Medicare Secondary Payer: A Review of the End-Stage Renal Disease with an Employer Group Health Plan Provision – Part 2

This is a two-part webinar; we suggest you attend both parts. In Part 1 on 7/29/2025, we will review the End-Stage Renal Disease with an EGHP Medicare Secondary Payer provision as it applies to patients eligible for Medicare based solely on [...]

Lets Chat about Federally Qualified Health Center Billing and Reimbursement

Need answers on FQHC billing and reimbursement without attending a full training? Join our 30-minute "Let's Chat" session. This informal discussion allows providers to engage with our Provider Outreach and Education team. You are [...]

Fee Schedule Assistance

Fee Schedule Assistance Connecticut Illinois Locality/Area and County Information Maine, Massachusetts, New Hampshire, Rhode Island, Vermont Locality/Area and County Information New York Locality/Area and County Information Locate and [...]

The Incident To Provision for Medicare

Do you have nonphysician practitioners that are, or could be, providing services incident to the physicians in the practice? Are you following the Centers for Medicare & Medicaid Services (CMS) regulations for this program? Staying [...]

Learn Over Lunch – NGSConnex Inquiries

Effective 5/27/2025, National Government Services will no longer accept inquiries submitted through the postal service to any of our P.O. Boxes or faxed to any of our fax lines. Are you prepared? Join this session to learn how to efficiently [...]

Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10

Claim Denials for Medically Unnecessary Ambulance Transports Table of Contents Claim Denials for Medically Unnecessary Ambulance Transports Medical Necessity and Coverage Guidelines for Ambulance Transport Avoiding Reason Code 55B10 [...]

Coverage of Rural Air Ambulance Services

Coverage of Rural Air Ambulance Services Section 415 of the Medicare Modernization Act of 2003 provides coverage for rural air ambulance services that are reasonable and necessary and ordered by qualified personnel. Medicare considers the [...]

July 2025 EDI Front End Quarterly Release

July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]

July 2025 EDI Front End Quarterly Release

July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]

Improving Customer Experience

Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how we can [...]

Ambulance Services and Establishing Medical Necessity for Part B Providers

This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.

Bone Mass Measurement: Promoting Good Health Through Disease Prevention and Detection

Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep your patients from getting certain diseases. Register today for an [...]

ASCA Requirements for Paper Claim Submissions

Table of Contents ASCA Requirements for Paper Claim Submissions Submitting Electronic Claims Submitting Paper Claims ASCA Exception Criteria Related Content [Return to Top] ASCA Requirements for Paper Claim Submissions [...]

EDI Enrollment JK

Helpful Resources Approved Entities Network Service Vendors EDI Application Status Search Tool NPI/PTAN Crosswalk Contact the EDI Help Desk: 888-379-9132 Available by phone or email Monday–Friday* 8:00 a.m.–5:00 p.m. ET 7:00 a.m.–4:00 p.m. [...]

EDI Enrollment J6

Helpful Resources Approved Entities Network Service Vendors EDI Application Status Search Tool NPI/PTAN Crosswalk Contact the EDI Help Desk: 877-273-4334 Available by phone or email Monday–Friday* 8:00 a.m.–5:00 p.m. ET 7:00 a.m.–4:00 p.m. [...]

Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information

Are you responsible for looking up whether a service is covered in the Medicare program at your facility but you're not sure where to look for the most relevant information? As a health care provider, you are responsible for understanding [...]

The National Correct Coding Initiatives Procedure-to-Procedure and Medically Unlikely Edits

Centers for Medicare & Medicaid Services 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 rate. If you [...]

Administrative Simplification Compliance Act Waiver Request Form

July 2025 Release "Dark Days" for the Common Working File Hosts

July 2025 Release "Dark Days" for the Common Working File Hosts For the Upcoming July 2025 Release: For Production, CWF will be observing the Gray Day on Wednesday, 7/2/2025 and Dark Days starting Thursday, 7/3/2025 (including July 4th [...]

P.O. Box Mailing Addresses

P.O. Box Mailing Addresses Business Function State Mailing Address Additional Documentation Requests CT, MA, ME, NH, NY, RI, VT National Government Services, Inc. P.O. Box 7108 Indianapolis, IN [...]