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Posting Date: 01/01/1970
B_How to Proactively Address Denials
How to Proactively Address Denials How to Proactively Address Denials Want to improve the Payment Error Rate for the next round of review? Be sure to learn about and understand claim denials before the end of round education with the Case [...]
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Posting Date: 06/04/2025
Some Claims Editing for Reason Code U537I, HH Claim Falls Outside of an HH Admission Period for the Same Provider
Note: This issue was originally reported and resolved in April 2025. The issue has returned so we have reopened the alert. The CWF can only hold the 36 most recent periods of care for any beneficiary. CWF also contains the indicator of when [...]
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Posting Date: 06/04/2025
Observance of Juneteenth Holiday
Observance of Juneteenth Holiday In observance of Juneteenth, the National Government Services offices will be closed on Thursday, 6/19/2025. This includes the following departments: EDI Help Desk* Provider Contact Center Provider [...]
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Posting Date: 06/05/2025
Rural Emergency Hospital Basics
Do you know what a Rural Emergency Hospital (REH) is and what services can be provided? Part A facilities, including Critical Access Hospitals and small rural hospitals, are eligible to enroll as a REH. Join this session to learn more about the [...]
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Posting Date: 08/15/2023
Medicare Part B Coverage and Billing Guidance for Breast Ultrasound
Medicare Part B Coverage and Billing Guidance for Breast Ultrasound Breast ultrasound uses sound waves to produce pictures of the inside of the breast and can show changes that are more difficult to see on a mammogram. Breast ultrasound is not [...]
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Posting Date: 09/04/2024
Psychotherapy Services
Psychotherapy Services Medicare Regulations Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 6, Section 70.1 Local Coverage Determination (LCD): [...]
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Posting Date: 06/05/2025
Part A Summit - NGSConnex: User Pain Points Examples/Solutions
Are you experiencing issues while utilizing NGSConnex? Join this informative session to learn what user pain points are and how to resolve these issues from an NGSConnex Agile Product Owner. This session will encompass issues with [...]
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Posting Date: 06/05/2025
Part A Summit – How to Submit an Appeal Request
Join us for a comprehensive session focused on understanding the appeal submission process within National Government Service. This presentation is designed to guide participants through each step of submitting an appeal, ensuring clarity and [...]
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Posting Date: 06/05/2025
Part A Summit- Skilled Nursing Facility: Coverage and Documentation
During this collaborative education session between Case Management and Medical Review, attendees will learn documentation requirements for skilled nursing facility (SNF) coverage, how to properly respond to Additional Documentation Requests [...]
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Posting Date: 06/05/2025
Part A Summit- Navigating Billing and Documentation for Behavioral Health Services in Federally Qualified Health Centers
Unlock the secrets to effective billing and documentation for behavioral health services within Federally Qualified Health Centers. This collaborative webinar will include insights from Medical Review and is designed to help healthcare [...]
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Posting Date: 06/09/2025
Medicare Secondary Payer: A Review of the Working Aged with an Employer Group Health Plan Provision
In this webinar, we will review the criteria of the Working Aged with an Employer group health plan (EGHP), Medicare Secondary Payer (MSP) provision. Understanding this criteria will help your facility identify and bill the appropriate primary [...]
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Posting Date: 01/14/2022
Meeting Schedule for Home Health and Hospice
Meeting Schedule for Home Health and Hospice Jurisdiction 6 (Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Island, Oregon, Puerto Rico, U.S. Virgin [...]
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Posting Date: 06/09/2025
[RESOLVED] Fiscal Intermediary Standard System and Multi Carrier System Experiencing Outages
[RESOLVED] Fiscal Intermediary Standard System and Multi Carrier System Experiencing Outages The FISS and MCS are now available and Part A and Part B providers can check claim status in NGSConnex and the IVR system. We apologize for any [...]
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Posting Date: 06/10/2025
Part A Summit - Maintaining Your Provider Files
This virtual webinar will aid in maintaining accurate provider enrollment files for the internet-based Centers for Medicare & Medicaid Services systems: Identity & Access Management System, National Plan & Provider Enumeration [...]
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Posting Date: 06/10/2025
Part A Summit- Navigating NGS and CMS Websites
Join us for this informative session where we will review how to find helpful Medicare references and resources on the National Government Services website (www.NGSMedicare.com) and the Centers for Medicare & Medicaid Services website [...]
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Posting Date: 01/04/2022
Meeting Schedules
Meeting Schedules Jurisdiction 6: Illinois, Minnesota, Wisconsin Jurisdiction K: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont Meeting Date/Time Provider Type Chairpersons [...]
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Posting Date: 02/04/2022
Medical Review: Targeted Probe and Educate Review Topics
Medical Review: Targeted Probe and Educate Review Topics Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature. If you notice the provider signature is illegible when asked to [...]
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Posting Date: 06/11/2025
Preventive Services: Screening for STIs/HIBC to Prevent STIs, Hepatitis B, Hepatitis C Virus and HIV including HIV PrEP
This webinar is the latest in a series of Medicare preventive services webinars. During this session, we’ll review the Medicare coverage, coding and billing guidelines for screening for sexually transmitted infections (STIs)/high intensity [...]
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Posting Date: 06/11/2025
Alcohol Misuse, Counseling to Prevent Tobacco Use and Lung Cancer Screening
During this webinar, we’ll review the coverage, coding and billing guidelines for the Medicare Part B preventive services benefits of alcohol misuse, counseling to prevent tobacco use and lung cancer screening.
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Posting Date: 06/06/2025
Part A Summit Let’s Chat: Prior Authorization for Certain Hospital Outpatient Department Services
This Let’s Chat session focuses on Prior Authorization for certain hospital outpatient department (OPD) services and is an informal opportunity for you to chat with our staff about the selected topic. During the session, you may ask us [...]
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