-
Posting Date: 04/03/2024
RC 55A00 or 55A01 Denials for Denosumab
National Government Services is aware of an issue that is causing claims to deny in error with reason code 55A00 or 55A01. The claims involved are for Denosumab (J0897) - Billing and Coding article – A52399 and are firing on edit 5XX84.
Read More -
Posting Date: 04/03/2024
Part A Claims Returning to Provider (RTP) RC 38361
Claims are continuing to incorrectly RTP even when the prior claims are not No Pay Claims.
Read More -
Posting Date: 04/03/2024
Rural Health Claims Impacted by FS2540
This utility will adjust Rural Health claims - 71X TOB Reimbursed incorrectly with the implementation of FS2540 in the A20232CP release Installed to production on 5/15/23 Note: changes for FS2540 were backed out with FS2540R1 on 6/13/23. [...]
Read More -
Posting Date: 04/02/2024
Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD
Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD Per the direction of CMS, as of 3/27/2024, National Government Services may grant extensions for responses to ADRs to providers under active medical [...]
Read More -
Posting Date: 04/05/2024
You Asked, We Listened – Enhanced Website Search
You Asked, We Listened – Enhanced Website Search We often hear from our customers that our website search function returns too many results when searching for a specific topic. We’re happy to share, we’ve enhanced our search function to help [...]
Read More -
Posting Date: 04/05/2024
Submission of EDI Enrollment Forms
Submission of EDI Enrollment Forms We’ve added validation within the EDI Enrollment Form submission process that will verify provider information as the form is being completed. Previously, this validation was completed after submission, and [...]
Read More -
Posting Date: 04/04/2024
Understanding Revalidation Application Requirement of Submission
Understanding Revalidation Application Requirement of Submission The 42 Code of Federal Regulations Section 424.515(b): requires that a provider/supplier must submit a CMS-855 application with complete information for revalidation by the due [...]
Read More -
Posting Date: 04/04/2024
Understanding Revalidation Application Requirement of Submission
Understanding Revalidation Application Requirement of Submission The 42 Code of Federal Regulations Section 424.515(b): requires that a provider/supplier must submit a CMS-855 application with complete information for revalidation by the due [...]
Read More