National Correct Coding Initiative

Remittance Advice

RuralServ

Telehealth

How to File an Appeal with Original Medicare

State Health Insurance Assistance Program

Verify and Manage Signatures

Incident To Services

PECOS Correct and Resubmit Application Instructions

J6 Medicare Secondary Payer Overpayment Request Form

Fee-for-Service Home Health Beneficiary Notice of Noncoverage

Form CMS-339, Transmittal 8

Medicare FQHC PWK Fax/Mail Cover Sheet

Overpayment Recovery Unit FQHC Voluntary Refund Form

Medical Nutrition Therapy

Diabetes Self-Management Training

Diabetes Screening

JK Medicare Secondary Payer Part B Carrier Voluntary Refund Form

Beneficiary Notices Initiatives

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)

Request an Immediate Recoupment

National Government Services has implemented a standardized “immediate recoupment” process that gives you the option to avoid interest from accruing on claims overpayments when the debt is recouped in full prior to or by the 30th day from the [...]

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 voluntary refund form. A separate refund form is needed for [...]

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 [...]

Medical Policy Contact Information

Fee-for-Service Expedited Determination Notices

EDI E-mail Inquiry Form

PC-ACE

Administrative Simplification Compliance Act

Provider Request for PS&R Form

USA.gov

Claims

Electronic Data Interchange Help Desk E-mail Terms of Service_ALOB

Electronic Data Interchange Help Desk Email Terms of Service Any entity sending information/requests to the National Government Services EDI Help Desk via email agrees to the following guidelines and any underlying guidelines of National [...]

MLN Connects® Special Edition for Wednesday, June 9, 2021

MLN Connects® Special Edition for Wednesday, June 9, 2021 Biden Administration Continues Efforts to Increase Vaccinations by Bolstering Payments for At-Home COVID-19 Vaccinations for Medicare Beneficiaries As part of President Biden’s [...]

MLN Connects® Special Edition for Monday, March 15, 2021

MLN Connects® Special Edition for Monday, March 15, 2021 Biden-Harris Administration Increases Medicare Payment for Life-Saving COVID-19 Vaccine On March 15, CMS increased the Medicare payment amount for administering the COVID-19 vaccine. [...]

Payment Withholding Information

Payment Withholding Information What Is a Payment Withholding? Why Are Payments Withheld? Who Can I Contact for Further Assistance? What About Cost Report Interim and Final Settlement Withholdings? What Is a Payment Withholding? An [...]

Medicare Compliance

AppealsDecisionTreePartATop

Appeals Decision Tree

Appeals Decision Tree Part B Bottom

Appeals Decision Tree Part B Top

Appeals Decision Tree

AppealsDecisionTreePartABottom

Behavioral Health Integration Services for Primary Care Providers

Behavioral Health Integration Services for Primary Care Providers Medicare BHI service for your patients that do not require the use of a behavioral health care team. Primary care physicians who are treating Medicare patients with [...]

CMS Helpful Links

CMS Helpful Links

CMS Helpful Links

DME MAC Jurisdiction A

DME MAC Jurisdiction B

DME MAC Jurisdiction C

DME MAC Jurisdiction D