PECOS: In PECOS, please advise how to respond to a development request when the MAC needs additional information or supporting documentation for a submitted application.

PECOS: In PECOS, please advise how to respond to a development request when the MAC needs additional information or supporting documentation for a submitted application.

Appeals Redeterminations are Only Accepted Once

Appeals Redeterminations are Only Accepted Once National Government Services has seen a large increase in provider submissions of redetermination requests after a redetermination has been requested or completed. Please be aware, once a [...]

MLN Connects® Newsletter: July 24, 2025

MLN Connects® Newsletter: July 24, 2025 News 2025 Quality Conference Highlights July 2025 Provider Specific Data for Public Use Files Compliance Remote Patient Monitoring: Use & Bill Correctly Publications & Multimedia [...]

Medicare Part B Top 10 Claim Denials

Each quarter, we host this webinar to address the top claim denials we receive. We research and identify common errors and offer solutions to prevent them, which has effectively reduced errors. There will be time following the presentation to [...]

Care Management: Principal Care Management Services

As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on principal care management services for patients with a single chronic condition. We’ll provide resources and share [...]

Care Management: Chronic Care Management

As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on chronic care management services for patients with chronic conditions. We’ll share resources and review proper [...]

Care Management: Transitional Care Management

As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on transitional care management services for Medicare patients. When a physician discharges a Medicare patient from an [...]

Care Management: Cognitive Assessment

As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on cognitive assessment, which is a separate service that may be billed for patients when you have recognized potential [...]

Care Management: Advanced Care Planning

As part of a continued series, we’re raising awareness of the benefits of care management. During this webinar, we’ll focus on advanced care planning (ACP) services for patients with chronic conditions. We’ll share resources and review proper [...]

Care Management: Behavioral Health Integration and Psychiatric Collaborative Care Management

As part of a continued series, National Government Services is raising awareness on the benefits of care management. During this webinar, we’ll discuss behavioral health integration and psychiatric collaborative care management. This service [...]

Ambulance Billing Guidance

Ambulance Billing Guidance Table of Contents Ambulance Billing Ambulance Billing HCPCS Codes How to Bill Units with Transpiration HCPCS Codes Using Ambulance Modifiers When Billing Transportation Indicators Related Content [Return [...]

Acute Care Hospitals: A Peek Inside the Three-Day Payment Window

To prevent return to provider (RTP) claims, join us for this webinar in which we will review the three-day payment window policy (aka bundling, preadmission services, diagnosis-related group (DRG) window, 72-hour rule) and provide billing [...]

Part A Fundamentals of Medicare

Provide an understanding of the fundamentals of the Original Medicare Program.

CERT Awareness Week Four – We Appreciate Your Efforts

CERT Awareness Week Four – We Appreciate Your Efforts The Part A, Part B, DME, home health and hospice, and Railroad Board MACs are working together to promote the importance of complying with CERT documentation requests. This is the final in [...]

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 [...]

Method II CAH Claims Not Paying Professional Services with Revenue Codes 096x-098x

Certain CAH claims (TOB 85X) with professional service revenue codes 096x – 098X did not process for payment because the fee amount was not correctly retrieved during processing. The affected claims have receipt/processed dates in October 2024.