Noridian denies 300,000 claims for E&M services in error Last fall, the Centers for Medicare and Medicaid Services experienced some editing issues with new patient evaluation and management (E&M) codes that resulted in incorrect claim denials. These issues began in October 2013, and were thought to have been corrected in late January 2014. The California Medical Association recently learned, however, that some claims continued to be denied incorrectly through July 15, 2014. In January, Noridian, California's Medicare contractor, began reprocessing claims that had been denied in error and correcting those subjected to overpayment recovery. Unfortunately, while implementing the corrections, ... September 4, 2014 Medi-Cal, Medicare Medicare, Noridian, Billing/Coding 0 0 Comment Read More »
Noridian incorrectly denies 300,000 claims for E&M services Last fall, the Centers for Medicare and Medicaid Services (CMS) experienced some editing issues with new patient E&M codes that resulted in incorrect claim denials. These problems started in October 2013, and was thought to have been corrected in late January 2014. The California Medical Association recently learned, however, that some claims continued to be paid incorrectly through July 15, 2014. Noridian, California's Medicare contractor, in January began making mass adjustments and correcting claims subjected to overpayment recovery. Unfortunately, while implementing the corrections, Noridian inadvertently subjected established patient E&M codes ... August 13, 2014 Medicare Medicare, Noridian, Billing/Coding 0 0 Comment Read More »
Noridian offering webinars for practices Noridian, the Medicare Administrative Contractor for California, has scheduled a series of one-hour webinars during the month of August. Topics include common errors, global surgery and a series of three webinars titled “Climbing The Ladder To Success.” (For details on each workshop, click on the title.) Continuing education units are offered for most workshops. August 8, 2014 Medicare Noridian, Webinars, Medicare 0 0 Comment Read More »
Medicare ICD-10 front-end testing week extended Due to the success of the first week of ICD-10 testing, Noridian has partnered with Centers for Medicare & Medicaid Services (CMS) to continue acceptance testing for EDI submitters and vendors for an indefinite period. The purpose of acceptance testing is to ensure that base system functionality and front end editing have been updated for ICD-10 and are functioning correctly. Acceptance testing will help ensure you are ready for the October 2014 implementation of ICD-10. The California Medical Association (CMA) encourages all direct EDI submitters and vendors to test with Noridian. ... March 19, 2014 Medicare ICD-10, Medicare, Insurance/Reimbursement, Noridian 0 0 Comment Read More »
Noridian sends out another wave of Medicare revalidation requests As called for under the Affordable Care Act (ACA), Medicare Administrative Contractors (MACs) have been requiring physicians to revalidate their Medicare enrollments. Between now and March 23, 2015, MACs will continue reaching out to physicians, notifying them of the need to revalidate. The most recent round of revalidations requests went out by December 30, 2013. The revalidation requirement is necessitated by new screening criteria called for under the ACA. Newly enrolling and revalidating providers will be placed in one of three screening categories representing the level of risk to the ... February 7, 2014 Medicare Affordable Care Act, Medicare, Noridian, PECOS, ACA, Provider Enrollment Chain and Ownership System 0 0 Comment Read More »
Medicare transition update September 16, 2013, marked the transition to the new Medicare Administrative Contractor, Noridian. In the first few days, the California Medical Association (CMA) heard about only minor problems with technology, including phone systems that went up and went down, a few issues with the online provider service tool and problems with printing of -PDF files from the Noridian website. Most issues have been resolved. Traffic on the Noridian Provider Contact Center phone line is high, as expected. Wait times are sometimes four to five minutes, but practices report satisfaction with ... September 25, 2013 Medicare Medicare, Noridian, Insurance/Reimbursement 0 0 Comment Read More »
Medicare transition to Noridian is just a week away! We are just one week away from the September 16 cutover date from Palmetto to the new Medicare Part B fee-for-service contractor, Noridian. Although efforts have been made to minimize the burden to practices and to ensure that physicians continue to receive their Medicare payments in a timely fashion after the transition, there are a number of things physicians should be aware of, including: Last day to submit to Palmetto: September 11, 2013 is the last day providers may submit electronic claims to Palmetto (2:00 p.m. cutoff time), and the ... September 10, 2013 Medicare Medicare, Medicare Transition, Noridian, Palmetto, Insurance/Reimbursement 0 0 Comment Read More »
Medicare transition is less than two weeks away September 16, 2013, is the cutover date for transition of the Medicare Part B fee-for-service contractor from Palmetto GBA to Noridian. Although efforts have been made to minimize the burden to practices and to ensure that physicians continue to receive their Medicare payments in a timely fashion after the transition, physician practices will have to make some changes in their processes, including but not limited to the following: •Electronic claim submitters must change the contractor ID (payor ID) on their transmissions. The new ID for the Northern California jurisdiction is ... September 3, 2013 Medicare Insurance/Reimbursement, Medicare Transition, Medicare, Noridian 0 0 Comment Read More »
Medicare transition is three weeks away September 16, 2013, is the cutover date for transition of the Medicare Part B fee-for-service contractor from Palmetto GBA to Noridian. Although every effort has been made to minimize the burden to practices and to ensure that physicians continue to receive their Medicare payments in a timely fashion after the transition, physician practices will have to make some changes in their processes. Practices are encouraged to review the resources available to you to ensure you are aware of and prepared for the transition. Physician practices that submit their claims electronically, ... August 26, 2013 Medicare Medicare, Medicare Transition, Noridian, Insurance/Reimbursement 0 0 Comment Read More »
Learn about Noridian's Provider Portal, Endeavor One of the frequently asked questions on the Medicare transition is whether or not Noridian has a product similar to Palmetto’s Online Provider Services (OPS) portal. Noridian does have a similar provider portal called Endeavor. Noridian is conducting web-based workshops on Endeavor. This Medicare Part A and B workshop will be conducted through a web-based training tool that requires an Internet connection. The training will last approximately one hour, including time for questions. Physicians interested in Endeavor are encouraged to attend one of the following workshops: Aug. ... August 7, 2013 Medicare Medicare Transition, Noridian, Webinars, Medicare 0 0 Comment Read More »
