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Posting Date: 06/05/2025
NGSConnex Part B Claim Submissions and Claim Status Inquiry
This webinar is geared toward Part B providers who bill to Medicare on a CMS-1500 form. Submitting Medicare Part B claims can be simple and efficient through the NGSConnex portal. During this webinar, we’ll show you how. We’ll review claim [...]
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Posting Date: 06/05/2025
Medicare Global Surgery
Global surgery policy was introduced into Medicare over thirty years ago and still today some of the concepts can be confusing. During this webinar, we'll go through the global surgery policy as it stands today, and cover when the global [...]
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Posting Date: 06/05/2025
Part A Summit - Provider Outreach and Education Roundtable
Join us for an interactive and insightful roundtable discussion with the Provider Outreach and Education Manager and team. This session is designed to offer a comprehensive look into the future of POE and explore innovative strategies for [...]
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Posting Date: 06/05/2025
MLN Connects® Newsletter: June 5, 2025
MLN Connects® Newsletter: June 5, 2025 News 2023 Doctors & Clinicians Preview Period Open Until June 25 Hospital Price Transparency: Respond to Accuracy & Completeness RFI by July 21 Medicare & Veteran Affairs: Adjustments for [...]
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Posting Date: 06/05/2025
Let's Chat About Provider Enrollment
During this session, you’ll have the opportunity to ask questions about all aspects of provider enrollment. Answers will be provided by a panel of subject-matter experts. As this is a question-and-answer session, there is no presentation available.
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Posting Date: 06/02/2025
PECOS: Manage Signatures and Additional Information Requests
During this webinar, we’ll give direction for the Provider Enrollment, Chain and Ownership System (PECOS) application on understanding how to manage signatures and respond to additional information request from submitted applications.
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Posting Date: 06/03/2025
Modifier 22 Supporting Documentation for Part B claims
Modifier 22 Supporting Documentation for Part B claims The Centers for Medicare & Medicaid Services, Internet-Only-Manual, Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 40.2.10 Unusual Circumstances states: [...]
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Posting Date: 05/17/2023
How to Prevent Common Skilled Nursing Facility Denials
How to Prevent Common Skilled Nursing Facility Denials This article was developed to increase awareness and educate SNFs on the top errors found by our Medical Review team. The information below includes suggestions to ensure documentation [...]
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Posting Date: 02/04/2022
Best Practices for a Successful Targeted Probe and Educate Review
Best Practices for a Successful Targeted Probe and Educate Review Table of Contents Getting Started With TPE Notification Letter During the Review Process Post-Probe/Review Results Letter Prepare for Post-Probe Education [Return to [...]
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Posting Date: 02/04/2022
Best Practices for a Successful Targeted Probe and Educate Review
Best Practices for a Successful Targeted Probe and Educate Review Table of Contents Getting Started With TPE Notification Letter During the Review Process Post-Probe/Review Results Letter Prepare for Post-Probe Education [Return to [...]
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Posting Date: 01/01/1970
ALOB_Mental Health Enrollment Reminders
Mental Health Enrollment Reminders Mental Health Enrollment Reminders Effective 1/1/2024, Medicare covers services furnished by MFTs and MHCs. Please note: The criteria listed below for mental health counselor includes clinical professional [...]
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Posting Date: 02/22/2022
Appeals Calculator Levels of Appeal Table
Five Levels of Appeals: Overview Levels Level One Level Two Level Three Level Four Level Five Type of Appeal Redetermination Reconsideration (QIC) Administrative Law Judge (ALJ) Medicare Appeals [...]
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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
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
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
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
Respond to a Demand Letter
Table of Contents Form(s) you’ll need Timeline for Processing a Demand Letter [Return to Top] Form(s) you’ll need Providers on Automatic immediate Recoupments Do nothing as this automation process will automatically be done and [...]
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Posting Date: 06/04/2025
Request an Immediate Recoupment
Forms You’ll Need These forms apply to providers that are NOT on Automatic Immediate Recoupments. Electronic Submissions JK or J6 Immediate Recoupment Request Form - Electronic/E-mail Paper Submissions Jurisdiction K [...]
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