PECOS Self-Service Application Status

PECOS Self-Service Application Status You may run simple search queries to retrieve and view the status of your PECOS application. Individual ‒ View the enrollment application status of an individual provider in an organization or private [...]

Requests for Additional Information

Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]

Requests for Additional Information

Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]

Acknowledgement Email

Acknowledgement Email Upon receipt of your application submission, the contact person (identified on application) will receive an email confirmation from: CustomerService-DoNotReply@cms.hhs.gov containing the PECOS web tracking number. [...]

Requests for Additional information

Requests for Additional information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]

Site Visits

Site Visits Site visits may be required and will be unannounced; the contractor representatives must disclose to the provider appropriate identifying credentials and explain the purpose of the visit. CMS has implemented a site visit [...]

Requests for Additional Information

Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]

Approved Pending Regional Office Review

Approved Pending Regional Office Review For ambulatory surgical centers (ASCs) and portable X-ray suppliers (PXRS): When credentialing, you will receive an approved pending regional office review status in PECOS. National Government [...]

Approval or Denial

Approval or Denial Approval Once your application is approved, a determination letter will be emailed, faxed, or mailed with a PTAN. Review this letter to ensure that everything is accurate and if you have any questions, please contact [...]

Medicare Secondary Payer: A Review of the Non-Group Health Plan MSP Provisions

In this webinar, we review the workers’ compensation, No-Fault (including medical-payment coverage) and the Liability Medicare Secondary Payer (MSP) provisions. Understanding these provisions will help your facility identify and bill the [...]

Interactive Voice Response System

Interactive Voice Response System You may check the status of your provider enrollment application (PECOS or paper) submissions by: Case number/web tracker id or NPI and TIN combination Related Content Interactive Voice Response User [...]

Approved Pending Regional Office Review

Approved Pending Regional Office Review For ASCs and PXRs: When credentialing, you will receive an approved pending regional office review status in PECOS.   National Government Services will send you a letter either by mail, email or [...]

Approval or Denial

Approval or Denial Approval Once your application is approved, a determination letter will be emailed, faxed or mailed with a PTAN. Review this letter to ensure that everything is accurate and if you have any questions, please contact [...]

Check Provider Enrollment Application Status

Check Provider Enrollment Application Status You may check the status of your provider enrollment application (PECOS or paper) submissions by: Case number/web tracker id, or NPI and TIN combination Related Content Check Provider [...]

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 [...]

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 [...]

Additional Events Links

Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders

Additional Events Links

Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders

Additional Events Links

Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders

Additional Events Links

Resources Education Partnership Request Form Five Steps to Webinar Success Provider Outreach and Education Reminders

MLN Connects® Newsletter: August 7, 2025

MLN Connects® Newsletter: August 7, 2025 News Laboratories: Switch to Electronic Fee Coupons & CLIA Certificates Improve Your Search Results for CMS Content Fraud, Waste & Abuse Crushing Fraud Compliance Evaluation & [...]

Meeting Minutes

Meeting Minutes Jurisdiction 6 Illinois, Minnesota, Wisconsin Jurisdiction K Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont Jurisdiction 6 and Jurisdiction K Combined Meeting 4/3/2025 12/5/2024

National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite

National A/B MAC Ambulance Provider/Supplier Coalition Meeting Invite Attention Ambulance Suppliers and Providers Our next National AB MAC Ambulance Provider/Supplier Coalition meeting will be held on Wednesday 9/17/2025 from 2–3:30 p.m. [...]

National A/B Medicare Administrative Contractor Ambulance Provider/Supplier Coalition

National A/B 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 [...]

Vaccines

Vaccines Medicare covers some preventive vaccines at no cost to the beneficiary. CMS and National Government Services provide detailed educational and billing information for providers. Medicare also covers vaccines that are directly related [...]

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 [...]

Medicare Assistant at Surgery Billing for Part B Providers

Understanding the detailed use of Medicare assistant at surgery policy modifiers AS, 80, 81, and 82 is crucial for ensuring claims are submitted accurately, preventing denials, and ensuring proper reimbursement. Attend this session to learn [...]

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 [...]

Notification of Upcoming Due Date for Skilled Nursing Facility Ownership Disclosure Initiative

Notification of Upcoming Due Date for Skilled Nursing Facility Ownership Disclosure Initiative For those SNFs that have not yet submitted their Form CMS-855A revalidation application or, as applicable, SNF Attachment, this is an important [...]

Learn About PECOS Web

Learn About PECOS Web Table of Contents CMS Provider Enrollment Systems Advantages of Online Enrollment Get Started Other Resources Get Access Password Requirements Multi-Factor Authentication Get Help [Return to [...]

Upload Supporting Documents

Upload Supporting Documents Instructions for PECOS to upload required supporting documentation: Select the ‘Topic View’ tab Select “Required and/or Supporting Documents” Upload documents Mandatory for all provider/supplier types that [...]

Upload Supporting Documents

Upload Supporting Documents Instructions for PECOS to upload required supporting documentation: Select the ‘Topic View’ tab Select “Required and/or Supporting Documents” Upload documents Mandatory for all provider/supplier types that [...]

Upload Supporting Documents

Upload Supporting Documents Instructions for PECOS to upload required supporting documentation: Select the ‘Topic View’ tab Select “Required and/or Supporting Documents” Upload documents Mandatory for all provider/supplier types that [...]

Provider Contact Center Voice Recognition Feature

Provider Contact Center Voice Recognition Feature We’ve identified an issue affecting the voice recognition feature on our Provider Customer Service lines. This may result in the system not accurately processing voice commands.   We are [...]

Immunization Roster Billing

Immunization Roster Billing Table of Contents Immunization Roster Billing Claim Submission Options for Roster Billing Electronic Claim Submissions Paper Claim Submissions Vaccine Billing and Coding Resources [Return to Top] [...]

Reopenings J6 Part B Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Mailing Addresses Telephone Reopening Unit: IL: 877-867-3418 Press 1 MN: 877-867-3418 Press 2 WI: 877-867-3418 Press 3 Form(s) you'll need: Appeal Forms

Reopenings JK Part B Right Hand

Helpful Resources Log Into NGSConnex Appeals Timeline Calculator Mailing Address Telephone Reopening Unit: NY: 888-812-8905, press 1 CT: 888-812-8905, press 2 ME: 888-812-8905, press 3 NH: 888-812-8905, press 4 VT: 888-812-8905, press 5 RI: [...]

Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)

Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations) If you disagree with Medicare’s claim determination, you may Appeal. However, please follow these important tips before you submit a first level of appeal [...]

Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)

Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations) If you disagree with Medicare’s claim determination, you may Appeal. However, please follow these important tips before you submit a first level of appeal [...]

Reopenings for Minor Errors and Omissions

Reopenings for Minor Errors and Omissions Providers may request a reopening of the original claims processing decision by contacting the TRU. The TRU can be used when you wish to revise the initial determination of a specific service or [...]

Request a Redetermination

Request a Redetermination The first level of appeal is the redetermination and is carried out by the MAC. Time limit to initiate = 120 days from date of receipt of the initial determination notice Time limit to complete the [...]

Request a Redetermination

Request a Redetermination The first level of appeal is carried out by the affiliated contractor/MAC. Time limit to initiate = 120 days from date of receipt of the initial determination notice Time limit to complete the review = 60 days [...]

Request a Redetermination

Request a Redetermination The first level of appeal is the redetermination and is carried out by the MAC. Time limit to initiate = 120 days from date of receipt of the initial determination notice Time limit to complete the [...]

7/9/2025 Part B POE Advisory Group Meeting

7/9/2025 Part B POE Advisory Group Meeting Meeting Minutes Meeting Time: 10:00 a.m.–12:00 p.m. ET Member Attendees: Morris Auster, Dawson Ballard, Doris Barnes, Sheila Bembenek, Madelon Berger, Todd Bergstrom, Louise Bertrand, Kimberly [...]

Meeting Minutes

Meeting Minutes Jurisdiction 6 and Jurisdiction K Combined Meeting 7/9/2025 Meeting 3/13/2025 Meeting 12/12/2024 Meeting 9/18/2024 Meeting

National Government Services Guide for New Providers

National Government Services Guide for New Providers

National Government Services Guide for New Providers

New Provider Center

New Provider Center National Government Services: A Medicare Administrative Contractor – Who Are We? A MAC is a private health care insurer to whom the CMS has awarded geographic jurisdiction to process FFS Medicare claims for beneficiaries [...]

National Government Services Guide for New Providers

New Provider Center

New Provider Center National Government Services: A Medicare Administrative Contractor – Who Are We? A MAC is a private health care insurer to whom the CMS has awarded geographic jurisdiction to process FFS Medicare claims for beneficiaries [...]

New Provider Center

New Provider Center National Government Services: A Medicare Administrative Contractor Who Are We? A MAC is a private health care insurer to whom the CMS has awarded geographic jurisdiction to process FFS Medicare claims for beneficiaries [...]

New Provider Center

New Provider Center National Government Services: A Medicare Administrative Contractor – Who Are We? A MAC is a private health care insurer to whom the CMS has awarded geographic jurisdiction to process FFS Medicare claims for beneficiaries [...]

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms

Provider Enrollment: NGSMedicare.com Website Resources to Help Reduce Development on CMS Enrollment Forms To reduce requests for additional information, National Government Services offers several provider enrollment topics, helpful tips and [...]

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 [...]

Part A Content

Cost Report Contacts: IL, MN, WI, All FQHC: Bobbi Jo Luciano, Manager Office: South Portland, ME Sharon Townsend Office: South Portland, ME J6_Cost_Report_Filing@anthem.com Mailing Address for USPS: National Government Services Attn: Cost [...]

Part A Content

Cost Report Contacts: CT, ME, MA, NH, NY, RI, VT: Bobbi Jo Luciano, Manager Office: South Portland, ME Sharon Townsend Office: South Portland, ME JK_Cost_Report_Filing@anthem.com Mailing Address for USPS: National Government Services Attn: [...]

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 [...]