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    • November 27, 2017

    Noridian Medicare Portal (NMP) has listened to provider concerns when attaching Appeals documentation. The file size providers were previously able to attach was up to 10MB. Now, providers can attach documents up to 70MB in size. Noridian is not able to provide a page count to equate to the file size, as it depends on formatting, images, and other... more

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    • November 27, 2017

    Do you want a better understanding of Medicare Secondary Payer (MSP) payments and what the payment amounts mean? Use the updated MSP Payment calculator to assist in determining the line by line claim payment for covered services when Medicare is the secondary payer. The Medicare remittance advice and the primary payer Explanation of Benefits (EOB... more

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    • November 27, 2017

    Part A providers billing for molecular services have been advised to register for a DEX Z-Code identifier for each molecular test for which they bill Medicare. If a DEX Z-code has not already been obtained, go to DEX Diagnostics Exchange and select 'register your organization.' Effective December 1, 2017, claims submitted without a Z-Code will be... more

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    • November 27, 2017

    The MolDX team welcomes the states of Georgia, Tennessee, and Alabama to the MolDX program and to Palmetto GBA. Medicare Part A and Part B providers in the Palmetto GBA Jurisdiction J will be are required to register all molecular tests with the Diagnostics ExchangeTM (DEX), an online test registry. DEX Diagnostics ExchangeTM will assign a unique... more

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    • October 25, 2017

    The objective of this document is to describe the process that Palmetto GBA uses to determine coverage, coding, and pricing for molecular diagnostic tests and other molecular pathology services administered through the Molecular Diagnostic Services (MolDX®) Program.

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    • August 29, 2017

    CMS has instructed Medicare Administrative Contractors (MACs) to begin accepting electronic, digital and/or digitized signatures on requests for an appeal. Previously, MACs were only allowed to accept handwritten or electronic signatures. This new direction means that providers may now use typed and scanned signatures on the Redetermination Form.... more

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    • July 28, 2017

    When submitting a Redetermination request that contains multiple Internal Control Numbers (ICNs), include the following to ensure proper review and prompt response. Attach a spreadsheet. If submitting multiple spreadsheets, include page numbers. It/they must contain specific beneficiary appeal documentation. Separate each beneficiary documentation... more

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    • June 27, 2017

    All claims for molecular tests in the MolDX code ranges require additional information for processing per the Molecular Diagnostic Testing policy. In addition to the proper CPT code, the claim line must contain the test identifier (DEX Z-Code™) associated with that test.  The tests subject to this requirement include two microbiology code... more

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