MPFS Resources

Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. You must select Details to view policy indicator information. Full descriptions for policy indicators and values displayed can be found on the Fee [...]

Overpayment Recovery Tool Page Top

Overpayment Recovery Tool The Overpayment Recovery Tool will allow you to quickly access information regarding overpayments identified by the DME MAC. Once you receive your overpayment demand letter, this tool will allow you [...]

LCD and Associated Billing and Coding Article Updates for July/August 2021

LCD and Associated Billing and Coding Article Updates for July/August 2021 July 2021 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The following clarification has been added to the Documentation Requirements for [...]

Fee Schedule Lookup

GlobalPeriodCalculator Top

90-Day Global Period Calculator for Major SurgeriesTo determine when the global period ends for a major surgical procedure with a 90-day global period, please enter the date of the surgery in MM/DD/YY or MM/DD/YYYY format and select Calculate. [...]

90-Day Global Period Calculator

PTAN, HICN, MBI, DCN Converter Top Content

This tool will convert your Provider Transaction Access Number (PTAN), the beneficiary's Medicare Health Insurance Claim number (HICN), or the Medicare Beneficiary Identifier (MBI), and/or the Document Control Number (DCN) into a numeric format [...]

Beneficiary Name to Number Converter Bottom Content

Enter the numeric sequence returned below in the Phone Value = field into the IVR exactly as it appears (including the #).

Beneficiary Name to Number Converter Top Content

This tool will help you to convert the beneficiary's name into a numeric format for easy input into the National Government Services interactive voice response (IVR) system.In the Name = field, enter the beneficiary's name using the following [...]

PTAN, HICN, MBI, DCN Converter Bottom Content

Enter the numeric sequence returned below in the Phone Value = field into the IVR exactly as it appears (including the #).Reminder: You can also key in the beneficiary's HICN/MBI by keying the numbers and using the information in the IVR [...]

Interactive Voice Response Conversion Tools

Check Provider Enrollment Application Status

Podiatry Bottom Page

Note: Routine foot care services are considered medically necessary once (1) in 60 days. More frequent services will be considered not medically necessary. There must be 60 full days between the dates of service for routine foot care coverage.

Podiatry Top Page

Podiatry CalculatorUse this calculator to determine the next eligible date that the patient can receive coverage for routine foot care. Please enter the date of service the patient last received podiatry care in MM/DD/YY or MM/DD/YYYY format [...]

Podiatry Calculator

G0179 Frequency Calculator

Enrollment

Enrollment

Fee Schedules

Maximum Payment Limits for Rural Health Centers

Ambulance Fee Schedule

Clinical Laboratory Fee Schedule

DMEPOS Fee Schedule

Hospice Pricer Tool

Opioid Treatment Programs Payment Rates

Physician Fee Schedule

FQHC PPS

Hospital Outpatient PPS

Inpatient PPS PC Pricer

Fee Schedules & Pricers

Claims and Appeals

Overpayment-Part B

Immediate Recoupment Request Form - Electronic/E-mail Complete this online form to initiate a request for immediate recoupment of overpayment(s). All fields are required and the form must be completed in its entirety prior to submitting [...]

Overpayment E-mail-Durable Medical Equipment

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Please do not reply to this message. This e-mail address is automated, unattended, and cannot help with questions or requests. Thank you for using the National [...]

KeKy Top Page

KE/KY Code Search Tool The KE/KY Modifier Search Tool is currently undergoing maintenance in order to incorporate the changes as clarified in MLN Matters 8864. An Email Update will be sent out once the tool is updated and [...]

DMEPOS Form Description

Profile Update E-mail

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EDI E-mail Inquiry Form Top

EDI E-mail Inquiry Form CMS does not allow National Government Services to accept PHI or PII via e-mail. Please do not include any PHI/PII. The EDI Support Services team does not need this information to assist with 5010, 999, 277CA, and [...]

OverpaymentResults-Part A

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Thank you for using the National Government Services Immediate Recoupment Request Form - Electronic/E-mail. Your request has been received and will be processed within [...]

Overpayment-Home Health and Hospice

Immediate Recoupment Request Form - Electronic/E-mail Complete this online form to initiate a request for immediate recoupment of overpayment(s). All fields are required and the form must be completed in its entirety prior to submitting [...]

Overpayment Results-Durable Medical Equipment

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Thank you for using the National Government Services Immediate Recoupment Request Form - Electronic/E-mail. Your request has been received and will be processed within [...]

Unsubscribe Enter E-mail Step Description

Unsubscribe To get started, please validate your e-mail address account information. Step 1:  Please enter your e-mail address and password:

Manage Account Confirmation Page Content

Manage Account Thank you for your recent submission! What you can expect: A confirmation e-mail will be sent to the e-mail address under which you registered your account.

Password Reminder E-mail Text

Please use the following password to access your National Government Services E-mail Update account. Password: $|PASSWORD|$ Sincerely, National Government Services, Inc. http://www.NGSMedicare.com

CP/CSW Resources

Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. Locality/Area and County Information for New York Locality/Area Counties 01 Manhattan 02 [...]

Overpayment Results-Part B

Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Thank you for using the National Government Services Immediate Recoupment Request Form - Electronic/E-mail. Your request has been received and will be processed within [...]

Conflict of Interest Disclosure

Contractor Advisory Committee (CAC)

Investigational Device Exemption Request

LCD Open Meetings

Comprehensive Error Rate Testing

Fraud & Abuse

Medical Review

Prior Authorization

Recovery Audit