Adjustment of Claims with Automated Medical Review Denials

Adjustment of Claims with Automated Medical Review Denials National Government Services would like to provide clarification to providers receiving automatic denials on claims. In certain circumstances it may be necessary to correct a billing [...]

Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet

Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet Beneficiary must have Medicare Part A with days left in their 100 day benefit period. A medically necessary inpatient hospital stay of at least three consecutive days [...]

Appropriate Use Criteria Program

MDS Calendar

Incident to Job Aid for Place of Service Office

“Incident to” Job Aid for Place of Service Office Employed by the same entity - The person supervising and person performing the service must be employed by the same entity. They may be an employee, leased employee, or independent [...]

Overpayments

Medicare Participating Physicians Directory (MEDPARD)

Request an Immediate Recoupment

National Government Services has implemented a standardized “immediate recoupment” process that gives you the option to avoid interest from accruing on claims overpayments when the debt is recouped in full prior to or by the 30th day from the [...]