This informative session will help you navigate Medicare’s appeals process by providing information on what an appeal is, how to determine if a claim can be appealed, who may file an appeal, the appeal levels, timeframes and documentation needed to support your appeal request. Helpful tips and resources will also be provided.

Provider Outreach and Education is hosting a 30-minute coffee break to help answer your troublesome billing questions. This is a great opportunity to discuss areas of billing more in depth and review helpful guides and resources. Keep in mind all questions regarding specific claims should be directed to the Provider Contact Center – this is an informal session to talk through scenarios that may be affecting several of your claims and explore billing solutions. So, bring your mug and let’s sit down and discuss!

During this webinar, we’ll provide a brief overview of an Opioid Treatment Program (OTP) provider, an understanding of submitting the CMS-855A or CMS-855B paper application and how to complete the provider enrollment Internet-based Provider Enrollment, Chain and Ownership System (PECOS) to initially enroll with Medicare as an OTP.

While the Medicare Program generally excludes routine foot care services from coverage, there are specific indications or exceptions under which there are program benefits. Medicare payment may be made for routine foot care when the patient has a systemic disease, such as metabolic, neurologic, or peripheral vascular disease, of sufficient severity that performance of such services by a nonprofessional person would put the patient at risk. During this webinar, we will review the Local Coverage Determination policy for Routine Foot Care and Debridement of Nails (L33636) and the Related Local Coverage Article (A57759).

In this webinar, critical access hospitals (CAHs) will learn how to properly prepare inpatient claims for submission to Medicare. We will review Medicare inpatient hospital benefit days, the Medicare benefit period, the applicable fields of the claim form (CMS-1450/UB-04) for reporting inpatient services and any billing policies specific to inpatient CAH services.

Do you need assistance with login issues and account suspensions? Do you know who your Local Security Officer is and what they are responsible for? We will also review how to edit the user profile and updating access within the portal. After this session, attendees will have a better understanding of account management within NGSConnex.