NGS Issue Processing Therapy Claims

Nati0nal Government Services (NGS) has identified an issue with reason code 31814 and 31947 when a functional limitation reporting G-code is billed with noncovered charges. NGS began releasing claims on 08/29/2016 with claims being suspended for reason code U6000. NGS has also discovered numerous claims rejected because these adjustments are being applied to the beneficiary’s…

Timely Reporting of Provider Enrollment Information Changes

The Centers for Medicare and Medicaid Services has published a MLN Matters article reinforcing the importance of the timely reporting of changes in your Medicare enrollment information. Physical therapists, occupational therapists and speech-language pathologists in private practice must report any changes of ownership, including a change in an authorized or delegated official, within 30 days;…