OverpaymentResults-Part A

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Thank you for using the National Government Services Immediate Recoupment Request Form - Electronic/E-mail. Your request has been received and will be processed within [...]

Overpayment-Home Health and Hospice

Immediate Recoupment Request Form - Electronic/E-mail Complete this online form to initiate a request for immediate recoupment of overpayment(s). All fields are required and the form must be completed in its entirety prior to submitting [...]

Overpayment Results-Durable Medical Equipment

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Thank you for using the National Government Services Immediate Recoupment Request Form - Electronic/E-mail. Your request has been received and will be processed within [...]

PERevalToolPartABottom

Note: While the above information covers general revalidation instructions, additional information or documentation may be requested depending on the applicant’s specific situation. The analyst may develop for additional information via email, [...]

Email Updates

Email Updates--> Welcome to the National Government Services email updates page! Here you can join electronic mail groups/lists and manage your subscriptions. To get started, join the desired electronic mail group(s) and create your profile [...]

DME Mobile Application Registration and Download Form - Top

DME Mobile Application Registration & Download Form “NGS Info to GO” is the new DME mobile application; an innovative approach to deliver education to the supplier community! Our DME mobile application is free and can be downloaded at [...]

E-mail Password Reminder Header

E-mail Password Submit a registered e-mail address below and the password will be e-mailed to you.

Clinical Social Worker Resources

Psychiatric Services Calculator

Dental Codes Billed As Principal Diagnosis Code Cause Claim Rejections

Claims Submitted With Dental Codes As Principal Diagnosis Will RejectOn 1/3/2021, EDI added a new edit to the EDI Front-End. If an 837I claim contains principal diagnosis code 2300 HI with qualifier ABK (principal diagnosis) that is a dental [...]

Adjustment of Claims with Automated Medical Review Denials

Adjustment of Claims with Automated Medical Review Denials National Government Services would like to provide clarification to providers receiving automatic denials on claims. In certain circumstances it may be necessary to correct a billing [...]

Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet

Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet Beneficiary must have Medicare Part A with days left in their 100 day benefit period. A medically necessary inpatient hospital stay of at least three consecutive days [...]

Appropriate Use Criteria Program

MDS Calendar

Incident to Job Aid for Place of Service Office

“Incident to” Job Aid for Place of Service Office Employed by the same entity - The person supervising and person performing the service must be employed by the same entity. They may be an employee, leased employee, or independent [...]

Overpayments

Medicare Participating Physicians Directory (MEDPARD)

MSP Post-Pay Adjustments

If you have received an overpayment because Medicare paid as the primary insurer and another insurance carrier should be the primary payer, follow the instructions on the Part A Overpayment Recovery Unit Voluntary Refund Form. A separate [...]

MSP Post-Pay Adjustments

If you have received an overpayment because Medicare paid as the primary insurer and another insurance carrier should be the primary payer, follow the instructions on the voluntary refund form. A separate refund form is needed for each date [...]