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Providers

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Audit

• Audit Offices
• What is Medicare Audit and Reimbursment?

Provider Reimbursement

• FQHC Payment Limit
• RHC Payment Limits
• Hospice Rates
• Calculators
• Forms
• Provider Statistical & Reimbursement Report (PS&R)

Medicare Cost Reporting

• Reporting Address and Contact Changes
• Instructions to Filing an Amended Cost Report
• Where to Mail Your Cost Report
• Extension Requests
• Cost Report Submission Requirements
• Electronic Filing Requirements
• Low Medicare Utilization
• Additional instructions if you are sending a check

Provider Enrollment

• New Providers
• Types of Applications Processed
• Reasons for Delay
• Provider Checklist
• Frequently Asked Questions
• Changes of Information

Medicare Accounting

This area includes information on filing the quarterly credit balance report and UGS contacts regarding credit balances.

Credit Balance

Training

• Home Health Agency Cost Report 101
• Hospice Cost Report 101

EDI

• General Overview
• HIPAA Timeline
• HIPAA Resources
• EDI Terms /Acronyms
• Contact Us
• Password Reset

Coordination of Benefits

• What is COB?
• TPAs Commercial
• TPAs Medicaid

National Provider Indentifier (NPI)

The Provider Identifier mandated by HIPAA

• NPI Overview
• NPI Fact Sheet
• NPI Fact Sheet for Individuals
• The Who, What, Where, When and How of NPI
• CMS NPI Web Page

 

Hot Topics

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Medicare Memos

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Appeals

• The Appeals Transition
• Appeal Rights
• Filing an Appeal
• Recommended Documentation
• Medical Records to Support an Appeal
• Redetermination Decision Notification
• Appealing the Redetermination Decision
• Appointment of Representative and Waiver of Payment

 

 

 

Medical Review

• Mission Statement
• Coverage
• Hot Topics
• PCA
• Training

LCDs

• LCD Overview

ACTIVE Final LCDs

• NGS Active LCDs

DRAFT LCDs

• Draft Local Coverage Determinations

RETIRED LCDs/LMRPs

• Outpatient and Skilled Nursing Facility Retired LCDs/LMRPs
• Home Health & Hospice Retired LCD/LMRPs

REVISED LCDs

• NGS Archived LCDs
• Outpatient and Skilled Nursing Facility Revised LCDs
• Home Health & Hospice Revised LCDs

Comprehensive Error Rate Testing (CERT)

• CERT Home Page
• Who Performs CERT?
• Responding to Documentation Requests
  - Documentation Checklist
• HIPAA Compliance
• Samples of CERT Request Letters
• CERT Denials
• What If My Records Were Destroyed?
• Update Provider Contact Information
• Contact Information
• CERT Findings
• CERT References
• CERT Newsletters
• Other Links
• CERT Quiz

Provider Education

Provider Education and Training

• Computer Based Training (CBT)
• Training Workshops/Information
• Provider Communication Advisory Meetings (PCOM)
• Training Manuals

Provider Education and Training

• Computer Based Training (CBT)
• Training Workshops/Information
• Provider Communication Advisory Meetings (PCOM)
• Training Manuals

Provider Outreach and Education (POE)

• POE
• POE Overview
• POE Minutes
• FAQs from POE Meetings

Training Manuals

• Training Manuals
• Rural Health Clinic Manual
• Swing Bed Training Material
• Skilled Nursing Manual
• Hospital Manual
• Critical Access Hospital
• FQHC Manual
• Home Health Manual
• Hospice Manual
• Inpatient Psychiatric Facility PPS
• End State Renal Disease (ESRD)

Customer Service

• Contact Information for Medicare Provider Services
• Email California Provider Services
• Email Michigan Provider Services
• Email Virginia Provider Services
• Email Wisconsin Provider Services

Medicare Secondary Payer

Change in Conditional Billing
(FISS) Standardization Affects Certain MSP and Primary Claims
Attorneys
Persons With Medicare
Providers

About NGS

• About NGS
• Mission Statement
• Fraud & Abuse
  • FAQs about Medicare Fraud
  • How to Report Medicare Fraud
  • Recognizing Medicare Fraud
• Congressional Liaison
• Careers
• Vendor and Supplier Information