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  • Posting Date: 01/03/2024
    Download PC Print

    Download PC Print Please select from the two available versions of PC Print below. PC Print 7.1.5 PC Print 9.3.2 For the most current CARC/RARC code sets with full narrative and business scenarios, please download PC Print 9.3.2. and [...]

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  • Posting Date: 04/09/2025
    32243

    Avoiding/Correcting This Error Review the claim and either update the charges or remove the line containing zero or blank charges. Return the claim for processing. 

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  • Posting Date: 04/09/2025
    32415

    Avoiding/Correcting This Error Append the “A6” condition code to the claim and F9 or resubmit.  Related Content CMS Internet-Only Manual Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section [...]

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  • Posting Date: 04/09/2025
    31836

    Avoiding/Correcting This Error Verify billing and, if appropriate, correct and resubmit the claim for payment. Related Content CMS PFS Look-up Tool Overview

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  • Posting Date: 04/09/2025
    31836

    Avoiding/Correcting This Error Verify billing and, if appropriate, correct and resubmit the claim for payment. Related Content MLN® Booklet: How to Use the PFS Look-up Tool

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  • Posting Date: 04/09/2025
    Acute Care Hospitals: Advance Beneficiary Notice of Noncoverage (CMS-R-131 Form) for Outpatient Services

    Acute care hospitals: Do you understand when and how to issue an Advance Beneficiary Notice of Noncoverage (ABN) for outpatient services? Join this session to learn more about the voluntary and mandatory ABN, three payment liability conditions, [...]

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  • Posting Date: 04/10/2025
    NGSConnex: Part B Redetermination Electronic Notification Letters

    National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex beginning in March 2025. During this webinar, we’ll share information and [...]

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  • Posting Date: 05/27/2021
    Submitting a Medicare GME Affiliation Agreement

    Submitting a Medicare GME Affiliation Agreement Table of Contents Submitting a Medicare GME Affiliation Agreement Jurisdiction K MAC (NGS) Jurisdiction 6 MAC (NGS) Submitting a Medicare GME Affiliation Agreement In [...]

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  • Posting Date: 04/09/2025
    Part A Top Reason Code changes

    Part A Top Reason Code changes National Government Services, Inc. updates the Top Claim Errors on our website each quarter to ensure our Part A providers have the latest information on top claim errors including denials, return to provider, [...]

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  • Posting Date: 05/15/2024
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Prohibition of AI Assistant Usage for Recording Medicare Sessions

    Prohibition of AI Assistant Usage for Recording Medicare Sessions National Government Services has observed a rise in attempts to use various AI assistants during NGS-hosted sessions. It is important to note that the CMS has a longstanding [...]

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  • Posting Date: 04/10/2025
    Benefits of Quitting Tobacco

    Benefits of Quitting Tobacco Quitting tobacco use in any form is one of the most important actions people can take to improve their health. This is true regardless of their age or how long they have been using tobacco products. While quitting [...]

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  • Posting Date: 05/30/2024
    ABF - Promo 1 (Think Green Go Paperless)

    Think Green Go Paperless /web/ngs/edi-solutions?selectedArticleId=907003

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  • Posting Date: 04/10/2025
    NGSConnex: Appeals, Clerical Error Reopenings and Prior Authorization Request

    This webinar is geared toward Part B providers who bill to Medicare on a CMS-1500 form. Did you ever wonder what you need to do when a claim denies, or if you made a clerical error on a claim? What about the time it takes to mail additional [...]

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  • Posting Date: 04/10/2025
    NGSConnex: Claim Status and Details, Remittance Advice and Submitting General Inquiries

    We aim to help providers maximize the benefits of NGSConnex, particularly in claims review. NGSConnex provides an in-depth view of claims submitted to and adjudicated by National Government Services. During this webinar, we’ll highlight its [...]

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  • Posting Date: 04/10/2025
    NGSConnex: Claim Status and Details, Remittance Advice and Submitting General Inquiries

    We aim to help providers maximize the benefits of NGSConnex, particularly in claims review. NGSConnex provides an in-depth view of claims submitted to and adjudicated by National Government Services. During this webinar, we’ll highlight its [...]

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  • Posting Date: 04/10/2025
    NGSConnex: Part B Financial Information

    If you manage finances for a Medicare Part B provider practice, NGSConnex offers valuable tools for organizing and settling payments, including overpayments. Local Security Officers can also access and print electronic versions of 1099 forms. [...]

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  • Posting Date: 04/10/2025
    NGSConnex: Part B Financial Information

    If you manage finances for a Medicare Part B provider practice, NGSConnex offers valuable tools for organizing and settling payments, including overpayments. Local Security Officers can also access and print electronic versions of 1099 forms. [...]

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  • Posting Date: 04/10/2025
    NGSConnex: Beneficiary Eligibility, Look Up and MBI Look Up

    This webinar is geared toward all lines of business. Knowing if your patient is Medicare-eligible is important for correct claims processing. Please join us for this NGSConnex portal webinar where we will review beneficiary eligibility and look [...]

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  • Posting Date: 04/10/2025
    Maintaining Your Provider Files

    During this webinar, we'll share information to aid you in maintaining accurate provider enrollment files for the internet-based CMS systems: Identity & Access Management System (I&A), National Plan & Provider Enumeration System (NPPES), and [...]

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  • Posting Date: 04/10/2025
    Overview of Evaluation and Management Services

    We've seen major changes to the evaluation and management code set over the last few years. In 2021, the AMA implemented changes to the office/other outpatient services codes. After working with those changes for two years the next phase was [...]

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  • Posting Date: 04/10/2025
    Medicare Global Surgery

    Global surgery policy was introduced into Medicare over thirty years ago and still today some of the concepts can be confusing. During this webinar, we'll go through the global surgery policy as it stands today, and cover when the global [...]

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  • Posting Date: 04/10/2025
    Medicare Part B - Submitting Medical Documentation Electronically

    During this webinar, we'll cover the enrollment, registration and methods available for submitting medical documentation to National Government Services. There will be time for your questions following the presentation.

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  • Posting Date: 04/10/2025
    Critical Care and Medicare Billing Compliance

    While critical care codes did not change with the 2021 or 2023 AMA CPT updates, there are a lot of guidelines for billing these services. During this webinar, we'll discuss critical care coding, what is and is not critical care, how to document [...]

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  • Posting Date: 04/10/2025
    Using NGSConnex to Prevent Eligibility Denials and Rejections

    During this webinar, we'll examine common eligibility denials and rejections for National Government Services Part B claims and provide strategies from NGSConnex to prevent them in future submissions. There will be time following the [...]

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  • Posting Date: 04/10/2025
    Medicare Review Contractors

    During this webinar, we'll assist Medicare providers with knowing the difference between the Medicare review contractors and understanding their role in the Medicare review process. We'll discuss the Supplemental Medical Review Contractor [...]

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  • Posting Date: 04/11/2025
    Medicare Compliance With the Incident To Provision

    Do you have nonphysician practitioners that are, or could be, providing services incident to the physicians in the practice? Are you following the Centers for Medicare & Medicaid Services (CMS) regulations for this program? Staying compliant [...]

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  • Posting Date: 04/11/2025
    Medicare Part B Targeted Probe and Educate Process

    Are you familiar with targeted probe and educate? Perhaps you've heard of it but are not sure what it entails. Either way, consider attending this webinar as we cover this important topic. We'll discuss everything you need to know so if you're [...]

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  • Posting Date: 04/11/2025
    Laboratory Part B Billing

    During this webinar, we'll review the Centers for Medicare & Medicaid Services billing requirements for laboratory and pathology services and includes appropriate modifier usage when submitting claims for laboratory/pathology services. There [...]

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  • Posting Date: 04/11/2025
    The National Correct Coding Initiative and Medically Unlikely Edits for Part B Providers

    This webinar will assist Part B providers with navigating tables for the National Correct Coding Initiative and the medically unlikely edits. We will also review proper modifiers to use to avoid denials. There will be time following the [...]

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  • Posting Date: 04/11/2025
    Fraud Prevention and Detection

    Please join us to increase your awareness of integrity issues and prevention of potential fraudulent and abusive practices against the Medicare Program. We will also review real life fraud cases. There will be time following the presentation to [...]

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  • Posting Date: 04/11/2025
    Medical Necessity and the Advance Beneficiary Notice

    Register for this webinar and learn how to properly administer the Advance Beneficiary Notice of Noncoverage (ABN) within the office setting. If you are a physician, nonphysician practitioner or office staff member and interested in learning [...]

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  • Posting Date: 04/11/2025
    Being Compliant by Avoiding Claim Denials, Reopenings and Redeterminations

    National Government Services is committed to reducing provider burden associated with Medicare claim denials, reopenings and appeals. Don’t wait until you receive the claim denials that will increase your time, effort, and cost to have the [...]

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  • Posting Date: 04/11/2025
    Critical Access Hospitals: Preparing and Submitting Compliant Inpatient Claims to Medicare

    In this webinar, critical access hospitals (CAHs) will learn how to properly prepare inpatient claims for submission to Medicare. We will review Medicare inpatient hospital benefit days, the Medicare benefit period, the applicable fields of [...]

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  • Posting Date: 04/11/2025
    MLN Connects® Newsletter: April 11, 2025

    MLN Connects® Newsletter: April 11, 2025 News Dr. Mehmet Oz Shares Vision for CMS Skilled Nursing Facility Value-Based Purchasing Program: March 2025 Confidential Feedback Reports Skilled Nursing Facilities: Revalidation Deadline is May 1 [...]

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  • Posting Date: 03/28/2025
    Call Center Planned Outage Status

    Call Center Planned Outage Offline Friday, 4/25/2025

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  • Posting Date: 04/04/2025
    MLN Connects® Newsletter: April 3, 2025

    MLN Connects® Newsletter: April 3, 2025 News Home Infusion Therapy & Intravenous Immune Globulin Services: Get Monitoring Reports Medicare Providers & Suppliers: Report Managing Employees External User Services Help Desk: New [...]

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  • Posting Date: 12/11/2024
    Provisional Period of Enhanced Oversight for New Hospices

    Provisional Period of Enhanced Oversight for New Hospices In recent years, CMS has reported a significant increase in fraudulent hospice billing practices, which cost the Medicare Program millions of dollars annually. The CMS has initiated a [...]

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  • Posting Date: 04/14/2025
    MLN Connects® Newsletter: April 14, 2025

    MLN Connects® Newsletter: April 14, 2025 FY 2026 Proposed Payment Rules CMS Seeks Public Input on Inpatient Hospital Whole-Person Care, Proposes Updates to Medicare Payments Inpatient Rehabilitation Facility Prospective Payment System [...]

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  • Posting Date: 04/14/2025
    Part B Spring 2025 VC

    Spring 2025 Virtual Conference Understanding Medicare Compliance for Part B Providers Tuesday, 6/3/2025 - Thursday, 6/5/2025 /documents/d/ngs/june-virtual-handout_508

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  • Posting Date: 04/14/2025
    Get Access to Keep Provider Enrollment Records Up To Date with Medicare

    Get Access to Keep Provider Enrollment Records Up To Date with Medicare If you need to manage Medicare enrollment information for an individual provider or entity electronically through PECOS, you must have authorized access. This access will [...]

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  • Posting Date: 04/11/2025
    National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite

    National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite Attention Ambulance Suppliers and Providers Join the first virtual National A/B MAC Ambulance Provider/Supplier Coalition meeting during EMS Week: Thursday, 5/22/2025 from [...]

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  • Posting Date: 05/05/2021
    Description of NPI and a Link to NPPES Registry

    Description of NPI and a Link to NPPES Registry   As mandated by HIPAA, you should maintain (verify and update) your NPI data via NPPES on a regular basis. The NPI: is a ten-digit number and must be submitted on the enrollment form, [...]

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  • Posting Date: 05/05/2021
    Description of NPI and a Link to NPPES Registry

    Description of NPI and a Link to NPPES Registry As mandated by HIPAA, you should maintain (verify and update) your NPI data via NPPES on a regular basis. The NPI: is a ten-digit number and must be submitted on the enrollment form, will [...]

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  • Posting Date: 05/05/2021
    Description of NPI and a Link to NPPES Registry

    Description of NPI and a Link to NPPES Registry   As mandated by HIPAA, you should maintain (verify and update) your NPI data via NPPES on a regular basis. The NPI: is a ten-digit number and must be submitted on the enrollment form, [...]

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  • Posting Date: 04/14/2025
    Introduction to Medicare Part II

    Join us for Introduction to Medicare Part II to enhance your understanding of Medicare Part B. Topics include Local Coverage Determinations, Claim Filing Guidelines, Preventive Services, Front Office Assistance, Medigap/Supplemental/Advantage [...]

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  • Posting Date: 08/24/2022
    Description of NPI and a Link to NPPES Registry

    Description of NPI and a Link to NPPES Registry   As mandated by HIPAA, you should maintain (verify and update) your NPI data via NPPES on a regular basis. The NPI: is a ten-digit number and must be submitted on the enrollment form, [...]

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  • Posting Date: 04/15/2025
    Part B Spring 2025 Virtual Conference: Register Now

    Register Now! Register now for the 2025 Spring Part B Virtual Conference: Understanding Medicare Compliance for Part B Providers happening on June 3–5,2025. This event will offer innovative ideas and broaden your expertise in Medicare [...]

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  • Posting Date: 04/15/2025
    Acute Care Hospitals Preparing Inpatient Claims: The Basics Part 1

    This is part 1 of a 2-part webinar event (part 2 will be on 04/24/2025). In part 1, Acute Care Hospitals (ACH) will learn how to properly complete inpatient claims for submission to Medicare. We will review general inpatient ACH information [...]

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  • Posting Date: 04/13/2025
    Preventive Services: Initial Preventive Physical Examination and Annual Wellness Visit

    Ensure that your patients obtain the wellness examinations they are eligible for by knowing the differences between the initial preventive physical examination and annual wellness visit. During this webinar, we'll review the coverage, coding [...]

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  • Posting Date: 09/09/2024
    EDI Front End Clinical Edits

    EDI Front End Clinical Edits EDI is continuing to implement EDI clinical business edits into the NGS EDI front end. These edits assist in proactively alerting providers of potential claim issues and provide resources to assist with avoiding [...]

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  • Posting Date: 04/15/2025
    Depression Screening: Promoting Good Health Through Disease Prevention and Detection

    Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep your patients from getting certain diseases. Register today for an [...]

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  • Posting Date: 04/15/2025
    Medicare Secondary Payer: The Fundamentals Part 1

    This is part 1 of a 2-part webinar. In part 1, we introduce our Part A providers to the fundamentals (basics) of Medicare Secondary Payer (MSP) by providing a high-level overview of the Group Health Plan (GHP) and non-GHP MSP provisions. We [...]

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  • Posting Date: 04/15/2025
    Medicare Secondary Payer: The Fundamentals Part 2

    This is part 2 of a 2-part webinar. In part 2, we continue to introduce our Part A providers to Medicare Secondary Payer (MSP) by providing a high-level overview of your MSP responsibilities per your Medicare provider agreement. You will learn [...]

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  • Posting Date: 04/15/2025
    Collaborative Surgical Dressings Webinar Coming May 6, 2025

    Collaborative Surgical Dressings Webinar Coming May 6, 2025 This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of surgical dressings. Representatives from all four [...]

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  • Posting Date: 01/18/2022
    Quarterly Top Ten Institutional EDI Edits

    Quarterly Top Ten Institutional EDI Edits National Government Services EDI has identified the following top ten CEM edits that were received during Q1 2025 on the 277CA (Claims Acknowledgement) report for 837I 5010A1 formatted [...]

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  • Posting Date: 01/18/2022
    Quarterly Top Ten Part B EDI Edits

    Quarterly Top Ten Part B EDI Edits National Government Services EDI has identified the following Top Ten CEM edits that were received during the Q1 2025 on the 277CA (Claims Acknowledgement) report for 837P 5010A1 formatted claims. The [...]

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  • Posting Date: 11/25/2024
    Termination of the Hospice Benefit Component of the VBID Model on 12/31/2024

    Termination of the Hospice Benefit Component of the VBID Model on 12/31/2024 After carefully considering recent feedback about the increasing operational challenges of the Hospice Benefit Component and limited and decreasing participation [...]

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  • Posting Date: 04/16/2025
    Counseling to Prevent Tobacco Use

    In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

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