- Avoid Processing Delays by Following Proper Submission Guidelines
- Medicare Beneficiary Eligibility Checklist
- Acceptable Electronic Signatures Reminder
- Capable Recipients for the Advance Beneficiary Notice of Noncoverage
- Hospital-Issued Notices of Noncoverage
- Medicare Advance Written Notices of Noncoverage Booklet
- Primary Care Exception Guidelines
- Ordering DMEPOS Items
- Appropriate Use Criteria Program
- Assistant at Surgery Billing Documentation Reminder
- Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process
- Checking Eligibility and Knowing Your Point of Contact
- Cloned Documentation Could Result in Medicare Denials for Payment
- Documentation Reminder: Psychiatry and Psychology Services
- Documentation Required for Home Visits
- Electrical Stimulation Therapy: Important Coverage and Documentation Reminders
- Go Paperless Today - Protect Your Bottom Line
- Hospital Acquired Conditions and Present on Admission Resource for Physicians
- Inpatient Admission Prior to Medicare Entitlement Job Aid
- MDS Calendar
- Medicare Home Health Collaboration with Other Provider Types
- Part A Claims for High Cost Items and Certain Drugs Requiring Additional Information
- Manual Review of Claims for Replacement of Supplies and Accessories used with External Ventricular Assist Device
- Referring, Monitoring and Certifying Home Health Services
- Scribing Medical Record Documentation
- Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet
- Submit Medical Record Documentation Electronically
- Submitting Electronic Medical Records via CD-ROM
- Using the Medicare Part B PWK Fax-Mail-esMD Cover Sheet
Avoid Processing Delays by Following Proper Submission Guidelines
Table of Contents
- Avoid Processing Delays by Following Proper Submission Guidelines
- Claims
- Appeals
- Responding to an ADR
- Consider Submission via NGSConnex or Electronic Claim Submission
Avoid Processing Delays by Following Proper Submission Guidelines
When mailing claims or documentation for appeals or ADRs to National Government Services please follow these guidelines.
Claims
- Submit 8 ½ x 11 sized documents only.
- Documents larger or smaller than that size should be photocopied onto an 8 ½ x 11 sized paper.
- If submitting multiple documents in one envelope, separate each document with either a paperclip or a rubber band. Please do not use staples.
- Quality check your 1500 claim form – ensuring legibility in boxes 32 and 33.
Appeals
- Submit 8 ½ x 11 sized documents only.
- Documents larger or smaller than that size should be photocopied onto an 8 ½ x 11 sized paper.
- If submitting multiple documents in one envelope, separate each document with either a paperclip or a rubber band. Please do not use staples.
- Submit your documentation electronically via NGSConnex or the X12 275 Claim Attachment process rather than via a CD or flash/thumb drive.
Responding to an ADR
- Be sure to include the original ADR letter, not a photocopy. Our scanning equipment is not able to read the barcode on a photocopied ADR letter.
- Submit your documentation electronically via NGSConnex or the X12 275 Claim Attachment process rather than via a CD or flash/thumb drive.
Consider Submission via NGSConnex or Electronic Claim Submission
NGSConnex is our web-based self-service portal, free of charge, and available through Internet access. You can login to NGSConnex and submit claims to us. In addition to claims submission, NGSConnex has other useful functions like verifying Medicare entitlement, submitting appeals on claims, and viewing and downloading your remittance advice. Take this opportunity to get started on NGSConnex today by reviewing our NGSConnex User Guide. From the home page, click on the Education tab and then Manuals.
Electronic claim submission and other transactions submitted electronically process considerably faster than paper submission. The EDI Solutions page explains how to enroll and what capabilities your office needs to be able to submit electronic claims. In addition, NGS can provide you with no-cost claim submission software, PC-ACE.
Revised 11/6/2023