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WorksheetsMedicare Part B Clerical Error Reopenings
Total questions: 10
Worksheet time: 5mins
A clerical error reopenings are conducted on claims that were submitted with minor mistakes.
True
False
You can do a clerical error and select “Overpayment” for services that should not have been billed to NGSMedicare.
True
False
You discover you billed an E&M 99215, but your documentation shows an E&M 99213 should have been billed. What do you do?
Conduct a reopening to change the code
Conduct a reopening to change the code and billed amount
Do nothing and wait for NGS to discover
You discover you were overpaid and group health plan (GHP) is the primary payer.
Do you assume and refund NGS?
Do you check eligibility records to confirm before notifying NGS?
If the beneficiary records show Medicare is the secondary payer and you were paid by NGSMedicare as the primary- what do you do?
Complete the Part B Medicare Secondary Payer Overpayment Form, and attach a copy of the primary Explanation of Benefits
Do nothing
Is a reopening the same as a redetermination?
No
Yes
NGSConnex is the paperless process for Reopening submissions and allows providers to correct minor mistakes, even overpayments.
True
False
National Government Services has implemented a standardized “immediate recoupment” process that gives providers the option to avoid interest from accruing on claims overpayments received beyond 30 days.
True
False
Can Medicare Secondary Claims be corrected via NGSConnex?
Yes
No
Can Clerical error reopening be conducted on claims that have underpaid and overpaid?
Yes
No
