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  • Posting Date: 07/22/2016
    Provider Letter of Authorization

    Provider Letter of Authorization This form is completed by the provider/facility that is authorizing access to a third party billing service to perform FISS/DDE functions on their behalf. What is the Billing Service Name? This is the [...]

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  • Posting Date: 07/22/2016
    EDI Enrollment Agreement Form

    EDI Enrollment Agreement Form This form is a required document by CMS allowing a provider to exchange electronic transactions with the MAC. This form is effective as long as the provider is exchanging Medicare claims with the MAC, carrier, or [...]

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  • Posting Date: 07/22/2016
    EDI Gateway Self-Service Password Portal

    EDI Gateway Self-Service Password Portal As an EDI Trading Partner, you will be able to use the EDI Gateway Self-Service Password Portal located on the EDI web page on our website. This provides a simple and secure web-based process for [...]

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  • Posting Date: 07/22/2016
    Choose Transaction Status

    Choose Transaction Status In this section, be sure to select all transactions you would like to be setup with. NGS EDI does not require a separate packet per transaction. Setup or change your setup for sending claims (837) electronically. [...]

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  • Posting Date: 07/22/2016
    Submitting the Packet

    Submitting the Packet Once the General Enrollment Information section is complete and submitted, the necessary enrollment forms will be presented. All information previously answered will be auto-populated on each individual EDI form. You will [...]

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  • Posting Date: 07/22/2016
    General Information

    General Information If information entered belongs to a Corporate Office, select the “Corporate Office” checkbox. What is the Entity Name? This is the provider name that was submitted on the CMS-855 form when applying to participate with [...]

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  • Posting Date: 07/22/2016
    EDI Registration Form

    EDI Registration Form This form is used for batch billing enrollment: Part A/B providers who submit batch transactions to Medicare, such as transmitting 837 claims, receiving 835 electronic remittances and requesting 276/277 claims status [...]

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  • Posting Date: 07/22/2016
    Part A Logon Request Form: Billing Service Using a Letter of Authorization PIN

    Part A Logon Request Form  Billing Service Using a Letter of Authorization PIN This option allows a billing service to complete the Part A Logon Request Form after the Letter of Authorization has been completed by the provider/facility [...]

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  • Posting Date: 07/22/2016
    Entry Process Questions

    Entry Process Questions I need to complete a Logon Request Form This option is used for a provider/facility to request/modify access to the Part A FISS/DDE system. (EDI Enrollment Agreement is included within this packet if needed.) [...]

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  • Posting Date: 07/22/2016
    EDI ERA Enrollment Form

    EDI ERA Enrollment Form The EDI ERA Enrollment Form is required to be on file for each PTAN/NPI currently setup or requesting to be setup for the first time to receive electronic remittances through NGS. Should I Complete This Form? The [...]

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  • Posting Date: 07/22/2016
    Part A Logon Request Form: Provider/Facility Requesting Access

    Part A Logon Request Form Provider/Facility Requesting Access This form is for Part A providers requesting access to the Fiscal Intermediary Standard System (FISS)/Direct Data Entry (DDE) Online System and check patient eligibility. Note: Up [...]

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  • Posting Date: 07/22/2016
    Tracking my Enrollment Packet and Checking Status

    Tracking my Enrollment Packet and Checking Status Once your packet is submitted (See the section on Submitting the Packet), a confirmation message is displayed on the screen with the assigned Packet ID (PID) number. The PID will be sent to the [...]

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  • Posting Date: 01/18/2023
    Oxygen: A/B and DME Collaborative Presentation

    Oxygen: A/B and DME Collaborative Presentation View the A/B and DME Oxygen YouTube Video for information on oxygen. Posted 1/18/2023

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  • Posting Date: 01/19/2023
    MLN Connects® Newsletter: January 19, 2023

    MLN Connects® Newsletter: January 19, 2023     News Additional Steps to Strengthen Nursing Home Safety and Transparency Increase in 2023 in Organizations and Beneficiaries Benefiting from Coordinated Care in Accountable [...]

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  • Posting Date: 01/19/2023
    Tobacco Cessation - An On Demand YouTube Video

    Tobacco Cessation - An On Demand YouTube Video We know our providers are busy! Have you or a colleague been unavailable during what you thought would be a beneficial live webinar? The NGS POE team created a free Tobacco Cessation “On-Demand” [...]

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  • Posting Date: 01/20/2023
    Part B - Promo 2

    Banner saying "Coronavirus, COVID-19 - Stay up-to-date with the latest news on the Coronavirus."

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  • Posting Date: 01/20/2023
    Part A - Promo 3

    Banner saying "Learn about the CMS Prior Authorization Program."

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  • Posting Date: 01/20/2023
    FQHC - Promo 3

    Banner saying "Learn about the CMS Prior Authorization Program"

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  • Posting Date: 01/20/2023
    HHH - Promo 3

    Banner saying "Coronavirus, COVID-19 - Stay up-to-date with the latest news on the Coronavirus."

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  • Posting Date: 10/07/2013
    Home Health Change of Care Notice (CMS-10280)

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  • Posting Date: 01/23/2023
    Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement

    Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement It is imperative that hospice providers understand the federal Medicare requirements and mandatory medical record documentation to support coverage. For instance, the local [...]

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  • Posting Date: 01/23/2023
    Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T)

    Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T) National Government Services has updated its reimbursement policy on CPT codes 0598T and 0599T (Noncontact Real-Time Fluorescence Wound [...]

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  • Posting Date: 01/25/2023
    Billing and Coding Article Updates for January 2023

    Billing and Coding Article Updates for January 2023 Billing and Coding: Bevacizumab and biosimilars (A52370) The reference for Bevacizumab-adcd (Vegzelma®) listed under the Ophthalmologic Guidelines section of the article has been removed. [...]

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  • Posting Date: 01/27/2023
    Contractor Advisory Committee Meeting 3/16/2023: Hyaluronans

    Contractor Advisory Committee Meeting 3/16/2023: Hyaluronans National Government Services will host a CAC Meeting via teleconference on 3/16/2023, from 1:00–4:00 p.m. ET. Discussions will focus on the treatment of patients with Hyaluronans for [...]

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  • Posting Date: 02/01/2023
    Prior Authorization Outpatient Department Self-Service Inquiry Tools

    Prior Authorization Outpatient Department Self-Service Inquiry Tools National Government Services continues to see PARs submitted for non-prior authorization HCPCS codes as well as requests submitted on behalf of providers on exemption.  [...]

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  • Posting Date: 02/26/2022
    View Outstanding Overpayments

    View Outstanding Overpayments The View Outstanding Overpayments selection will provide a list of current outstanding overpayments for the provider account selected. In this section you have the opportunity to view/print an overpayment demand [...]

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  • Posting Date: 05/10/2022
    View Provider Earnings to Date

    View Provider Earnings to Date 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 Provider Earnings to Date from the [...]

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  • Posting Date: 01/30/2023
    Overlap/Dispute Process

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  • Posting Date: 02/06/2023
    Steps for Success in a Targeted Probe and Educate Review

    Steps for Success in a Targeted Probe and Educate Review We’ve provided tips and tricks to assist you with succeeding in a TPE review and the post-probe educational process. Content presented includes: Getting started with TPE Updating the [...]

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  • Posting Date: 02/08/2023
    End of Public Health Emergency Brings Change

    End of Public Health Emergency Brings Change The end of the PHE is near and you may have questions. CMS and National Government Services want to ensure a seamless transition from the flexibilities enacted as a result of the COVID-19 [...]

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  • Posting Date: 02/09/2023
    Hospice Cap Self-Reporting Reminder for the 2022 Cap Year

    Hospice Cap Self-Reporting Reminder for the 2022 Cap Year The hospice cap self-reporting for the 2022 cap year (10/1/2021-9/30/2022) is due no later than 2/28/2023. Hospice providers should submit the pro-forma calculation along with [...]

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  • Posting Date: 02/09/2023
    CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder

    CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder National Government Services has received many calls in relation to the CMS updates to the Clinical Laboratory Fee Schedule for 2023. Providers have identified instances of not [...]

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  • Posting Date: 02/10/2023
    MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023

    MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023     News Medicare Part B Drug Inflation Rebates HHS Releases Initial Guidance for Medicare Prescription Drug Inflation Rebate [...]

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  • Posting Date: 02/13/2023
    2023 Evaluation and Management Services – Prolonged Services

    2023 Evaluation and Management Services – Prolonged Services Based on recent CMS clarifications for 2023 Evaluation and Management Services, particularly for prolonged services, National Government Services is now revising some previously [...]

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  • Posting Date: 02/14/2023
    Home Health Claims Incorrectly Receiving Reason Code U538E

    HH final and adjusted claims with 2022 dates of service are receiving U538E incorrectly, when there is an older period on file. This prevents providers from being able to adjust these claims and update patient status from “06” to any other [...]

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  • Posting Date: 02/16/2023
    MLN Connects® Newsletter: February 16, 2023

    MLN Connects® Newsletter: February 16, 2023     News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Unprecedented Efforts to Increase Transparency of Nursing Home Ownership CMS Proposes [...]

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  • Posting Date: 02/17/2023
    New Service Added to the Hospital Outpatient Department Prior Authorization Program

    New Service Added to the Hospital Outpatient Department Prior Authorization Program Effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the HOPD services requiring prior authorization as a [...]

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  • Posting Date: 02/21/2023
    Bibliography for Hyaluronans CAC Meeting on 3/16/2023

    Bibliography for Hyaluronans CAC Meeting on 3/16/2023 George E. Intra-articular hyaluronan treatment for osteoarthritis. Ann Rheum Dis. Nov 1998;57(11):637-40. doi:10.1136/ard.57.11.637. https://ard.bmj.com/content/57/11/637.  [...]

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  • Posting Date: 02/21/2023
    Important Steps When Responding to Additional Development Response Letters

    Important Steps When Responding to Additional Development Response Letters When National Government Services requests documentation, you must send us only what has been requested. We are receiving numerous unnecessary documents from providers [...]

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  • Posting Date: 02/03/2023
    View 1099s

    View 1099s The Internal Revenue Service 1099 form is a collection of tax forms documenting different types of payments made by an individual or a business that typically isn't your employer. The 1099 portal forms are a courtesy copy and are [...]

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