Search Results - NGSMEDICARE

Posting Date: 03/20/2025

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 [...]

Posting Date: 03/14/2025

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.

Posting Date: 03/26/2025

Provider Enrollment Revalidation Overview

During this webinar, learn about important changes in the revalidation process, how to determine Medicare enrollment revalidation due date and information to avoid disruption in Medicare billing.

Posting Date: 03/14/2025

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.

Posting Date: 03/28/2025

Inpatient Psychiatric Facilities: Preparing and Submitting Compliant Claims to Medicare

In this session, we will review Medicare's general inpatient billing requirements for Inpatient Psychiatric Facility's including bill types, billing frequency, interim billing, benefits exhaust billing, billing for electroconvulsive [...]

Posting Date: 03/18/2025

NGSConnex-Account Management

Do you need assistance with login issues and account suspensions? Do you know who your Local Security Officer is and what they are responsible for? We will also review how to edit the user profile and updating access within the portal. After [...]

Posting Date: 04/04/2025

NGSConnex-Account Management

Do you need assistance with login issues and account suspensions? Do you know who your Local Security Officer is and what they are responsible for? We will also review how to edit the user profile and updating access within the portal. After [...]

Posting Date: 04/08/2025

Introduction to Medicare Part I

Join us for Introduction to Medicare Part I, if you are a new provider/staff member or need a refresher in the Medicare Part B Program. Topics include Jurisdictions, NGS Website, Medicare Enrollment, Electronic Billing, Medicare Compliance, [...]

Posting Date: 03/26/2025

Medicare Part B Ambulance Coverage, Basics and Billing

During this webinar, we'll educate new staff or those needing a refresher on basic Medicare Part B ambulance billing guidelines.

Posting Date: 03/11/2025

Reducing Unprocessable Claims

When claims are submitted with invalid, incomplete or incorrect information, our claims processing system will detect these errors and will reject claims as unprocessable. Our goal is to assist our providers in submitting claims correctly the [...]

Posting Date: 03/24/2025

Opioid Treatment Program

An opioid treatment program (OTP) is a clinic offering medication-assisted treatment for individuals with opioid use disorder. During this webinar, we’ll review background and coverage details, including key billing requirements for proper [...]

Posting Date: 03/11/2025

Steps to Claim Corrections

This webinar includes the top continuous errors we find at National Government Services with claim submissions. Join us to learn how to correct your claims. We will also include an interactive segment on the different claim scenarios that cause [...]

Posting Date: 02/26/2025

What is the Part A Provider Outreach and Education Advisory Group and How Can You Help?

Each of our Provider Outreach and Education Advisory Groups (POE AG) is a primary communication vehicle between the provider community and National Government Services. Our POE AG members serve as a provider education resource to our POE [...]

Posting Date: 03/03/2025

Billing Telehealth in Federally Qualified Health Centers and Rural Health Centers

During this webinar, we’ll provide you with insight into covered Medicare telehealth services and coverage requirements for federally qualified health center (FQHC) and rural health clinic (RHC) providers. We’ll discuss originating sites, [...]

Posting Date: 03/25/2025

Rural Health Clinic Coverage and Payment

This session is focused on the basics of rural health clinics (RHCs) – requirements to be an RHC, what types of Medicare services are covered and non-covered in this facility type and an overview of how RHCs are reimbursed. Helpful [...]

Posting Date: 03/11/2025

Medicare Overpayment Process

Ensure that you are compliant and avoid financial penalties by understanding the Medicare overpayment regulations. This session will focus on identifying overpayments, using the proper forms and procedures, the timelines for repayment and the [...]

Posting Date: 03/20/2025

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 proper modifiers to use to avoid denials. There will be time for your questions [...]

Posting Date: 03/21/2025

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 [...]

Posting Date: 03/20/2025

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 [...]

Posting Date: 03/20/2025

Medicare Secondary Payer Payment Methodology

Please join us for this learning session on how MSP payments are calculated. It’s essential for providers and their staff members to be able to determine the beneficiary’s responsibility to ensure that claims are being submitted to the Medicare [...]

Posting Date: 03/31/2025

How to Avoid Duplicate Claims

Duplicate denials continue to be one of the top billing errors. Unnecessary duplicate filing of Medicare claims cost the provider's office valuable time and resources, as well as Medicare's time and money to process them. Please join us [...]

Posting Date: 03/18/2025

PECOS: View and Manage Reassignments through Group Enrollment

During this webinar, we’ll provide an understanding of how to view and manage reassignments through the group enrollment in Provider Enrollment, Chain and Ownership System (PECOS), including to add or terminate reassignments. Individual [...]

Posting Date: 03/14/2025

PECOS: Manage Signatures and Additional Information Requests

During this webinar, we’ll give direction for the Provider Enrollment, Chain and Ownership System (PECOS) application on understanding how to manage signatures and respond to additional information request from submitted applications.

Posting Date: 03/31/2025

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 [...]

Posting Date: 03/26/2025

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.

Posting Date: 03/12/2025

Understanding the Federally Qualified Health Center Medicare Advantage Supplemental Payments

During this webinar, we’ll equip participants with a clear understanding of the Federally Qualified Health Center (FQHC) Medicare Advantage Supplemental Payment Program and guide participants through the necessary steps to set up and bill for [...]

Posting Date: 03/19/2025

Understanding the Partial Hospitalization Program Basics: Part 1 Medicare Coverage

Join us to learn about Medicare coverage of Partial Hospitalization Program (PHP) services. This is part 1 of a 2-part session. The second session “Understanding the Partial Hospitalization Program: Part 2 Medicare Billing” will be conducted on [...]

Posting Date: 03/19/2025

Understanding the Partial Hospitalization Program Basics: Part 2 Medicare Billing

Join us to learn about Medicare billing of Partial Hospitalization Program (PHP) services. This is part 2 of a 2-part session. The first session “Understanding the Partial Hospitalization Program: Part 1 Medicare Coverage” will be conducted on [...]

Posting Date: 03/13/2025

Mastering Critical Access Hospital Outpatient Billing

During this webinar, we’ll provide basic billing instructions for outpatient services in a Critical Access Hospital (CAC) including Method I and Method II payment methods.

Posting Date: 03/20/2025

Repetitive Scheduled Non-Emergent Ambulance Transports Prior Authorization

Attention All Independent Ambulance Suppliers! If you are providing repetitive, scheduled, non-emergent ambulance transports (RSNAT), you'll want to attend this webinar. Join us to learn everything you need to know about the RSNAT program.

Posting Date: 03/31/2025

Using Third Party Billing Companies

Medicare providers frequently outsource their billing, financial and enrollment services. During this webinar, we’ll highlight the need to contract with CMS-approved entities and ensure these contracts include measures to protect personally [...]

Posting Date: 03/26/2025

NGSConnex: Part B Redetermination Electronic Notification Letters

National Government Services will discontinue mailing paper Medicare Redetermination Notices (MRNs) when Part B redetermination requests are submitted through NGSConnex beginning in March 2025. During this webinar, we’ll share information and [...]

Posting Date: 03/25/2025

Billing Telehealth Services for Part B Providers

During this webinar, we’ll provide you with insight into covered Medicare telehealth services and coverage requirements. We’ll discuss originating sites, distant sites and billing and payment guidelines.

Posting Date: 04/02/2025

Navigating Skilled Nursing Facility Inpatient Billing Situations

During this session, we’ll explore how to properly bill situations that occur with skilled nursing facility inpatients such as; when the beneficiary did not meet the technical or medical requirements for coverage, has insurance primary to [...]

Posting Date: 03/31/2025

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 [...]

Posting Date: 03/31/2025

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 [...]

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 [...]

Posting Date: 01/08/2018

Urgent Care

Urgent Care Please explain the concepts of split/shared and incident to E/M services in the urgent care setting. Answer: The urgent care setting is defined by CMS as a nonfacility setting. This means the split/shared concept does not [...]

Posting Date: 01/28/2021

Transitional Care Management

Transitional Care Management Please clarify responsibility for the TCM interactive contact. Can this be performed by a hospital-employed nurse prior to discharge? Answer: The provider who is billing the TCM service is responsible for the [...]

Posting Date: 05/11/2022

Time-Based Services

Time-Based Services Please define rules for using time to level-set a service. Answer: In both the office and observation/inpatient setting, the provider’s time is calculated based on pre-visit, intra-visit, and post-visit activities [...]