Novitas solutions – Smart Edits

Novitas Solutions previously announced the introduction of Smart Edits to our electronic billing systems. This enhancement will alert providers of any claims that can be repaired prior to a denial. The messages will display on the 277CA electronic claims acknowledgement response report and may require the claim to be resubmitted. Smart Edits is being introduced in two phases:

• Effective Now! Phase 1: Education Mode – Review the Smart Edit Lists found on the Smart Edits (JH) (JL) web pages and make any necessary corrections to your billing practice now, so claim will not be rejected once the edits are turned on in Phase 2.
• Date to be determined Phase 2: Claims Processing Mode – The Smart Edits will be implemented. When errors are found, the claim may reject before entering the claim processing system and may require the claim to be resubmitted.

Source: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00275505