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  • Posting Date: 11/12/2020
    Responsibility of Providing a Properly Executed Physician Certification Statement/Certificate of Medically Necessity

    Responsibility of Providing a Properly Executed Physician Certification Statement/Certificate of Medically Necessity Recent National Government Services educational efforts have highlighted an issue between facilities and the ambulance [...]

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  • Posting Date: 06/03/2022
    Network Service Vendors

    Network Service Vendors National Government Services requires connectivity to the EDI Gateway for exchange of EDI data through select NSVs. In addition to connectivity to the EDI Gateway for the exchange of HIPPAA transactions, these vendors [...]

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  • Posting Date: 07/29/2025
    Automated CMS System for Tracking Audit and Reimbursement Calculated Tentative

    Automated CMS System for Tracking Audit and Reimbursement Calculated Tentative Beginning with cost reports received on or after 7/14/2025, all hospital cost reports will process through the automated CMS STAR Calculated Tentative. With this [...]

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  • Posting Date: 07/29/2025
    Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating

    Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating Did you know that tobacco cessation counseling is a covered Medicare service? Brief tobacco counseling provides substantial health benefits while producing cost savings. [...]

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  • Posting Date: 06/01/2020
    New York State Ambulance Services in Rural Areas (for JK providers only)

    New York State Ambulance Services in Rural Areas NYS has unique requirements for the payment of paramedic intercept services when an ambulance company can provide only BLS services. Paramedic intercept services can be approved in counties and [...]

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  • Posting Date: 07/29/2025
    38054

    Avoiding/Correcting This Error Verify the claim history to determine the period of care claim that is causing the overlap If there are services that should have been included on a processed/paid claim, you must submit an adjustment (3X7 [...]

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  • Posting Date: 07/29/2025
    38200

    Avoiding/Correcting This Error This reason code may be applied when an NOA and period of care claim are submitted at the same time or when an NOA and one is already in the system. If the NOA and claim were submitted at the same time, and no [...]

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  • Posting Date: 07/29/2025
    39929

    Avoiding/Correcting This Error Verify the line level rejection information to determine the rejection for each of the lines of the claim in question. Providers can see line details in NGSConnex and hover over the line item reason code(s) for [...]

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  • Posting Date: 07/29/2025
    37364

    Avoiding/Correcting This Error There was an issue with NOAs incorrectly editing for U537F. Once the system was fixed, NOAs could be resubmitted and subsequently processed. NOAs submitted late due to this issue may have affected more than one [...]

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  • Posting Date: 07/29/2025
    38031

    Avoiding/Correcting This Error Verify the ‘from’ and ‘through’ dates, provider number, revenue codes, HCPCS codes, and line item date of service on the bill. If the claim is truly a duplicate; no action is necessary. Providers should develop [...]

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