Navigating Medicare: Part A Insights for Providers

National Government Services

5.0 (3)
GOVERNMENT
UPDATED BIWEEKLY

We invite you to join our thoughtful conversations and helpful insights into the Part A Medicare world. We will have a new episode on the 1st and 3rd Wednesday of each month, breaking down documentation and billing under the Medicare program for you.

JAN 1

2024 In Review

Happy New Year! Join Provider Outreach & Education Consultants Jeanine Gombos and Andrea Freibauer as they talk about all the different kinds of education that we do for our provider community, including webinars, partnerships, YouTube videos and on-demand education. They'll chat about 2024 - what we accomplished, what educational initiatives we started and which ones we ended - as well as provide a sneak peek on what we have planned for 2025! Helpful links: NGS website – Events - NGS Partnership Request Form Events - NGSMEDICARE (https://www.ngsmedicare.com/web/ngs/events?lob=93617&state=97256&rgion=93623)

17 min
12/18/2024

Chasing Ambulance Coverage: Hospital-to-Hospital Transport

The Chasing Ambulance Coverage podcast covers Medicare Part A Hospital-to-Hospital Transport including basic coverage guidance and resources. Important links: https://www.ngsmedicare.com/web/ngs/ambulance?selectedArticleId=1548528&artid=1946241&artfid=1763403&lob=93617&state=97257&rgion=93624 If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSPartAPOE@elevancehealth.com.

8 min
12/04/2024

Removal of Beneficiary Eligibility From the IVR

It’s a Medicare Part A and Part B crossover event! Andrea and Kathy from the Part A POE team talk about the removal of beneficiary eligibility information from the IVR with Jen and Laura from the Part B POE team. Learn about what is being removed from the IVR and the different options providers have for obtaining that information after November 18, 2024. Links to material/website mentioned during this podcast: - CMS Change Request 13754 - Reminder – Beginning 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR - NGSConnex User Guide for Part A, HHH and FQHC providers - HIPAA Eligibility Transaction System (HETS) - FISS DDE Provider Online Guide If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSPartAPOE@elevancehealth.com – make sure to put “Podcast” in the subject line.

16 min
11/20/2024

SNF Consolidated Billing

Join Andrea and Kathy in another lively edition of “Two Chicks Talk About SNFs” as they discuss Skilled Nursing Facility (SNF) Consolidated Billing (CB). This discussion encompasses what CB is, separately payable services under CB, and billing when an outside entity is involved in the care of SNF patients. Links to material/website mentioned during this podcast: CMS SNF Consolidated Billing: https://www.cms.gov/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing CMS Best Practices Guidelines: https://www.cms.gov/medicare/medicare-fee-for-service-payment/snfpps/bestpractices If you have a question or topic, (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSPartAPOE@elevancehealth.com – make sure to put “Podcast” in the subject line.

19 min
11/06/2024

What is NOT MSP

Join Christine and Andrea as they discuss two of the most common situations that many providers think are Medicare Secondary Payer (MSP) but are not – when a beneficiary has a Medicare Advantage Organization (MAO) plan or receives services through the Veteran’s Administration (VA). Links to material/website mentioned during this podcast: CMS Internet Only Manual Publication 100-05, Medicare Secondary Payer Manual https://www.cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms-items/cms019017 Billing for FQHC MAO Plan Supplemental Payment (PPS Providers) https://www.ngsmedicare.com/web/ngs/billing?selectedArticleId=226103&lob=93619 Reason Code U5233 https://www.ngsmedicare.com/web/ngs/search-details?selectedArticleId=692465&lob=93617 Billing Medicare Part A When VA-Eligible Medicare Beneficiaries Receive Services in Non VA Facilities https://www.ngsmedicare.com/web/ngs/billing?selectedArticleId=1233083&lob=93617 CMS Change Request 9818, Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42 https://www.cms.gov/regulations-and-guidance/guidance/transmittals/downloads/r3635cp.pdf If you have a question or topic (or both!) you would like us to cover in a future podcast, send them our way! You can reach us at NGSPartAPOE@elevancehealth.com – make sure to put “Podcast” in the subject line. Billing Medicare Part A When Veteran’s Administration Eligible Medicare Beneficiaries Receive Services in Non-VA Facilities: https://www.ngsmedicare.com/web/ngs/billing?selectedArticleId=1233083&lob=93617

31 min
10/16/2024

Where’s It Written?

Join Provider Outreach & Education Consultants Jeanine Gombos and Andrea Freibauer as tackle the commonly asked provider question "Where is it written?" They’ll discuss where you can find the official Medicare regulations related to program exclusions, general coverage, and specific service guidelines, including coding information and billing requirements. Helpful links: CMS Internet-Only Manuals https://www.cms.gov/medicare/regulations-guidance/manuals/internet-only-manuals-ioms CMS Medicare Coverage Database https://www.cms.gov/medicare-coverage-database/search.aspx National Government Services Local Coverage Determinations https://www.ngsmedicare.com/web/ngs/medical-policies?lob=93617&state=97256&rgion=93623

24 min
10/01/2024

Let’s Have ‘Fun’ With the Fundamentals of Medicare

Join Provider Outreach & Education Consultants Michael Dorris and Jean Roberts as they discuss the Fundamentals of Medicare. The discussion includes an overview of the 4 sections of the Fundamentals of Medicare guide on our website: Introduction Medicare Basics Fraud and Abuse Getting Ready to Bill Medicare Helpful links: Fundamentals of Medicare https://www.ngsmedicare.com/web/ngs/fundamentals-of-medicare?selectedArticleId=2539800&lob=93617&state=97256&rgion=93623

11 min
07/18/2024

We're on Summer Break!

NGS podcasts are on summer break and we will be returning in the fall.

1 min

5

out of 5

3 Ratings

We invite you to join our thoughtful conversations and helpful insights into the Part A Medicare world. We will have a new episode on the 1st and 3rd Wednesday of each month, breaking down documentation and billing under the Medicare program for you.

Creator

National Government Services
Years Active

2024 - 2025
Episodes

19