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Posting Date: 04/02/2025
MEDICAL REVIEW: How do I sign up for the CMS and NGS Listserv messages?
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Posting Date: 04/02/2025
MEDICAL REVIEW: I am under TPE review and my claims were denied, who can I speak to about this?
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Posting Date: 10/20/2022
COVID-19 Vaccine and Monoclonal Antibody
COVID-19 Vaccine and Monoclonal Antibody With the end of the PHE, as of 5/11/2023, this information no longer applies. We will keep the information available for PHE-related services that occurred prior to the expiration date that have not yet [...]
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Posting Date: 03/20/2025
Prepare and Submit an MSP Claim
Table of Contents Step 1: Determine if an MSP Claim Must be Submitted to Medicare Step 2: Check Medicare’s Eligibility Files via NGSConnex to Determine if There's Other Insurance Primary to Medicare Step 3: Prepare the MSP (Partial-Payment [...]
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Posting Date: 03/14/2022
NGS Review of Prior Authorization Request
NGS Review of Prior Authorization Request Table of Contents NGS Review of Prior Authorization Request Number of Trips Extended Affirmation Periods for Beneficiaries with Chronic Conditions Decision Letters Resubmitting a Prior [...]
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Posting Date: 03/20/2025
Safeguard Your Finances: Know Your Provider Enrollment Revalidation
Safeguard Your Finances: Know Your Provider Enrollment Revalidation Attention: Provider Enrollment and Credentialing Teams Ensure you revalidate before your deadline to prevent a "Stay of Enrollment" or claim rejections, which could [...]
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