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  • Posting Date: 07/29/2025
    U537F

    Avoiding/Correcting This Error Always verify billing before submitting a new NOA for a beneficiary admission. There should not already be an NOA in the system pending processing or finalized prior to submitting a new NOA for a beneficiary. [...]

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  • Posting Date: 07/29/2025
    37402

    Avoiding/Correcting This Error Hospice – This error occurs when a claim is submitted and the previous month's claim has not been found in the system or there is a gap between Through date of the previous claim and From date on this claim. [...]

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  • Posting Date: 07/29/2025
    7C625

    Avoiding/Correcting This Error Hospice – Clarify reason for discharge. Claim is being returned for one of the following reasons: Remarks are not present or do not indicate valid reason for discharge/transfer. Remarks indicate beneficiary [...]

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  • Posting Date: 07/29/2025
    31644

    Avoiding/Correcting This Error Hospice room and board denials should be submitted as non-covered charges with revenue code 0659, HCPCS A9270, and the ‘GY’ modifier. Review the information submitted on your claim, correct, and resubmit.

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  • Posting Date: 07/29/2025
    U5233

    Avoiding/Correcting This Error Collect all insurance information from the beneficiary when admitted to your HHA. Talk to the beneficiary about insurance changes and check CWF before billing Medicare. Many times a claim will overlap an MAO [...]

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  • Posting Date: 07/29/2025
    U5106

    Avoiding/Correcting This Error When the hospice NOE was received it fell within a previously established election period. Verify that the NOE is billed with correct dates. If benefit period from the previous hospice is still open, allow [...]

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  • Posting Date: 07/29/2025
    U5111

    Avoiding/Correcting This Error Hospice – When submitting a hospice Notice of Termination/Revocation (TOB 8XB) or a Cancel Notice of Election (TOB 8XD) ensure that the From date on the transaction matches the Start date posted on CWF for that [...]

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  • Posting Date: 07/29/2025
    U5113

    Avoiding/Correcting This Error The 8xB (NOTR) transaction should only be submitted when the beneficiary revokes the hospice benefit or is discharged alive and there is no final claim in the system indicating termination of the hospice benefit. [...]

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  • Posting Date: 07/29/2025
    U5166

    Avoiding/Correcting This Error If a transfer occurred, verify that all claims and notices are submitted in order. The transferring-from hospice agency needs to submit their final claim prior to the transferring-to hospice agency submitting [...]

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  • Posting Date: 07/29/2025
    37402

    Avoiding/Correcting This Error Hospice – This error occurs when a claim is submitted and the previous month's claim has not been found in the system or there is a gap between Through date of the previous claim and From date on this claim. [...]

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  • Posting Date: 07/29/2025
    U5109

    Avoiding/Correcting This Error When submitting a transaction to indicate the beneficiary’s election to revoke the hospice benefit, transfer the patient, cancel the election, or a change of ownership, the information on the transactional bill [...]

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  • Posting Date: 07/29/2025
    U5233

    Avoiding/Correcting This Error Collect all insurance information from the beneficiary when admitted to your HHA. Talk to the beneficiary about insurance changes and check CWF before billing Medicare. Many times a claim will overlap an MAO [...]

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  • Posting Date: 07/29/2025
    U5181

    Avoiding/Correcting This Error Ensure the usage of an appropriate certification or recertification date in accordance with occurrence code 27. Related Content Avoiding Reason Code U5181: Appropriate Use of Occurrence Code 27/Occurrence [...]

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  • Posting Date: 07/29/2025
    U5065

    Avoiding/Correcting This Error HH+H may only bill services provided to the patient after the effective date of their Medicare coverage. Verify the effective date(s) for the MBI of the beneficiary prior to billing. If a new MBI has been issued [...]

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  • Posting Date: 07/29/2025
    U537F

    Avoiding/Correcting This Error Always verify billing before submitting a new NOA for a beneficiary admission. There should not already be an NOA in the system pending processing or finalized prior to submitting a new NOA for a beneficiary. [...]

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  • Posting Date: 07/29/2025
    U537I

    Avoiding/Correcting This Error All dates of service reported on a period of care claim must be on or after the date of admission. Verify the from and through dates billed and all line-item dates of service to ensure the dates are within the [...]

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  • Posting Date: 07/29/2025
    U5065

    Avoiding/Correcting This Error HHH may only bill services provided to the patient after the effective date of their Medicare coverage. Verify the effective date(s) for the MBI of the beneficiary prior to billing. If a new MBI has been issued [...]

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  • Posting Date: 07/29/2025
    31287

    Avoiding/Correcting This Error Hospice claims are required to be billed monthly. Verify the month beginning and ending date and the ‘From’ and ‘To’ dates on your claim. The claim must span the entire month for continuing care claims.

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  • Posting Date: 07/29/2025
    30993

    Verify the MBI submitted on the claim matches the MBI in the Common Working File. If a new MBI has been assigned, follow the guidelines regarding the claim submission: For dates of service before the MBI change date use old or new MBI If [...]

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  • Posting Date: 07/29/2025
    34538

    Avoiding/Correcting This Error To avoid this error: When submitting your Medicare primary claim, report the reason Medicare is primary using claim coding in Prevent an MSP Rejection on a Medicare Primary Claim. To correct this [...]

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  • Posting Date: 07/30/2025
    Care Management: Health Related Services

    As part of a continued series, we're raising awareness on the benefits of care management. During this webinar, we’ll discuss the care management services that Medicare covers in relation to health related services including caregiver [...]

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  • Posting Date: 07/30/2025
    Submitting Part B Medicare Secondary Payer Claims with Correct Insurance Type Codes

    This webinar offers an opportunity to deepen your understanding of Medicare Secondary Payer (MSP) insurance type codes. Using the correct insurance type code is essential for ensuring claims are processed smoothly when Medicare is not the [...]

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  • Posting Date: 07/30/2025
    Submitting Part B Medicare Secondary Payer Claims with Correct Insurance Type Codes

    This webinar offers an opportunity to deepen your understanding of Medicare Secondary Payer (MSP) insurance type codes. Using the correct insurance type code is essential for ensuring claims are processed smoothly when Medicare is not the [...]

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  • Posting Date: 03/26/2021
    Main Menu Options

    Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for provider numbers, Medicare numbers, PTAN, NPI, TIN, dates of service, [...]

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  • Posting Date: 09/16/2020
    Patient Status <6>

    table, td, th table { border-collapse: collapse; width: 50%; } Patient Status Patient status information is now accessible via our secure online portal, NGSConnex. To access our portal, go to NGSMedicare.com. Revised 7/24/2025  

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  • Posting Date: 09/16/2020
    General Information <8>

    table, td, th table { border-collapse: collapse; width: 50%; } General Information <8> When the general information option is selected, the IVR will prompt you to choose from the following options: Phone numbers Addresses [...]

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  • Posting Date: 07/30/2025
    Interactive Voice Response System Changes

    Interactive Voice Response System Changes As we’ve communicated, we’re making changes to our IVR system. If you call the IVR tonight, 7/30/2025, you may experience intermittent outages while we make updates. These changes to the IVR will be [...]

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  • Posting Date: 09/16/2020
    Tips for Success

    Tips for Success Speak naturally and clearly in a quiet environment. Use mute when you're not speaking. Avoid the use of cellular phones or speaker phones. Have information available and organized before you call. Switch to touch‐tone if [...]

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  • Posting Date: 09/16/2020
    Tips for Success

    Tips for Success Speak naturally and clearly in a quiet environment. Use mute when you're not speaking. Avoid the use of cellular phones or speaker phones. Have information available and organized before you call. Switch to [...]

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  • Posting Date: 09/16/2020
    Claim Status <2>

    table, td, th table { border-collapse: collapse; width: 50%; } Claim Status <2> If you are part of a group, remember to use the group NPI, PTAN and TIN for authentication purposes. When Claim Status is selected, the IVR will [...]

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  • Posting Date: 09/16/2020
    Remittance Statements <4>

    table, td, th table { border-collapse: collapse; width: 50%; } Remittance Statements <4> Upon selecting Remittance Statements, the provider will need to authenticate the following information: NPI PTAN Last five (5) digits of [...]

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  • Posting Date: 09/16/2020
    Checks <3>

    table, td, th table { border-collapse: collapse; width: 50%; } Checks <3> If you are part of a group, remember to use the group NPI, PTAN and TIN for authentication purposes. Upon selecting Checks, the provider will need to [...]

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  • Posting Date: 03/26/2021
    Main Menu Options

    table, td, th table { border-collapse: collapse; width: 50%; } Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for [...]

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  • Posting Date: 09/21/2020
    Fast Track Access

    Fast Track Access You will be prompted for the fast-track access when you use a feature that requires provider authentication (NPI, PTAN, TIN). Features: Claim Status, Checks, Offsets, Appeals You can obtain a code after you complete the [...]

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  • Posting Date: 09/16/2020
    Using Touch-Tone

    Using Touch-Tone Table of Contents Using Touch-Tone Using Touch-Tone for Alpha-Numeric Elements Using Touch-Tone to Enter a Letter [Return to Top] Using Touch-Tone The IVR is programmed to allow for the entry of all data [...]

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  • Posting Date: 11/19/2024
    Interactive Voice Response Touch-Tone Instructions

    Interactive Voice Response Touch-Tone Instructions Alpha-Numeric Touch-Tone Entries Use this function to enter elements that contain both alpha and numeric characters. Each button on a telephone keypad has a corresponding set of letters. Each [...]

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  • Posting Date: 09/16/2020
    Offsets <4>

    table, td, th table { border-collapse: collapse; width: 50%; } Offsets <4> Upon selecting Offsets, the provider will need to authenticate the following information: NPI PTAN Last five digits of the TIN Next, a submenu will [...]

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  • Posting Date: 09/16/2020
    General Information <8>

    General Information <8> When General Information is selected, the IVR will present the caller with a submenu. Voice Touch-Tone Entry IVR Supplies Phone Numbers 1 Commonly requested telephone numbers [...]

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  • Posting Date: 09/16/2020
    Claim Status <2>

    Claim Status <2> If you are part of a group, remember to use the group NPI, PTAN and TIN for authentication purposes. When Claim Status is selected, the IVR will request and collect the following elements: NPI PTAN Last five [...]

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  • Posting Date: 09/16/2020
    Fast Track Access

    Fast Track Access You will be prompted for the fast-track access when you use a feature that requires provider authentication (NPI, PTAN, TIN).  Features: Claim Status, Checks, Remittance Statements, Appeal Status You can obtain [...]

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