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Posting Date: 08/08/2022
Comprehensive Error Rate Testing Redetermination Deadline 9/27/2022
Comprehensive Error Rate Testing Redetermination Deadline 9/27/2022 The CERT RY 2022 is quickly coming to an end. The deadline for redetermination completion is 9/27/2022 to be considered for the CERT RY. National Government Services requests [...]
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Posting Date: 08/08/2022
Comprehensive Error Rate Testing Documentation Deadline 8/22/2022
Comprehensive Error Rate Testing Documentation Deadline 8/22/2022 The CERT RY 2022 is quickly coming to an end. In order to give sufficient time for the CERT RC to complete the review of your claims, all documentation and additional [...]
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Posting Date: 08/10/2022
October 2022 Release "Dark Days" for the Common Working File Hosts
October 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming October 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, September 29th and Dark Days starting Friday, September 30th through [...]
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Posting Date: 08/11/2022
MLN Connects® Newsletter for Thursday, August 11, 2022
MLN Connects® Newsletter for Thursday, August 11, 2022 Monkeypox & Smallpox Vaccines: New Product Codes News Monkeypox & Smallpox Vaccines: New Product Codes Payment Allowance Update for COVID-19 Monoclonal Antibody Therapy [...]
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Posting Date: 08/17/2022
CMS Identifies National System Issue
CMS Identifies National System Issue CMS identified a national system issue, which may have inadvertently adjusted previously processed Part B claims with dates of service (DOS) on or after January 1, 2021. These adjustments processed on July [...]
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Posting Date: 03/21/2022
National Government Services Medicare Spring 2022 Virtual Conference
National Government Services Medicare Spring 2022 Virtual Conference Medicare For You Wednesday, 5/11/2022 – Thursday, 5/12/2022 The NGS Provider Outreach and Education Team is holding our latest bi-annual virtual conference on Wednesday, [...]
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Posting Date: 05/10/2022
Are You Registered? The Spring 2022 Virtual Conference Medicare for You Begins Tomorrow!
Are You Registered? The Spring 2022 Virtual Conference Medicare for You Begins Tomorrow! Medicare for You offers valuable information that is fundamental for you, as a provider, to submit claims with the needed information so you realize the [...]
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Posting Date: 02/02/2021
Submit an Adjustment to Correct Claims Partially Denied by Automated LCD-NCD Denials
Submit an Adjustment to Correct Claims Partially Denied by Automated LCD-NCD Denials NGS would like to remind providers that using adjustment reason code “LN” to submit adjusted claims (xx7, xxQ), where changes were made to an LCD/NCD denied [...]
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Posting Date: 03/29/2016
Screen Movements
Chapter III: Navigating the Online System Screen Movements Purpose To move within the FISS/DDE Provider Online System, providers will perform several different screen movements. The following chart outlines the various screen [...]
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Posting Date: 08/18/2022
MLN Connects® Newsletter for Thursday, August 18, 2022
MLN Connects® Newsletter for Thursday, August 18, 2022 Discontinuing Use of Certificates of Medical Necessity & Durable Medical Equipment Information Forms News CMS Discontinuing the Use of Certificates of Medical [...]
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Posting Date: 02/16/2015
Accessibility Statement
Accessibility Features of the National Government Services Website The NGSMedicare.com website employs many features to make information more accessible. If you have comments or suggestions, please use our Site Feedback mechanism to let us [...]
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Posting Date: 08/18/2022
MLN Connects® Special Edition for Thursday, August 18, 2022
MLN Connects® Special Edition for Thursday, August 18, 2022 Creating a Roadmap for the End of the COVID-19 Public Health Emergency News Creating a Roadmap for the End of the COVID-19 Public Health Emergency Health Care System Resiliency [...]
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Posting Date: 04/08/2025
New Version of PC-ACE: April 2025
New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]
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Posting Date: 05/25/2022
Illinois, Minnesota, Wisconsin
Member Name Group Email Aldrich, Elizabeth IPW (Independent Physicians of Wisconsin), Allen Family Practice ealdrich@ipw-offices.org Anderson, Benita Aurora Health Care Benita.Anderson@aurora.org [...]
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Posting Date: 05/12/2023
NGSConnex: Initiating and Checking Status of Reconsiderations
Did you know that you can save time and money by requesting a reconsideration via NGSConnex? When you submit reconsideration requests electronically using NGSConnex, you no longer need to complete a form, copy documentation and waste time with [...]
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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: 02/06/2025
Provider Enrollment: Opioid Treatment Program
During this webinar, we’ll provide a brief overview of an Opioid Treatment Program (OTP) provider, an understanding of submitting the CMS-855A or CMS-855B paper application and how to complete the provider enrollment Internet-based Provider [...]
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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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