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4,642 Results for
  • Posting Date: 04/09/2025
    5WEXC

    Avoiding/Correcting This Error Ensure all Medicare coverage and medical necessity requirements are met prior to billing. When the provider determines that Medicare will not cover the services, consider submitting the charges as noncovered. [...]

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  • Posting Date: 04/09/2025
    56900

    Avoiding/Correcting This Error This reason code can and should be prevented. When providers receive an ADR, respond according to the date listed in the ADR. Providers should start gathering the documentation being requested immediately. This [...]

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  • Posting Date: 04/09/2025
    5WEXC

    Avoiding/Correcting This Error Ensure all Medicare coverage and medical necessity requirements are met prior to billing. When the provider determines that Medicare will not cover the services, consider submitting the charges as noncovered. [...]

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  • Posting Date: 01/03/2024
    Download PC Print

    Download PC Print Please select from the two available versions of PC Print below. PC Print 7.1.5 PC Print 9.3.2 For the most current CARC/RARC code sets with full narrative and business scenarios, please download PC Print 9.3.2. and [...]

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  • Posting Date: 04/09/2025
    32243

    Avoiding/Correcting This Error Review the claim and either update the charges or remove the line containing zero or blank charges. Return the claim for processing. 

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  • Posting Date: 04/09/2025
    32415

    Avoiding/Correcting This Error Append the “A6” condition code to the claim and F9 or resubmit.  Related Content CMS Internet-Only Manual Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section [...]

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  • Posting Date: 04/09/2025
    31836

    Avoiding/Correcting This Error Verify billing and, if appropriate, correct and resubmit the claim for payment. Related Content CMS PFS Look-up Tool Overview

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  • Posting Date: 04/09/2025
    31836

    Avoiding/Correcting This Error Verify billing and, if appropriate, correct and resubmit the claim for payment. Related Content MLN® Booklet: How to Use the PFS Look-up Tool

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  • Posting Date: 05/27/2021
    Submitting a Medicare GME Affiliation Agreement

    Submitting a Medicare GME Affiliation Agreement Table of Contents Submitting a Medicare GME Affiliation Agreement Jurisdiction K MAC (NGS) Jurisdiction 6 MAC (NGS) Submitting a Medicare GME Affiliation Agreement In [...]

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  • Posting Date: 04/09/2025
    Part A Top Reason Code changes

    Part A Top Reason Code changes National Government Services, Inc. updates the Top Claim Errors on our website each quarter to ensure our Part A providers have the latest information on top claim errors including denials, return to provider, [...]

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  • Posting Date: 05/15/2024
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Prohibition of AI Assistant Usage for Recording Medicare Sessions

    Prohibition of AI Assistant Usage for Recording Medicare Sessions National Government Services has observed a rise in attempts to use various AI assistants during NGS-hosted sessions. It is important to note that the CMS has a longstanding [...]

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  • Posting Date: 05/30/2024
    ABF - Promo 1 (Think Green Go Paperless)

    Think Green Go Paperless /web/ngs/edi-solutions?selectedArticleId=907003

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  • Posting Date: 04/11/2025
    MLN Connects® Newsletter: April 11, 2025

    MLN Connects® Newsletter: April 11, 2025 News Dr. Mehmet Oz Shares Vision for CMS Skilled Nursing Facility Value-Based Purchasing Program: March 2025 Confidential Feedback Reports Skilled Nursing Facilities: Revalidation Deadline is May 1 [...]

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  • Posting Date: 04/13/2025
    Preventive Services: Initial Preventive Physical Examination and Annual Wellness Visit

    Ensure that your patients obtain the wellness examinations they are eligible for by knowing the differences between the initial preventive physical examination and annual wellness visit. During this webinar, we'll review the coverage, [...]

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  • Posting Date: 04/14/2025
    Introduction to Medicare Part II

    Join us for Introduction to Medicare Part II to enhance your understanding of Medicare Part B. Topics include Local Coverage Determinations, Claim Filing Guidelines, Preventive Services, Front Office Assistance, Medigap/Supplemental/Advantage [...]

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  • Posting Date: 04/15/2025
    Acute Care Hospitals Preparing Inpatient Claims: The Basics Part 1

    This is part 1 of a 2-part webinar event (part 2 will be on 04/24/2025). In part 1, Acute Care Hospitals (ACH) will learn how to properly complete inpatient claims for submission to Medicare. We will review general inpatient ACH information [...]

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  • Posting Date: 04/04/2025
    MLN Connects® Newsletter: April 3, 2025

    MLN Connects® Newsletter: April 3, 2025 News Home Infusion Therapy & Intravenous Immune Globulin Services: Get Monitoring Reports Medicare Providers & Suppliers: Report Managing Employees External User Services Help Desk: New [...]

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  • Posting Date: 12/11/2024
    Provisional Period of Enhanced Oversight for New Hospices

    Provisional Period of Enhanced Oversight for New Hospices In recent years, CMS has reported a significant increase in fraudulent hospice billing practices, which cost the Medicare Program millions of dollars annually. The CMS has initiated a [...]

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