What is the refund address?

What is timely filing for a claim?

What is my Payer ID?

What is timely filing to adjust a claim?

Where is the written Part B Reopening Form located?

What is the QIC timely filing limit?

What is the address to send the QIC appeal?

What is the ICN?

LCD NCD: How can I view and comment on proposed LCDs?

LCD NCD: Does NGS offer any other LCD resources?

LCD NCD: What are Medical Policy Articles?

LCD NCD: How do I search for an LCD if I do not know the LCD number?

LCD NCD: What are the differences between LCDs and NCDs?

LCD NCD: Can I request a change be made to a current LCD?

LCD NCD: How do I find out if an LCD or medical coverage policy has changed in my jurisdiction?

LCD NCD: How do I find LCDs?

Prior Authorization: Hospital Outpatient Department and Exemption Process

Join us for this general webinar about Prior Authorization for certain Hospital Outpatient Department (OPD) services. This webinar will have a non-clinical focus with emphasis on general requirements as listed in the OPD Operational Guide.

CAH, FQHC and RHC Quarterly Top Claim Errors

Do you struggle with your claim denials, rejections and return to provider (RTP) claims? Do you want to be proactive in preventing unnecessary errors? Join us in a review of top claim errors for your provider type based on recent data analysis [...]

CLAIMS: During the patient check in process, may we have the patient check a box on a form at each visit stating they agree to allow us to bill Medicare and have that serve as the patient’s acceptance for our filing a claim?

CLAIMS: I file all my Medicare claims electronically except for Medicare Secondary Payer (MSP) claims because I thought I had to attach the primary Explanation of Benefits (EOB). Is this the correct process?

CLAIMS: Where are comments entered on the 837P electronic claim form?

CLAIMS: On a screening Pap smear test claim, which pointer does my diagnosis code need to be in?

CLAIMS: I am receiving inconsistent payments on claims billed for the same drug. How can I prevent this?

CLAIMS: How do I know if a HCPCS/CPT code is subject to MUE (medically unlikely edit)?

CLAIMS: When submitting an ambulance claim, do the base and mileage codes need to have the same ZIP code for the same trip?

CLAIMS: Why would my postoperative claims deny?

CLAIMS: How do I submit documentation for an additional development request (ADR)?

CLAIMS: How do I prevent monthly End Stage Renal Disease claims from denying?

CLAIMS: Medicare is the beneficiary's secondary payer and I am receiving denials when submitting using the CMS-1500 form. How can I resolve this?

CLAIMS: What is the correct way to submit a beneficiary name on a claim?

MEDICAL REVIEW: How do I sign up for the CMS and NGS Listserv messages?

MEDICAL REVIEW: My claim was reopened or adjusted by Medical Review. Does this impact the appeal window?

MEDICAL REVIEW: I’m appealing my claim but received a letter to recoup funds from the TPE denial. What do I do about these letters?

MEDICAL REVIEW: My claim was denied “56900 Documentation not received”; however, I did send in documentation. What now?

MEDICAL REVIEW: How do I appeal a claim that MR reviewed but went to a T status or R status because of a CWF issue after MR processed?

MEDICAL REVIEW: How do I change my address and which address exactly am I changing to ensure receipt of the MR letters and ADRs?

MEDICAL REVIEW: Where can I find more details about the reasons my claims were denied?

MEDICAL REVIEW: How do I respond to an ADR Not In List?

MEDICAL REVIEW: What constitutes a valid signature?

MEDICAL REVIEW: Where can I get answers to billing questions?