-
Posting Date: 01/27/2021
RM 2_A-HHH-FQHC_Who May File an Appeal
Required Elements The following information must be included on an Appointment of Representative (CMS-1696) form or written statement: Name, address, phone number of party (i.e., the beneficiary, facility, physician, or other supplier) NPI [...]
Read More -
Posting Date: 01/26/2021
RM 1_A-HHH-FQHC_Who May File an Appeal
When Is an Appointment Not Necessary? When Is an Appointment Not Necessary? Billing clerks or billing services employed by the provider or supplier to prepare and/or bill the initial claim, process the payments and/or pursue appeals act as the [...]
Read More -
Posting Date: 03/02/2021
Browser Requirements
Browser Requirements For an optimal NGSMedicare.com experience, to access both the secure, self-service provider portal NGSConnex and the provider content website, you are required to use one of the supported browsers below. Microsoft [...]
Read More -
Posting Date: 06/09/2021
PC-ACE Download
PC-ACE DownloadTo ensure that PC-ACE and its documentation are being downloaded by National Government Services member providers and to help us determine our providers' utilization of PC-ACE software please provide the following information.For [...]
Read More -
Posting Date: 01/26/2021
A-FQHC_RM_What Documents are Needed
Supporting Medical Records Below are some of the types of services you may appeal, as well as a list of medical records that may assist in supporting that the services billed are coverable by Medicare. Ambulance Justification for ambulance [...]
Read More -
Posting Date: 01/26/2021
B_RM_What Documents are Needed
Medical Records to Support an Appeal The following are examples of services for which you may be experiencing denials and are unclear of what documentation is needed when requesting an appeal. Many of the services on this list are associated [...]
Read More -
Posting Date: 01/27/2021
HHH_RM_What Documents are Needed
Home Health OASIS form for the dates of service in question Face-to-face encounter document Current home health certification and plan of care (appropriately signed and dated by doctor and nurse; and/or the receipt date from agency as needed) [...]
Read More -
Posting Date: 06/16/2021
State License and Registrations for Individuals and Organizations
Read More -
Posting Date: 05/12/2023
NGSConnex: Initiating and Checking Status of Reconsiderations
Did you know that you can save time and money by requesting a reconsideration via NGSConnex? When you submit reconsideration requests electronically using NGSConnex, you no longer need to complete a form, copy documentation and waste time with [...]
Read More -
Posting Date: 06/24/2021
I Am Not Yet Enrolled in Medicare
You can only begin set up with EDI if you are a participating provider in the Medicare program. If you have not submitted an application to enroll in Medicare, please visit our Enrollment section of the site for guidelines.If you have a [...]
Read More -
Posting Date:
crosswalkUsage
CEDI NPI Crosswalk Tool: A crosswalk is the link established between the National Provider Identifier (NPI) and durable medical equipment (DME) Provider Transaction Access Number (PTAN) (supplier ID). Verify your link using the tool [...]
Read More -
Posting Date:
Manage Account Enter E-mail Step 1 Description
Manage Account To get started, please validate your e-mail address account information. Step 1: Please enter your e-mail address and password:
Read More -
Posting Date:
Overpayment Results-Home Health and Hospice
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 [...]
Read More -
Posting Date:
Unsubscribe Confirmation Page Content
Unsubscribe Thank you for your recent submission. What you can expect: A confirmation e-mail will be sent to the e-mail address under which you registered your account.
Read More -
Posting Date:
Travel Allowance Resources
Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. Locality/Area and County Information for New York Locality/Area Counties 01 Manhattan 02 [...]
Read More -
Posting Date: 02/10/2012
PsychCal_top
PSYCHIATRIC SERVICES CALCULATOR Due to the complex nature of the psychiatric service reduction, use this calculator in your day-to-day business operations to help determine the correct financial liability for both Medicare [...]
Read More -
Posting Date:
Molecular Pathology Resources
Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. Locality/Area and County Information for Illinois Locality/Area Counties 12 Bond, [...]
Read More -
Posting Date:
DMEFee Form Description
Note: This tool only provides pricing modifiers for the HCPCS entered in your search. Please refer to the medical policies for any additional modifier information for claims submission.
Read More -
Posting Date:
Overpayment E-mail-Part B
Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Please do not reply to this message. This e-mail address is automated, unattended, and cannot help with questions or requests. Thank you for using the National [...]
Read More -
Posting Date:
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 [...]
Read More -
Posting Date: 11/12/2020
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 [...]
Read More