Author Topic: NGS Dark Day  (Read 1093 times)

oneround

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NGS Dark Day
« on: November 18, 2009, 06:17:23 PM »
National Government Services (NGS) will be merging four regions (Connecticut, Upstate New York, Queens County, and Downstate New York) into a single claims processing environment beginning Dec. 12. According to NGS, the Centers for Medicare & Medicaid Services (CMS) has approved a “Dark Day” on Dec. 14 to allow NGS to execute the merge. This will affect all providers who submit claims to the jurisdiction 13 (J13) Part B Medicare Administrative Contractor (MAC).


During the Dark Day, there will NOT be any:

Provider Contact Center activities
Claims processing
EDI claims acceptance
Payments made to providers or beneficiaries
Electronic Remittance Advice (ERA) produced
Interactive Voice Response (IVR) system access
NGS says it expects the system to be fully operational again on Dec. 15.

In preparation for these changes, NGS will implement a payment floor reduction for both paper and electronically submitted claims approved for payment between Dec. 2 through Dec. 11. This temporary reduction will result in Medicare payments being issued early for both paper checks and electronic funds transfers (ETFs).

For more information on how this merge will impact providers who submit claims to NGS Medicare, please review change request CR6513 on the CMS Web site.
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare