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Posting Date: 06/24/2025
Observance of Fourth of July 2025
Observance of Fourth of July 2025 In observance of the Fourth of July 2025, National Government Services offices will be closed on Friday, 7/4/2025. Please note: EDI claim files transmitted after 4:00 p.m. central time/5:00 p.m. eastern time [...]
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Posting Date: 06/24/2025
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 [...]
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Posting Date: 06/24/2025
Hospital, CMHC, CORF/ORF and ESRD Facilities 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 [...]
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Posting Date: 06/24/2025
National Government Services Important Update
National Government Services Important Update ALERT: Medicare Fraud Scheme Involving Phishing Fax Requests National Government Services wants to share with our providers an urgent issue that has been identified by CMS. CMS has been flooded [...]
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Posting Date: 06/24/2025
How to Pay the Application Fee
The application fee must be paid electronically. Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee using the Provider Enrollment, [...]
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Posting Date: 01/05/2021
How to Pay the Application Fee
How to Pay the Application Fee The application fee must be paid electronically. IMPORTANT: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee [...]
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Posting Date: 01/05/2021
How to Pay the Application Fee
How to Pay the Application Fee The application fee must be paid electronically. Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee [...]
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Posting Date: 01/05/2021
How to Pay the Application Fee
How to Pay the Application Fee The application fee must be paid electronically. Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee [...]
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Posting Date: 06/24/2025
Who Needs to Pay Application Fees
Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, nonphysician practitioners, physician [...]
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Posting Date: 04/20/2022
Who Needs to Pay Application Fees
Who Needs to Pay Application Fees Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, [...]
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Posting Date: 04/20/2022
Who Needs to Pay Application Fees
Who Needs to Pay Application Fees Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, [...]
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Posting Date: 04/20/2022
Who Needs to Pay Application Fees
Who Needs to Pay Application Fees Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, [...]
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Posting Date: 06/24/2025
LCD and Billing and Coding Article Updates – 2025
LCD and Billing and Coding Article Updates – 2025 January Psychiatric Partial Hospitalization Programs L33626 Effective 1/1/2024, in the Coverage Indications, Limitations and/or Medical Necessity section, the third list under Limitations has [...]
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Posting Date: 08/06/2015
Medical Necessity of Ambulance Services
Medical Necessity of Ambulance Services Table of Contents Medical Necessity of Ambulance Services What You Can Do Nearest Appropriate Facility: GY Modifier What You Can Do Related Content [Return to Top] Medical [...]
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Posting Date: 11/12/2020
Responsibility of Providing a Properly Executed Physician Certification Statement/Certificate of Medically Necessity
Responsibility of Providing a Properly Executed Physician Certification Statement/Certificate of Medically Necessity Recent National Government Services educational efforts have highlighted an issue between facilities and the ambulance [...]
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Posting Date: 03/03/2025
National AB Medicare Administrative Contractor Ambulance Provider/Supplier Coalition
National AB Medicare Administrative Contractor Ambulance Provider/Supplier Coalition Attention Ambulance Providers In response to numerous and continued requests from the ambulance community, the AB MACs have put together a National AB MAC [...]
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Posting Date: 03/26/2025
Hospital-Based Ambulance Basic Billing Guidelines
Hospital-Based Ambulance Basic Billing Guidelines For hospital-based ambulance billing under Medicare, services should be billed on the UB-04 form using the ambulance service-specific NPI, not the acute hospital NPI, and claims for inpatient [...]
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Posting Date: 01/31/2015
Ambulance Transports Included in SNF Consolidated Billing
Ambulance Transports Included in SNF Consolidated Billing Transport Description Medical Necessity Met Ambulance Billing Modifiers and Other Considerations Who is Responsible for Payment? Reference(s) SNF to [...]
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Posting Date: 06/26/2025
MLN Connects® Newsletter: June 26, 2025
MLN Connects® Newsletter: June 26, 2025 News Alert: Medicare Fraud Scheme Involving Phishing Fax Requests Medicare Diabetes Prevention Program: CY 2025 Payment Rates Compliance Commodes, Bed Pans & Urinals: Prevent Claim Denials [...]
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Posting Date: 03/26/2024
Self-Administered Drug Exclusion (J6 and JK)
Self-Administered Drug Exclusion Update (J6 and JK) Medications that are self-administered more than 50% of the time for all Medicare beneficiaries are excluded from Medicare Part B coverage. At the direction of CMS, each MAC shall [...]
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Posting Date: 08/15/2022
Eligible Method II Providers
Eligible Method II Providers If a CAH wants to become a Method II biller, email the request to A&R at ngsreimbursement@anthem.com. Suppliers who can enroll as a Method II Biller Reassignment. Doctor of Medicine (MD) Doctor of [...]
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Posting Date: 06/25/2025
Electronic Funds Transfer Form and Instructions
Table of Contents Electronic Funds Transfer Form and Instructions CMS-588 EFT Completion Tips for Sole Proprietors, Sole Owners, Clinic/Groups, Organizations, Providers and Suppliers [Return to Top] Electronic Funds Transfer Form and [...]
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Posting Date: 06/25/2025
Verify Bank Account Information
National Government Services receives numerous electronic funds transfer banking rejections each year due to frozen or closed bank accounts. To prevent interruption in Medicare payment, billing providers verify an active bank account is [...]
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Posting Date: 04/14/2021
Electronic Funds Transfer Form and Instructions
Electronic Funds Transfer Form and Instructions Table of Contents Electronic Funds Transfer Form and Instructions CMS-588 EFT Completion Tips for Sole Proprietors, Sole Owners, Clinic/Groups, Organizations, Providers and Suppliers [...]
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Posting Date: 11/08/2022
Verify Bank Account Information
Verify Bank Account Information National Government Services receives numerous electronic funds transfer banking rejections each year due to frozen or closed bank accounts. To prevent interruption in Medicare payment, billing providers verify [...]
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Posting Date: 06/25/2025
Lets Chat about Federally Qualified Health Center Billing and Reimbursement
Need answers on FQHC billing and reimbursement without attending a full training? Join our 30-minute "Let's Chat" session. This informal discussion allows providers to engage with our Provider Outreach and Education team. You are [...]
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Posting Date: 04/30/2019
Electronic Funds Transfer
Electronic Funds Transfer EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or [...]
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Posting Date: 06/25/2025
Electronic Funds Transfer
EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or similar financial institution) [...]
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Posting Date: 06/25/2025
SNF and Swing Bed 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 [...]
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Posting Date: 06/25/2025
Long-Term Care Hospitals: Preparing and Submitting Compliant Inpatient Claims
In this webinar, we will review Medicare's general inpatient billing requirements for Long-Term Care Hospitals including bill types, billing frequency, interim billing, benefits exhaust billing, billing when claims are paid by Medicare [...]
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Posting Date: 06/25/2025
Medicare Secondary Payer: A Review of the End-Stage Renal Disease with an Employer Group Health Plan Provision – Part 1
This is a two-part webinar; we suggest you attend both parts. In Part 1 on 7/29/2025, we will review the End-Stage Renal Disease with an EGHP Medicare Secondary Payer provision as it applies to patients eligible for Medicare based solely on [...]
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Posting Date: 06/25/2025
Medicare Secondary Payer: A Review of the End-Stage Renal Disease with an Employer Group Health Plan Provision – Part 2
This is a two-part webinar; we suggest you attend both parts. In Part 1 on 7/29/2025, we will review the End-Stage Renal Disease with an EGHP Medicare Secondary Payer provision as it applies to patients eligible for Medicare based solely on [...]
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Posting Date: 06/25/2025
Lets Chat about Federally Qualified Health Center Billing and Reimbursement
Need answers on FQHC billing and reimbursement without attending a full training? Join our 30-minute "Let's Chat" session. This informal discussion allows providers to engage with our Provider Outreach and Education team. You are [...]
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Posting Date: 04/24/2018
Fee Schedule Assistance
Fee Schedule Assistance Connecticut Illinois Locality/Area and County Information Maine, Massachusetts, New Hampshire, Rhode Island, Vermont Locality/Area and County Information New York Locality/Area and County Information Locate and [...]
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Posting Date: 06/26/2025
The Incident To Provision for Medicare
Do you have nonphysician practitioners that are, or could be, providing services incident to the physicians in the practice? Are you following the Centers for Medicare & Medicaid Services (CMS) regulations for this program? Staying [...]
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Posting Date: 06/26/2025
Learn Over Lunch – NGSConnex Inquiries
Effective 5/27/2025, National Government Services will no longer accept inquiries submitted through the postal service to any of our P.O. Boxes or faxed to any of our fax lines. Are you prepared? Join this session to learn how to efficiently [...]
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Posting Date: 10/28/2014
Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10
Claim Denials for Medically Unnecessary Ambulance Transports Table of Contents Claim Denials for Medically Unnecessary Ambulance Transports Medical Necessity and Coverage Guidelines for Ambulance Transport Avoiding Reason Code 55B10 [...]
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Posting Date: 10/27/2022
Coverage of Rural Air Ambulance Services
Coverage of Rural Air Ambulance Services Section 415 of the Medicare Modernization Act of 2003 provides coverage for rural air ambulance services that are reasonable and necessary and ordered by qualified personnel. Medicare considers the [...]
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Posting Date: 10/01/2024
July 2025 EDI Front End Quarterly Release
July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]
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Posting Date: 06/27/2025
July 2025 EDI Front End Quarterly Release
July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]
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