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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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Posting Date: 04/16/2025
Acute Care Hospitals Preparing Inpatient Claims: Taking a Deeper Dive Part 2
This is part 2 of a 2-part webinar event (part 1 will be held on 4/17/2025). In part 2, Acute Care Hospitals (ACH) will learn how to complete inpatient claims for submission to Medicare in a variety of situations. Topics include bill types, [...]
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Posting Date: 04/16/2025
Federally Qualified Health Center Basic Billing and Reimbursement
Are you a federally qualified health center (FQHC) provider eager to deepen your understanding of billing and reimbursement under FQHC prospective payment system (PPS)? Whether you're new to the role or just need a refresher, this webinar is for you!
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Posting Date: 04/08/2025
[URGENT] NGSConnex Experiencing Intermittent Issues
NGSConnex Experiencing Intermittent Issues We are experiencing intermittent outages with NGSConnex. This is impacting Part A providers only. In some cases when a provider account is selected to perform a transaction such as ‘Eligibility [...]
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Posting Date: 04/17/2025
Medicare Secondary Payer: Let’s Chat About Preparing MSP and Conditional Claims
Were you unable to attend our Medicare Secondary Payer (MSP) and/or Conditional Billing webinars in January and February? Do you have questions about these topics? If so, join us for this "Let's Chat" session! You may ask questions and receive [...]
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Posting Date: 04/17/2025
Learn Over Lunch-NGSConnex Introduction
Are you considering utilizing NGSConnex and want to learn more about this portal? During this brief webinar, we will provide an overview of NGSConnex and all it has to offer.
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Posting Date: 07/07/2021
MSP Right Hand
Helpful Resources BCRC Contact Information Note: Providers should not contact the BCRC to set up new MSP records. Instead, report MSP coding on your MSP and conditional claims. Providers should not contact the BCRC to correct MSP records to [...]
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Posting Date: 04/17/2025
Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information
Are you responsible for looking up whether a service is covered in the Medicare Program at your facility but you're not sure where to look for the most relevant information? As a healthcare provider, you are responsible for understanding and [...]
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Posting Date: 04/17/2025
New P.O. Boxes for Part B Claim Submitters in Connecticut and New York (Upstate Counties and Queens)
New P.O. Boxes for Part B Claim Submitters in Connecticut and New York (Upstate Counties and Queens) Effective 5/19/2025, National Government Services (NGS) is closing the following Paper Claim Submission P.O. Boxes: P.O. Box 6185 [...]
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Posting Date: 11/21/2024
Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q)
Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q) This stringent claim editing process helps ensure that Medicare does not make payments for services rendered to beneficiaries who are not eligible due to being [...]
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Posting Date: 12/09/2024
Incarcerated or Unlawfully present in the US claim rejections (U538H, U538Q)
Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q) This stringent claim editing process helps ensure that Medicare does not make payments for services rendered to beneficiaries who are not eligible due to being [...]
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Posting Date: 04/17/2025
MLN Connects® Newsletter: April 17, 2025
MLN Connects® Newsletter: April 17, 2025 News Clotting Factors: Medicare Part B Pays for Alhemo & Qfitlia Skilled Nursing Facilities: Revalidation Deadline Extended to August 1 Raise Awareness & Understanding of Alcohol Use and [...]
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Posting Date: 03/11/2025
April Code Set Update for PC Print: April 2025
April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements: CR13891 Implement Operating Rules – Phase III [...]
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Posting Date: 04/08/2025
April Code Set Update for PC Print: April 2025
April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements: CR13891 Implement Operating Rules - Phase III [...]
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Posting Date: 04/08/2025
New Version of PC-ACE: April 2025
New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]
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Posting Date: 05/25/2022
Illinois, Minnesota, Wisconsin
Member Name Group Email Aldrich, Elizabeth IPW (Independent Physicians of Wisconsin), Allen Family Practice ealdrich@ipw-offices.org Anderson, Benita Aurora Health Care Benita.Anderson@aurora.org [...]
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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 [...]
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Posting Date: 06/07/2024
Exemption Process for the Prior Authorization Program for Certain Hospital Outpatient Department Services
The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization program for certain hospital outpatient department (OPD) services for date of service (DOS) on or after 7/1/2020 and subsequently added an exemption process. [...]
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Posting Date: 01/08/2025
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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Posting Date: 01/02/2025
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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Posting Date: 01/08/2025
Ambulance Services and Establishing Medical Necessity for Part B Providers
This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.
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Posting Date: 01/22/2025
Medicare Secondary Payer: Preparing and Submitting Claims – Part 1
Join us for Part 1 of a two-part webinar. In Part 1, we will review Medicare Secondary Payer (MSP) claim coding and how to prepare/submit an MSP claim. This includes a review of the claim entry pages in the Fiscal Intermediary Standard System [...]
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Posting Date: 01/24/2025
Medicare Secondary Payer: Preparing and Submitting Claims (Examples) – Part 2
Join us for Part 2 of a two-part webinar. In Part 2, we will briefly recap the Medicare Secondary Payer (MSP). Claim coding and billing instructions we reviewed in Part 1. We will then focus on reviewing examples of MSP claims. Be sure you are [...]
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Posting Date: 01/10/2025
Submitting Revalidation via PECOS
During this webinar, we’ll provide an understanding of how to utilize the Centers for Medicare & Medicaid Services (CMS) Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a [...]
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Posting Date: 01/28/2025
Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information
Are you responsible for looking up whether a service is covered in the Medicare program at your facility but you're not sure where to look for the most relevant information? Have you received national coverage determination (NCD) or local [...]
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Posting Date: 01/07/2025
Inpatient Psychiatric Facilities: Three-Day or Less Interruptions
To prevent return to provider (RTP) claims, join us for this webinar in which we will review “three-day or less interruptions” in a beneficiary’s inpatient psychiatric facility (IPF) stay, how to count the interruption days, how to report [...]
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Posting Date: 01/16/2025
Preventive Services Overview
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 a [...]
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Posting Date: 01/02/2025
Preventive Services: Flu and PPV Vaccines
During this webinar, we will review the coverage, coding and billing guidelines under Medicare Part B for Influenza and Pneumococcal Pneumonia Virus vaccinations.
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Posting Date: 03/06/2025
Home Health and Hospice New Provider Orientation
This webinar is designed for new home health and hospice agencies in an effort to provide essential information on: Doing business with National Government Services as your Medicare Administrative Contractor (MAC), self-service tools to help [...]
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Posting Date: 01/17/2025
Home Health Billing Part Two: The Period of Care Claim
Part two of this home health billing series focuses on the period of care claim, how reimbursement is determined under the Patient-Driven Groupings Model and review of the key billing requirements for claim billing. This session is a great [...]
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Posting Date: 01/17/2025
Home Health Billing Part One: The Notice of Admission
Provider Outreach and Education is hosting a two-part home health billing series. Part one will focus on what you need to know before billing, verifying eligibility, and the required fields to properly submit the Notice of Admission (NOA). This [...]
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Posting Date: 01/17/2025
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: 02/06/2025
Provider Enrollment: Opioid Treatment Program
During this webinar, we’ll provide a brief overview of an Opioid Treatment Program (OTP) provider, an understanding of submitting the CMS-855A or CMS-855B paper application and how to complete the provider enrollment Internet-based Provider [...]
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Posting Date: 02/17/2025
Medicare Secondary Payer: Preparing and Submitting Conditional Claims (Examples) – Part 2
Join us for Part 2 of a two-part webinar. In Part 2, we will briefly recap the conditional claim coding and billing instructions we reviewed in Part 1 (on 2/26/2025). We will then focus on reviewing examples of conditional claims. A conditional [...]
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Posting Date: 01/21/2025
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'll also review proper modifiers to use to avoid denials. There will be time for your questions [...]
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Posting Date: 01/17/2025
Reducing Unprocessable Claims
When claims are submitted with invalid, incomplete or incorrect information, our claims processing system will detect these errors and will reject claims as unprocessable. Our goal is to assist our providers in submitting claims correctly the [...]
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Posting Date: 01/09/2025
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: 02/04/2025
Understanding the Reopening and Appeal Process Open Forum
National Government Services is committed to reducing provider burden associated with Medicare claim denials, reopenings and appeals. Filing an inquiry on a Medicare claim can be frustrating and costly to your organization. This delay in [...]
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Posting Date: 01/23/2025
Medicare Secondary Payer Provisions Group and Nongroup Health Plans
Who pays first? This Medicare Secondary Payer learning session will be on the provisions of group health plans that include working aged, disability and end stage renal disease and nongroup health plans that include auto, liability, no-fault, [...]
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Posting Date: 02/06/2025
Proper 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: 02/20/2025
Steps to Claim Corrections
This webinar includes the top continuous errors we find at National Government Services with claim submissions. Join us to learn how to correct your claims. We will also include an interactive segment on the different claim scenarios that cause [...]
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Posting Date: 02/13/2025
Acute Care Hospitals: A Peek Inside the Three-Day Payment Window
To prevent return to provider (RTP) claims, join us for this webinar in which we will review the three-day payment window policy (a.k.a. bundling, preadmission services, diagnosis-related group [DRG] window, 72-hour rule) and provide billing [...]
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Posting Date: 01/30/2025
Long-Term Care Hospitals: Interruptions
To prevent return to provider (RTP) claims, join us for this webinar in which we will review “three-day or less interruptions” as well as “greater than three-day interruptions” in a beneficiary’s long term care hospital (LTCH) stay, how to [...]
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Posting Date: 01/28/2025
Billing Telehealth Services for Part B Providers
During this webinar, we’ll provide you with insight into covered Medicare telehealth services and coverage requirements. We’ll discuss originating sites, distant sites and billing and payment guidelines. Note: registration has reached maximum [...]
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Posting Date: 01/16/2025
Let’s Chat: Prior Authorization for Certain Hospital Outpatient Department Services
This Let’s Chat session focuses on Prior Authorization for certain hospital outpatient department (OPD) services and is an informal opportunity for you to chat with our staff about the selected topic. During the session, you may ask us [...]
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Posting Date: 01/29/2025
NGSConnex: Part B Redetermination Notifications
Beginning in March 2025, National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex. During this webinar, we’ll share information and [...]
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Posting Date: 01/29/2025
NGSConnex: Part B Redetermination Notifications
Beginning in March 2025, National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex. During this webinar, we’ll share information and [...]
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Posting Date: 01/02/2025
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: 01/02/2025
Provider Enrollment Revalidation Overview
During this webinar, learn about important changes in the revalidation process, how to determine Medicare enrollment revalidation due date and information to avoid disruption in Medicare billing.
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Posting Date: 01/06/2025
Provider Enrollment: Completing the CMS-855A Paper Application
During this webinar, we’ll provide an understanding of how to complete the CMS-855A provider enrollment paper application.
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Posting Date: 01/07/2025
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: 01/07/2025
Inpatient Rehabilitation Facilities: Three-Day or Less Interruptions
To prevent return to provider (RTP) claims, join us for this webinar in which we will review “three-day or less interruptions” in a beneficiary’s inpatient rehabilitation facility (IRF) stay, how to count the interruption days, how to report [...]
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Posting Date: 01/03/2025
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: 01/10/2025
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: 01/10/2025
PECOS: Manage Signatures and Additional Information Requests
During this webinar, we’ll give direction for the Provider Enrollment, Chain and Ownership System (PECOS) application on understanding how to manage signatures and respond to additional information request from submitted applications.
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Posting Date: 01/21/2025
Proper 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: 02/07/2025
The Medicare Appeals Process: What You Need to Know
This informative session will help you navigate Medicare’s appeals process by providing information on what an appeal is, how to determine if a claim can be appealed, who may file an appeal, the appeal levels, timeframes and documentation [...]
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