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Posting Date: 10/29/2024
Medicare Overpayments Process
Ensure that you are compliant and avoid financial penalties by understanding the Medicare overpayment regulations. This session will focus on identifying overpayments, using the proper forms and procedures, the timelines for repayment and the [...]
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Posting Date: 10/29/2024
Proper Medicare Part B Claim Submissions
This webinar is intended to educate providers and office staff members on how to complete a clean claim to avoid claim rejections, developments or denials. We will guide you through the CMS-1500 claim form and the electronic equivalent loops [...]
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Posting Date: 10/29/2024
Proper Medicare Part B Claim Submissions
This webinar is intended to educate providers and office staff members on how to complete a clean claim to avoid claim rejections, developments or denials. We will guide you through the CMS-1500 claim form and the electronic equivalent loops [...]
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Posting Date: 10/29/2024
PECOS: View and Manage Reassignments through Group Enrollment
During this webinar, we’ll provide an understanding of how to view and manage reassignments through the group enrollment in Provider Enrollment, Chain and Ownership System (PECOS), including to add or terminate reassignments. Individual [...]
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Posting Date: 10/30/2024
Provider Enrollment: Completing the CMS-855I Paper Application
During this webinar, we’ll provide an understanding of how to complete the CMS-855I provider enrollment paper application for a group member, sole proprietor or sole owner and we’ll also focus on reassigning Medicare benefits.
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Posting Date: 07/18/2023
Medical Review: Targeted Probe and Educate Review Topics
Jurisdiction 6 Part B Targeted Probe and Educate: Medical Review Topics Topic CPT Code(s) Common Denials Resources Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous or [...]
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Posting Date: 10/30/2024
How to Avoid Duplicate Claims
Duplicate denials continue to be one of the top billing errors. Unnecessary duplicate filing of Medicare claims cost the provider's office valuable time and resources, as well as Medicare's time and money to process them. Please join us for [...]
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Posting Date: 03/02/2021
NGS Office of Congressional Affairs Welcome Letter
Dear Members of Congress and Staff: As your work continues in the 118th Congress, National Government Services, Inc. maintains its dedicated role in serving your district/state as a Medicare contractor for Original Medicare. We are your [...]
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Posting Date: 10/30/2024
Getting Access to PECOS
During this webinar, we’ll discuss how to obtain access to the Internet-based Provider Enrollment Chain & Ownership System (PECOS) and gain connection to provider enrollment record as well as understand other Centers for Mediacre & Medicaid [...]
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Posting Date: 10/30/2024
Provider Enrollment: Completing the CMS-855B Paper Application
During this webinar, we'll provide an understanding of how to complete the CMS-855B provider enrollment paper application for a clinic, group, or supplier.
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Posting Date: 10/30/2024
Medicare Part B Secondary Payer Post-Pay Overpayments
This session is intended to educate providers and office staff on the Medicare Secondary Payer (MSP) post-pay overpayment process. During this webinar, providers and office staff members will learn about the Medicare Part B overpayments process [...]
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Posting Date: 03/10/2023
Contractor Advisory Committee Meeting Records
Contractor Advisory Committee (CAC) Meeting Records Jurisdiction 6 and Jurisdiction K CAC Meeting Records Meeting Date Audio Transcript Key Questions Bibliography 10/17/2024 ‒ Topic: Superficial Radiation [...]
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Posting Date: 04/21/2021
Appeals/Reopenings
Medicare Part B 101 Manual Appeals/Reopenings Table of contents Reopenings for Minor Errors and Omissions Telephone Reopening Unit Appeals Time Limit for Filing Appointment of Representative Redeterminations Acceptable Signature [...]
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Posting Date: 10/07/2021
CMS-1500 Claim Form
Medicare Part B 101 Manual CMS-1500 Claim Form Table of Contents General Information Claim Filing Instructions for Paper and Electronic Submission Regulations on Charging for Claim Form Completion OCR System Missing, Incomplete, [...]
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Posting Date: 10/28/2022
Comprehensive Error Rate Testing
Medicare Part B 101 Manual Comprehensive Error Rate Testing Table of Contents Comprehensive Error Rate Testing What Is CERT? How Long Do Providers Have to Respond to a Request From the CERT Contractor? What Happens if the Provider [...]
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Posting Date: 04/08/2021
Fraud and Abuse
Medicare Part B 101 Manual Fraud and Abuse Fraud and Abuse Unified Program Integrity Contractors Defining Fraud and Abuse Fraud Abuse Bribes, Kickbacks and Rebates Penalties Waiving Deductible and Coinsurance What You Can Do As a [...]
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Posting Date: 10/06/2021
Medical Policy Development
Medicare Part B 101 Manual Medical Policy Development Table of Contents Medical Policy Development National Policies National Coverage Determinations National Coverage Provisions in Interpretive Manuals Local Policies [...]
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Posting Date: 10/12/2018
Help with Medicare Costs
Help with Medicare Costs Medicare Savings Programs Learn about your options for help with Part B premiums Costs for Medicare Drug Coverage Learn how to get extra help with Part D Revised 11/1/2024
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Posting Date: 10/29/2024
Don’t Wait Until 11/18/2024 To Use NGSConnex for Beneficiary Eligibility Information
Don’t Wait Until 11/18/2024 To Use NGSConnex for Beneficiary Eligibility Information As we’ve communicated, beginning 11/18/2024, Beneficiary Eligibility information will not be offered on the IVR. This includes all beneficiary [...]
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Posting Date: 10/31/2024
Report a Change of Tax ID (Other than Change of Ownership)
Step 1: Determine You are in the Right Place If you are currently an enrolled health care organization that is changing your Tax ID and the change does not involve a change of ownership, it is essential that you report changes of Tax ID within [...]
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Posting Date: 10/31/2024
Report a Change of Tax ID (Other than Change of Ownership)
Step 1: Determine You are in the Right Place If you are currently an enrolled health care organization that is changing your Tax ID and the change does not involve a change of ownership, it is essential that you report changes of Tax ID within [...]
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Posting Date: 10/31/2024
Report a Change of Tax ID (Other than Change of Ownership)
Table of Contents Step 1: Determine You are in the Right Place Step 2: Complete the Medicare Application Step 3: Submit Required Documentation Related Content [Return to Top] Step 1: Determine You are in the Right Place If you are [...]
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Posting Date: 09/24/2019
Mission and Charter
National Government Services Provider Outreach and Education Advisory Group Charter National Government Services serves as the MAC for J6 and JK Part A, Part B and Home Health and Hospice. We maintain four POE AGs: Part A POE [...]
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Posting Date: 10/31/2024
Physical/Occupational Therapy Billing
Join us as we review billing guidelines for physical and occupational therapy. We'll review when to apply the KX modifier and the importance of appropriate medical documentation. National Government Services has a Local Coverage Determination [...]
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Posting Date: 10/19/2022
Medicare Part B Electronic Claims that Exceed the Threshold for Charges and Units of Service
Medicare Part B Electronic Claims that Exceed the Threshold for Charges and Units of Service Medicare Part B electronic claims (ANSI X12 837P) with total charges exceeding $99,999.99 cannot be processed in the MCS. If a single claim [...]
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Posting Date: 11/08/2024
Rural Health Clinics – What You Need to Know!
This session will focus on information to help rural health clinics (RHCs) ensure that they are compliant with Medicare’s rules and regulations and help your facility have a consistent cash flow and avoid claim denials. Topics will include a [...]
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Posting Date: 11/08/2024
How To Prevent Claim Errors That Could Be Seen as Abusive or Fraudulent
Did you know having an abundance of certain types of claim errors can put providers at risk of fraud and/or abuse audits and investigation? While most of these errors are usually simple mistakes, continued inappropriate billing could lead to [...]
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Posting Date: 10/31/2024
Top Claim Errors Reviewed and Updated
Top Claim Errors Reviewed and Updated Using data analysis, we review and update the Top Claim Errors on a quarterly basis and provide: the error reason code; a description of the error; the error type; details that include steps you [...]
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Posting Date: 10/31/2024
Podiatry Services - Routine Foot Care and Debridement of Nails
While the Medicare Program generally excludes routine foot care services from coverage, there are specific indications or exceptions under which there are program benefits. Medicare payment may be made for routine foot care when the patient has [...]
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Posting Date: 10/31/2024
MLN Connects® Newsletter: October 31, 2024
MLN Connects® Newsletter: October 31, 2024 News Medicare Shared Savings Program Continues to Deliver Meaningful Savings and High-Quality Health Care Compliance Major Hip & Knee Replacement or Reattachment of Lower Extremity: [...]
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Posting Date: 11/05/2024
Report a Change of Ownership, Acquisition/Merger or Consolidation
Table of Contents Step 1: Determine You Are in the Right Place Step 2: Understand Type of CHOW Change of Ownership Acquisition/Merger Consolidation CHOW Reminders Step 3: Make Changes via Enrollment Application Change of [...]
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Posting Date: 11/01/2024
NGS RuralServ - Changing the Way We Deliver Education to You!
Our rural health providers face unique challenges in delivering quality of care to Medicare beneficiaries and the associated administrative functions to file claims to Medicare. This session shares the efforts and resources to assist rural [...]
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Posting Date: 11/04/2024
Two Weeks to Prepare to use NGSConnex for Beneficiary Eligibility Information
Two Weeks to Prepare to use NGSConnex for Beneficiary Eligibility Information As we’ve communicated, beginning 11/18/2024, Beneficiary Eligibility information will not be offered on the IVR. This includes all beneficiary eligibility [...]
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Posting Date: 03/15/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
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Posting Date: 05/20/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
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Posting Date: 03/09/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
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Posting Date: 03/09/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
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Posting Date: 11/01/2024
Instructions for Unfinished PECOS Enrollment Application(s)
Table of Contents Instructions for Unfinished PECOS Enrollment Application(s) Instructions for Unfinished PECOS Application(s) Instructions for Application Status “Pending E-Signature” Submitted Enrollment Application(s) on Behalf of an [...]
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Posting Date: 11/01/2024
Skilled Nursing Facility Billing Basics
This session will focus on the basics of skilled nursing facility (SNF) inpatient and outpatient billing, including consolidated billing guidelines. Learn about the required fields on SNF claims, timeframes for claim submission and how proper [...]
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