WorksheetsWho You Gonna Call?
Total questions: 10
Worksheet time: 5mins
How can you check the status of redetermination requests issued by National Government Services?
A - Login to NGSConnex and select the My Claims tab
B - Call the Interactive Voice Response (IVR) system, select Option 7
C - Call the Provider Contact Center and ask a representative
Both A and B
Both B and C
If I have elected to receive standard paper remittance advices, I can also view my remits in NGSConnex.
True
False
If you receive a claim denial and you do not understand the reason for the denial and need assistance you may contact the Provider Contact Center and speak to a representative.
True
False
To determine if Medicare is the primary payer, you should __________?
Login to NGSConnex and select Eligibility or call the IVR and select Option 1
Request a Redetermination
Call the Provider Contact Center
All of the above
On a pre-claim basis to verify the secondary payer to Medicare, you should _________?
Login to NGSConnex and review eligibility in NGSConnex
Call the IVR and Selection Option 1
Ask the beneficiary or caregiver
Call the Provider Contact Center
If a provider has a complex claim question they should contact the Provider Contact Center for assistance.
True
False
To obtain prior authorization on a service you plan on billing to National Government Services, _____?
Login to NGSConnex and submit your request
Seek verbal approval by calling the Provider Contact Center
Confirm with your Magic 8 Ball
None of the above
If you have received an unfavorable redetermination decision letter and you need further clarification before submitting your reconsideration, you should contact the Provider Contact Center.
True
False
To check the status of a provider enrollment application, you should __________?
A - Call the IVR
B - Contact the Provider Contact Center
C - Utilize the Provider Enrollment Status Tool on NGSMedicare.com
Both A and C
A, B and C
To confirm your documentation has been received for a non-medical review ADR request, you should ______?
Login to NGSConnex
Call the IVR and check claim status
Contact the Provider Contact Center
Flip a coin – “Heads it was received” “Tails it was not received”
