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.
Medicare BLAST is a quick, ten-question game that will challenge the Medicare knowledge of you and your peers. Who were our victorious winners on 7/10/2024?
Congratulations to our winners! If you weren't able to play Medicare BLAST, don't worry. We will offer more opportunities to play in the near future.
Curious on the questions that were asked during this Medicare BLAST? Scroll to the bottom of this edition to obtain the questions and correct answers.
Watch your Email Updates for your next opportunity to emerge victorious with Medicare BLAST.
Contact Us
Do you need to contact NGS? If so, we have a listing of available phone numbers, inquiry forms and addresses on our website. On the top of every page of our website you can select Contact Us or from the Resources dropdown, select Contact Us for available contact information.
NGSConnex: Part A Prior Authorizations Request Reminders
Did you know that you can submit PARs , check status of those requests and view the prior authorization decision letters via NGSConnex?
If you submit a PAR for Botulinum Toxin Injection you must submit paired codes (procedure (64612, 64615) and drug codes (J0585, J0586, J0587, J0588) otherwise your request will be rejected. In addition, PARs for administration sites other than 64612 or 64615 are not accepted for review.
If you submit a PAR for any of these procedure types you must provide the laterality indicator (left, right, or bilateral) to indicate which side of the body the procedure will be performed. CMS defines a bilateral service as one in which the same procedure is performed on both sides of the body during the same operative session or on the same day.
- Blepharoplasty, Blepharoptosis Repair and Brow Ptosis Repair
- Vein Ablation
- Facet Joint Interventions
If you aren’t sure whether the service you are providing requires prior authorization, you can utilize the Prior Authorization HCPCS Code Inquiry Tool available on our website to verify.
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The ABC's and D's of Medicare is a CBT course to help you gain an understanding of the different parts of the Medicare Program and what coverage is provided. Start this course now at Medicare University and select PTB-C-0054.
How to Determine When an Additional Documentation Request Was Mailed
Did you know the IVR system will advise you when an ADR has been sent? By selecting Claims Status (touch-tone 2), you will hear the date the ADR was sent.
Refer to the IVR User Guide for all components available via the Eligibility option.
Caregiver Training Services (Part 1)
CMS has implemented Caregiver Training Services into the Medicare benefit for 2024. Caregiver training is a very important part of patients with various diseases in carrying out a treatment plan. Learn about the new coverage, who can provide the training and how to bill for the services.
Medicare BLAST - Who to Call for Provider Enrollment Questions
Answers are in bold
Who should be called when I need a copy of my Internal Revenue Service (IRS) tax identification number (ID) verification form?
A. Call External User Services (EUS) Helpdesk
B. Call IRS
C. Call Medicare Administrative Contractor (MAC)IRS phone number is 800-829-4933
What should I do when I don’t know my PECOS user ID to log in?
A. Use Self-service feature “Forgot User ID” or “Forgot Password”
B. Call External User Services (EUS) Helpdesk
C. Either one of theseEUS Helpdesk phone number is 866-484-8049/self-service feature connects to the Identity and Access Management system.
Who should be called when the PECOS password is locked?
A. Use Self-service feature “Forgot User ID” or “Forgot Password”
B. Call External User Services (EUS) Helpdesk
C. Call Medicare Administrative Contractor (MAC)
EUS Helpdesk phone number is 866-484-8049.Who should be called when the CMS Provider Enrollment system Multi-Factor Authentication (MFA) is not going to correct phone text or email address?
A. Use Self-service feature “Forgot User ID” or “Forgot Password”
B. Call External User Services (EUS) Helpdesk
C. Call Medicare Administrative Contractor (MAC)EUS Helpdesk phone number is 866-484-8049.
Who should I call if in the PECOS system and get a technical error message?
A. Use Self-service feature
B. Call External User Services (EUS) Helpdesk
C. Call Medicare Administrative Contractor (MAC)EUS Helpdesk phone number is 866-484-8049
Who should I call when I have a question about completing the paper CMS-855 application?
A. Call Medicare Administrative Contractor (MAC)
B. Call External User Services (EUS) Helpdesk
C. Refer to contactor website for provider enrollment application instructions
D. A or CWho should be called when the application approval letter has an error and needs revised?
A. Call External User Services (EUS) Helpdesk
B. Call National Provider Identifier (NPI) Enumerator
C. Call Medicare Administrative Contractor (MAC)Who should I call if assistance is needed for my National Provider Identifier Type I or II in National Plan and Provider Enumeration System (NPPES)?
A. Call External User Services (EUS) Helpdesk
B. Call NPI Enumerator
C. Call Medicare Administrative Contractor (MAC)NPI Enumerator phone number is 800-465-3203.
Who do I call if I have a technical problem with the CMS PAY.GOV website for paying an application fee?
A. IRS
B. External User Services (EUS) Helpdesk
C. Medicare Administrative Contractor (MAC) for the correct business area and jurisdictionEUS Helpdesk phone number is 866-484-8049.
How do I get PECOS access to an enrollment record through the Identity and Access (I&A) system?
A. Refer to the Identity & Access System Quick Reference Guide on the I&A system
B. Call the External User Services (EUS) Helpdesk
C. Ask the owner of the enrollment record to give you access through the I&A system
D. Any of theseEUS Helpdesk phone number is 866-484-8049/Identity & Access System Quick Reference Guide
Resources
Posted 7/15/2024