...]

ZIP Code File (19)

Chapter IV: Inquiries Submenu (01) ZIP Code File (19) Purpose A ZIP Code is a five-digit numeric code used to identify a provider’s location. The ZIP CODE FILE option allows you to verify the validity of the facility ZIP Code that may be [...]

OSC Repository Inquiry (1A)

Chapter IV: Inquiries Submenu (01) OSC Repository Inquiry (1A) Purpose An occurrence span code identifies a specific event that relates to the payment of the claim that spans several days. The dates identify the commencement and ending of [...]