Throughout the country, National Government Services, Inc. has efficient operational, financial, and human resources in place that position the organization as a national leader in Medicare.
Facts at a Glance
National Government Services, Inc. has served as a Medicare contractor with the Centers for Medicare & Medicaid Services (CMS) since 1966.
National Government Services serves over 25.6 million People with Medicare in 23 states and 5 U.S. Territories. National Government Services serves 276 members of Congress.
National Government Services is International Organization for Standardization—ISO 9001:2008 Certified.
National Government Services’ Information Technology divisions are appraised at Maturity Level 3 using Carnegie Mellon’s Software Engineering Institute (SEI) Capability Maturity Model® Integration (CMMI). Next Generation Desktop (NGD), a division of National Government Services, achieved a Maturity Level 4 appraisal.
National Government Services administers the Medicare Part A (hospital insurance) contract for the states of Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, and Wisconsin serving nearly 4,500 Part A providers of service.
National Government Services administers the Medicare home health and hospice contract for the states of Alaska, Arizona, California, Connecticut, Hawaii, Idaho, Maine, Massachusetts, Michigan, Minnesota, Nevada, New Hampshire, New Jersey, New York, Oregon, Rhode Island, Vermont, Washington, Wisconsin, and the U.S. Territories of American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and U.S. Virgin Islands serving nearly 4,500 home health and hospice providers of service.
National Government Services currently administers all the Part A functions for free standing Federally Qualified Health Centers (FQHC) nationwide serving over 4,000 FQHCs in 44 states.
National Government Services administers the Medicare Part B (medical insurance) contract for the states of Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, and Wisconsin serving nearly 400,000 Part B physicians and providers of service.
National Government Services is the Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) for the states of Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin which serves over 19,600 durable medical equipment suppliers.
National Government Services developed and maintains the Next Generation Desktop (NGD) system 24 hours a day, 365 days a year. It interacts with all Medicare claims processing systems and multiple other government data sources, is capable of hosting 5,000 agents and thousands of Web users simultaneously, and processing over 2 million inquiries per month.
National Government Services processed over 145 million Medicare claims and administered benefits of more than $58.9 billion from the Medicare Trust Fund in 2012.
Responded to over 7 million phone and interactive voice response (IVR) calls, 80,900 written inquiries, and 600 Congressional inquiries from the Medicare community in 2012.
Note: The information above is an attempt to capture workload numbers from calendar and fiscal year 2012. These workload numbers are to be used as a guide only.
Current as of October 2013
Doing Business with National Government Services
National Government Services supports small business through our Small and Disadvantaged Business Program. Please learn more by reading A Message From Our President.
National Government Services offers solutions in the areas of health care administrative services, health care information technology, and health care support services. For more information, visit our corporate Web site.
Our Web site employs many features to make the information more accessible to people with disabilities. We provide alternate text, alternate text descriptions of our informational graphics, tables structured to facilitate assistive reader technology, and more.
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