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Posting Date: 03/14/2025
Getting Access to PECOS
During this webinar, we’ll discuss how to obtain access to the Internet-based Provider Enrollment Chain & Ownership System (PECOS) and gain connection to provider enrollment record as well as understand other Centers for Medicare & [...]
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Posting Date: 03/20/2025
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.
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Posting Date: 03/31/2025
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: 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 [...]
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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.
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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.
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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.
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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 [...]
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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 [...]
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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 [...]
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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, [...]
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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.
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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, [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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.
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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 [...]
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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.
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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 [...]
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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 [...]
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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 [...]
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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.
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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.
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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 [...]
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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 [...]
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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.
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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Posting Date: 01/28/2022
Telehealth Services
Telehealth Services Please explain Medicare’s definition of a telehealth service. Answer: Medicare defines a telehealth service as a service provided by a Medicare-enrolled practitioner from an approved distant site for a beneficiary who [...]
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Posting Date: 06/09/2017
Smoking Cessation
Smoking Cessation Please clarify appropriate codes for smoking cessation services. Answer: CPT codes 99406 and 99407 may be used for smoking and tobacco-use cessation counseling visits. Please clarify what constitutes a session which [...]
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Posting Date: 01/04/2023
Skilled Nursing Facility Services
Skilled Nursing Facility Services Please define rules for initial and subsequent SNF services, when the same provider has treated the patient at another site on the same date of service. Answer: This depends on the site of the prior [...]
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Posting Date: 08/29/2017
Separately Identifiable Service
Separately Identifiable Service Please define the appropriate use of modifier 57 to identify a separately payable E/M with an initial decision for surgery. Answer: Modifier 57 is added to an E/M service that resulted in an initial [...]
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Posting Date: 01/28/2022
Provider Specialty
Provider Specialty Should each MD in the same practice bill with two different taxonomy codes based on whether functioning as a cardiologist or electrophysiologist? Answer: Yes, providers should be billing with their taxonomy codes. The [...]
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Posting Date: 04/01/2022
Prolonged Services
Prolonged Services Note: View the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 30.6.15.2 and Section 30.6.15.3 for CPT codes [...]
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Posting Date: 10/26/2022
Nonphysician Practitioner Services
Nonphysician Practitioner Services In addition to the frequently asked questions below, please view NGS’ Nonphysician Practitioners-Reducing Costly Appeals; Increase Provider Revenue article for related information. Is it permissible for [...]
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Posting Date: 01/27/2022
New vs. Established Patients
New vs. Established Patients How does CMS define a patient as “new” versus “established”? Answer: In 2023, the definition of a “new” patient differs based on whether the patient is being treated in an office or an observation/ inpatient [...]
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Posting Date: 01/28/2022
Preoperative Clearance
Preoperative Clearance What requirements must be met for a preoperative clearance visit to be considered medically necessary and billable? Answer: CMS does not set requirements for medical clearance; these are established by individual [...]
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Posting Date: 02/21/2020
IPPE and AWV Services
IPPE and AWV Providers are reminded that the IPPE and AWV are Medicare-covered services within their own benefit category. As such, they are not subject to standard “incident to” billing guidelines and must be billed by the performing [...]
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Posting Date: 04/29/2021
Medical Decision Making
Medical Decision Making In a split/shared service, when a medical record includes a plan of care developed by the physician, based on a history and/or examination performed by the NPP and a personal review of diagnostic findings, [...]
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Posting Date: 04/18/2025
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 the proper modifiers to use to avoid denials. There will be time for your [...]
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Posting Date: 01/27/2022
Examination
As of 1/1/2023, CMS has eliminated prior specifications for the scope of examination and associated documentation in the outpatient office and hospital settings. The provider is expected to perform and document a medically necessary and [...]
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Posting Date: 01/27/2022
General E/M Information
General E/M Information Please explain the terms “auxiliary personnel” and “clinical staff” in the context of Medicare services. Answer: These terms are often used in defining which staff members can perform Medicare services [...]
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Posting Date: 01/28/2022
Critical Care Services
Critical Care Services Please define the time requirement for billing CPT code 99292. Answer: Whether critical care is performed by a single provider or on a split (or shared) basis, the time requirement for CPT code 99292 remains the [...]
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