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Posting Date: 06/03/2025
Annual Logon ID Recertification
All users who access the FISS DDE system are required by the CMS to recertify their access annually. National Government Services will designate one state at a time to complete the annual logon recertification. To complete the recertification [...]
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Posting Date: 02/22/2022
Appeals Calculator Levels of Appeal Table
Five Levels of Appeals: Overview Levels Level One Level Two Level Three Level Four Level Five Type of Appeal Redetermination Reconsideration (QIC) Administrative Law Judge (ALJ) Medicare Appeals [...]
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Posting Date: 01/01/1970
AFH_How to Proactively Address Denials
How to Proactively Address Denials How to Proactively Address Denials Want to improve the Payment Error Rate for the next round of review? Be sure to learn about and understand claim denials before the end of round education with the Case [...]
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Posting Date: 10/04/2022
Daily Treatment Notes Requirement for Inpatient SNF Services
Therapy Treatment Note Requirement for Inpatient SNF Services The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-2, Medicare Benefit Policy Manual, Chapter 15 is the primary source for therapy [...]
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Posting Date: 07/05/2022
Targeted Probe and Educate Review Topics
Targeted Probe and Educate Review Topics Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature. If you notice the provider signature is illegible when asked to supply medical [...]
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Posting Date: 07/05/2022
Medical Review: Targeted Probe and Educate Review Topics
Medical Review: Targeted Probe and Educate Review Topics Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature. If you notice the provider signature is illegible when asked to [...]
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Posting Date: 02/09/2022
Targeted Probe and Educate Educational Videos
Targeted Probe and Educate Educational Videos Video Description Targeted Probe and Educate Learn more about the TPE Program. Additional educational information can be found on our Events page [...]
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Posting Date: 02/09/2022
Targeted Probe and Educate Review Topics
Targeted Probe and Educate Review Topics Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature. If you notice the provider signature is illegible when asked to supply medical [...]
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Posting Date: 07/05/2022
Targeted Probe and Educate Review Topics
Targeted Probe and Educate Review Topics Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature. If you notice the provider signature is illegible when asked to supply medical [...]
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Posting Date: 06/03/2025
Home Health Billing Part One: The Notice of Admission
Provider Outreach and Education is hosting a two-part home health billing series. Part one will focus on what you need to know before billing, verifying eligibility, and the required fields to properly submit The Notice of Admission. This [...]
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Posting Date: 06/03/2025
Home Health Billing Part Two: The Period of Care Claim
Part two of this home health billing series focuses on the period of care claim, how reimbursement is determined under the Patient Driven Groupings Model, and review of the key billing requirements for claim billing. This session is a great [...]
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Posting Date: 06/03/2025
NGSConnex: Standard User Overview, Access and Navigation
This webinar is geared toward 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'll review what NGSConnex has to offer, including registration, logging in, [...]
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Posting Date: 06/04/2025
Complete a Voluntary Refund
Table of Contents Forms Used for Providers NOT on Automatic Immediate Recoupments and Check(s) Are Attached to This Form(s) Option 1: Completing the Voluntary Refund Form High Volume Spreadsheet Instructions Option 2: Large [...]
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Posting Date: 06/04/2025
Bankruptcy Notifications
Notify us if you file bankruptcy. If you have filed a bankruptcy petition or are involved in a bankruptcy proceeding, National Government Services requests that you notify us immediately so that we can properly coordinate with the CMS and the [...]
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Posting Date: 06/04/2025
How Should I Respond?
An overpayment may be identified and self-reported by a provider via clerfical error reopening or an overpayment, may be discovered by Medicare contractors as part of the claim and reimbursement review process. The key to reporting and repaying [...]
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Posting Date: 06/04/2025
Overpayment Request
Table of Contents Forms You'll Need Large Scale Overpayments Overpayment Notification Process Timeline for Processing a Demand Letter [Return to Top] Forms You'll Need Forms for non MSP-related are generally done via NGSConnex, but [...]
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Posting Date: 06/04/2025
Nettings/Offsets Across Organization Affiliations
Effective 1/4/2016, CMS implemented a change to begin netting/offsetting provider money across affiliated providers within the same and also across workloads within a single organization. This CMS change brings consistency to all Part B [...]
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Posting Date: 06/04/2025
Set Up an Extended Repayment Schedule
Forms you’ll need J6 Applying for an Extended Repayment Schedule JK Applying for an Extended Repayment Schedule If repaying an overpayment would constitute a “hardship” on the provider, a request for an ERS should be submitted [...]
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Posting Date: 06/04/2025
Request an Immediate Recoupment
Forms You’ll Need These forms apply to providers that are NOT on Automatic Immediate Recoupments. Electronic Submissions JK or J6 Immediate Recoupment Request Form - Electronic/E-mail Paper Submissions Jurisdiction K [...]
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Posting Date: 06/04/2025
Respond to a Demand Letter
Table of Contents Form(s) you’ll need Timeline for Processing a Demand Letter [Return to Top] Form(s) you’ll need Providers on Automatic immediate Recoupments Do nothing as this automation process will automatically be done and [...]
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Posting Date: 06/04/2025
MSP Post-Pay Overpayments
Forms You’ll Need Jurisdiction K CT-MA-ME-NH-NY-RI-VT Medicare Part B MSP Overpayment Request Form Jurisdiction 6 IL-MN-WI Medicare Part B MSP Overpayment Request Form JK or J6 Medicare Secondary Payer Part B Voluntary [...]
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Posting Date: 06/04/2025
Advanced Payments to Providers
A provider may request an accelerated/advance payment where delays in payments by an A/B MAC for covered services rendered to beneficiaries have caused financial difficulties for the provider. An accelerated/advance payment may also be made in [...]
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Posting Date: 06/04/2025
Overpayment Rebuttal Process
You’ll need to know what the rebuttal process is before initiating and know that the outcome of the rebuttal may not change the National Government Services recoupment process. The overpayment rebuttal process is a protocol used when an [...]
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Posting Date: 06/04/2025
Observance of Juneteenth Holiday
Observance of Juneteenth Holiday In observance of Juneteenth, the National Government Services offices will be closed on Thursday, 6/19/2025. This includes the following departments: EDI Help Desk* Provider Contact Center Provider [...]
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Posting Date: 02/04/2022
Targeted Probe and Educate Educational Videos
Targeted Probe and Educate Educational Videos Video Description MAC Medical Review Best Practices: Updating Your Contact Information Did you know providers can now designate a separate [...]
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Posting Date: 01/01/1970
Targeted Probe and Educate
Targeted Probe and Educate Targeted Probe and Educate Table of Contents Targeted Probe and Educate Key Elements of TPE Provider Tips Related Content [Return to Top] National Government Services restarted targeted probe and educate reviews on [...]
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Posting Date: 02/04/2022
Medical Review: Targeted Probe and Educate Review Topics
Medical Review: Targeted Probe and Educate Review Topics Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature. If you notice the provider signature is illegible when asked to [...]
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Posting Date: 01/01/1970
B_How to Proactively Address Denials
How to Proactively Address Denials How to Proactively Address Denials Want to improve the Payment Error Rate for the next round of review? Be sure to learn about and understand claim denials before the end of round education with the Case [...]
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Posting Date: 06/04/2025
Some Claims Editing for Reason Code U537I, HH Claim Falls Outside of an HH Admission Period for the Same Provider
Note: This issue was originally reported and resolved in April 2025. The issue has returned so we have reopened the alert. The CWF can only hold the 36 most recent periods of care for any beneficiary. CWF also contains the indicator of when [...]
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Posting Date: 06/04/2025
Let's Chat About Medicare Secondary Payer
During this session, you’ll have the opportunity to ask questions about all aspects of Medicare Secondary Payer. Answers will be provided by a panel of subject-matter experts. As this is a question-and-answer session, there is no presentation [...]
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Posting Date: 05/14/2025
NGSConnex: Part B Redetermination Electronic Notification of Decision Letters
National Government Services will discontinue issuing paper Medicare Part B redetermination requests that are submitted electronically through our portal, NGSConnex. Instead, they will only be accessible to view and print electronically through [...]
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Posting Date: 05/14/2025
Provider Enrollment: Eliminate Development Request for Additional Information
Provider Enrollment: Eliminate Development Request for Additional Information To eliminate requests for additional information and documentation on provider enrollment applications, ensure all necessary actions are complete before submission. [...]
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Posting Date: 05/14/2025
Home Health and Hospice New Provider Orientation
This webinar is designed for new home health and hospice agencies in an effort to provide essential information on: Doing business with National Government Services as your Medicare Administrative Contractor, Self-service tools to help make [...]
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Posting Date: 05/14/2025
Provider Enrollment: Eliminate Development Request for Additional Information
Provider Enrollment: Eliminate Development Request for Additional Information To eliminate requests for additional information and documentation on provider enrollment applications, ensure all necessary actions are complete before submission. [...]
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Posting Date: 05/13/2025
Register Now and Join Us!
Register Now and Join Us! June 3-5, 2025 There's still time to register for the 2025 Spring Part B Virtual Conference. Immerse yourself in expert-led sessions designed to transform compliance understanding into action. Posted 5/13/2025
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Posting Date: 05/13/2025
Getting Access to PECOS
During this webinar, we’ll discuss how to obtain access to the Internet-based Provider Enrollment Chain & Ownership System (PECOS) and gain connection to provider enrollment record as well as understand other Centers for Medicare & [...]
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Posting Date: 05/13/2025
Complying with Medicare Signature Requirements
Complying with Medicare Signature Requirements Medicare Compliance: Verify signature requirements have been met before you submit your medical records to prevent CERT errors. Review the CERT Alert article Signature [...]
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Posting Date: 05/13/2025
Hospice Billing Coffee Break
Provider Outreach and Education is hosting a 30-minute coffee break to help answer your troublesome hospice billing questions. This is a great opportunity to discuss areas of billing more in depth and review helpful guides and resources. Keep [...]
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Posting Date: 05/13/2025
Medicare Part B Preventive Services: Intensive Behavioral Therapy for Obesity and Depression Screening
During this webinar, we'll review the Medicare coverage, coding and billing guidelines for intensive behavioral therapy for obesity and screening for depression in adults.
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