-
Posting Date: 03/26/2025
EDI: I am missing an Electronic Remittance Advice (ERA). How do I order a duplicate?
-
Posting Date: 03/26/2025
EDI: I am receiving the following CSC and EIC code on my 277CA. How do I make the correction?
-
Posting Date: 03/26/2025
EDI: What Entity Name should I enter on the EDI Enrollment Agreement form?
-
Posting Date: 03/26/2025
EDI: Will you reject claims where the group number and policy number are the same values?
-
Posting Date: 03/26/2025
EDI: What provider address should I include on the EDI enrollment forms?
-
Posting Date: 03/26/2025
LCD NCD: How do I search for an LCD if I do not know the LCD number?
-
Posting Date: 03/26/2025
EDI: Will you reject claims with a P.O. Box in the billing provider address?
-
Posting Date: 03/26/2025
LCD NCD: How do I find out if an LCD or medical coverage policy has changed in my jurisdiction?
-
Posting Date: 07/18/2023
Medical Review: Targeted Probe and Educate Review Topics
Jurisdiction K Part A Targeted Probe and Educate: Medical Review Topics Topic CPT Code(s) Common Denials Resources Debridement, subcutaneous tissue (includes epidermis and dermis, if performed) 11042, 11045 [...]
Read More -
Posting Date: 02/02/2021
About Appeals
About Appeals Table of Contents About Appeals Reopening vs. Redetermination Reopening Redetermination [Return to Top] About Appeals Providers and beneficiaries have the right to appeal claim determinations made by National [...]
Read More -
Posting Date: 03/26/2025
REMITTANCE: What do the two-letter codes on my remittance advice mean?
-
Posting Date: 03/26/2025
REMITTANCE: Do I need special computer software to use the electronic remittance advice?
-
Posting Date: 03/26/2025
PC-ACE: Where can I find out more about the PC-ACE free billing software?
-
Posting Date: 03/26/2025
PC-ACE: Why am I receiving security rights error/issue when installing PC-ACE?
-
Posting Date: 03/26/2025
PC-ACE: Where can I find out more about the PC-ACE free billing software?
-
Posting Date: 03/26/2025
CAR-T: Will the Part A claim for CAR-T deny if it is submitted with the KX modifier?
-
Posting Date: 03/26/2025
EDI: How long are Electronic Remittance Advices (ERAs) available in my mailbox?
-
Posting Date: 10/27/2022
Provider Enrollment
Medicare Part B 101 Manual Provider Enrollment Table of Contents National Provider Identifier Required Tips for Successfully Enrolling with the Medicare Part B Contractor When Mailing Paper Applications Tip 1: Submit the correct [...]
Read More -
Posting Date: 12/09/2019
CMS Is Using Multi-Factor Authentication Process for Online Provider Enrollment System Applications
CMS Is Using Multi-Factor Authentication Process for Online Provider Enrollment System Applications CMS announced they utilize an MFA process for users of their Provider Enrollment Systems. MFA is a second layer of security used to [...]
Read More -
Posting Date: 03/31/2025
National Government Services Medicare Part B Redetermination Notice Initiative Is Here
National Government Services Medicare Part B Redetermination Notice Initiative Is Here As previously announced, National Government Services is pleased to announce we are discontinuing issuing paper MRNs for requests submitted electronically [...]
Read More -
Posting Date: 08/10/2020
Learn About PECOS Web
Learn About PECOS Web Table of Contents CMS Provider Enrollment Systems Advantages of Online Enrollment Get Started Other Resources Get Access Password Requirements Multi-Factor Authentication Get Help [Return to [...]
Read More -
Posting Date: 12/02/2021
Credentialing, Enrollment and Revalidation
Credentialing, Enrollment and Revalidation Table of Contents Requirements Facilities that are not qualified Qualifications Application Forms You Will Need Required Application Fee Documentation State Survey, Tie-in Notice [...]
Read More -
Posting Date: 10/05/2022
Coverage Criteria and Frequency Limits
Coverage Criteria and Frequency Limits Table of Contents Counseling to Prevent Tobacco Use Diagnosis Coding Cost Sharing Reimbursement Nonparticipating Providers Related Content [Return to Top] Counseling to Prevent Tobacco Use [...]
Read More -
Posting Date: 04/07/2025
Counseling to Prevent Tobacco Use and Tobacco Related Diseases Job Aid
Read More -
Posting Date: 03/10/2025
April 2025 EDI Front End Quarterly Release
April 2025 EDI Front End Quarterly Release Please be advised that while the Centers for Medicare & Medicaid Services mandated release for April 2025 was installed the weekend of 4/6/2025, the code set updates included with this release [...]
Read More -
Posting Date: 04/07/2025
Social Security Income Ratios
Social Security Income Ratios The federal fiscal year 2023 SSI ratios for IPPS hospitals, IRF and LTCH were posted on the CMS website. IPPS IRF LTCH NGS will update the latest published 2023 SSI ratios in the Provider Specific File of [...]
Read More -
Posting Date: 04/04/2025
Top J6 Part B Claim Errors are Available
Top J6 Part B Claim Errors are Available We conduct a comprehensive data analysis on a quarterly basis to update and disseminate the latest insights on the most common claim errors. This initiative provides: Claim Error Reason Code [...]
Read More