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  • Posting Date: 04/15/2022
    Ambulance Transports Excluded from SNF Consolidated Billing

    Ambulance Transports Excluded from SNF Consolidated Billing When a Medicare beneficiary is a resident in a SNF under a Part A stay, not all ambulance transports are included in the PPS (prospective payment system) payment for a SNF. SNF [...]

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  • Posting Date: 07/29/2025
    National Government Services Contractor Advisory Committee Meeting

    National Government Services Contractor Advisory Committee Meeting There will be a multi-jurisdictional CAC meeting held on Wednesday 8/20/2025 at 3:30-5:30 p.m. ET, 2:30-4:30 p.m. CT. Meeting details can be found on the National Government [...]

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  • Posting Date: 12/31/2018
    Ambulance Medical Necessity Reminder for ESRD Patients

    Ambulance Medical Necessity Reminder for ESRD Patients National Government Services receives a significant amount of dialysis facility ambulance transports that do not meet medical necessity criteria. Documentation must explicitly describe the [...]

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  • Posting Date: 04/22/2020
    Related Content

    Related Content Ambulance Services Center MLN® Booklet: Medicare Ambulance Transports Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 10, [...]

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  • Posting Date: 06/27/2017
    Ambulance Medical Necessity

    Ambulance Medical Necessity According to the Centers for Medicare & Medicaid Services’ (CMS) Internet Only Manual (IOM) 100-02, Medicare Benefit Policy Manual, Chapter 10, Ambulance Services; (400 KB) 10.2 - Necessity and Reasonableness [...]

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  • Posting Date: 06/27/2022
    Billing for A0426 or A0428

    Billing for A0426 or A0428 National Government Services has been receiving electronic claims with the 2300 REF segment (G1 qualifier) for prior authorization, however, the value entered in REF02 is a ZIP code. This segment is intended for the [...]

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  • Posting Date: 08/06/2015
    Medical Necessity of Ambulance Services

    Medical Necessity of Ambulance Services Table of Contents Medical Necessity of Ambulance Services What You Can Do Nearest Appropriate Facility: GY Modifier What You Can Do Related Content [Return to Top] Medical [...]

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  • Posting Date: 04/29/2022
    Proper Claim Submission for Repetitive, Scheduled, Non-Emergent Ambulance Transports

    Proper Claim Submission for Repetitive, Scheduled, Non-Emergent Ambulance Transports The CMS implemented the prior authorization of RSNAT. NGS J6 states Illinois, Minnesota, and Wisconsin were added to the RSNAT Model effective with dates [...]

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  • Posting Date: 11/12/2020
    Responsibility of Providing a Properly Executed Physician Certification Statement/Certificate of Medically Necessity

    Responsibility of Providing a Properly Executed Physician Certification Statement/Certificate of Medically Necessity Recent National Government Services educational efforts have highlighted an issue between facilities and the ambulance [...]

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  • Posting Date: 06/03/2022
    Network Service Vendors

    Network Service Vendors National Government Services requires connectivity to the EDI Gateway for exchange of EDI data through select NSVs. In addition to connectivity to the EDI Gateway for the exchange of HIPPAA transactions, these vendors [...]

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  • Posting Date: 07/29/2025
    Automated CMS System for Tracking Audit and Reimbursement Calculated Tentative

    Automated CMS System for Tracking Audit and Reimbursement Calculated Tentative Beginning with cost reports received on or after 7/14/2025, all hospital cost reports will process through the automated CMS STAR Calculated Tentative. With this [...]

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  • Posting Date: 07/29/2025
    Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating

    Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating Did you know that tobacco cessation counseling is a covered Medicare service? Brief tobacco counseling provides substantial health benefits while producing cost savings. [...]

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  • Posting Date: 06/01/2020
    New York State Ambulance Services in Rural Areas (for JK providers only)

    New York State Ambulance Services in Rural Areas NYS has unique requirements for the payment of paramedic intercept services when an ambulance company can provide only BLS services. Paramedic intercept services can be approved in counties and [...]

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  • Posting Date: 07/29/2025
    38054

    Avoiding/Correcting This Error Verify the claim history to determine the period of care claim that is causing the overlap If there are services that should have been included on a processed/paid claim, you must submit an adjustment (3X7 [...]

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  • Posting Date: 07/29/2025
    38200

    Avoiding/Correcting This Error This reason code may be applied when an NOA and period of care claim are submitted at the same time or when an NOA and one is already in the system. If the NOA and claim were submitted at the same time, and no [...]

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  • Posting Date: 07/29/2025
    39929

    Avoiding/Correcting This Error Verify the line level rejection information to determine the rejection for each of the lines of the claim in question. Providers can see line details in NGSConnex and hover over the line item reason code(s) for [...]

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  • Posting Date: 07/29/2025
    37364

    Avoiding/Correcting This Error There was an issue with NOAs incorrectly editing for U537F. Once the system was fixed, NOAs could be resubmitted and subsequently processed. NOAs submitted late due to this issue may have affected more than one [...]

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  • Posting Date: 07/29/2025
    38031

    Avoiding/Correcting This Error Verify the ‘from’ and ‘through’ dates, provider number, revenue codes, HCPCS codes, and line item date of service on the bill. If the claim is truly a duplicate; no action is necessary. Providers should develop [...]

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  • Posting Date: 07/29/2025
    39934

    Avoiding/Correcting This Error You can find line level information by accessing MAP171D in the FISS/DDE Provider Online System: Hit <F2>/<PF2> once or <F11>/<PF11> twice from Claim Page 02 of the claim to access [...]

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  • Posting Date: 07/29/2025
    38055

    Avoiding/Correcting This Error Verify the claim history using the FFS/DDE Provider Online system, your remittance advice and/or the CWF to determine the episode claim that is causing the overlap If there are services that should have been [...]

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  • Posting Date: 07/29/2025
    38032

    Avoiding/Correcting This Error Providers should develop and implement a process to ensure that duplicate claims are not being submitted. If the claim is truly a duplicate, no action is necessary. If this is not a duplicate and the provider [...]

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  • Posting Date: 07/29/2025
    39929

    Avoiding/Correcting This Error Verify the line level rejection information to determine the rejection for each of the lines of the claim in question. Providers can see line details in NGSConnex and hover over the line item reason code(s) for [...]

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  • Posting Date: 07/29/2025
    U523A

    Avoiding/Correcting This Error This reason code is a notification to the provider of a VBID patient. For more information, including calendar-year specific downloadable lists of service area PBPs and contact information, please refer to the [...]

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  • Posting Date: 07/29/2025
    U5200

    Avoiding/Correcting This Error Verify that the MBI on the claim is for the correct beneficiary. If the MBI is correct, verify the beneficiary’s entitlement information, correct, and resubmit if appropriate. If the MBI is incorrect, submit [...]

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  • Posting Date: 07/29/2025
    38200

    Avoiding/Correcting This Error This reason code may be applied when an NOA and period of care claim are submitted at the same time or when an NOA and one is already in the system. If the NOA and claim were submitted at the same time, and no [...]

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  • Posting Date: 07/29/2025
    U5600

    Avoiding/Correcting This Error Providers should develop and implement a process to ensure that duplicate claims are not being submitted. If the claim is truly a duplicate, no action is necessary If this is not a duplicate and the provider [...]

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  • Posting Date: 07/29/2025
    U5211

    Avoiding/Correcting This Error Verify the MBI and dates of service. If appropriate, correct the information and submit a new claim or update returned claim. If the actual date of death was reported in error to the Social Security office, [...]

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  • Posting Date: 07/29/2025
    37364

    Avoiding/Correcting This Error There was an issue with NOAs incorrectly editing for U537F. Once the system was fixed, NOAs could be resubmitted and subsequently processed. NOAs submitted late due to this issue may have affected more than one [...]

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  • Posting Date: 07/29/2025
    31605

    Avoiding/Correcting This Error The occurrence span code 77 should only be used to indicate the span of days that were not covered on claims. Related Content Appropriate Use of Occurrence Code 27 and Occurrence Span Code 77  

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  • Posting Date: 07/29/2025
    U5194

    Avoiding/Correcting This Error In instances where a NOE is not timely-filed, the days of hospice care from the hospice admission date to the date the NOE is submitted to and subsequently processed by the Medicare contractor will not be [...]

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  • Posting Date: 07/29/2025
    U537F

    Avoiding/Correcting This Error Always verify billing before submitting a new NOA for a beneficiary admission. There should not already be an NOA in the system pending processing or finalized prior to submitting a new NOA for a beneficiary. [...]

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  • Posting Date: 07/29/2025
    37402

    Avoiding/Correcting This Error Hospice – This error occurs when a claim is submitted and the previous month's claim has not been found in the system or there is a gap between Through date of the previous claim and From date on this claim. [...]

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  • Posting Date: 07/29/2025
    7C625

    Avoiding/Correcting This Error Hospice – Clarify reason for discharge. Claim is being returned for one of the following reasons: Remarks are not present or do not indicate valid reason for discharge/transfer. Remarks indicate beneficiary [...]

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  • Posting Date: 07/29/2025
    31644

    Avoiding/Correcting This Error Hospice room and board denials should be submitted as non-covered charges with revenue code 0659, HCPCS A9270, and the ‘GY’ modifier. Review the information submitted on your claim, correct, and resubmit.

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  • Posting Date: 07/29/2025
    U5233

    Avoiding/Correcting This Error Collect all insurance information from the beneficiary when admitted to your HHA. Talk to the beneficiary about insurance changes and check CWF before billing Medicare. Many times a claim will overlap an MAO [...]

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  • Posting Date: 07/29/2025
    U5106

    Avoiding/Correcting This Error When the hospice NOE was received it fell within a previously established election period. Verify that the NOE is billed with correct dates. If benefit period from the previous hospice is still open, allow [...]

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  • Posting Date: 07/29/2025
    U5111

    Avoiding/Correcting This Error Hospice – When submitting a hospice Notice of Termination/Revocation (TOB 8XB) or a Cancel Notice of Election (TOB 8XD) ensure that the From date on the transaction matches the Start date posted on CWF for that [...]

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  • Posting Date: 07/29/2025
    U5113

    Avoiding/Correcting This Error The 8xB (NOTR) transaction should only be submitted when the beneficiary revokes the hospice benefit or is discharged alive and there is no final claim in the system indicating termination of the hospice benefit. [...]

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  • Posting Date: 07/29/2025
    U5166

    Avoiding/Correcting This Error If a transfer occurred, verify that all claims and notices are submitted in order. The transferring-from hospice agency needs to submit their final claim prior to the transferring-to hospice agency submitting [...]

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  • Posting Date: 07/29/2025
    37402

    Avoiding/Correcting This Error Hospice – This error occurs when a claim is submitted and the previous month's claim has not been found in the system or there is a gap between Through date of the previous claim and From date on this claim. [...]

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  • Posting Date: 07/29/2025
    U5109

    Avoiding/Correcting This Error When submitting a transaction to indicate the beneficiary’s election to revoke the hospice benefit, transfer the patient, cancel the election, or a change of ownership, the information on the transactional bill [...]

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  • Posting Date: 07/29/2025
    U5233

    Avoiding/Correcting This Error Collect all insurance information from the beneficiary when admitted to your HHA. Talk to the beneficiary about insurance changes and check CWF before billing Medicare. Many times a claim will overlap an MAO [...]

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  • Posting Date: 07/29/2025
    U5181

    Avoiding/Correcting This Error Ensure the usage of an appropriate certification or recertification date in accordance with occurrence code 27. Related Content Avoiding Reason Code U5181: Appropriate Use of Occurrence Code 27/Occurrence [...]

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  • Posting Date: 07/29/2025
    U5065

    Avoiding/Correcting This Error HH+H may only bill services provided to the patient after the effective date of their Medicare coverage. Verify the effective date(s) for the MBI of the beneficiary prior to billing. If a new MBI has been issued [...]

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  • Posting Date: 07/29/2025
    U537F

    Avoiding/Correcting This Error Always verify billing before submitting a new NOA for a beneficiary admission. There should not already be an NOA in the system pending processing or finalized prior to submitting a new NOA for a beneficiary. [...]

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  • Posting Date: 07/29/2025
    U537I

    Avoiding/Correcting This Error All dates of service reported on a period of care claim must be on or after the date of admission. Verify the from and through dates billed and all line-item dates of service to ensure the dates are within the [...]

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  • Posting Date: 07/29/2025
    U5065

    Avoiding/Correcting This Error HHH may only bill services provided to the patient after the effective date of their Medicare coverage. Verify the effective date(s) for the MBI of the beneficiary prior to billing. If a new MBI has been issued [...]

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  • Posting Date: 07/29/2025
    31287

    Avoiding/Correcting This Error Hospice claims are required to be billed monthly. Verify the month beginning and ending date and the ‘From’ and ‘To’ dates on your claim. The claim must span the entire month for continuing care claims.

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  • Posting Date: 07/29/2025
    30993

    Verify the MBI submitted on the claim matches the MBI in the Common Working File. If a new MBI has been assigned, follow the guidelines regarding the claim submission: For dates of service before the MBI change date use old or new MBI If [...]

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  • Posting Date: 07/29/2025
    34538

    Avoiding/Correcting This Error To avoid this error: When submitting your Medicare primary claim, report the reason Medicare is primary using claim coding in Prevent an MSP Rejection on a Medicare Primary Claim. To correct this [...]

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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: 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
    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: 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 touch‐tone if [...]

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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: 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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