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4,644 Results for 2023
  • Posting Date: 04/09/2025
    56900

    Avoiding/Correcting This Error Regularly access claims in status locations SB6001, SB6098, or SB6099 to obtain a listing of claims for which records have not yet been received by the MAC (Medical Review Department). Look for information on the [...]

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  • Posting Date: 04/09/2025
    56900

    Avoiding/Correcting This Error Regularly access claims in status locations SB6001, SB6098, or SB6099 to obtain a listing of claims for which records have not yet been received by the MAC (Medical Review Department). Look for information on the [...]

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  • Posting Date: 04/09/2025
    5WEXC

    Avoiding/Correcting This Error Ensure all Medicare coverage and medical necessity requirements are met prior to billing. When the provider determines that Medicare will not cover the services, consider submitting the charges as noncovered. [...]

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  • Posting Date: 04/09/2025
    56900

    Avoiding/Correcting This Error This reason code can and should be prevented. When providers receive an ADR, respond according to the date listed in the ADR. Providers should start gathering the documentation being requested immediately. This [...]

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  • Posting Date: 04/09/2025
    5WEXC

    Avoiding/Correcting This Error Ensure all Medicare coverage and medical necessity requirements are met prior to billing. When the provider determines that Medicare will not cover the services, consider submitting the charges as noncovered. [...]

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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: 04/09/2025
    32243

    Avoiding/Correcting This Error Review the claim and either update the charges or remove the line containing zero or blank charges. Return the claim for processing. 

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  • Posting Date: 04/09/2025
    32415

    Avoiding/Correcting This Error Append the “A6” condition code to the claim and F9 or resubmit.  Related Content CMS Internet-Only Manual Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section [...]

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  • Posting Date: 04/09/2025
    31836

    Avoiding/Correcting This Error Verify billing and, if appropriate, correct and resubmit the claim for payment. Related Content CMS PFS Look-up Tool Overview

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  • Posting Date: 04/09/2025
    31836

    Avoiding/Correcting This Error Verify billing and, if appropriate, correct and resubmit the claim for payment. Related Content MLN® Booklet: How to Use the PFS Look-up Tool

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  • Posting Date: 05/27/2021
    Submitting a Medicare GME Affiliation Agreement

    Submitting a Medicare GME Affiliation Agreement Table of Contents Submitting a Medicare GME Affiliation Agreement Jurisdiction K MAC (NGS) Jurisdiction 6 MAC (NGS) Submitting a Medicare GME Affiliation Agreement In [...]

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  • Posting Date: 04/09/2025
    Part A Top Reason Code changes

    Part A Top Reason Code changes National Government Services, Inc. updates the Top Claim Errors on our website each quarter to ensure our Part A providers have the latest information on top claim errors including denials, return to provider, [...]

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  • Posting Date: 05/15/2024
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Stay of Enrollment

    Stay of Enrollment The individual provider or authorized/delegated official of a group/facility agrees to adhere to all Medicare requirements when enrolling. CMS implemented a preliminary, interim status representing a pause in enrollment [...]

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  • Posting Date: 04/10/2025
    Prohibition of AI Assistant Usage for Recording Medicare Sessions

    Prohibition of AI Assistant Usage for Recording Medicare Sessions National Government Services has observed a rise in attempts to use various AI assistants during NGS-hosted sessions. It is important to note that the CMS has a longstanding [...]

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  • Posting Date: 05/30/2024
    ABF - Promo 1 (Think Green Go Paperless)

    Think Green Go Paperless /web/ngs/edi-solutions?selectedArticleId=907003

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  • Posting Date: 04/11/2025
    MLN Connects® Newsletter: April 11, 2025

    MLN Connects® Newsletter: April 11, 2025 News Dr. Mehmet Oz Shares Vision for CMS Skilled Nursing Facility Value-Based Purchasing Program: March 2025 Confidential Feedback Reports Skilled Nursing Facilities: Revalidation Deadline is May 1 [...]

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  • Posting Date: 04/13/2025
    Preventive Services: Initial Preventive Physical Examination and Annual Wellness Visit

    Ensure that your patients obtain the wellness examinations they are eligible for by knowing the differences between the initial preventive physical examination and annual wellness visit. During this webinar, we'll review the coverage, [...]

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  • Posting Date: 04/14/2025
    Introduction to Medicare Part II

    Join us for Introduction to Medicare Part II to enhance your understanding of Medicare Part B. Topics include Local Coverage Determinations, Claim Filing Guidelines, Preventive Services, Front Office Assistance, Medigap/Supplemental/Advantage [...]

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  • Posting Date: 04/15/2025
    Acute Care Hospitals Preparing Inpatient Claims: The Basics Part 1

    This is part 1 of a 2-part webinar event (part 2 will be on 04/24/2025). In part 1, Acute Care Hospitals (ACH) will learn how to properly complete inpatient claims for submission to Medicare. We will review general inpatient ACH information [...]

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  • Posting Date: 04/04/2025
    MLN Connects® Newsletter: April 3, 2025

    MLN Connects® Newsletter: April 3, 2025 News Home Infusion Therapy & Intravenous Immune Globulin Services: Get Monitoring Reports Medicare Providers & Suppliers: Report Managing Employees External User Services Help Desk: New [...]

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  • Posting Date: 12/11/2024
    Provisional Period of Enhanced Oversight for New Hospices

    Provisional Period of Enhanced Oversight for New Hospices In recent years, CMS has reported a significant increase in fraudulent hospice billing practices, which cost the Medicare Program millions of dollars annually. The CMS has initiated a [...]

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  • Posting Date: 04/14/2025
    MLN Connects® Newsletter: April 14, 2025

    MLN Connects® Newsletter: April 14, 2025 FY 2026 Proposed Payment Rules CMS Seeks Public Input on Inpatient Hospital Whole-Person Care, Proposes Updates to Medicare Payments Inpatient Rehabilitation Facility Prospective Payment System [...]

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  • Posting Date: 04/15/2025
    Part B Spring 2025 Virtual Conference: Register Now

    Register Now! Register now for the 2025 Spring Part B Virtual Conference: Understanding Medicare Compliance for Part B Providers happening on June 3–5,2025. This event will offer innovative ideas and broaden your expertise in Medicare [...]

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  • Posting Date: 04/14/2025
    Get Access to Keep Provider Enrollment Records Up To Date with Medicare

    Get Access to Keep Provider Enrollment Records Up To Date with Medicare If you need to manage Medicare enrollment information for an individual provider or entity electronically through PECOS, you must have authorized access. This access will [...]

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  • Posting Date: 04/11/2025
    National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite

    National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite Attention Ambulance Suppliers and Providers Join the first virtual National A/B MAC Ambulance Provider/Supplier Coalition meeting during EMS Week: Thursday, 5/22/2025 from [...]

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  • Posting Date: 09/09/2024
    EDI Front End Clinical Edits

    EDI Front End Clinical Edits EDI is continuing to implement EDI clinical business edits into the NGS EDI front end. These edits assist in proactively alerting providers of potential claim issues and provide resources to assist with avoiding [...]

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  • Posting Date: 04/15/2025
    Collaborative Surgical Dressings Webinar Coming May 6, 2025

    Collaborative Surgical Dressings Webinar Coming May 6, 2025 This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of surgical dressings. Representatives from all four [...]

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  • Posting Date: 04/16/2025
    Counseling to Prevent Tobacco Use

    In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

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  • Posting Date: 04/16/2025
    Counseling to Prevent Tobacco Use

    In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

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  • Posting Date: 04/08/2025
    [URGENT] NGSConnex Experiencing Intermittent Issues

    NGSConnex Experiencing Intermittent Issues We are experiencing intermittent outages with NGSConnex. This is impacting Part A providers only. In some cases when a provider account is selected to perform a transaction such as ‘Eligibility [...]

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  • Posting Date: 01/18/2022
    Quarterly Top Ten Institutional EDI Edits

    Quarterly Top Ten Institutional EDI Edits National Government Services EDI has identified the following top ten CEM edits that were received during Q1 2025 on the 277CA (Claims Acknowledgement) report for 837I 5010A1 formatted [...]

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  • Posting Date: 01/18/2022
    Quarterly Top Ten Part B EDI Edits

    Quarterly Top Ten Part B EDI Edits National Government Services EDI has identified the following Top Ten CEM edits that were received during the Q1 2025 on the 277CA (Claims Acknowledgement) report for 837P 5010A1 formatted claims. The [...]

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  • Posting Date: 11/25/2024
    Termination of the Hospice Benefit Component of the VBID Model on 12/31/2024

    Termination of the Hospice Benefit Component of the VBID Model on 12/31/2024 After carefully considering recent feedback about the increasing operational challenges of the Hospice Benefit Component and limited and decreasing participation [...]

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  • Posting Date: 04/16/2025
    Acute Care Hospitals Preparing Inpatient Claims: Taking a Deeper Dive Part 2

    This is part 2 of a 2-part webinar event (part 1 will be held on 4/17/2025). In part 2, Acute Care Hospitals (ACH) will learn how to complete inpatient claims for submission to Medicare in a variety of situations. Topics include bill types, [...]

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  • Posting Date: 04/18/2025
    Medicare Part B Secondary Payer Post-Pay Overpayments

    During this webinar, providers and office staff members will learn about the Medicare Part B overpayments and the appropriate steps for reporting Medicare Secondary Payer (MSP) overpayments. NGS MSP subject-matter experts will be on hand to [...]

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  • Posting Date: 04/17/2025
    Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information

    Are you responsible for looking up whether a service is covered in the Medicare Program at your facility but you're not sure where to look for the most relevant information? As a healthcare provider, you are responsible for understanding [...]

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  • Posting Date: 04/17/2025
    Medicare Secondary Payer: Let’s Chat About Preparing MSP and Conditional Claims

    Were you unable to attend our Medicare Secondary Payer (MSP) and/or Conditional Billing webinars in January and February? Do you have questions about these topics? If so, join us for this "Let's Chat" session! You may ask questions [...]

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  • Posting Date: 04/17/2025
    Learn Over Lunch-NGSConnex Introduction

    Are you considering utilizing NGSConnex and want to learn more about this portal? During this brief webinar, we will provide an overview of NGSConnex and all it has to offer.

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  • Posting Date: 07/07/2021
    MSP Right Hand

    Helpful Resources BCRC Contact Information Note: Providers should not contact the BCRC to set up new MSP records. Instead, report MSP coding on your MSP and conditional claims. Providers should not contact the BCRC to correct MSP records to [...]

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