Self-Service Pulse: What You Need To Know This Week
As your MAC, National Government Services wants to provide you with a comprehensive source containing the most current information available for our self-service tools.
You Asked, We Listened, We Delivered: Redesigned Events Page Live
We’re always looking for and appreciate feedback from our providers. Your ideas and recommendations help drive improvements to our website.
Providers suggested that we display the events in a list and show more on the same page. We listened and are excited to share that we’ve implemented these changes. Now you’ll see more events at a glance making it easier to plan ahead.
On the events page you have the option to search events by:
- Keyword (e.g. NGSConnex, enrollment, revalidation)
- Date range (from date and to date)
- Current and Past Events
Events are now display in a list and show more on the same page. Here you can obtain handouts and register for the event.
Meaning of the icons:
- Handout available
- Waiting for handout to be posted
- No handout will be given for this event.
To display more information on the event, select the dropdown navigation arrow.
Visit our Events page to see more.
Medical Review and Claims Additional Documentation Requests Letters in NGSConnex
We are pleased to announce you can now obtain MR and Claims ADR letters in NGSConnex.
To use this feature, login in to NGSConnex and select the ADR tab on the NGSConnex homepage. In the Select a Provider panel, click the Select button next to the applicable provider account.
The ADR Summary will display any claims that have been selected for review by MR or Claims in the Awaiting Documentation status for the provider selected. If you would like to view other claims that have been selected for MR or Claims ADR you can use the Filters to search for other claims.
Note: If the MR or Claims ADR is not listed in the ADR Summary you will not be able to view ADR Details or the ADR letter in Connex.
Select the Claim Number hyperlink to view additional claim details and to view the ADR letter associated with the claim selected.
Select the ADR letter link from the left-side navigation. If a letter is available the View ADR Letter link will display and you can select it and view, save or print the letter. Note: If a letter is not yet available the ADR letter text will display.
You can find additional information and detailed step-by-step instructions in the NGSConnex User Guide.
Computer-Based Training Course on Patient Registration
Patient screening is a vital step critical to every type of practice. Providers should establish a process to adequately screen all types of patients. Your front office staff plays a key role in the success of claims being filed correctly and timely, based on a few minutes spent up-front with the patient or the patient's responsible party. These tasks handled by the front office personnel or person who receives initial patient information become vital to the efficiency and financial welfare of the health care organization to which they belong.
The Patient Registration Screening CBT will provide you with an understanding of how important the front office staff is in the success of claims being filed correctly. Start this course now at Medicare University and select PTB-C-0053.
Span Date Searches in the IVR
As a Part B provider, you can conduct a date of service search within a span date billing. Providers are required to enter a date of service to search for claims. The IVR system will conduct the search to determine if the date entered matches the “from date,” the “to date” or if the date falls within a span date billing.
Refer to the Interactive Voice Response User Guide for all available features:
Home Health Billing Series (Part 3): The Notice of Admission
The third video in this series details the information required when billing the home health NOA. We walk through the required fields that must be completed when submitting the NOA electronically (837I format) or via DDE, and how to correct an NOA when submitted with incorrect information.
Posted 7/8/2024