-
Posting Date: 03/31/2025
[RESOLVED] NGS Phone Lines Currently Unavailable
[RESOLVED] NGS Phone Lines Experiencing Outages The outages we were experiencing with our Provider Contact Center telephone lines have now been resolved. This includes EDI, Provider Enrollment Customer Inquiry, Telephone Reopening Unit and [...]
Read More -
Posting Date: 08/21/2019
CMS to Begin Using MFA Process for Online Provider Enrollment System Applications
CMS to Begin Using MFA Process for Online Provider Enrollment System Applications CMS recently announced they will begin utilizing a MFA process for users of their Provider Enrollment Systems. MFA is a second layer of security used to [...]
Read More -
Posting Date: 09/10/2018
Credit Balance Report - CMS 838 (R3)
Chapter VII: Online Reports View Submenu (04) Credit Balance Report - CMS 838 (R3) Purpose Credit balance reporting is used to certify whether you have any outstanding monies owed to the Medicare Program. Part A providers submit credit [...]
Read More -
Posting Date: 06/14/2023
Meeting Minutes
Meeting Minutes Jurisdiction 6 Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Island, Oregon, Puerto Rico, U.S. Virgin Islands, Washington and Wisconsin [...]
Read More -
Posting Date: 04/01/2025
APPLICATION STATUS: Where can I find the status of a submitted application?
-
Posting Date: 03/09/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
Read More -
Posting Date: 03/09/2024
Additional Events Links
Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders
Read More -
Posting Date: 04/02/2025
Implantable Continuous Glucose Monitors (I-CGM)
Implantable Continuous Glucose Monitors (I-CGM) N/A L38623 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38623 A58116 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116 A58342 [...]
Read More -
Posting Date: 10/20/2022
COVID-19 Vaccine and Monoclonal Antibody
COVID-19 Vaccine and Monoclonal Antibody With the end of the PHE, as of 5/11/2023, this information no longer applies. We will keep the information available for PHE-related services that occurred prior to the expiration date that have not yet [...]
Read More -
Posting Date: 03/20/2025
Prepare and Submit an MSP Claim
Table of Contents Step 1: Determine if an MSP Claim Must be Submitted to Medicare Step 2: Check Medicare’s Eligibility Files via NGSConnex to Determine if There's Other Insurance Primary to Medicare Step 3: Prepare the MSP (Partial-Payment [...]
Read More -
Posting Date: 03/14/2022
NGS Review of Prior Authorization Request
NGS Review of Prior Authorization Request Table of Contents NGS Review of Prior Authorization Request Number of Trips Extended Affirmation Periods for Beneficiaries with Chronic Conditions Decision Letters Resubmitting a Prior [...]
Read More -
Posting Date: 03/20/2025
Safeguard Your Finances: Know Your Provider Enrollment Revalidation
Safeguard Your Finances: Know Your Provider Enrollment Revalidation Attention: Provider Enrollment and Credentialing Teams Ensure you revalidate before your deadline to prevent a "Stay of Enrollment" or claim rejections, which could [...]
Read More -
Posting Date: 03/17/2025
Office/Outpatient Evaluation and Management Visit Complexity Add-on Code G2211
Office/Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 Effective 1/1/2024 Definition of G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing [...]
Read More -
Posting Date: 03/17/2025
Provider Enrollment: Top Reasons Behind Delays in Processing the Application
Provider Enrollment: Top Reasons Behind Delays in Processing the Application Medicare enrollment plays a vital role in ensuring compliance with CMS requirements. To help streamline the process and achieve the best results, it's important to [...]
Read More -
Posting Date: 03/17/2025
Fiscal Intermediary Standard System Direct Data Entry Screen Changes – April 2025
Fiscal Intermediary Standard System Direct Data Entry Screen Changes – April 2025 The April 2025 quarterly system release will update FISS DDE as described below: Inquiries Submenu (01) Option 1C (CMHC Payment Totals)/MAP1D62 - Monetary [...]
Read More