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Posting Date: 07/07/2025
NGSConnex: Appeals, Clerical Error Reopening and Prior Authorization Request
This webinar is geared toward Part B providers who bill to Medicare on a CMS-1500 form. Did you ever wonder what you need to do when a claim denies, or you might have made a clerical error on a claim? What about checking on prior authorization? [...]
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Posting Date: 07/08/2025
Overpayment: How Should I Respond?
Table of Contents Overpayment: How Should I Respond? What Action Should I Take? Complete a Voluntary Refund Where Should I Send my Forms and Payments? [Return to Top] Overpayment: How Should I Respond? An overpayment may be [...]
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Posting Date: 09/16/2020
Pricing <5>
table, td, th table { border-collapse: collapse; width: 50%; } Pricing <5> When Pricing is selected, the IVR will play the following: "To obtain pricing information, visit NGSMedicare.com and use our fee schedule lookup tool, [...]
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Posting Date: 07/10/2025
The National Correct Coding Initiative and Medically Unlikely Edits for Part B Providers
This webinar will assist Part B providers with navigating tables for the National Correct Coding Initiative and the medically unlikely edits. We'll also review the proper modifiers to use to avoid denials. There will be time for your [...]
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Posting Date: 07/10/2025
The National Correct Coding Initiative and Medically Unlikely Edits for Part B Providers
This webinar will assist Part B providers with navigating tables for the National Correct Coding Initiative and the medically unlikely edits. We'll also review the proper modifiers to use to avoid denials. There will be time for your [...]
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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: 10/26/2022
Prior Authorization OPD Alerts
Prior Authorization OPD Alerts Month/Year Topic July 2025 Prior Authorization Outpatient Department Exemption and ABN ADRs August 2024 Removal of Facet HCPCS Codes July 2023 Prior [...]
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Posting Date: 06/14/2022
Documentation Information
Documentation Information It is recommended that PARs are submitted at least seven calendar days prior to the expected date of service to allow National Government Services (NGS) the full standard timeframe to receive and review requests. [...]
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Posting Date: 07/09/2025
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: 10/14/2021
Requesting an Exception to Timely Filing
Requesting an Exception to Timely Filing Table of Contents Requesting an Exception to Timely Filing No Appeal Rights for Claims Denied Based on Timely Filing Limit Provider Liability Exceptions that May Allow the Time Limit to be [...]
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Posting Date: 10/20/2021
Advanced Care Planning
Advanced Care Planning ACP is a voluntary, face-to-face discussion between you and your patient, their family member, caregiver or surrogate (as appropriate) to discuss the patient’s health care wishes if they become unable to make their own [...]
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Posting Date: 10/20/2021
Behavioral Health Integration
Behavioral Health Integration Table of Contents BHI Overview Eligible Conditions Part B Billing/Coding BHI Services New Coding and Payment for BHI Conditions Billed by Clinical Psychologists and Clinical Social Workers Initiating [...]
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Posting Date: 07/07/2025
CERT Awareness Week One – 2025 CERT Documentation Deadline
CERT Awareness Week One – 2025 CERT Documentation Deadline 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 [...]
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Posting Date: 07/16/2024
Home Health Certifying Provider Change
Home Health Certifying Provider Change Home health certifying physician or NPP changes can occur anytime for a variety of reasons. Some examples may include practitioner retirement or vacation and patient choice. Regardless of the [...]
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Posting Date: 07/09/2025
Meet Cotiviti - The Recovery Audit Contractor for CMS Region 5
This presentation introduces Cotiviti to Region 5 providers, offers an overview of the Medicare Fee-for Service Recovery Audit Program and demonstrates the features and functionality that equip providers to comprehensively respond to audits [...]
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Posting Date: 07/09/2025
Medicare Part B Targeted Probe and Educate Process
During this webinar, we’ll help the Medicare provider community understand the targeted probe and educate program.
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Posting Date: 07/09/2025
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: 07/09/2025
Submitting Revalidation via PECOS
During this webinar, we’ll provide an understanding of how to utilize the Centers for Medicare & Medicaid Services (CMS) Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to [...]
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Posting Date: 07/09/2025
Provider Enrollment: Completing the CMS-855A Paper Application
During this webinar, we’ll provide an understanding of how to complete the CMS-855A provider enrollment paper application.
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Posting Date: 07/09/2025
Provider Enrollment: Completing the CMS-855I Paper Application
During this webinar, we’ll provide an understanding of how to complete the CMS-855I provider enrollment paper application for a group member, sole proprietor or sole owner and we’ll also focus on reassigning Medicare benefits.
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Posting Date: 07/09/2025
Provider Enrollment: Completing the CMS-855B Paper Application
During this webinar, we'll provide an understanding of how to complete the CMS-855B provider enrollment paper application for a clinic, group or supplier.
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Posting Date: 07/09/2025
Private Practice Physical/Occupational Therapy Billing
We invite you to join our informative webinar focused on billing guidelines for physical and occupational therapy in private practice. During this webinar, we'll review important topics such as the appropriate use of the KX modifier and the [...]
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Posting Date: 07/09/2025
Private Practice Physical/Occupational Therapy Billing
We invite you to join our informative webinar focused on billing guidelines for physical and occupational therapy in private practice. During this webinar, we'll review important topics such as the appropriate use of the KX modifier and the [...]
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Posting Date: 07/09/2025
NGSConnex: Beneficiary Eligibility, Look Up and MBI Look Up
Knowing if your patient is Medicare eligible is important for correct claims processing. Please join us for this NGSConnex webinar where we will review beneficiary eligibility and look up, help you understand the eligibility panels, learn how [...]
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Posting Date: 07/09/2025
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 [...]
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Posting Date: 01/03/2024
PCACE Full Install Text - ALOB
Version 6.7 (Institutional and Professional) PC-ACE users
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Posting Date: 01/03/2024
PCACE Download Text - ALOB
The installation code to run the full install or the upgrade for PC-ACE is: NGSMAC1 Important Warning: For PC-ACE version 6.7 updated version: please be patient and allow the full install or update complete. It is important that you do not [...]
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Posting Date: 01/03/2024
PCACE Upgrade Text - ALOB
Version 6.7 (Institutional and Professional) PC-ACE users
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Posting Date: 01/03/2024
About PC-ACE
About PC-ACE The National Government Services PC-ACE free billing software is available for NGS J6 and JK providers only. If you are not a J6 or JK provider, the free billing software must be obtained from your MAC. PC-ACE is a [...]
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Posting Date: 01/03/2024
About PC-ACE
About PC-ACE The National Government Services PC-ACE free billing software is available for NGS J6 and JK providers only. If you are not a J6 or JK provider, the free billing software must be obtained from your MAC. PC-ACE is a stand-alone [...]
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Posting Date: 09/30/2024
Provider Enrollment: Reduce Development Requests for Additional Action
Provider Enrollment: Reduce Development Requests for Additional Action In an effort to reduce the request of additional information and/or documentation on provider enrollment applications, verify all required actions are complete prior to [...]
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Posting Date: 07/09/2025
NGSConnex: Local Security Officer Overview, Access and Navigation
This webinar is geared toward all lines of business for those who will be a Local Security Officer (LSO) in the NGSConnex portal. Come join us and see how NGSConnex can make your life a little easier. We will review the responsibilities of an [...]
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Posting Date: 07/09/2025
NGSConnex: Standard User Overview, Access and Navigation
This webinar is geared toward all lines of business for those who will be standard users in the NGSConnex portal. Come join us and see how NGSConnex can make your life a little easier. We will review what NGSConnex has to offer including [...]
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Posting Date: 07/09/2025
NGSConnex: Additional Development Requests and Inquiries
This webinar is for current and future NGSConnex users who want to learn more about viewing and responding to additional development requests sent to you by National Government Services, and how to submit an electronic inquiry to our Provider [...]
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Posting Date: 07/09/2025
Podiatry Services - Routine Foot Care and Debridement of Nails
While the Medicare Program generally excludes routine foot care services from coverage, there are specific indications or exceptions under which there are program benefits. Medicare payment may be made for routine foot care when the patient has [...]
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Posting Date: 07/09/2025
Medicare Part B Drugs and Biologicals
Medicare Part B covers certain drugs and biologicals, which require specific billing guidelines. During this webinar, we’ll assist NGS Part B providers in navigating proper billing for these services. There will be time following the [...]
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Posting Date: 07/09/2025
Prior Authorization Outpatient Department Exemption and ABN ADRs
Prior Authorization Outpatient Department Exemption and ABN ADRs National Government Services Prior Authorization initiated the process of issuing ADRs to 2025 exempt providers. Historically, claims await a provider’s response in FISS DDE [...]
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Posting Date: 08/18/2022
Chronic Care Management
Chronic Care Management Table of Contents Billing Codes Chronic Pain Management and Treatment Codes Billing and Documentation Care management for chronic conditions Related Content [Return to Top] Billing Codes 99490: Provide at [...]
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Posting Date: 07/09/2025
CERT Awareness Week Two - Steps to Take if You Get a CERT Documentation Request
CERT Awareness Week Two– 2025 CERT Documentation Deadline 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 [...]
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Posting Date: 07/10/2025
Proper Part B Claim Submissions
This webinar is intended to educate providers and office staff members on how to complete a clean claim to avoid claim rejections, developments or denials. We will guide you through the Centers for Medicare & Medicaid Services (CMS)-1500 [...]
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