Electronic Funds Transfer Right Hand

Helpful Resources Check Provider Enrollment Application Status Log Into PECOS JK Mailing Address: National Government Services, Inc. P.O. Box 7149 Indianapolis, IN 46207-7149 Interactive Voice Response: 877-869-6504 Contact Enrollment: [...]

Electronic Funds Transfer_JKA

Helpful Resources Check Provider Enrollment Application Status Log Into PECOS JK Mailing Address: National Government Services, Inc. P.O. Box 7149 Indianapolis, IN 46206-7149 Contact Enrollment: 855-593-8047 Hours Available: [...]

Electronic Funds Transfer Right Hand_J6B

Helpful Resources Check Provider Enrollment Application Status Log Into PECOS J6 Mailing Address: National Government Services, Inc. P.O. Box 6475 Indianapolis, IN 46206-6475 Interactive Voice Response: 877-908-9499 Contact Enrollment: [...]

Deactivation, suspension and reactivation_J6A

Helpful Resources Check Provider Enrollment Application Status Log Into PECOS J6 Mailing Address: National Government Services, Inc. P.O. Box 6474 Indianapolis, IN 46206-6474 Contact Enrollment: 855-834-5596 Hours Available: [...]

Deactivation, suspension and reactivation Right Hand

Helpful Resources Log Into PECOS Form(s) you'll need: Enrollment Forms

Deactivation, suspension and reactivation_JKA

Helpful Resources Check Provider Enrollment Application Status Log Into PECOS JK Mailing Address: National Government Services, Inc. P.O. Box 7149 Indianapolis, IN 46206-7149 Contact Enrollment: 855-593-8047 Hours Available: [...]

Deactivation, suspension and reactivation Right Hand_J6B

Helpful Resources Log Into PECOS Form(s) you'll need: Enrollment Forms

Confirm Eligibility to Enroll Right Hand

Helpful Resources Check Provider Enrollment Application Status Log Into PECOS Pay Application Fee JK Mailing Address: National Government Services, Inc. P.O. Box 7149 Indianapolis, IN 46207-7149 Interactive Voice Response: 877-869-6504 [...]

Confirm Eligibility to Enroll Right Hand_J6B

Helpful Resources Check Provider Enrollment Application Status Log Into PECOS Pay Application Fee J6 Mailing Address: National Government Services, Inc. P.O. Box 6475 Indianapolis, IN 46206-6475 Interactive Voice Response: 877-908-9499 [...]

NGSConnex Right Hand

Helpful Resources Log Into NGSConnex NGSConnex User Guide NGSConnex Contact Info 866-590-6724 Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Washington, American Samoa, Guam, Northern Mariana Island 866-289-0423 Connecticut, [...]

NGSConnex Right Hand

Helpful Resources Log Into NGSConnex NGSConnex User Guide NGSConnex Contact Info 866-234-7340 Select Option 2 for NGSConnex Portal access, administration,or site performance assistance. Hours of Operation*: Monday-Friday 8:00 a.m-4:00 p.m. [...]

NGSConnex Right Hand

Helpful Resources Log Into NGSConnex NGSConnex User Guide NGSConnex Contact Info 866-837-0241 Select Option 2 for NGSConnex Portal access, administration,or site performance assistance. Hours of Operation*: Monday-Friday 8:00 a.m-4:00 p.m. [...]

NGSConnex Right Hand

Helpful Resources Log Into NGSConnex NGSConnex User Guide NGSConnex Contact Info 888-855-4356 Select Option 2 for NGSConnex Portal access, administration,or site performance assistance. Hours of Operation*: Monday-Friday 8:00 a.m-4:00 p.m. [...]

NGSConnex Right Hand

Helpful Resources Log Into NGSConnex NGSConnex User Guide NGSConnex Contact Info 877-702-0990 Select Option 2 for NGSConnex Portal access, administration,or site performance assistance. Hours of Operation*: Monday-Friday 8:00 a.m-4:00 p.m. [...]

NGSConnex Right Hand

Helpful Resources Log Into NGSConnex NGSConnex User Guide NGSConnex Contact Info 877-702-0990 Select Option 2 for NGSConnex Portal access, administration,or site performance assistance. Hours of Operation*: Monday-Friday 8:00 a.m-4:00 p.m. [...]

MSP Right Hand

Helpful Resources MSP Questionnaire Example

Recovery Audit Part A

RAC Contact Information Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT Performant Recovery, Inc. 866-201-0580 Email Website Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI Performant Recovery, Inc. [...]

Recovery Audit Part B

RAC Contact Information Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT Performant Recovery, Inc. 866-201-0580 Email Website Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI Performant Recovery, Inc. [...]

Recovery Audit HHH

RAC Contact Information Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT Performant Recovery, Inc. 866-201-0580 Email Website Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI Cotiviti, LLC 866-360-2507 Email [...]

Recovery Audit FQHC

RAC Contact Information Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT Performant Recovery, Inc. 866-201-0580 Email Website Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI Cotiviti, LLC 866-360-2507 Email [...]

FQHC Content

Helpful Resources CERT Denial Finder CERT Task Force CMS CERT Compliance Options for submitting medical records to CERT Include barcode coversheet with all submissions. Option to submit Electronic using esMD: More information on esMD can be [...]

HHH Content

Helpful Resources CERT Denial Finder CERT Task Force CMS CERT Compliance Options for submitting medical records to CERT Include barcode coversheet with all submissions. Option to submit Electronic using esMD: More information on esMD can be [...]

Part A Content

Helpful Resources CERT Denial Finder CERT Task Force CMS CERT Compliance Options for submitting medical records to CERT Include barcode coversheet with all submissions. Option to submit Electronic using esMD: More information on esMD can be [...]

Part B Content

Helpful Resources CERT Denial Finder CERT Task Force CMS CERT Compliance Options for submitting medical records to CERT Include barcode coversheet with all submissions. Option to submit Electronic using esMD: More information on esMD can be [...]

Medicare Participating Physicians Directory

Medicare Participating Physicians Directory The 2024 MEDPARD is now available. It includes all Part B providers in Jurisdiction 6 and Jurisdiction K who have agreed to accept assignment on all Medicare-covered services. The updated list is [...]

Appeals Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator YouTube Video: Holistic Approach to Avoiding Administrative Burden Form(s) you'll need: Appeal Forms  

Level of Appeals Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Form(s) you'll need: Appeal Forms

Reopenings JK Part B Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Mailing Address: National Government Services, Inc. P.O. Box 7111 | Indianapolis, IN 46207-7111 Telephone Reopening Unit: NY: 888-812-8905, press 1 CT: 888-812-8905, press 2 [...]

Reopenings J6 Part B Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Mailing Address: National Government Services, Inc. P.O. Box 6475 | Indianapolis, IN 46206-6475 Telephone Reopening Unit: IL: 877-867-3418 Press 1 MN: 877-867-3418 Press 2 [...]

Reopenings J6 Part A Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Mailing Address: National Government Services, Inc. Appeals Department P.O. Box 6474 Indianapolis, IN 46206-6474 Form(s) you'll need: Clerical Error/Omission Reopening Request Form

Reopenings JK Part A Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Mailing Address: National Government Services, Inc. Appeals Department P.O. Box 7111 Indianapolis, IN 46207-7111 Form(s) you'll need: Clerical Error/Omission Reopening Request Form

Reopenings J6 Part A Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Mailing Address: National Government Services, Inc. Attn: Appeals P.O. Box 6474 Indianapolis, IN 46206-6474 Form(s) you'll need: Clerical Error/Omission Reopening Request Form

Overpayments Right Hand

Form(s) you'll need: Medicare Credit Balance Report Form and Instructions (CMS-838) Medicare Credit Balance Report (CMS-838) Excel Spreadsheet Jurisdiction 6 Part A Voluntary Refund Form Immediate Recoupment Request Form – [...]

Overpayments Right Hand

Form(s) you'll need: Medicare Credit Balance Report Form and Instructions (CMS-838) Medicare Credit Balance Report (CMS-838) Excel Spreadsheet Jurisdiction K Part A Voluntary Refund Form Immediate Recoupment Request Form – [...]

MBI Right Hand

Helpful Resources Log Into NGSConnex IVR Conversion Tool

EDI Email Inquiry Form Right Hand

Helpful Resources EDI Help Desk E-mail Terms of Service EDI Inquiry Form Assistance Protected Health Information and Personally Identifiable Information E-mail Guidelines

LCD and Billing and Coding Article Updates January/February 2024

LCD and Billing and Coding Article Updates January/February 2024 Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG) (A59105) A list of labeled and compendia approved diagnoses have been added to the Group 2 section for [...]

MLN Connects® Newsletter: January 25, 2024

MLN Connects® Newsletter: January 25, 2024 News CMS Announces New Actions to Help Hospitals Meet Obligations under EMTALA CMS Announces New Model to Advance Integration in Behavioral Health Doctor & Clinician Utilization (Procedure [...]

Submit Supporting Documentation

We encourage you to submit cost reports and supporting documentation electronically whenever possible. In addition to the environmental benefits of this approach, it is also more time and cost efficient. The following documents should be sent [...]

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2024

Fiscal Intermediary Standard System Direct Data Entry Screen Changes – January 2024 The January 2024 quarterly system release was implemented on 1/2/2024 with two minor changes to certain DDE screens. The following four screens had changes to [...]

A/B DME MAC Collaborative Webinar: General Documentation Requirements

A/B DME MAC Collaborative Webinar: General Documentation Requirements Physicians/Practitioners! Are you ordering durable medical equipment, prosthetics, orthotics and supplies for your patients? This is your opportunity to hear directly from [...]

KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims CY 2024

KX Modifier on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims Calendar Year 2024 KX Modifier Threshold The BBA of 2018 repealed application of the Medicare outpatient therapy caps but retains the former [...]

2023 Calendar Year 1099 Form Information

2023 Calendar Year 1099 Form Information National Government Services will mail all 1099 Forms for Calendar Year 2023 by 1/31/2024 Medicare providers and beneficiaries, who are serviced by NGS regardless of their location, will receive a [...]

2024 Telehealth Billing – Item 32 Address Completion Clarification

2024 Telehealth Billing – Item 32 Address Completion Clarification    National Government Services is providing this article for clarification on the billing of telehealth services; specifically, the completion of Item 32 on [...]

Collect and Report Retirement Dates on Medicare Claims

Table of Contents Collect and Report Retirement Dates on Medicare Claims Recording Retirement Dates in the Provider’s Records Reporting Retirement Dates on Claims Related Content [Return to Top] Collect and Report Retirement Dates on [...]

Determine if Medicare will Make an MSP Payment

Table of Contents Step 1: Determine if Medicare Will Make an MSP Payment MSP Payment May be Made If: No MSP Payment is Made by Medicare If: Step 2: Determine the Amount of Secondary Benefits Billing Reminders Which Can [...]

Determine Beneficiary Responsibility on an MSP Claim

Table of Contents Determine Beneficiary Responsibility on an MSP Claim Step 1: Review the Remittance Advice Step 2: Ensure the Primary Payer’s Payment Satisfied the Medicare Deductible and Coinsurance Amounts Step 3: Assess Beneficiary’s [...]

Medicare Secondary Payer: Don’t Deny Services & Bill Correctly

About Us

National Government Services, Inc., a subsidiary of Anthem, Inc., has a long history of supporting federal health agencies, including the CMS. Throughout the country, NGS has served as a Medicare contractor since the inception of the Medicare [...]

MLN Connects® Newsletter: February 1, 2024

MLN Connects® Newsletter: February 1, 2024 News Participation Continues to Grow in CMS' Accountable Care Organization Initiatives in 2024 CMS Roundup (Jan 26, 2024) Claims, Pricers, & Codes HCPCS Application Summaries & [...]

February 2024

In This Issue National Government Services Articles for Part A and Part B Providers 2024 Annual Update to the Therapy Code List: Caregiver Training Codes 2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring A/B [...]

Correct Coding of Molecular Testing Panels (Revised)

Correct Coding of Molecular Testing Panels (Revised) The submission of claims using individual gene CPT codes, when gene panels are ordered, is considered incorrect coding. Correct coding requires that when a panel code is ordered, it should [...]

Fraud and Abuse Right Hand HHH

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Fraud and Abuse Right Hand Part A

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Fraud and Abuse Right Hand Part B

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Fraud and Abuse Right Hand FQHC

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Clinical Literature

Multi-Jurisdictional Contractor Advisory Committee (CAC)/Subject Matter Expert Meeting March 10, 2022 Topic: SIJ Interventions and Procedures References for SIJ Injections and Procedures Diagnostics Buchanan P, Vodapally S, Lee DW, et [...]

Psychiatric and Psychology Services

Psychiatric and Psychology Services Psychiatric Evaluations The psychiatric diagnostic evaluation is an integrated psychosocial assessment, including history, mental status and recommendations. The evaluation may include communication with [...]

Revised LCD Comments Address - Updated

Revised LCD Comments Address - Updated Due to a technical issue with the LCD Comments mailbox for National Government Services, emailed comments have not been received by NGS. Please use this alternative address to submit all comments on [...]