The rendering physician on the claim was not the physician who rendered the service
The documentation lacked the beneficiary identification
The results of these Medical Reviews are located on NGS’s website under their Medical Review Focus Area section at www.ngsmedicare.com, which can be found under the Medical Policy & Review tab.
PROVIDER COMPLIANCE
As a reminder, the Centers for Medicare and Medicaid Services (CMS) has implemented a series of videos from the Medicare Learning Network (MLN) to help providers of all types improve in areas identified with a high degree of noncompliance.
These videos are referred to as Provider Minute Videos as the recordings last anywhere from one to three minutes and are an educational resource to the provider community.
Recently, CMS republished the video for Preventive Services.
To locate this video and more, please access the Provider Compliance section of CMS’s website at: