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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 [...]
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Posting Date: 01/17/2025
Reducing Unprocessable Claims
When claims are submitted with invalid, incomplete or incorrect information, our claims processing system will detect these errors and will reject claims as unprocessable. Our goal is to assist our providers in submitting claims correctly the [...]
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Posting Date: 02/06/2025
Proper Part B Claim Submissions
This webinar is intended to educate providers and office staff members on how to complete a clean claim to avoid claim rejections, developments or denials. We will guide you through the CMS-1500 claim form and the electronic equivalent loops [...]
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Posting Date: 02/20/2025
Steps to Claim Corrections
This webinar includes the top continuous errors we find at National Government Services with claim submissions. Join us to learn how to correct your claims. We will also include an interactive segment on the different claim scenarios that cause [...]
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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 [...]
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Posting Date: 02/14/2025
Medicare Secondary Payer: Preparing and Submitting Conditional Claims – Part 1
Join us for Part 1 of a two-part webinar. In Part 1, we review conditional claim coding and how to prepare/submit a conditional claim. This includes a review of the claim entry pages in the Fiscal Intermediary Standard System Direct Data Entry. [...]
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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.
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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 [...]
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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 [...]
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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 [...]
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