1. A Better Medicare Check-in Brings a Better Medicare Check In The Importance of Verifying Medicare Eligibility 1156_0114

2. 2 National Government Services, Inc. Today’s Presenter Jhadi Grace –Provider Outreach & Education Representative

3. 3 National Government Services, Inc. Disclaimer National Government Services, Inc. has produced this material as an informational reference for providers furnishing services in our contract jurisdiction. National Government Services employees, agents, and staff make no representation, warranty, or guarantee that this compilation of Medicare information is error-free and will bear no responsibility or liability for the results or consequences of the use of this material. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of publication, the Medicare Program is constantly changing, and it is the responsibility of each provider to remain abreast of the Medicare Program requirements. Any regulations, policies and/or guidelines cited in this publication are subject to change without further notice. Current Medicare regulations can be found on the Centers for Medicare & Medicaid Services (CMS) Web site at http://www.cms.gov.http://www.cms.gov

4. 4 National Government Services, Inc. No Recording Attendees/providers are never permitted to record (tape record or any other method) our educational events –This applies to our Webinars, teleconferences, live events, and any other type of National Government Services educational event

5. 5 National Government Services, Inc. Acronyms CMS – Centers for Medicare & Medicaid Services CWF – Common Working File FISS – Fiscal Intermediary Standard System DDE – Direct Data Entry HCPCS – Healthcare Common Procedure Coding System HICN – Health Insurance Claim Number HIPAA – Health Insurance Portability and Accountability Act IVR – Interactive voice response LCD – Local coverage determination MAC – Medicare Administrative Contractor MSP – Medicare Secondary Payer MU – Medicare University

6. 6 National Government Services, Inc. Objectives Educate providers on the importance of checking beneficiary eligibility prior to claim submission Provide user tips to enhance use of the self- service tools –CWF –IVR –NGSConnex

7. 7 National Government Services, Inc. Agenda How your facility’s Medicare check impacts your facility’s Medicare check –Common eligibility/enrollment-related claim rejections and returns to provider (RTP) Improving your facility’s verification process using provider self-service tools Resources

8. Life of a Medicare Claim

9. 9 National Government Services, Inc. Life of the Medicare Claim Claim path –Prescribed route followed by all claims –Made up of drivers Drivers house edits for claims Not all bill types hit same drivers

10. 10 National Government Services, Inc. Claim Path Drivers TOBClaim Path DriverTOBClaim Path Driver 01 Status/Location/Adjustment Driver 55Benefits Utilization Edit Driver 02Control Driver60 Additional Development Request Driver 04 UB04 Claim Data Element Edit Driver 63HHPPS Pricer 05Consistency Edit Driver (I)65PPS Pricer Driver 06Consistency Edit Driver (II)70Payment Driver 15Administrative Edit Driver80MSP Primary Driver 25Duplicate Edit Driver85MSP Secondary Driver 30Entitlement Edit Driver89Clean Up Driver 35Lab HCPCS Edit Driver90CWF Driver 40ESRD Edit Driver99Session Termination Driver 50Medical Policy Driver

11. 11 National Government Services, Inc. Claim Path Driver Samples TOBDriver Claim Path 11X 01, 02, 04, 05, 06, 15, 25, 30, 35, 50, 55, 65, 70, 80, 85, 89, 90, 99 12X, 13X, 14X, 22X, 23X, 71X, 77X, 85X, 74X, 75X, 76X 01, 02, 04, 05, 06, 15, 25, 30, 35, 50, 55, 70, 80, 85, 89, 90, 99 21X 01, 02, 04, 05, 06, 15, 25, 30, 50, 55, 65, 70, 80, 85, 89, 90, 99

12. 12 National Government Services, Inc. Adjustment Driver 01 & Control Driver 02 Obtains FI number Checks HICN Establishes beneficiary shell record Updates beneficiary data Controls flow from driver to driver

13. 13 National Government Services, Inc. Drivers 04, 05, 06 UB04 Claim Data Element Edit Driver 04 –Numeric/alphanumeric data checks –“Face of claim” validity checks –Initialize fields Consistency Edit Drivers 05 & 06 –Validate field ranges –Payer ID –Value code, condition code –Occurrence code, occurrence span code –TOB specific –Shared system common edits

14. 14 National Government Services, Inc. Administrative Edit Driver 15 OCE and MCE interface MSP insurer Line items and HCPCS Attending/other physicians Grouper and interface Provider and provider specific Adjustment reason code ESRD consistency Revenue code OPPS Supplemental diagnosis code and procedure

15. How Does Your Facility’s Medicare Check Affect Your Facility’s Medicare Check?

16. 16 National Government Services, Inc. Common Medicare Misconception Medicare claims processing system will automatically make adjustments/corrections to ensure claims are processed and paid appropriately –Can lead to claim rejections, RTPs, denials –Consistent inappropriate billing may initiate referral to FRAUD & ABUSE contractor

17. 17 National Government Services, Inc. Delays in Medicare Payment Not checking for beneficiary eligibility can cause claims to reject or RTP unnecessarily, resulting in slow Medicare cash flow or, in some cases, no Medicare payment

18. 18 National Government Services, Inc. Claim Rejections Claim rejection (status/location R B9997) –No action may be needed, determined by reason code –May have to resubmit (or adjust) claim, if appropriate

19. 19 National Government Services, Inc. Claim Rejections U5200 – 22,385 claims –There is no Part A or Part B entitlement U5210 – 14,882 claims –Services provided after Medicare termination date U5220 – 5,514 claims –Services provided prior to Medicare entitlement date U5233 – 66,639 claims –Services on claim fall within or overlap an MAO, HMO enrollment period C7010 – 10,952 claims –Beneficiary is enrolled in hospice coverage

20. 20 National Government Services, Inc. MSP Rejection (Cost-Avoid) MSP cost avoid rejection (reason code range 34XXX) –Claim submitted as Medicare primary –Online MSP file exists on CWF, and –No coding is present on claim to reflect Medicare is primary or COBC has not updated MSP file before claim submitted Adjust claim to include appropriate coding or after CWF update, NEVER RESUBMIT 34538 – 9,441 claims –Claim was submitted as Medicare primary and a positive working elderly records exits on CWF

21. 21 National Government Services, Inc. Claim RTPs If claim has been returned (T B9997) –Log into FISS DDE –Make necessary claim corrections Hit PF9 to resubmit claim

22. 22 National Government Services, Inc. Claim RTPs N5052 – 7,235 claims –Beneficiary’s name and/or HIC number do not match CWF records T5052 – 7,385 claims –CWF indicates the beneficiary is not on file

23. 23 National Government Services, Inc. Common Medicare Misconception Reviewing a patient’s Medicare card is the primary way to verify eligibility –Can lead to claim rejections U5200 U5210 –Can lead to claim RTPs N5052 T5052

24. 24 National Government Services, Inc. Medicare Card Reflects Part A and Part B effective date when enrollment based on age & employment history (automatic enrollment) –Must indicate on card included in enrollment package if Part B coverage is declined Not replaced by SSA due to changes in coverage or patient identification –Name change –Updated HIC –Termination dates

25. 25 National Government Services, Inc. Common Medicare Misconception Medicare is a life-long benefit; once a patient is enrolled, Part A or Part B will never terminate –Can lead to claim rejections U5200 U5210

26. 26 National Government Services, Inc. Did You Know… Medicare Part A and Part B coverage will be automatically terminated if the beneficiary does not pay their premium for three consecutive months Medicare Part A or Part B coverage can be terminated upon patient request –Voluntary termination

27. 27 National Government Services, Inc. Common Medicare Misconception A patient’s Medicare number never changes once they are enrolled in Part A or Part B –Can lead to claim RTPs N5052 T5052

28. 28 National Government Services, Inc. Changes to HICN HICN issued by SSA or RRB –Alphanumeric: claim number with alpha prefix/suffix –Specific to individual May be updated when status of beneficiary changes –Alpha prefix/suffix or claim number may change –May be assigned a completely different number

29. 29 National Government Services, Inc. Common Medicare Misconception Once a patient is enrolled in Medicare, Medicare will always be the primary payer for that patient’s claims –Can lead to claim rejections U5210 U5233 C7010 MSP Cost Avoids

30. 30 National Government Services, Inc. Inappropriate Claim Submissions Other primary payer –May have filing timelines to adhere to –Generally pay more than Medicare HMO –No MSP if out of network Hospice Home health SNF

31. 31 National Government Services, Inc. Common Medicare Misconception You only need to verify eligibility the first time you see the patient; just be sure to retain a copy of the Medicare card on file –Can lead to claim rejections U5210 U5233 C7010 MSP Cost Avoids

32. 32 National Government Services, Inc. Did You Know… One common reason claims are rejected for enrollment-/entitlement-related issues is when providers don’t verify whether a returning patient’s coverage has changed since their last visit

33. 33 National Government Services, Inc. Consolidated Billing Issues Home Health –Consolidated billing requires prior arrangement for payment No Medicare regulation states HHA must pay for services not under arrangement SNF –Payment for services provided to inpatient in SNF stay will be provided by SNF “Outside” provider must negotiate/accept SNF rate after services already rendered

34. 34 National Government Services, Inc. Common Medicare Misconception When a claim is RTP or rejected, a provider has 12 calendar months from the date of RTP or rejection to resubmit the claim for processing –Will result in timely filing denials Not appealable

35. 35 National Government Services, Inc. Timely Filing Guidelines Clean Medicare claims must be filed no later than 12 months, or one year, after date services were furnished –Applies to both initial submissions and adjustment claims Claims received beyond the 12 month guideline will be denied –These claims are provider liable Limited exceptions apply

36. 36 National Government Services, Inc. Did You Know… One common reason claims are rejected for timely filing was because the provider never considered the patient may be eligible for Medicare –“They don’t look old enough to be entitled to Medicare!” Patient could be disabled or under parent’s coverage

37. 37 National Government Services, Inc. Common Medicare Misconception Providers have to call the provider contact center to verify beneficiary eligibility, since providers do not have access to this information –CR 3376 –Provider self-service tools

38. Improving Your Facility’s Medicare Checks Using the Provider Self-Service Tools

39. 39 National Government Services, Inc. Purpose is to Determine Whether… Beneficiary has active Medicare coverage Medicare should be billed for service Medicare is primary payer for beneficiary Benefit days are available Beneficiary owes deductible Beneficiary is eligible to receive certain services with frequency limitations (preventive) Beneficiary is in hospice election period, home health benefit period, or has active MAO plan coverage

40. 40 National Government Services, Inc. Tools to Use Patient –Best source of information MSP Questionnaire –CMS IOM Publication 100-05, Chapter 3, Section 20.2.1 Mainframe systems access –FISS DDE/CWF –IVR –NGSConnex

41. 41 National Government Services, Inc. How to Collect MSP Information Use CMS’s model MSP questionnaire –Contains types of questions that may be asked to help identify MSP situations –Six parts, each containing questions –Developed to be used in sequence May use provider’s own MSP form –As long as it is compliant Can be in electronic and/or hardcopy format

42. 42 National Government Services, Inc. Model MSP Questionnaire—Parts Part I  Federal Black Lung  Research grants  VA  Workers' Compensation Part II  No-fault including automobile and other  Liability Part III Asks reason for current Medicare entitlement and directs to appropriate Part of MSP Questionnaire  Age. Go to Part IV  Disability. Go to Part V  ESRD. Go to Part VI

43. 43 National Government Services, Inc. MSP Resources MSP Provisions –CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 16 and Publication 100-05, Medicare Secondary Payer Manual, Chapters 1 and 2 –CMS IOMs are available on CMS’ Web site at http://www.cms.gov/Regulations-and- Guidance/Guidance/Manuals/Internet-Only-Manuals- IOMs.html. http://www.cms.gov/Regulations-and- Guidance/Guidance/Manuals/Internet-Only-Manuals- IOMs.html

44. 44 National Government Services, Inc. What is FISS DDE? System that allows remote user connectivity to Medicare mainframe MAC uses FISS DDE to process claims and maintain records Providers use FISS DDE to –Access CWF –Research coding –Track submitted claims –Enter/correct/adjust/cancel claims –View reports

45. 45 National Government Services, Inc. Accessing FISS DDE FISS logon ID and password required –http://www.NGSMedicare.comhttp://www.NGSMedicare.com Claims > Electronic Submissions (EDI) User logon ID and password are for individual use only –Do not share with coworkers or other staff

46. 46 National Government Services, Inc. What is CWF? Assists in verifying patient’s eligibility –Providers access through online claims system Maintains national beneficiary records –Entitlement, date of birth, date of death –Recent benefit periods (including any deductibles due) –HH episode –Preventive services –Hospice enrollment –MSP information

47. 47 National Government Services, Inc. Accessing the CWF FISS logon ID and password required to access CWF http://www.NGSMedicare.com > Claims > Electronic Submissions (EDI)http://www.NGSMedicare.com

48. 48 National Government Services, Inc. Beneficiary Inquiry Page 1

49. 49 National Government Services, Inc. Page 1 Screen Elements CN – Claim number (HICN) –Avoid RTP T5052 Error message: Invalid Claim Number NM – Last name –Avoid RTP N5052 by verifying spelling, special characters IT – First initial DB – Date of birth SX – Sex

50. 50 National Government Services, Inc. Page 1 Screen Elements CORRECT – Correct HICN –Used only if HIC updated –Avoid RTP N5052 by verifying corrected HICN Corrected identifiers –Used only if updated NM – Correct last name –Avoid RTP N5052 by verifying spelling IT – Correct first initial DB – Correct date of birth SX – Correct sex

51. 51 National Government Services, Inc. Page 1 Screen Elements A-ENT – Date of entitlement to Part A –Avoid rejection U5200, U5220 by verifying entitlement dates vs. DOS –Part A entitlement required for coverage of inpatient services A-TRM – Date of termination from Part A –Avoid rejection U5210 by verifying entitlement dates vs. DOS

52. 52 National Government Services, Inc. Page 1 Screen Elements B-ENT – Date of entitlement to Part B –Avoid rejection U5200, U5220 by verifying entitlement dates vs. DOS –Part B entitlement required for coverage of outpatient services B-TRM – Date of termination from Part B –Avoid rejection U5210 by verifying entitlement dates vs. DOS

53. 53 National Government Services, Inc. Page 1 Screen Elements LRSV – Lifetime reserve (LTR) days remaining LPSY – Psychiatric days remaining FULL-HOSP* – Inpatient hospital full- payment days remaining CO-HOSP* – Inpatient hospital copayment days remaining –*Information available for current and prior year

54. 54 National Government Services, Inc. Page 1 Screen Elements FULL-SNF* – SNF full-payment days remaining CO-SNF* – SNF copayment days remaining IP-DED* – Inpatient deductible remaining to be met –*Information available for current and prior year

55. 55 National Government Services, Inc. Page 1 Screen Elements DOEBA* – Date of earliest billing action for spell of illness DOLBA* – Date of latest billing action for spell of illness DED-TBM* – Part B deductible remaining to be met –*Information available for current and prior year

56. 56 National Government Services, Inc. Page 1 Screen Elements PER* – HMO enrollment period –Shows count of current enrollment period in HMO ID* – HMO identification code (starts with ‘H’) OPT* – HMO option code –Avoid rejection U5233 by verifying HMO enrollment –Option code C = send all claims to HMO ENR* – HMO enrollment date TRM* – HMO termination date –*Information available for current and prior year

57. 57 National Government Services, Inc. HMO Plan Directory CMS Web site for MAO Plan information –http://www.cms.hhs.gov/healthplansgeninfo/http://www.cms.hhs.gov/healthplansgeninfo/ MA Plan Directory Downloadable ZIP files –http://www.cms.hhs.gov/MCRAdvPartDEnrolData/PD MCPDO/list.asphttp://www.cms.hhs.gov/MCRAdvPartDEnrolData/PD MCPDO/list.asp

58. 58 National Government Services, Inc. Page 1 Screen Elements PT APL – Therapy cap applied to PT/SLP OT APL – Therapy cap applied to OT ESRD EFF DATE – Effective date for home dialysis patients

59. 59 National Government Services, Inc. Hospice Information Page 2 & 3

60. 60 National Government Services, Inc. Page 2 & 3 Screen Elements START DATE1 – Start date of first hospice provider within period TERM DATE1 – Termination date PROV1 – Provider number INTER1 – ID number of FI/MAC DOEBA DATE – Date of earliest billing action DOLBA DATE – Date of latest billing action DAYS USED – Number of days used in hospice period

61. 61 National Government Services, Inc. Page 2 & 3 Screen Elements REVOCATION INDICATOR – Indicates whether hospice was revoked for the election period –0 = Not revoked –1 = Revoked –2 = Revoked by MAC Avoid rejection C7010 by verifying hospice enrollment dates vs. DOS –CC 07 for services not related to terminal illness

62. 62 National Government Services, Inc. Spell of Illness Page 4

63. 63 National Government Services, Inc. Page 4 Screen Elements SPELL NUM – Sequence number for the home health spell of illness QUALIFYING IND – Indicates whether a qualifying hospital stay is recorded PART A VISITS REMAINING – Number of visits remaining EARLIEST BILLING – DOEBA LATEST BILLING – DOLBA PART B VISIT APPLIED – Number of Part B visits

64. 64 National Government Services, Inc. Home Health Episodes Page 5

65. 65 National Government Services, Inc. Page 5 Screen Elements EPISODE START – Start date of home health PPS episode EPISODE END – End date of home health PPS episode DOEBA – Date of earliest billing activity DOLBA – Date of latest billing activity

66. 66 National Government Services, Inc. MSP Information Page 16+

67. 67 National Government Services, Inc. Page 16 Screen Elements Subscriber Information –SUBSCRIBER NAME – Name of policyholder –POLICY NUM – Insurance policy number –EFF DTE – Insurance effective date –TRM DTE – Insurance termination date –PATIENT REL – Patient’s relationship to policyholder E.g., 1 = Spouse; 18 = Self –MSP CODE – Identifies MSP provision A Working Aged (VC 12) B ESRD within 30 month coordination period (VC 13)

68. 68 National Government Services, Inc. Page 16 Screen Elements C Conditional payment D No-Fault including Automobile/other insurance (VC 14) E Workers’ Compensation (WC) (VC 15) F PHS or other federal agency (VC 16) G Disabled with LGHP (VC 43) H Federal Black Lung (BL) Program (VC 41) I Veteran’s Administration (VA) (VC 42) L Liability (VC 47) W Workers’ Compensation (set-aside) Z Medicare

69. 69 National Government Services, Inc. Page 16 Screen Elements Insurer Information –NAME – Insurance company name –REMARKS CD – identifies conditions related to patient/coverage –ADDRESS 1 & 2, CITY, STATE, ZIP – Insurance company address

70. 70 National Government Services, Inc. Avoiding MSP Errors U680X RTPs –If services related to open MSP record, send claim to primary insurer –If services not related to accident record, submit Medicare primary and include in remarks, “not related to open VC __ file” 34XXX Cost Avoid Rejections –Contact COBC to update CWF/HIQA –After file is updated, submit Medicare primary claim –Or include coding to bypass/update file (OC18)

71. 71 National Government Services, Inc. Coordination of Benefits Contractor Responsible for: –Activities that support the collection, management, and reporting of other insurance coverage for beneficiaries Updating beneficiary information with COBC: –http://www.cms.gov/MLNMattersArticles/Downloads/SE1205. pdfhttp://www.cms.gov/MLNMattersArticles/Downloads/SE1205. pdf Contact COBC: 800-999-1118 –Report employment changes or new insurance information; a liability, no-fault, or workers’ compensation case –Ask general MSP questions or about development letters and questionnaires

72. 72 National Government Services, Inc. Medicare Secondary Payer Recovery Contractor Implemented on October 2, 2006 Responsible for –MSP post-payment recoveries Contact MSPRC to –Update existing accident-related MSP files in CWF –https://www.cms.gov/MSPRGenInfo/https://www.cms.gov/MSPRGenInfo/ –866-677-7220

73. 73 National Government Services, Inc. FISS DDE/CWF Resources FISS logon ID and password requests –http://www.NGSMedicare.comhttp://www.NGSMedicare.com Claims > Electronic Submissions (EDI) http://www.NGSMedicare.com –Part A > Publications > Manuals FISS DDE Provider Online Guide Health Insurance Query Access (HIQA) Manual Medicare University CBTs

74. 74 National Government Services, Inc. What is the IVR? Interactive Voice Response –Research application used to provide general/common Medicare beneficiary and/or claim information –Text-to-speech technology –Uses natural language –Allows you to speak directly into the telephone to make a selection

75. 75 National Government Services, Inc. Did You Know… CMS mandates that providers utilize the IVR instead contacting a call center representative to access beneficiary eligibility and general information. Providers who call a customer care representative with a question that can be answered by the IVR will be referred back to the IVR.

76. 76 National Government Services, Inc. IVR Research (Main Menu) Options Patient eligibility Claims status Checks Remittance statements Provider enrollment status Patient status I have a question

77. 77 National Government Services, Inc. IVR Availability IVR menu options that require system access limited to CWF’s availability: –Monday–Friday, 6:00 a.m.–7:00 p.m. ET –Saturday, 7:00 a.m.–3:00 p.m. ET I Have a Question option is available 24-hours a day, seven days a week

78. 78 National Government Services, Inc. Accessing the IVR State Toll-free IVR Telephone Number Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont 877-567-7205 Illinois, Minnesota, Wisconsin, and FQHC 877-309-4290

79. 79 National Government Services, Inc. IVR Research (Main Menu) Options Patient eligibility Claims status Checks Remittance statements Provider enrollment status Patient status I have a question

80. 80 National Government Services, Inc. Patient Eligibility Available Information Part A & Part B effective and termination dates MSP type and insurer information Hospital inpatient, SNF, LTR benefit days Amount applied to Part B deductible, PT/OT limits (current and prior year) Home health and hospice effective and termination dates

81. 81 National Government Services, Inc. Patient Eligibility IVR Tips At any time during eligibility playback, you can give the next Medicare number if multiple eligibility requests are needed Users can change the DOS without having to re-enter patient information

82. 82 National Government Services, Inc. Patient Status Available Information Inpatient status –Start date –Facility type Home health –Start date Hospice –Start date

83. 83 National Government Services, Inc. Patient Status IVR Tips The IVR will also provide the patient’s status as of the next day You can also change the date you are requesting the status for

84. 84 National Government Services, Inc. Resources http://www.NGSMedicare.com –Resources > Contact Us > Interactive Voice Response System National Government Services Part A Provider IVR User Guide Part A IVR Flow Chart Part A IVR Navigation Guide Part A Touch-Tone Card/Eligibility Checklist –Resources > Self Service Center > Interactive Voice Response Conversion Tools Beneficiary Name to Number Converter PTAN and Beneficiary Medicare Number Converter IVR Conversion Tables

85. 85 National Government Services, Inc. What is NGSConnex? Self-service Web application created and maintained by National Government Services Alternative to FISS, CWF, IVR, provider contact center –Information obtained from the local system available: Monday – Friday: 7:00 a.m. – 6:00 p.m. ET Saturday: 7:00 a.m. – 3:00 p.m. ET Claims, beneficiary, provider information access portal

86. 86 National Government Services, Inc. What Does NGSConnex Do Allows provider to review –Claim status –Beneficiary eligibility –Financial data –Provider demographics Allows provider to submit –Appeals requests for claim denials –Requests for remittance advice statements –A&R reports –Claim-specific inquiries online

87. 87 National Government Services, Inc. Accessing NGSConnex http://www.NGSConnex.com User requirements –Internet access –E-mail address Customer Service –Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont, 888-855-4356 –Illinois, Minnesota, Wisconsin, FQHC 877-702-0990

88. 88 National Government Services, Inc. Enter Beneficiary Information 99-0000000A Patient Sample 99-0000000A Patient Sample

89. 89 National Government Services, Inc. Beneficiary Eligibility Information 99-0000000A Patient Sample

90. 90 National Government Services, Inc. MSP Information

91. 91 National Government Services, Inc. NGSConnex Resources Training materials available on NGSConnex home page –http://www.NGSConnex.comhttp://www.NGSConnex.com Quick Steps Job Aid Rules of Behavior Training Material (CBT)

92. 92 National Government Services, Inc. HETS HIPAA Eligibility Transaction System Available 24/7, except Mondays, 12:00 a.m.-6:00 a.m. Provides same eligibility data as HIQA, with following exceptions: –Currently does not provide Lifetime psychiatric day availability Hospice revocation information and election period breakdown* Home health episode dates* –*Will be included in upcoming release

93. 93 National Government Services, Inc. Where to Find Information on HETS http://www.cms.gov –Research, Statistics, Data and Systems > HIPAA Eligibility Transaction System (HETS) Help (270/271) CMS Web site has section devoted to HETS, including: –Vendor and registration information –HETS user guide –FAQs

94. 94 National Government Services, Inc. What You Should Do Now Share this presentation with other internal staff members Update any internal procedure to include verifying the patient’s Medicare eligibility to avoid costly, time-consuming claim errors

95. 95 National Government Services, Inc. Today’s PowerPoint Presentation PowerPoint provided in an e-mail PowerPoint available on events calendar –Go to the http://www.NGSMedicare.com Web sitehttp://www.NGSMedicare.com –Select Home Page –Click on the Training Events Calendar underneath Education & Training section –Select the Better Medicare Check-in Brings a Better Medicare Check In –Under attachments you will see the PowerPoint presentation link

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97. 97 National Government Services, Inc. Web Site Survey This is your chance to have your voice heard—Say “yes” when you see this pop-up so National Government Services can make your job easier!

98. 98 National Government Services, Inc. Medicare University http://www.MedicareUniversity.com Interactive online system available 24/7 Educational opportunities available –Computer-based training courses –Teleconferences, Webinars, live seminars/face-to- face training Self-report attendance

99. 99 National Government Services, Inc. Medicare University Self-Reporting Instructions Log on to the National Government Services Medicare University site at http://www.MedicareUniversity.com http://www.MedicareUniversity.com –Topic = JK Better Medicare Check-in Brings a Better Medicare Check In –Medicare University Credits (MUCs) = 2 –Catalog Number = to be provided –Course Code = to be provided –For step-by-step instructions on self-reporting please visit http://www.NGSMedicare.com > Medicare University > Accessing the Self-Reporting Toolhttp://www.NGSMedicare.com

100. 100 National Government Services, Inc. Continuing Education Credits All National Government Services JK Part A and Part B Provider Outreach and Education attendees can now receive 1 CEU from AAPC for every hour of National Government Services education received If you are accredited with a professional organization other than AAPC, and you plan to request continuing education credit, please contact your organization not National Government Services with your questions concerning CEUs

101. Thank You!