Site Visits

Site Visits Site visits may be required for certain providers and will be unannounced; the contractor representatives must disclose to the provider appropriate identifying credentials and explain the purpose of the visit. CMS has implemented [...]

Requests for Additional Information

Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]

Site Visits

Site Visits Site visits may be required for certain providers and will be unannounced; the contractor representatives must disclose to the provider appropriate identifying credentials and explain the purpose of the visit. CMS has implemented [...]

Requests for Additional Information

Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]

Rebuttal for Deactivation of Medicare Billing Privileges

Rebuttal for Deactivation of Medicare Billing Privileges Pursuant to 42 CFR, Section 424.545(b), a provider or supplier whose Medicare billing privileges have been deactivated may file a rebuttal in accordance with 42 CFR, Section 405.374. A [...]

Claim Data Entry

Chapter V: Claims/Attachments Submenu (02) Claim Data Entry Purpose The Claims Entry options allows the provider to enter claims and roster bills electronically into the FISS DDE Provider Online System. To initiate claim data entry [...]

Billing & Claim Forms

Billing & Claim Forms Medicare Authorization to Disclose Medicare Information Use this form to advise Medicare of the person or persons you have chosen to have access to your personal health information. Patient's Request for Medical [...]

Medicare’s Annual Wellness Visit in Minnesota: Understanding the Benefit and Preventing Denials

Medicare’s Annual Wellness Visit in Minnesota: Understanding the Benefit and Preventing Denials National Government Services Jurisdiction 6 MAC by Michael J. Dorris; Carolyn S. Henson, CPC , CAC, CACO, CPC-I, AAPC I-10 Instructor; and Nathan [...]

FQHC and Group Therapy Services Job Aid

FQHC and Group Therapy Services Job Aid Historically, federally qualified health center’s (FQHC’s) billing instructions have been the same. However, effective 1/1/2011, the billing requirements changed for this facility type. Beginning with [...]

Upcoming Annual Logon ID Recertification

Upcoming Annual Logon ID Recertification Upcoming Annual Logon ID Recertification for Maine, Massachusetts, New Hampshire, Vermont, Rhode Island Regions Beginning the week of 05/06/2024, the Maine, Massachusetts, New Hampshire, Vermont, Rhode [...]

Upcoming Annual Logon ID Recertification

Upcoming Annual Logon ID Recertification Upcoming Annual Logon ID Recertification for Maine, Massachusetts, New Hampshire, Vermont, Rhode Island Regions Beginning the week of 5/6/2024, the Maine, Massachusetts, New Hampshire, Vermont, Rhode [...]

CHOPD Accelerated Payments to Providers

CHOPD Advance Payments to Providers

Billing Fascia Iliaca Blocks with 64999

Billing Fascia Iliaca Blocks with 64999 National Government Services is receiving information that does not provide the documentation necessary to process claims for Fascia Iliaca Blocks when billed with CPT 64999. Since this is an unlisted [...]

Registration Is Open for the Medicare Part B 2024 Spring/Summer Virtual Conference! Mastering Medicare: Tuesday Tutorials for Part B Providers

Registration is Open for the Medicare Part B 2024 Spring/Summer Virtual Conference! Mastering Medicare: Tuesday Tutorials for Part B Providers We’ve devoted Tuesdays in June to host a series of educational webinars focused on evaluation and [...]

Self-Administered Drug Exclusion

Self-Administered Drug Exclusion Medications that are self-administered more than 50% of the time for all Medicare beneficiaries are excluded from Medicare Part B coverage.  At the direction of CMS, each MAC shall create an article that [...]

Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Register Today!

Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Register Today! We’ve dedicated Tuesdays for the month of June to deliver valuable educational topics that will help our provider [...]

Other Medicare Contacts

Other Medicare Contacts   Organization Contact Information ALJ BP Tower & Garage 200 Public Square, Suite 1300 Cleveland, OH 44114-2316 American Medical Association Website Phone: [...]

Revenue Codes (13)

Chapter IV: Inquiries Submenu (01) Revenue Codes (13) Purpose The purpose of the REVENUE CODES option is to provide access to details related to the revenue codes available to be reported on a claim. A revenue code is a four-digit number [...]

Determine if Medicare Will Make Payment on an MSP Claim

Table of Contents Determine if Medicare Will Make Payment on an MSP Claim Step 1: Determine if Medicare will Make an MSP Payment Step 2: Determine the Amount of Secondary Benefits Billing Reminders Which Can Affect your Medicare [...]