Search Results - NGSMEDICARE

Posting Date: 01/24/2025

Telehealth Extension 2025

Telehealth Extension 2025 A Congressional continuing resolution bill has extended telehealth coverage for services in all U.S. geographic locations through 9/30/2025. Based on this guidance, National Government Services will continue to pay [...]

Posting Date: 06/08/2021

Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities

Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities The hospital is the entity required to bill POA indicators on all inpatient claims billed to Medicare. However, accurate coding of all diagnosis [...]

Posting Date: 02/21/2025

NCCI Lookup Tool Top

National Correct Coding Initiative Lookup Tool The NCCI PTP lookup tool is designed to help providers identify when certain codes are subject to the automated code pair edits. When two codes of an edit pair are identified, the major code [...]

Posting Date: 03/03/2025

The National Correct Coding Initiative Lookup Tool

The National Correct Coding Initiative Lookup Tool The National Correct Coding Initiative Lookup Tool is designed to help providers identify when certain codes are subject to the automated code pair edits. Search for coding pairs by entering a [...]

Posting Date: 04/03/2025

CO-109

Avoiding/Correcting This Error This denial is received when your Medicare patient is enrolled in an MA plan, instead of “traditional fee-for-service” Medicare. MA plans are health plans offered by private companies approved by Medicare [...]

Posting Date: 03/03/2023

LCD Open Meeting Records

Open Meeting Records Jurisdiction 6 and Jurisdiction K Open Meeting Records Meeting Date Audio Transcript 3/13/2025 – J6/JK Open Meeting Recording Transcript 10/24/2024 – J6/JK Open Meeting [...]

Posting Date: 04/03/2025

PR-31

Avoiding/Correcting This Error Services were denied for one or more of the following reasons: The name or Medicare number was incorrect or missing. The date of death precedes the date of service. Expenses were incurred prior to coverage. [...]

Posting Date: 01/03/2024

About PC-ACE

About PC-ACE The National Government Services PC-ACE free billing software is available for NGS J6 and JK providers only. If you are not a J6 or JK provider, the free billing software must be obtained from your MAC. PC-ACE is a [...]

Posting Date: 01/03/2024

PCACE Full Install Text - ALOB

Version 6.6 (Institutional and Professional) PC-ACE users

Posting Date: 01/03/2024

PCACE Upgrade Text - ALOB

Version 6.6 (Institutional and Professional) PC-ACE users

Posting Date: 01/03/2024

About PC-ACE

About PC-ACE The National Government Services PC-ACE free billing software is available for NGS J6 and JK providers only. If you are not a J6 or JK provider, the free billing software must be obtained from your MAC. PC-ACE is a stand-alone [...]

Posting Date: 01/03/2024

PCACE Download Text - ALOB

The installation code to run the full install or the upgrade for PC-ACE is: NGSMAC1 Important Warning: For PC-ACE version 6.6 updated version: please be patient and allow the full install or update complete. It is important that you do not [...]

Posting Date: 03/11/2025

New Version of PC-ACE: April 2025

New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]

Posting Date: 06/07/2024

Exemption Process for the Prior Authorization Program for Certain Hospital Outpatient Department Services

The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization program for certain hospital outpatient department (OPD) services for date of service (DOS) on or after 7/1/2020 and subsequently added an exemption process. [...]

Posting Date: 02/17/2025

Skilled Nursing Facility Coverage Basics

During this session, attendees will learn about Medicare Skilled Nursing Facility coverage, including Swing Beds. Topics will include the technical and medical requirements for inpatient services, what services can be considered for coverage as [...]

Posting Date: 01/30/2025

Long-Term Care Hospitals: Interruptions

To prevent return to provider (RTP) claims, join us for this webinar in which we will review “three-day or less interruptions” as well as “greater than three-day interruptions” in a beneficiary’s long term care hospital (LTCH) stay, how to [...]

Posting Date: 02/11/2025

Repetitive Scheduled Non-Emergent Ambulance Transports Prior Authorization

Attention All Independent Ambulance Suppliers! If you are providing repetitive, scheduled, non-emergent ambulance transports (RSNAT), you'll want to attend this webinar. Join us to learn everything you need to know about the RSNAT program.

Posting Date: 01/29/2025

Medicare Part B Ambulance Coverage, Basics and Billing

During this webinar, we'll educate new staff or those needing a refresher on basic Medicare Part B ambulance billing guidelines.

Posting Date: 01/17/2025

Prior Authorization for Certain Hospital Outpatient Department Services – Facet Joint Interventions

In this webinar, the Prior Authorization team will provide information about one of the eight hospital Outpatient Department services (OPD), Facet Joint Interventions (FJI). This webinar will address the medical necessity and general [...]

Posting Date: 02/13/2025

Acute Care Hospitals: A Peek Inside the Three-Day Payment Window

To prevent return to provider (RTP) claims, join us for this webinar in which we will review the three-day payment window policy (a.k.a. bundling, preadmission services, diagnosis-related group [DRG] window, 72-hour rule) and provide billing [...]

Posting Date: 01/28/2025

Billing Telehealth Services for Part B Providers

During this webinar, we’ll provide you with insight into covered Medicare telehealth services and coverage requirements. We’ll discuss originating sites, distant sites and billing and payment guidelines. Note: registration has reached maximum [...]

Posting Date: 01/23/2025

Provider Enrollment: Initially Enrolling a Dentist in the Medicare Program

During this webinar, we’ll address the Medicare dental specialty codes and provide an overview of how to enroll using Provider Enrollment, Chain and Ownership System (PECOS) as well as using the CMS-855I paper application. This session is [...]

Posting Date: 02/14/2025

Provider Enrollment: Initially Enrolling a Dentist in the Medicare Program

During this webinar, we’ll address the Medicare dental specialty codes and provide an overview of how to enroll using Provider Enrollment, Chain and Ownership System (PECOS) as well as using the CMS-855I paper application. This session is [...]

Posting Date: 01/13/2025

Prior Authorization for Certain Hospital Outpatient Department Services – General PA

Join us for this general webinar about Prior Authorization for certain Hospital Outpatient Department (OPD) services. This webinar will have a non-clinical focus with emphasis on general requirements as listed in the OPD Operational Guide.

Posting Date: 01/16/2025

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 [...]

Posting Date: 01/29/2025

NGSConnex: Part B Redetermination Notifications

Beginning in March 2025, National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex. During this webinar, we’ll share information and [...]

Posting Date: 01/29/2025

NGSConnex: Part B Redetermination Notifications

Beginning in March 2025, National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex. During this webinar, we’ll share information and [...]

Posting Date: 01/29/2025

NGSConnex: Part B Redetermination Notifications

Beginning in March 2025, National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex. During this webinar, we’ll share information and [...]

Posting Date: 02/24/2025

The National Correct Coding Initiatives Procedure-to-Procedure and Medically Unlikely Edits

The Centers for Medicare & Medicaid Services (CMS) developed the National Correct Coding Initiative (NCCI) program to promote national correct coding. Incorrect coding often leads to improper payment and increases the paid claims error rate. If [...]

Posting Date: 02/19/2025

Part B Medicare Administrative Contractor Overview and Coverage for Dental Services

Medicare covers a limited number of dental services. The purpose of this webinar is to familiarize dental providers with National Government Services (NGS) and Medicare Part B dental coverage. Discussion will include an overview of the NGS [...]

Posting Date: 02/04/2025

Medicare Physician Fee Schedule Database

Medicare offers several tools to help providers bill their services. Many questions you have can be answered by learning how to access and use the Medicare Physician Fee Schedule Database. We hope you'll join us for an overview of this database.

Posting Date: 01/29/2025

NGSConnex: Part B Redetermination Notifications

Beginning in March 2025, National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex. During this webinar, we’ll share information and [...]

Posting Date: 01/30/2025

Preventive Services: Screening for Cardiovascular Disease and Abdominal Aortic Aneurysm

During this webinar, we'll review the coverage, coding and billing guidelines for cardiovascular disease (CVD) screening blood tests, intensive behavioral therapy for CVD and ultrasound screening for abdominal aortic aneurysm preventive services.

Posting Date: 01/31/2025

Billing Telehealth Services for Part B Providers

During this webinar, we’ll provide you with insight into covered Medicare telehealth services and coverage requirements. We’ll discuss originating sites, distant sites and billing and payment guidelines.

Posting Date: 03/04/2025

Part A Fundamentals of Medicare

Provide an understanding of the fundamentals of the original Medicare Program.

Posting Date: 02/04/2025

Counseling to Prevent Tobacco Use

In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

Posting Date: 02/03/2025

Counseling to Prevent Tobacco Use

In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

Posting Date: 02/17/2025

Federally Qualified Health Center Basic Billing and Reimbursement

Are you a federally qualified health center provider that would like to learn about basic billing and reimbursement under the federally qualified health center (FQHC) prospective payment system (PPS)? This webinar will include claim and payment [...]

Posting Date: 02/26/2025

Provider Enrollment: Initially Enrolling a Dentist in the Medicare Program

During this webinar, we’ll address the Medicare dental specialty codes and provide an overview of how to enroll using Provider Enrollment, Chain and Ownership System (PECOS) as well as using the CMS-855I paper application. This session is [...]

Posting Date: 02/19/2025

Submitting Revalidation via PECOS

During this webinar, we’ll provide an understanding of how to utilize the Centers for Medicare & Medicaid Services (CMS) Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a [...]

Posting Date: 02/14/2025

Getting Access to PECOS

During this webinar, we’ll discuss how to obtain access to the Internet-based Provider Enrollment Chain & Ownership System (PECOS) and gain connection to provider enrollment record as well as understand other Centers for Medicare & Medicaid [...]

Posting Date: 02/13/2025

PECOS: View and Manage Reassignments through Group Enrollment

During this webinar, we’ll provide an understanding of how to view and manage reassignments through the group enrollment in Provider Enrollment, Chain and Ownership System (PECOS), including to add or terminate reassignments. Individual [...]

Posting Date: 02/11/2025

NGSConnex - Account Management

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 [...]

Posting Date: 02/13/2025

Provider Enrollment: Completing the CMS-855A Paper Application

During this webinar, we’ll provide an understanding of how to complete the CMS-855A provider enrollment paper application.

Posting Date: 02/13/2025

PECOS: Manage Signatures and Additional Information Requests

During this webinar, we’ll give direction for the Provider Enrollment, Chain and Ownership System (PECOS) application on understanding how to manage signatures and respond to additional information request from submitted applications.

Posting Date: 02/28/2025

Provider Enrollment: Completing the CMS-855I Paper Application

During this webinar, we’ll provide an understanding of how to complete the CMS-855I provider enrollment paper application for a group member, sole proprietor or sole owner and we’ll also focus on reassigning Medicare benefits.

Posting Date: 02/13/2025

Provider Enrollment Revalidation Overview

During this webinar, learn about important changes in the revalidation process, how to determine Medicare enrollment revalidation due date and information to avoid disruption in Medicare billing.

Posting Date: 02/19/2025

Provider Enrollment: Completing the CMS-855B Paper Application

During this webinar, we'll provide an understanding of how to complete the CMS-855B provider enrollment paper application for a clinic, group or supplier.

Posting Date: 02/21/2025

Submitting Part B Medicare Secondary Payer Claims

During this Medicare Secondary Payer (MSP) learning session, we'll teach you how to submit your MSP claims with the appropriate loops and segments. We'll review the MSP billing requirements for paper and electronic claims and conditional [...]

Posting Date: 02/17/2025

Counseling to Prevent Tobacco Use

In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

Posting Date: 03/07/2025

Counseling to Prevent Tobacco Use

In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

Posting Date: 03/03/2025

Targeted Probe and Educate

During this webinar, we'll help the Medicare provider community understand the targeted probe and educate program.

Posting Date: 03/06/2025

The National Correct Coding Initiative and Medically Unlikely Edits for Part B Providers

This webinar will assist Part B providers with navigating tables for the National Correct Coding Initiative and the medically unlikely edits. We'll also review proper modifiers to use to avoid denials. There will be time for your questions [...]

Posting Date: 02/24/2025

Medicare Part B Preventive Services: Bone Mass Measurements, Colorectal and Prostate Cancer Screenings

During this webinar, we'll review the coverage, coding and billing guidelines for bone mass measurements, colorectal and prostate cancer screenings.

Posting Date: 02/25/2025

Ambulance Services and Establishing Medical Necessity for Part B Providers

This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.

Posting Date: 02/28/2025

Understanding the Reopening and Appeal Process Open Forum

National Government Services is committed to reducing provider burden associated with Medicare claim denials, reopenings and appeals. Filing an inquiry on a Medicare claim can be frustrating and costly to your organization. This delay in [...]

Posting Date: 02/28/2025

Home Health Billing Part Two: The Period of Care Claim

Part two of this home health billing series focuses on the period of care claim, how reimbursement is determined under the Patient Driven Groupings Model and review of the key billing requirements for claim billing. This session is a great [...]

Posting Date: 03/05/2025

Physical/Occupational Therapy Billing

Join us as we review billing guidelines for physical and occupational therapy. We'll review when to apply the KX modifier and the importance of appropriate medical documentation. National Government Services has a Local Coverage Determination [...]

Posting Date: 03/06/2025

How to Avoid Duplicate Claims

Duplicate denials continue to be one of the top billing errors. Unnecessary duplicate filing of Medicare claims cost the provider's office valuable time and resources, as well as Medicare's time and money to process them. Please join us for [...]

Posting Date: 02/28/2025

Home Health Billing Part One: The Notice of Admission

Provider Outreach and Education is hosting a two-part home health (HH) billing series. Part one will focus on what you need to know before billing, verifying eligibility and the required fields to properly submit the Notice of Admission (NOA). [...]