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Posting Date: 07/18/2025
You Asked, We Listened - Introducing the Modifier Lookup Tool
You Asked, We Listened - Introducing the Modifier Lookup Tool We value and appreciate the feedback from our providers, which drives continuous improvement to enhance your experience. We're pleased to announce the launch of our new Modifier [...]
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Posting Date: 07/18/2025
Medical Policy and Billing and Coding Updates
Medical Policy and Billing and Coding Updates LCDs in Notice Period (7/24/2025-9/6/2025) L38367 - Fluid Jet System Treatment for LUTS/BPH Based on a Reconsideration Request, the Indications of Coverage have been revised by removing the [...]
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Posting Date: 07/18/2025
CERT Awareness Week Three – Verify Your Medical Records Correspondence Address
CERT Awareness Week Three – Verify Your Medical Records Correspondence Address The Part A, Part B, DME, home health and hospice and RRB MACs are working together to promote the importance of complying with CERT documentation requests. This is [...]
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Posting Date: 07/21/2025
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 [...]
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Posting Date: 07/21/2025
Alcohol Misuse, Counseling to Prevent Tobacco Use and Lung Cancer Screening
During this webinar, we’ll review the coverage, coding and billing guidelines for the Medicare Part B preventive services benefits of alcohol misuse, counseling to prevent tobacco use and lung cancer screening.
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Posting Date: 09/24/2021
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Table of Contents Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Benefits Exhaust Date Submitting Claims Through the Benefits Exhaust Date [...]
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Posting Date: 01/05/2024
Intensive Outpatient Program
Intensive Outpatient Program Table of Contents IOP vs. Partial Hospitalization Program Provider Types Eligible to Provide IOP Medicare Beneficiary Eligible for IOP Services Active Treatment and Treatment Plan Covered IOP Services [...]
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Posting Date: 09/04/2024
Psychotherapy Services
Psychotherapy Services Medicare Regulations Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 6, Section 70.1 Local Coverage Determination (LCD): [...]
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Posting Date: 03/04/2020
PECOS Enrollment Process and Advantages
PECOS Enrollment Process and Advantages The Internet-based PECOS can be used in lieu of the paper enrollment application. Submitting the application via PECOS is the preferred method. Advantages of Online Enrollment: Lets you submit [...]
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Posting Date: 08/21/2018
Paper Enrollment Process
Paper Enrollment Process Enrollment via paper is an option, but PECOS is the preferred method to process the application with streamlining features. Paper-based enrollment applications are available. Determine which CMS Paper Form you will [...]
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Posting Date: 01/17/2020
Enrollment Application Forms
Enrollment Application Forms You have two options for submitting your Part B Enrollment application to Medicare. You can choose to submit: Electronic application through PECOS, or CMS paper application forms Also view Understanding [...]
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Posting Date: 05/04/2021
For First Time Users: Request a User ID and Connection
For First Time Users: Request a User ID and Connection Instructions for accessing PECOS: If you are unsure if you have a user ID, select “Forgot User ID?” from PECOS. Connect to the Identity & Access (I&A) Management System, [...]
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Posting Date: 12/05/2016
Complete All Topics
Complete All Topics Instructions for completing all PECOS topics: Select the ‘Topic View’ tab and add information in every topic Note: The electronic funds transfer (EFT) topic must be completed by: groups suppliers sole owner group [...]
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Posting Date: 11/15/2021
Resolve All Errors and Verify Warnings
Resolve all Errors and Verify Warnings Instructions for resolving all errors and warnings: Select the ‘Errors/Warning Check’ Tab. Correct all errors identified and verify any warnings. Related Content Resolving PECOS [...]
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Posting Date: 11/20/2018
Sign and Submit the Application(s)
Sign and Submit the Application(s) In order to send your application, after resolving all errors, you must select “Begin Submission” which is available from any of the tabs (Topic View, Fast Track View, Error/Warning Check). Instructions for [...]
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Posting Date: 11/15/2021
Upload Supporting Documents
Upload Supporting Documents Instructions for PECOS to upload required supporting documentation: Select the ‘Topic View’ tab Select “Required and/or Supporting Documents” Upload documents Mandatory for all provider/supplier types that [...]
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Posting Date: 08/21/2018
Creating Application in PECOS
Creating Application in PECOS Instructions to create an application in PECOS: Login to PECOS My Associates Create Initial Enrollment Application Note: There will be a series of questions to determine application descriptions tailored to [...]
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Posting Date: 07/22/2025
Hospice Top Claim Errors
Do you see the same rejections and return to provider over and over? Do you know how to correct the most common errors and more importantly how to avoid them in the future? In this session we’ll review the most common reason codes assigned to [...]
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Posting Date: 07/22/2025
Navigating the Recovery Auditor Contractor Process
National Government Services is partnering with Performant, the CMS Recovery Audit Contractor (RAC) for Region 1 and Region 2, to bring an insightful session about the RAC program to our provider community. This comprehensive overview will [...]
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Posting Date: 07/09/2025
CERT Awareness Week Two - Steps to Take if You Get a CERT Documentation Request
CERT Awareness Week Two - Steps to Take if You Get a CERT Documentation Request The Part A, Part B, DME, home health and hospice, and Railroad Board MACs are working together to promote the importance of complying with CERT documentation [...]
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Posting Date: 07/22/2025
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: 07/22/2025
Medicare Part B Targeted Probe and Educate Process
During this webinar, we’ll help the Medicare provider community understand the targeted probe and educate program.
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Posting Date: 07/22/2025
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: 06/07/2021
Verify and Manage Signature(s)
Verify and Manage Signature(s) Verify signatures on all application(s) submitted including applications that were “Return for Corrections”, by returning to the enrollment box in PECOS. Important: The reassignments are viewed by selecting [...]
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Posting Date: 07/21/2025
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 health care provider, you are responsible for understanding [...]
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Posting Date: 08/10/2020
Learn About PECOS Web
Learn About PECOS Web Table of Contents CMS Provider Enrollment Systems Advantages of Online Enrollment Get Started Other Resources Get Access Password Requirements Multi-Factor Authentication Get Help [Return to [...]
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Posting Date: 07/20/2023
Contractor Advisory Committee Meeting
Contractor Advisory Committee Meeting As part of the 21st Century Cures Act, contractors are mandated to base an LCD on robust evidence. Part of the process is to convene SMEs as necessary to review the literature and provide input that [...]
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Posting Date: 07/23/2025
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: 07/23/2025
Get PECOS Access to Maintain Medicare Provider Enrollment Records
Get PECOS Access to Maintain Medicare Provider Enrollment Records Do you need to work on behalf of an individual provider and/or entity to update or submit Medicare enrollment information electronically through PECOS? There are certain [...]
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Posting Date: 07/23/2025
Get PECOS Access to Maintain Medicare Provider Enrollment Records
Get PECOS Access to Maintain Medicare Provider Enrollment Records Do you need to work on behalf of an individual provider and/or entity to update or submit Medicare enrollment information electronically through PECOS? There are certain [...]
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Posting Date: 07/23/2025
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.
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