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  • 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 [...]

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  • 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 [...]

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  • Posting Date: 04/07/2025
    U5220

    Avoiding/Correcting This Error Verify the MBI and date(s) of service. If services were provided prior to the date the beneficiary was entitled to Medicare, no further action is necessary. Otherwise, correct and resubmit.

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  • Posting Date: 04/07/2025
    34293

    Avoiding/Correcting This Error Review your beneficiary’s enrollment in a Medicare HMO/MAO prior to providing services. A beneficiary may drop MAO coverage; review the CWF, IVR, NGSConnex, or HETS to identify a termination date for the MAO [...]

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  • Posting Date: 04/07/2025
    U538Q

    Avoiding/Correcting This Error Medicare does not pay for medical items/services furnished to an alien beneficiary who was not lawfully present in the United States on the date of service that the items/services were furnished. Related Content [...]

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  • Posting Date: 04/07/2025
    3/13/2025 Part B POE Advisory Group Meeting

    3/13/2025 Part B POE Advisory Group Meeting Meeting Minutes Meeting Time: 10:00 a.m.‒12:00 p.m. ET Member Attendees: Doris Barnes, Aurelia Barraco, Brenda Bedard, Sheila Bembeneck, Madelon Berger, Todd Bergstrom, Kimberly Bischel, Mollie [...]

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  • Posting Date: 04/14/2022
    Meeting Minutes

    Meeting Minutes Jurisdiction 6 and Jurisdiction K Combined Meeting 3/13/2025 Meeting 12/12/2024 Meeting 9/18/2024 Meeting 6/12/2024 Meeting

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  • Posting Date: 04/07/2025
    38031

    Avoiding/Correcting This Error If appropriate, correct and resubmit a new claim. To prevent this error on future claims, ensure you have received all charges from all departments and that no claim has been submitted for the same DOS and [...]

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  • Posting Date: 04/07/2025
    W7113

    Avoiding/Correcting This Error Prevent future similar errors by checking the I/OCE and ICD-10 official guidelines prior to claim submission. Verify the diagnosis codes reported; correct and resubmit. Related Content The I/OCE Quarterly [...]

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  • Posting Date: 04/07/2025
    32404

    Verify HCPCS code using the FISS Inquiries HCPCS file (option 14). Allowable HCPCS codes will be displayed based on DOS. Avoiding/Correcting This Error Use the claims correction option to report the appropriate HCPCS/CPT code and resubmit the [...]

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  • Posting Date: 04/07/2025
    N5052

    Avoiding/Correcting This Error The beneficiary’s name listed on the claim has to be an exact match to what is posted on CWF. Be sure that any special characters (including apostrophes, dashes, commas) and suffixes (Jr., Sr., III) that are [...]

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  • Posting Date: 04/07/2025
    32266

    Avoiding/Correcting This Error Report influenza virus, pneumococcal pneumonia virus, and COVID-19 vaccines (and administration) with your charges on the 77X claim for informational and data collection purposes only. Report revenue code 0771 [...]

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  • Posting Date: 04/08/2025
    Upcoming Annual Logon ID Recertification for Minnesota Region

    Upcoming Annual Logon ID Recertification for Minnesota Region All users who access the FISS DDE system are required by the CMS to recertify their access annually. National Government Services will designate one state at a time to complete the [...]

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  • Posting Date: 04/09/2025
    32402

    Avoiding/Correcting This Error Verify HCPCS code using the FISS DDE Inquiries HCPCS file (option 14) to determine the allowable revenue codes based upon the date of service. Verify billing and, if appropriate, correct the claim using the [...]

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  • Posting Date: 05/27/2021
    Submitting a Medicare GME Affiliation Agreement

    Submitting a Medicare GME Affiliation Agreement Table of Contents Submitting a Medicare GME Affiliation Agreement Jurisdiction K MAC (NGS) Jurisdiction 6 MAC (NGS) Submitting a Medicare GME Affiliation Agreement In [...]

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  • Posting Date: 04/09/2025
    Part A Top Reason Code changes

    Part A Top Reason Code changes National Government Services, Inc. updates the Top Claim Errors on our website each quarter to ensure our Part A providers have the latest information on top claim errors including denials, return to provider, [...]

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  • Posting Date: 05/15/2024
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Prohibition of AI Assistant Usage for Recording Medicare Sessions

    Prohibition of AI Assistant Usage for Recording Medicare Sessions National Government Services has observed a rise in attempts to use various AI assistants during NGS-hosted sessions. It is important to note that the CMS has a longstanding [...]

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  • Posting Date: 05/30/2024
    ABF - Promo 1 (Think Green Go Paperless)

    Think Green Go Paperless /web/ngs/edi-solutions?selectedArticleId=907003

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