PC-ACE Pro32 National Drug Code (NDC)
Contents
1. Use the right click or F2 key lookup feature to select the HCPCS procedure code e Some NDC codes crosswalk to a HCPCS code The HCPCS code should be entered in 24d Proc The NDC will be entered later e Some NDC codes do not crosswalk to a HCPCS code A special HCPCS code will be used in box 24d Proc You will need to use either S5000 or S5001 These codes can be selected from the F2 key lookup feature The S5000 is for generic NDC codes and the S5001 is for name brand NDC codes Nationa Government Services Last Revision November 30 2012 Page 2 of 3 ACMS Contracted Agent National Government Services Inc CEDIN Common Electronic Data Interchange Extended Details 2 Line tab Professional Claim Form Patient Info amp General Insured Information Billing Line Items f Ext Patient General Est Fat Gen 21 Ext Payer nsured Line ltem Details Extended Details Line 1 f Ext Details 2 Line 1 Ext Details 3 Line 1 Line level Miscellaneous Information Proc Typer Desc Facility Marne Obstetric Anesthesia Additional Units 0 000 Facility Address National Drug Code or UPN ST ype N EAN UCC 13 National Drug Unit Price 0 00 EO EAN UCC 8 Nat Drug or UPN Units T ype 0 000 HI HIBC Supplier Labeling Drug Ret NWosT ype Drug Prescription Date UK GTIN 14 digit Data Structure UP UCE 12 OM Customer Order Number DOME Length of Need Days DME Purchase Price DME Ren2. used for billing NDCs in the 5010A1 format You will want to verify that you are using the current version offered for the PC ACE Pro32 software The latest version of the software is available on the CEDI Web site at http www ngscedi com National Government Services Last Revision November 30 2012 Page 1 of 3 A CMS Contracted Agent National Government Services Inc INA Common Electronic Data Interchange Claims Entry Entering NDC Information National Drug Code information will be entered in the claim on the Billing Line Items tab Billing Line Items has multiple sub tabs Professional Claim Form Patient Info amp General Insured Information Biling Line Items Ext Fatient General Ext PatvGen 2 E xt Payer Insured Line Item Details Extended Details Line 2 Ext Details 2 Line 2 Ext Details 3 Line 2 Diagnosis Codes 1 8 fp Po Po m 24a Service Dates 24b 2dc 24d 4d Moditter 24e edt 24g 24h adi Lh From Thru PS EMG Proc 1 2 Diagnosis Charges Units EFFF AT Rendering Phys E E i ee A e A A so TEE E E SCO p a g i i ff ij jf jf i i a aael J J J J J e lee og a i i ff ij fj jf jf _ j __j jj___ JE 26 Total Charge 0 00 Recalculate 29 Patient Amount Paid 0 00 30 Balance Due Save Cancel The Line Item Details sub tab the first tab on the second row of tabs in the screenshot above has the following information o 24d Proc
3. National Government Services Inc INA Common Electronic Data Interchange PC ACE Pro32 National Drug Code NDC This document is intended as a help guide for entering a claim with a National Drug Code NDC into the PC ACE Pro32 software It is not intended to replace the general help accessible by the F1 key or specific item help accessible by right clicking or using the F2 key on a specific item functions or the PC ACE Pro32 User Manual itself For assistance with any questions not covered here please consult these documents The NDC is eleven digits and must be valid for Durable Medical Equipment DME claims If you have questions on how to bill claims with an NDC contact the jurisdiction that will be processing the claims for payment or visit the PDAC Web site at http www dmepdac com In addition the CEDI technical support staff is not trained in billing The information in this document is accurate to the best of our knowledge but there may be specifics required for billing that we are unaware of PC ACE Pro32 was designed for both Institutional Medicare Part A or hospital and Professional Medicare Part B or office visits and Durable Medical Equipment or DME billing Since this is a DME support document we will not be covering Medicare Part A or Part B functions If you have any questions please contact the CEDI Help Desk at ngs cedihelpdesk wellpoint com or at 866 311 9184 Note This document can only be
4. tal Price DME Rental Unit Price Ind National Drug Code or UPN Type Enter your National Drug Code NDC in the first long box circled In the smaller box next to the NDC you will need to use the F2 or right click lookup feature and select the N4 option indicating the National Drug Code Nat Drug or UPN Units Type Enter the number of units and the unit type You can use the F2 key lookup feature to select the type Note The CEDI help desk staff is not trained in Medical billing policy and other information may be needed Non Medicare insurances may require additional information pertaining to the NDC code on this tab Contact the jurisdiction where the claim will be processed for advice on what is required by medical policy Nationa Government Services Last Revision November 30 2012 Page 3 of 3 ACMS Contracted Agent
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