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News Tags: Mac JF Utah

    • 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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    • 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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    • May 26, 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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    • March 27, 2017

    When Medicare has determined that an overpayment has occurred, a Demand Letter is issued. Providers are given 30 days from the date of the Demand Letter to pay the requested overpayment amount. Timely payment is needed to avoid interest from accruing. The Demand Letter includes detailed information necessary to satisfy the overpayment and... more

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    • August 25, 2016

    Noridian, the Medicare Administrative Contractor (MAC), is implementing the Provider Self-Audit with Validation and Extrapolation (PSAVE) program, a new pilot authorized by CMS. The PSAVE program will allow participants to perform their own self-audit and allow the Contractor (Noridian) to validate the voluntary self-audit findings and extrapolate... more

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    • October 24, 2016

    Noridian identified a system issues that caused the overpayment of procedures when exceeding MUE units.  Some procedures with MAI values of 2 or 3 were allowing more than the allowable MUE units. This issue began in April 2015. Noridian corrected the claims processing system issue on 08/23/16. Mass adjustments are expected to be initiated... more

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