Billing Beat

Noridian Healthcare Solutions Announces MolDx Expansion to JF and JE

September 1, 2015

All laboratory service providers in Jurisdictions E and F both Part A and Part B providing Molecular Diagnostic Testing (MDT) must register those MDT procedures/services with Palmetto GBA dba the CMS MolDX Contractor and McKesson Health Solutions and submit coverage requests to Palmetto GBA prior to consideration for reimbursement. As a CMS contractor, Noridian must determine reasonable and necessary services and apply fair reimbursement to services that are provided to Medicare beneficiaries. Noridian will work together with the CMS MolDX Contractor to determine coverage. This program is currently in effect for Jurisdiction E Part B and will be effective in Jurisdiction E Part A, October 1, 2015. For Jurisdiction F, both Parts A and B, the program effective date will also be October 1, 2015.

Source: https://www.noridianmedicare.com

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