The Medicare Appeals Process: What You Need to Know

This informative session will help you navigate Medicare’s appeals process by providing information on what an appeal is, how to determine if a claim can be appealed, who may file an appeal, the appeal levels, timeframes and documentation [...]

Paperwork Segment – PWK

Paperwork Segment – PWK PWK is a segment in the 837 electronic claim transaction. It links an electronic claim with the supporting documentation submitted by the provider. PWK indicators on the electronic claim notify NGS that documentation [...]

Paperwork Segment – PWK

Paperwork Segment – PWK The paperwork segment of an electronic claim submission is commonly known as PWK. PWK can be used when an electronically submitted claim requires additional documentation for purposes of claim processing. View our [...]

Local Coverage Determination Open Meeting Announcement

Local Coverage Determination Open Meeting Announcement Table of Contents Jurisdiction 6/Jurisdiction K Part A/Part B MAC Requests to Present Registered Presenters (Slide Presentations Only) Observers Comments on Proposed LCDs [...]

MLN Connects® Newsletter: May 13, 2025

MLN Connects® Newsletter: May 13, 2025 News CMS Seeks Public Input on Improving Technology to Empower Medicare Beneficiaries Posted 5/13/2025

MLN Connects® Newsletter: May 15, 2025

MLN Connects® Newsletter: May 15, 2025 News CMS Releases Draft Guidance for the Third Cycle of Medicare Drug Price Negotiation Program to Lower Drug Prices for American Patients Opioid Treatment Programs: CY 2025 Updates Laboratories: [...]

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 [...]

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 [...]

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.

Medicare Compliance With the Incident To Provision

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 [...]

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.

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 [...]

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 [...]

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.

Critical Access Hospitals: Preparing and Submitting Compliant Inpatient Claims to Medicare

In this webinar, critical access hospitals (CAHs) will learn how to properly prepare inpatient claims for submission to Medicare. We will review Medicare inpatient hospital benefit days, the Medicare benefit period, the applicable fields of [...]

Medicare Part B Targeted Probe and Educate Process

Are you familiar with targeted probe and educate? Perhaps you've heard of it but are not sure what it entails. Either way, consider attending this webinar as we cover this important topic. We'll discuss everything you need to know so if [...]

EDI Enrollment processing update

EDI Enrollment processing update National Government Services, EDI Enrollment Department will require all information submitted for EDI access to be valid and accurate. Exceptions will no longer be made when validating and processing requests [...]

Provider Transaction Access Number Request Form

Observance of Memorial Day 2025

Observance of Memorial Day 2025 In observance of Memorial Day 2025, our offices will be closed Friday, 5/23/2025 and Monday, 5/26/2025. Note: EDI claim files transmitted after 4:00 p.m. CT/5:00 p.m. ET on 5/22/2025 will have a claim receipt [...]

May 31 is World No Tobacco Day

May 31 is World No Tobacco Day World No Tobacco Day (WNTD) on May 31 is a yearly celebration that informs the public of the dangers of using tobacco, the business practices of tobacco companies, what is being done to fight the tobacco [...]

Overview of Evaluation and Management Services

Note: Maximum registration has been reached for this webinar. We've scheduled a repeat session on 6/25/2025. View the events page to register. We've seen major changes to the evaluation and management code set over the last few years. [...]

Maintaining Your Provider Files

During this webinar, we'll share information to aid you in maintaining accurate provider enrollment files for the internet-based CMS systems: Identity & Access Management System (I&A), National Plan & Provider Enumeration System [...]

Medicare Secondary Payer: The Fundamentals Part 2

This is part 2 of a 2-part webinar. In part 2, we continue to introduce our Part A providers to Medicare Secondary Payer (MSP) by providing a high-level overview of your MSP responsibilities per your Medicare provider agreement. You will learn [...]

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments Each year, National Government Services experiences numerous EFT rejections due to inactive or closed bank accounts. To ensure continuous Medicare [...]

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments

Provider Enrollment: Confirm Banking Information to Avoid Disruptions in Medicare Payments Each year, National Government Services experiences numerous EFT rejections due to inactive or closed bank accounts. To ensure continuous Medicare [...]

Local Coverage Determination Open Meeting

Local Coverage Determination Open Meeting National Government Services is hosting a Local Coverage Determination Open Meeting on 6/25/2025.  Details are available by accessing the Local Coverage Determination Open Meeting Announcement. [...]

Fraud Prevention and Detection

Please join us to increase your awareness of integrity issues and prevention of potential fraudulent and abusive practices against the Medicare Program. We will also review real life fraud cases. There will be time following the presentation to [...]

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 [...]

Medicare Secondary Payer: The Fundamentals Part 1

This is part 1 of a 2-part webinar. In part 1, we introduce our Part A providers to the fundamentals (basics) of Medicare Secondary Payer (MSP) by providing a high-level overview of the Group Health Plan (GHP) and non-GHP MSP provisions. We [...]

Medicare Part B - Submitting Medical Documentation Electronically

During this webinar, we'll cover the enrollment, registration and methods available for submitting medical documentation to National Government Services. There will be time for your questions following the presentation.

Medicare Global Surgery

Global surgery policy was introduced into Medicare over thirty years ago and still today some of the concepts can be confusing. During this webinar, we'll go through the global surgery policy as it stands today, and cover when the global [...]

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 [...]

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues We were experiencing intermittent outages with NGSConnex and the IVR. In some cases, the IVR was not playing back information when claim status was [...]

How to Become a Medicare-Enrolled OTP Supplier

How to Become a Medicare-Enrolled OTP Supplier OTPs with current, valid and full certification by the Substance Abuse and Mental Health Services Administration (SAMHSA) and accredited by a SAMHSA-approved accrediting body; including the DEA [...]

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 [...]

Depression Screening: Promoting Good Health Through Disease Prevention and Detection

Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep your patients from getting certain diseases. Register today for an [...]

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 will also review proper modifiers to use to avoid denials. There will be time following the [...]

Overpayments Due to Contractor Audit Reviews

Overpayments Due to Contractor Audit Reviews If you do not agree with any CMS contractor audits determination and you are a provider practicing in JK (CT, MA, ME, NH, NY, RI, VT) or J6 (IL, MN, WI), you may use the Medicare appeals process [...]

CMS Links

Accreditation of Advanced Diagnostic Imaging Suppliers All Fee-For-Service Providers Ambulatory Surgical Centers (ASC) Center Beneficiary Notices Initiative (BNI)  Care Management including: Advanced Care Planning Behavioral [...]

Fraud Prevention and Detection

Please join us to increase your awareness of integrity issues and prevention of potential fraudulent and abusive practices against the Medicare Program. We will also review real life fraud cases. There will be time following the presentation to [...]

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 [...]

Medicare Secondary Payer: The Fundamentals Part 1

This is part 1 of a 2-part webinar. In part 1, we introduce our Part A providers to the fundamentals (basics) of Medicare Secondary Payer (MSP) by providing a high-level overview of the Group Health Plan (GHP) and non-GHP MSP provisions. We [...]

Medicare Part B - Submitting Medical Documentation Electronically

During this webinar, we'll cover the enrollment, registration and methods available for submitting medical documentation to National Government Services. There will be time for your questions following the presentation.

Medicare Global Surgery

Global surgery policy was introduced into Medicare over thirty years ago and still today some of the concepts can be confusing. During this webinar, we'll go through the global surgery policy as it stands today, and cover when the global [...]

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues

[RESOLVED] NGSConnex and Interactive Voice Response System Experiencing Intermittent Issues We were experiencing intermittent outages with NGSConnex and the IVR. In some cases, the IVR was not playing back information when claim status was [...]

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 [...]

CMS Links

Accreditation of Advanced Diagnostic Imaging Suppliers All Fee-For-Service Providers Ambulatory Surgical Centers (ASC) Center Beneficiary Notices Initiative (BNI)  Care Management including: Advanced Care Planning Behavioral [...]

MLN Connects® Newsletter: May 22, 2025

MLN Connects® Newsletter: May 22, 2025 News Discarded Drugs: Get Updated Lists Medicare Provider Payment & Utilization Public Use Files: Annual Update Medicare Fee-for-Service Geographic Variation Public Use Files & Interactive [...]

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 will also review proper modifiers to use to avoid denials. There will be time following the [...]

Overpayments Due to Contractor Audit Reviews

Overpayments Due to Contractor Audit Reviews If you do not agree with any CMS contractor audits determination and you are a provider practicing in JK (CT, MA, ME, NH, NY, RI, VT) or J6 (IL, MN, WI), you may use the Medicare appeals process [...]

How to Become a Medicare-Enrolled OTP Supplier

How to Become a Medicare-Enrolled OTP Supplier OTPs with current, valid and full certification by the Substance Abuse and Mental Health Services Administration (SAMHSA) and accredited by a SAMHSA-approved accrediting body; including the DEA [...]

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 [...]

Depression Screening: Promoting Good Health Through Disease Prevention and Detection

Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep your patients from getting certain diseases. Register today for an [...]

The 2025 Spring Part B Virtual Conference Begins in One Week!

The 2025 Spring Part B Virtual Conference Begins in One Week! The 2025 Spring Part B Virtual Conference begins in one week! This is your last chance to register and join us on June 3–5, 2025! Don’t miss out on this must-attend event!   [...]

MLN Connects® Newsletter: May 22, 2025

MLN Connects® Newsletter: May 22, 2025 Departments of Labor, Health and Human Services, Treasury Announce Move to Strengthen Healthcare Price Transparency Trump administration issues request for information, guidance to expand access to real [...]

Medically Unlikely Edits

Claim ADRs

Claim Additional Development Requests Types include: Origins Facts Identification NOC and unlisted codes. Modifiers: AS, 22, 52, 53, 62, 66, 80, 81, 82. PWK initiated and records are not [...]

Smoking Cessation Tools and Resources - You Can Help Your Patients Quit Tobacco Use

Smoking Cessation Tools and Resources - You Can Help Your Patients Quit Tobacco Use Smokefree.gov Centers for Disease Control and Prevention: Tips from Former Smokers campaign Centers for Disease Control and Prevention: Office on Smoking [...]

Medicare Physician Fee Schedule Database

Medicare offers several tools to help providers bill their services. Many questions you have can be answered by learning how to access and use the Medicare Physician Fee Schedule Database. We hope you'll join us for an overview of this database.