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Posting Date: 09/16/2020
Using Touch-Tone
Using Touch-Tone Table of Contents Using Touch-Tone Using Touch-Tone for Alpha-Numeric Elements Using Touch-Tone to Enter a Letter [Return to Top] Using Touch-Tone The IVR is programmed to allow for the entry of all data [...]
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Posting Date: 09/16/2020
Tips for Success
Tips for Success Speak naturally and clearly in a quiet environment. Use mute when you're not speaking. Avoid the use of cellular phones or speaker phones. Have information available and organized before you call. Switch to touch‐tone if [...]
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Posting Date: 11/19/2024
Interactive Voice Response Touch-Tone Instructions
Interactive Voice Response Touch-Tone Instructions Alpha-Numeric Touch-Tone Entries Use this function to enter elements that contain both alpha and numeric characters. Each button on a telephone keypad has a corresponding set of letters. Each [...]
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Posting Date: 09/16/2020
Offsets <4>
table, td, th table { border-collapse: collapse; width: 50%; } Offsets <4> Upon selecting Offsets, the provider will need to authenticate the following information: NPI PTAN Last five digits of the TIN Next, a submenu will [...]
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Posting Date: 09/16/2020
Appeals <7>
table, td, th table { border-collapse: collapse; width: 50%; } Appeals <7> When the Appeals option is selected, the IVR will request and collect the following elements: Provider authentication elements: NPI PTAN TIN Note: [...]
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Posting Date: 09/16/2020
Checks <3>
table, td, th table { border-collapse: collapse; width: 50%; } Checks <3> If you are part of a group, remember to use the group NPI, PTAN and TIN for authentication purposes. Upon selecting Checks, the provider will need to [...]
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Posting Date: 03/26/2021
Main Menu Options
table, td, th table { border-collapse: collapse; width: 50%; } Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for [...]
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Posting Date: 09/16/2020
General Information <8>
table, td, th table { border-collapse: collapse; width: 50%; } General Information <8> When the general information option is selected, the IVR will prompt you to choose from the following options: Phone numbers Addresses [...]
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Posting Date: 09/16/2020
Claim Status <2>
Claim Status <2> If you are part of a group, remember to use the group NPI, PTAN and TIN for authentication purposes. When Claim Status is selected, the IVR will request and collect the following elements: NPI PTAN Last five [...]
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Posting Date: 09/16/2020
Fast Track Access
Fast Track Access You will be prompted for the fast-track access when you use a feature that requires provider authentication (NPI, PTAN, TIN). Features: Claim Status, Checks, Remittance Statements, Appeal Status You can obtain [...]
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Posting Date: 09/16/2020
Using Touch-Tone
Using Touch-Tone Table of Contents Using Touch-Tone for Alpha-Numeric Elements Using Touch-Tone to Enter a Letter The IVR is programmed to allow for the entry of all data using touch‐tone in the event the user is unable to [...]
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Posting Date: 09/16/2020
Checks <3>
table, td, th { border: 1px solid black; } table { border-collapse: collapse; width: 50%; } Checks <3> Table of Contents Checks <3> My Checks Information Checks Navigation Check Number Check Status [...]
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Posting Date: 09/16/2020
Claim Status <2>
table, td, th table { border-collapse: collapse; width: 50%; } Claim Status <2> If you are part of a group, remember to use the group NPI, PTAN and TIN for authentication purposes. When Claim Status is selected, the IVR will [...]
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Posting Date: 03/26/2021
Main Menu Options
Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for provider numbers, Medicare numbers, PTAN, NPI, TIN, dates of service, [...]
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Posting Date: 09/16/2020
Patient Status <6>
table, td, th table { border-collapse: collapse; width: 50%; } Patient Status Patient status information is now accessible via our secure online portal, NGSConnex. To access our portal, go to NGSMedicare.com. Revised 7/24/2025
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Posting Date: 09/16/2020
Remittance Statements <4>
table, td, th table { border-collapse: collapse; width: 50%; } Remittance Statements <4> Upon selecting Remittance Statements, the provider will need to authenticate the following information: NPI PTAN Last five (5) digits of [...]
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Posting Date: 09/16/2020
General Information <8>
General Information <8> When General Information is selected, the IVR will present the caller with a submenu. Voice Touch-Tone Entry IVR Supplies Phone Numbers 1 Commonly requested telephone numbers [...]
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Posting Date: 09/16/2020
Provider Enrollment <6>
table, td, th table { border-collapse: collapse; width: 50%; } Provider Enrollment <6> When Provider Enrollment is selected, the IVR will request and collect the following information: Case number (If case number is unavailable, [...]
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Posting Date: 09/21/2020
Fast Track Access
Fast Track Access You will be prompted for the fast-track access when you use a feature that requires provider authentication (NPI, PTAN, TIN). Features: Claim Status, Checks, Offsets, Appeals You can obtain a code after you complete the [...]
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Posting Date: 07/30/2025
Interactive Voice Response System Changes
Interactive Voice Response System Changes As we’ve communicated, we’re making changes to our IVR system. If you call the IVR tonight, 7/30/2025, you may experience intermittent outages while we make updates. These changes to the IVR will be [...]
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Posting Date: 09/16/2020
Tips for Success
Tips for Success Speak naturally and clearly in a quiet environment. Use mute when you're not speaking. Avoid the use of cellular phones or speaker phones. Have information available and organized before you call. Switch to [...]
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Posting Date: 07/30/2025
Care Management: Health Related Services
As part of a continued series, we're raising awareness on the benefits of care management. During this webinar, we’ll discuss the care management services that Medicare covers in relation to health related services including caregiver [...]
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Posting Date: 07/30/2025
Submitting Part B Medicare Secondary Payer Claims with Correct Insurance Type Codes
This webinar offers an opportunity to deepen your understanding of Medicare Secondary Payer (MSP) insurance type codes. Using the correct insurance type code is essential for ensuring claims are processed smoothly when Medicare is not the [...]
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Posting Date: 07/30/2025
Submitting Part B Medicare Secondary Payer Claims with Correct Insurance Type Codes
This webinar offers an opportunity to deepen your understanding of Medicare Secondary Payer (MSP) insurance type codes. Using the correct insurance type code is essential for ensuring claims are processed smoothly when Medicare is not the [...]
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Posting Date: 05/07/2019
Determine your Business Structure
Determine your Business Structure When starting a business, you must decide what form of business entity you wish to establish. The legal structure you choose for your business has more to do with tax, liability and management arrangements. [...]
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Posting Date: 01/27/2021
Individual Medicare Enrollment Private Practice (Sole Proprietor) via SSN
Individual Medicare Enrollment Private Practice (Sole Proprietor) via SSN Download CMS-855I. Complete sections 1, 2, 3, 4, 6, 8, 12, 13 and 15B. Note: Be sure to complete sections 4, 4A, 4A3, 4B, 4C, 4D and 4E. If reassigning benefits [...]
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Posting Date: 04/29/2021
Individual Medicare Enrollment Private Practice (Sole Proprietor) via EIN
Individual Medicare Enrollment Private Practice (Sole Proprietor) via EIN Download CMS-855I: Complete sections: 1, 2, 3, 4, 6, 8, 12, 13 and 15B. Notes: Be sure to complete section 4, 4A, 4A3 (enter employer identification number) 4B, [...]
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Posting Date: 05/07/2019
Individual Medicare Enrollment Sole Owner of a Corporation via Tax ID
Individual Medicare Enrollment Sole Owner of a Corporation via Tax ID Download CMS-855I: Complete sections 1, 2, 3, 4, 6, 8, 12, 13 and 15. Notes: Corporation structures: examples are PA, PC, LLC, PLLC, Inc., etc. Be sure to complete [...]
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Posting Date: 06/11/2019
Ordering/Referring Provider Only
Ordering/Referring Provider Only Download CMS-855O. Complete sections 1, 2, 3, 4, 5, 6 and 8. Note: Ordering and referring providers are only required to be enrolled in one state. Be sure to include supporting documentation for [...]
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Posting Date: 09/25/2023
Adding a New Reassignment of Benefits Using the CMS-855I
Adding a New Reassignment of Benefits Using the CMS-855I Download CMS-855I version (5/23): Complete sections 1A and B, 2A, 3, 4F (add, terminate, change reassignment), 13, and 15B and 15C IMPORTANT: If an individual is new to the [...]
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Posting Date: 06/11/2019
Electronic Funds Transfer Agreement
Electronic Funds Transfer Agreement Download and complete the CMS-588 EFT Authorization Agreement. Physicians and nonphysician practitioners who are reassigning all of their payments to another entity are not required to submit the CMS-588. [...]
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Posting Date: 09/22/2023
Individual (Group Member) Reassigning Benefits Only
Individual (Group Member) Reassigning Benefits Only Download CMS-855I: Complete sections 1, 2, 3, 4, 4F, 12, 13 and 15 (B and C). Reassignment means that an individual physician, nonphysician practitioner, or other supplier has granted [...]
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Posting Date: 11/08/2019
Supporting Documents
Supporting Documents Attach required supporting documentation for individuals or organizations. Submit all applicable documents: CMS-588 EFT Authorization Agreement and voided check or bank confirmation letter IRS document(s) confirming [...]
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Posting Date: 07/31/2025
Meet Cotiviti - The Recovery Audit Contractor for CMS Region 5
This presentation introduces Cotiviti to Region 5 providers, offers an overview of the Medicare Fee-for Service Recovery Audit Program and demonstrates the features and functionality that equip providers to comprehensively respond to audits [...]
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Posting Date: 07/31/2025
MLN Connects® Newsletter: July 31, 2025
MLN Connects® Newsletter: July 31, 2025 News White House, Tech Leaders Commit to Create Patient-Centric Healthcare Ecosystem Medicare & Medicaid at 60: Strengthening Health Care for the Future Skilled Nursing Facilities: Revalidation [...]
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Posting Date: 07/31/2025
IMPORTANT: Action Required for SNF Revalidation and Attachment, Due Date is now 1/1/2026
IMPORTANT: Action Required for SNF Revalidation and Attachment, Due Date is now 1/1/2026 This message notifies SNFs that the 8/1/2025, due date for submission of their Form CMS-855A revalidation application or, as applicable, SNF Attachment [...]
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Posting Date: 09/01/2023
September 2023
In This Issue National Government Services Articles for Part A and Part B Providers Introducing PECOS 2.0 Duplicate Claim Editing Information Two Interactive Voice Response System Features Ending 9/30/2023 October 2023 Release "Dark [...]
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Posting Date: 08/01/2025
File an Amended Cost Report
Table of Contents File an Amended Cost Report Timeframe to Amend the Medicare Cost Report [Return to Top] File an Amended Cost Report A provider may elect to submit an amended cost report subsequent to the initial filing. The Centers [...]
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Posting Date: 08/01/2025
Prepare and Submit a Cost Report
Table of Contents Prepare and Submit a Cost Report Submit Cost Report Documentation MCReF Other Electronic Media Formats Electronic Filing Requirements and List of Vendors Approved XML IRIS Vendors Home [...]
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Posting Date: 08/01/2025
Home Health Billing Coffee Break
Provider Outreach and Education is hosting a 30-minute coffee break to help answer your troublesome billing questions. This is a great opportunity to discuss areas of billing more in depth and review helpful guides and resources. Keep in mind [...]
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Posting Date: 08/01/2025
Request an Interim Rate Adjustment
When requesting an interim rate adjustment, it's important to submit your interim financial data to National Government Services using the appropriate Interim Rate Review Documentation Request Form. These forms are designed to capture important [...]
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Posting Date: 08/01/2025
Get Your PS&R Reports
Table of Contents Get Your PS&R Reports Register to Receive the PS&R Report Instructions on How to Use Redesign Detail Reports [Return to Top] Get Your PS&R Reports The PS&R report is a tool used by Part A providers [...]
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Posting Date: 08/01/2025
Medicare Bad Debts
Table of Contents Review Medicare Bad Debt Listing Identifying Non-Allowable Fee Schedule Services Fee Schedules Included in Bad Debt Policy Medicare Bad Debts Related Content [Return to Top] Review Medicare Bad Debt Listing [...]
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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: 11/04/2024
B - Promo 1 (Care Management)
National Government Services Medicare Part B Care Management September Series /documents/d/ngs/CM-Sept-Handout2_508_2
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Posting Date: 01/03/2022
Respiratory Pathogen Panel Testing
Respiratory Pathogen Panel Testing N/A L39027 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39027 A58741 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58741 A58890 [...]
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Posting Date: 08/01/2025
Medicare Part B Drugs and Biologicals
Medicare Part B covers certain drugs and biologicals, which require specific billing guidelines. During this webinar, we’ll assist NGS Part B providers in navigating proper billing for these services. There will be time following the [...]
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Posting Date: 08/01/2025
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 [...]
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Posting Date: 08/01/2025
Billing and Coding: Denosumab (Prolia, Xgeva)
Billing and Coding: Denosumab (Prolia ™, Xgeva ™) drug, bone A52399 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399 J0897, Q5136
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Posting Date: 06/20/2025
Annual Logon ID Recertification
All users who access the FISS DDE system are required by the CMS to recertify their access annually. National Government Services will designate one state at a time to complete the annual logon recertification. To complete the recertification [...]
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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: 05/07/2019
New Provider Corporation or Group (Multiple Owners)
New Provider Corporation or Group (Multiple Owners) Download CMS-855B: Complete sections 1, 2, 3, 4, 5, 6, 8, 12, 13, 15B and 15D (if applicable). Attachment 1 for Ambulance Suppliers Attachment 2 for IDTFs Attachment 3 [...]
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Posting Date: 04/29/2021
Medicare Participating Physician or Supplier Agreement
Medicare Participating Physician or Supplier Agreement Download and complete CMS-460 Medicare Participating Physician or Supplier Agreement. Note: CMS-460 must have a signature and date of participant or authorized representative of [...]
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Posting Date: 05/08/2025
Skilled Nursing Facility Consolidated Billing
Did you know that skilled nursing facilities (SNFs) are responsible for paying outside entities for most services provided to beneficiaries while they are in a covered Part A stay and for certain services for Part B beneficiaries? Streamline [...]
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