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Posting Date: 10/19/2022
Clinical Trials
Clinical Trials Clinical trials are interventional studies that assess treatments or diagnostics compromising experimental and control groups. Medicare coverage in these trials is guided by strict CMS rules and is limited to FDA-approved [...]
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Posting Date: 04/23/2025
Medicare Overpayment Process
Ensure that you are compliant and avoid financial penalties by understanding the Medicare overpayment regulations. This session will focus on identifying overpayments, using the proper forms and procedures, the timelines for repayment and the [...]
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Posting Date: 04/23/2025
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: 06/01/2023
How to Avoid and Correct Duplicate Claim Denials
How to Avoid and Correct Duplicate Claim Denials A duplicate claim submission occurs when a physician or other qualified healthcare professional resubmits a claim either on paper or electronically for a single encounter and the service is [...]
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Posting Date: 07/18/2023
Medical Review: Targeted Probe and Educate Review Topics
Jurisdiction K Part B Targeted Probe and Educate: Medical Review Topics Topic CPT Code(s) Common Denials Resources Paring or Cutting of Benign Hyperkeratotic Lesion 11055, 11056, 11057 A07 – The [...]
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Posting Date: 04/24/2025
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: 04/24/2025
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 Medicare & [...]
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Posting Date: 04/24/2025
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: 04/24/2025
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: 04/24/2025
MLN Connects® Newsletter: April 24, 2025
MLN Connects® Newsletter: April 24, 2025 News Open Payments: Review Your Data by May 15 Medicare Shared Savings Program: Application Toolkit Materials MLN Matters® Articles Inpatient Psychiatric Facilities: Return to Provider Claims [...]
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Posting Date: 04/25/2025
Part A - Promo 1
NGS Part A Collaborative Summit: Turning Insight Into Action; June 10, 11 and 12, 2025; Click Here and Register Now /documents/d/ngs/2025-pta-spring-vc-onepager-2
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Posting Date: 04/25/2025
(CORRECTION) Some Claims Editing for Reason Code U537I, HH Claim Falls Outside of an HH Admission Period for the Same Provider
The CWF can only hold the 36 most recent periods of care for any beneficiary. CWF also contains the indicator of when the HH admission (NOA) was processed. This indicator allows CWF to determine whether an HH admission period is on file with [...]
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Posting Date: 04/01/2025
REVALIDATION: Where is the revalidation notification letter sent?
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Posting Date: 04/01/2025
APPLICATION STATUS: Where can I find the status of a submitted application?
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Posting Date: 04/01/2025
DETERMINATION LETTER: Where are the determination (approval/denial) letters sent?
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Posting Date: 04/01/2025
PECOS: I received an email to sign an application; how do I do this?
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Posting Date: 04/22/2021
Provider Contact Center
Provider Contact Center Table of Contents Want to talk to us? Make the Most of Your Call Customer Care Representative Assistance Interactive Voice Response System NGSConnex Online Inquiry System Written Correspondence and Inquiries [...]
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Posting Date: 04/22/2021
Provider Contact Center
Provider Contact Center Table of Contents Want to talk to us? Make the Most of Your Call Customer Care Representative Assistance Interactive Voice Response System NGSConnex Online Inquiry System Written Correspondence and Inquiries [...]
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Posting Date: 04/01/2025
DETERMINATION LETTER: Where are the determination (approval/denial) letters sent?
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Posting Date: 04/01/2025
PECOS: I received an email to sign an application; how do I do this?
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Posting Date: 04/01/2025
REVALIDATION: Where is the revalidation notification letter sent?
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Posting Date: 04/02/2025
REVALIDATION: Do I need to revalidate if it has not been five years since my last revalidation?
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Posting Date: 04/02/2025
PECOS: In PECOS, how do you find an enrollment to submit an application?
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Posting Date: 04/02/2025
REVALIDATION: Do I need to revalidate if it has not been five years since my last revalidation?
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Posting Date: 04/02/2025
PECOS: In PECOS, how do you find an enrollment to submit an application?
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Posting Date: 03/31/2025
National Government Services Medicare Part B Redetermination Notice Initiative Is Here
National Government Services Medicare Part B Redetermination Notice Initiative Is Here As previously announced, National Government Services is pleased to announce we are discontinuing issuing paper MRNs for requests submitted electronically [...]
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Posting Date: 10/27/2022
Provider Enrollment
Medicare Part B 101 Manual Provider Enrollment Table of Contents National Provider Identifier Required Tips for Successfully Enrolling with the Medicare Part B Contractor When Mailing Paper Applications Tip 1: Submit the correct [...]
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Posting Date: 12/09/2019
CMS Is Using Multi-Factor Authentication Process for Online Provider Enrollment System Applications
CMS Is Using Multi-Factor Authentication Process for Online Provider Enrollment System Applications CMS announced they utilize an MFA process for users of their Provider Enrollment Systems. MFA is a second layer of security used to [...]
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Posting Date: 03/31/2025
[RESOLVED] NGS Phone Lines Currently Unavailable
[RESOLVED] NGS Phone Lines Experiencing Outages The outages we were experiencing with our Provider Contact Center telephone lines have now been resolved. This includes EDI, Provider Enrollment Customer Inquiry, Telephone Reopening Unit and [...]
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