-
Posting Date: 06/23/2025
How to Submit a Hardship Request
To request a hardship consideration, submit with a letter and any supporting documentation describing the hardship and why it justifies the exception for your application. Your hardship request will not be considered if it is received [...]
Read More -
Posting Date: 06/23/2025
How to Obtain a Refund
A refund will only be granted in the following instances: The application fee was not required for the application submitted A hardship request was subsequently approved and a fee was paid An application was rejected prior to the screening [...]
Read More -
Posting Date: 08/21/2018
How to Obtain a Refund
How to Obtain a Refund A refund will only be granted in the following instances: The application fee was not required for the application submitted A hardship request was subsequently approved and a fee was paid An application was [...]
Read More -
Posting Date: 04/27/2021
How to Obtain a Refund
How to Obtain a Refund A refund will only be granted in the following instances: The application fee was not required for the application submitted A hardship request was subsequently approved and a fee was paid An application was [...]
Read More -
Posting Date: 04/27/2021
How to Obtain a Refund
How to Obtain a Refund A refund will only be granted in the following instances: The application fee was not required for the application submitted A hardship request was subsequently approved and a fee was paid An application was [...]
Read More -
Posting Date: 06/24/2025
Observance of Fourth of July 2025
Observance of Fourth of July 2025 In observance of the Fourth of July 2025, National Government Services offices will be closed on Friday, 7/4/2025. Please note: EDI claim files transmitted after 4:00 p.m. central time/5:00 p.m. eastern time [...]
Read More -
Posting Date: 06/24/2025
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 [...]
Read More -
Posting Date: 06/24/2025
Hospital, CMHC, CORF/ORF and ESRD Facilities 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 [...]
Read More -
Posting Date: 06/24/2025
National Government Services Important Update
National Government Services Important Update ALERT: Medicare Fraud Scheme Involving Phishing Fax Requests National Government Services wants to share with our providers an urgent issue that has been identified by CMS. CMS has been flooded [...]
Read More -
Posting Date: 01/05/2021
How to Pay the Application Fee
How to Pay the Application Fee The application fee must be paid electronically. IMPORTANT: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee [...]
Read More -
Posting Date: 06/24/2025
How to Pay the Application Fee
The application fee must be paid electronically. Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee using the Provider Enrollment, [...]
Read More -
Posting Date: 01/05/2021
How to Pay the Application Fee
How to Pay the Application Fee The application fee must be paid electronically. Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee [...]
Read More -
Posting Date: 01/05/2021
How to Pay the Application Fee
How to Pay the Application Fee The application fee must be paid electronically. Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately. To pay the application fee [...]
Read More -
Posting Date: 06/24/2025
Who Needs to Pay Application Fees
Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, nonphysician practitioners, physician [...]
Read More -
Posting Date: 04/20/2022
Who Needs to Pay Application Fees
Who Needs to Pay Application Fees Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, [...]
Read More -
Posting Date: 04/20/2022
Who Needs to Pay Application Fees
Who Needs to Pay Application Fees Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, [...]
Read More -
Posting Date: 04/20/2022
Who Needs to Pay Application Fees
Who Needs to Pay Application Fees Institutional providers or suppliers must submit an application fee or hardship exception when initially enrolling, revalidating their enrollment or adding a new Medicare practice location. Physicians, [...]
Read More -
Posting Date: 06/24/2025
LCD and Billing and Coding Article Updates – 2025
LCD and Billing and Coding Article Updates – 2025 January Psychiatric Partial Hospitalization Programs L33626 Effective 1/1/2024, in the Coverage Indications, Limitations and/or Medical Necessity section, the third list under Limitations has [...]
Read More -
Posting Date: 06/25/2025
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 [...]
Read More -
Posting Date: 06/25/2025
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 [...]
Read More -
Posting Date: 04/30/2019
Electronic Funds Transfer
Electronic Funds Transfer EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or [...]
Read More -
Posting Date: 06/25/2025
Electronic Funds Transfer
EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or similar financial institution) [...]
Read More -
Posting Date: 08/15/2022
Eligible Method II Providers
Eligible Method II Providers If a CAH wants to become a Method II biller, email the request to A&R at ngsreimbursement@anthem.com. Suppliers who can enroll as a Method II Biller Reassignment. Doctor of Medicine (MD) Doctor of [...]
Read More -
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 [...]
Read More -
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 [...]
Read More -
Posting Date: 06/25/2025
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 [Return to Top] Electronic Funds Transfer Form and [...]
Read More -
Posting Date: 06/25/2025
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 an active bank account is [...]
Read More -
Posting Date: 06/25/2025
SNF and Swing Bed 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 [...]
Read More -
Posting Date: 06/25/2025
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 [...]
Read More -
Posting Date: 06/25/2025
Medicare Secondary Payer: A Review of the End-Stage Renal Disease with an Employer Group Health Plan Provision – Part 1
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 [...]
Read More -
Posting Date: 06/25/2025
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 [...]
Read More -
Posting Date: 04/24/2018
Fee Schedule Assistance
Fee Schedule Assistance Connecticut Illinois Locality/Area and County Information Maine, Massachusetts, New Hampshire, Rhode Island, Vermont Locality/Area and County Information New York Locality/Area and County Information Locate and [...]
Read More -
Posting Date: 03/26/2024
Self-Administered Drug Exclusion (J6 and JK)
Self-Administered Drug Exclusion Update (J6 and JK) Medications that are self-administered more than 50% of the time for all Medicare beneficiaries are excluded from Medicare Part B coverage. At the direction of CMS, each MAC shall [...]
Read More -
Posting Date: 03/03/2025
National AB Medicare Administrative Contractor Ambulance Provider/Supplier Coalition
National AB Medicare Administrative Contractor Ambulance Provider/Supplier Coalition Attention Ambulance Providers In response to numerous and continued requests from the ambulance community, the AB MACs have put together a National AB MAC [...]
Read More -
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 [...]
Read More -
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 [...]
Read More -
Posting Date: 03/26/2025
Hospital-Based Ambulance Basic Billing Guidelines
Hospital-Based Ambulance Basic Billing Guidelines For hospital-based ambulance billing under Medicare, services should be billed on the UB-04 form using the ambulance service-specific NPI, not the acute hospital NPI, and claims for inpatient [...]
Read More -
Posting Date: 01/31/2015
Ambulance Transports Included in SNF Consolidated Billing
Ambulance Transports Included in SNF Consolidated Billing Transport Description Medical Necessity Met Ambulance Billing Modifiers and Other Considerations Who is Responsible for Payment? Reference(s) SNF to [...]
Read More -
Posting Date: 06/26/2025
MLN Connects® Newsletter: June 26, 2025
MLN Connects® Newsletter: June 26, 2025 News Alert: Medicare Fraud Scheme Involving Phishing Fax Requests Medicare Diabetes Prevention Program: CY 2025 Payment Rates Compliance Commodes, Bed Pans & Urinals: Prevent Claim Denials [...]
Read More -
Posting Date: 06/26/2025
The Incident To Provision for Medicare
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 [...]
Read More -
Posting Date: 06/26/2025
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 [...]
Read More -
Posting Date: 10/28/2014
Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10
Claim Denials for Medically Unnecessary Ambulance Transports Table of Contents Claim Denials for Medically Unnecessary Ambulance Transports Medical Necessity and Coverage Guidelines for Ambulance Transport Avoiding Reason Code 55B10 [...]
Read More -
Posting Date: 10/27/2022
Coverage of Rural Air Ambulance Services
Coverage of Rural Air Ambulance Services Section 415 of the Medicare Modernization Act of 2003 provides coverage for rural air ambulance services that are reasonable and necessary and ordered by qualified personnel. Medicare considers the [...]
Read More -
Posting Date: 10/01/2024
July 2025 EDI Front End Quarterly Release
July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]
Read More -
Posting Date: 06/27/2025
July 2025 EDI Front End Quarterly Release
July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]
Read More -
Posting Date: 07/01/2025
Medicare Part B Top 10 Claim Denials
Each quarter, we host this webinar to address the top claim denials we receive. We research and identify common errors and offer solutions to prevent them, which has effectively reduced errors. There will be time following the presentation to [...]
Read More -
Posting Date: 07/01/2025
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 & [...]
Read More -
Posting Date: 07/01/2025
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.
Read More -
Posting Date: 07/01/2025
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 [...]
Read More -
Posting Date: 07/01/2025
Learning Medicare Secondary Payer Interactively
Join us for an interactive learning webinar where you can engage and have fun at the same time! It’s all about learning the Part B Medicare Secondary Payer (MSP) provisions with live case scenarios. Providers will understand their [...]
Read More -
Posting Date: 01/03/2025
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction 6 Only)
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction 6 Only) SAD A53022 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53022 C9399, J0129, J0139, J0270, J0364, J0593, J0599, J0630, J0801, [...]
Read More -
Posting Date: 01/03/2025
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction K and Jurisdiction 6)
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction K and Jurisdiction 6) SAD A53021 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53021 C9399, J0129, J0139, J0270, J0364, J0593, J0599, [...]
Read More -
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 [...]
Read More -
Posting Date: 04/04/2023
Billing and Coding: Ranibizumab, Aflibercept and Brolucizumab-dbll and Faricimab-svoa
Billing and Coding: Ranibizumab, Aflibercept and Brolucizumab-dbll and Faricimab-svoa eye, ophthalmology, macular A52451 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52451 C9399, J0177, J0178, J0179, J2777, J2778, [...]
Read More -
Posting Date: 07/02/2025
LCD and Billing and Coding Article Updates – July 2025
LCD and Billing and Coding Article Updates – July 2025 Billing and Coding: Respiratory Pathogen Panel Testing (A58741) Based on the HCPCS quarterly updates the following updates have been made to the article: PLA Codes 0240U and 0241U have [...]
Read More -
Posting Date: 07/02/2025
Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line
Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line Attention: Provider Enrollment and Credentialing Departments Revalidate before your due date to avoid a “Stay of Enrollment” or claim rejections which may [...]
Read More -
Posting Date: 07/02/2025
Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line
Know Your Provider Enrollment Revalidation Due Date Today and Protect Your Bottom Line Attention: Provider Enrollment and Credentialing Departments Revalidate before your due date to avoid a “Stay of Enrollment” or claim rejections which may [...]
Read More -
Posting Date: 01/02/2025
Improving Customer Experience
Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how we can [...]
Read More -
Posting Date: 06/30/2025
Ambulance Services and Establishing Medical Necessity for Part B Providers
This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.
Read More -
Posting Date: 06/30/2025
Bone Mass Measurement: 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 [...]
Read More