- Coverage Criteria and Frequency Limits
- Checking Medicare Eligibility
- Top Tobacco Counseling Claim Errors
- Tobacco Cessation Telehealth Guide
- Overcoming Barriers to Tobacco Counseling
- Tobacco Counseling Documentation
- Clinical Guidelines and Recommendations
- Frequently Asked Questions
- Federally Qualified Health Center
- Rural Health Clinic
- Tobacco and Health Effects
- Benefits of Quitting
- Lung Cancer Screening
- Resources
Checking Medicare Eligibility
To determine the last date a patient received tobacco cessation counseling; providers can check patient eligibility through these online tools and services:
Table of Contents
NGSConnex
NGSConnex provides:
- Total sessions available
- Initial session date
- Remaining sessions
Detailed instructions are available in the NGSConnex User Guide.
Interactive Voice Response System
The IVR provides:
- Smoking cessation counseling date
- Number of sessions remaining
From the eligibility command within the IVR, chose Special Services (Touchtone 6). Detailed instructions are available in the Interactive Voice Response User Guide.
HIPAA Eligibility Transaction System
Billing agencies, clearinghouses, or software vendors can online tools and services for eligibility information. Use the eligibility response to prepare accurate Medicare claims, determine patient liability, or check eligibility for specific services. Enter your patient’s:
- MBI
- First and last name
- Date of birth (MM/DD/YYYY)
Note: You may see different Medicare eligibility responses based on the tool you use.
Detailed instructions are available on CMS’ HIPAA Eligibility Transaction System (HETS) web page.
Related Content
- MLN® Fact Sheet: Checking Medicare Eligibility
Reviewed 10/9/2023