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  • Posting Date: 04/02/2025
    Does Medicare cover a sign language interpreter?

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  • Posting Date: 01/03/2025
    Billing and Coding: Eculizumab

    Billing and Coding: Eculizumab drug, hemolysis A54548 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54548 J1299, Q5151, Q5152

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  • Posting Date: 04/02/2025
    Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound

    Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound L39139 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39139 A58893 [...]

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  • Posting Date: 03/16/2022
    Telehealth Services

    Telehealth Services Table of Contents General Information Originating Site Distant Site List of Covered Medicare Telehealth Services Billing Facility Fee for Originating Site Payment for Professional Fee Place of [...]

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  • Posting Date: 01/24/2025
    Telehealth Extension 2025

    Telehealth Extension 2025 A Congressional continuing resolution bill has extended telehealth coverage for services in all U.S. geographic locations through 9/30/2025. Based on this guidance, National Government Services will continue to pay [...]

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  • Posting Date: 12/02/2021
    Credentialing, Enrollment and Revalidation

    Credentialing, Enrollment and Revalidation Table of Contents Requirements Facilities that are not qualified Qualifications Application Forms You Will Need Required Application Fee Documentation State Survey, Tie-in Notice [...]

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  • Posting Date: 08/10/2020
    Learn About PECOS Web

    Learn About PECOS Web Table of Contents CMS Provider Enrollment Systems Advantages of Online Enrollment Get Started Other Resources Get Access Password Requirements Multi-Factor Authentication Get Help [Return to [...]

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  • Posting Date: 02/04/2022
    Targeted Probe and Educate Educational Videos

    Targeted Probe and Educate Educational Videos Video Description MAC Medical Review Best Practices: Updating Your Contact Information Did you know providers can now designate a separate [...]

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  • Posting Date: 01/01/1970
    Targeted Probe and Educate

    Targeted Probe and Educate Targeted Probe and Educate Table of Contents Targeted Probe and Educate Key Elements of TPE Provider Tips Related Content [Return to Top] National Government Services restarted targeted probe and educate reviews on [...]

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  • Posting Date: 02/04/2022
    Medical Review: Targeted Probe and Educate Review Topics

    Medical Review: Targeted Probe and Educate Review Topics Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature. If you notice the provider signature is illegible when asked to [...]

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  • Posting Date: 01/01/1970
    B_How to Proactively Address Denials

    How to Proactively Address Denials How to Proactively Address Denials Want to improve the Payment Error Rate for the next round of review? Be sure to learn about and understand claim denials before the end of round education with the Case [...]

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  • Posting Date: 06/04/2025
    Observance of Juneteenth Holiday

    Observance of Juneteenth Holiday In observance of Juneteenth, the National Government Services offices will be closed on Thursday, 6/19/2025. This includes the following departments: EDI Help Desk* Provider Contact Center Provider [...]

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  • Posting Date: 06/04/2025
    Some Claims Editing for Reason Code U537I, HH Claim Falls Outside of an HH Admission Period for the Same Provider

    Note: This issue was originally reported and resolved in April 2025. The issue has returned so we have reopened the alert. The CWF can only hold the 36 most recent periods of care for any beneficiary. CWF also contains the indicator of when [...]

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  • Posting Date: 06/04/2025
    Resources

    MLN® Fact Sheet: Medicare Overpayments CMS Internet-Only Manual Publication 100-06, Medicare Financial Management Manual, Chapter 3 - Overpayments Reviewed 6/4/2025

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  • Posting Date: 06/04/2025
    Overpayment Request

    Table of Contents Forms You'll Need Large Scale Overpayments Overpayment Notification Process Timeline for Processing a Demand Letter [Return to Top] Forms You'll Need Forms for non MSP-related are generally done via NGSConnex, but [...]

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  • Posting Date: 06/04/2025
    Bankruptcy Notifications

    Notify us if you file bankruptcy. If you have filed a bankruptcy petition or are involved in a bankruptcy proceeding, National Government Services requests that you notify us immediately so that we can properly coordinate with the CMS and the [...]

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  • Posting Date: 06/04/2025
    Nettings/Offsets Across Organization Affiliations

    Effective 1/4/2016, CMS implemented a change to begin netting/offsetting provider money across affiliated providers within the same and also across workloads within a single organization. This CMS change brings consistency to all Part B [...]

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  • Posting Date: 06/04/2025
    Complete a Voluntary Refund

    Table of Contents Forms Used for Providers NOT on Automatic Immediate Recoupments and Check(s) Are Attached to This Form(s) Option 1: Completing the Voluntary Refund Form High Volume Spreadsheet Instructions Option 2: Large [...]

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  • Posting Date: 06/04/2025
    How Should I Respond?

    An overpayment may be identified and self-reported by a provider via clerfical error reopening or an overpayment, may be discovered by Medicare contractors as part of the claim and reimbursement review process. The key to reporting and repaying [...]

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  • Posting Date: 06/04/2025
    Set Up an Extended Repayment Schedule

    Forms you’ll need J6 Applying for an Extended Repayment Schedule JK Applying for an Extended Repayment Schedule If repaying an overpayment would constitute a “hardship” on the provider, a request for an ERS should be submitted [...]

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