NGS Denies Claims as Experimental in Error
National Government Services (NGS) posted on its Web site Sept. 30 a notice that the Part A/B Medicare Administrative Contractor (MAC) experienced a claims processing issue impacting Medicare Part B claims submitted from Sept. 16 through Sept. 23.
Affected claims were incorrectly denied, receiving the following error on the provider remittance:
PR-55 procedure/treatment is deemed experimental/investigational by the payer
NGS says it will identify all impacted claims and adjust them accordingly. Providers do not need to take any action.