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Notifications & Updates

DME Weekly Educational Events for August 10 - 14, 2020

08/06/2020 | 06:50 AM

Suppliers/Providers are encouraged to attend the many educational events offered by Noridian....Read More

DME Required Prior Authorization Resumes August 3, 2020

07/24/2020 | 09:07 AM

Required Prior Authorization (PA) for Power Mobility Devices (PMD) and Pressure Reducing Support Surfaces (PRSS) will resume on August 3, 2020. Prior Authorization for Lower Limb Prostheses will also begin on September 1, 2020. Suppliers can submit PA requests on the Noridian Medicare Portal (NMP) beginning August 18, 2020 for dates of service on or after September 1, 2020. View the complete article and instruction for your jurisdiction with the links below....Read More

Prior Authorization Request Submission and Status Now Available in the Noridian Medicare Portal for Part A Users

07/01/2020 | 08:09 AM

The Noridian Medicare Portal (NMP) now allows Part A users to submit Prior Authorization Requests (PAR) and view the decision letter following review. At this time, PAR submissions are only required for certain Hospital Outpatient Department (OPD) services....Read More

Overpayment Results for Part A and Part B Users Now Available

05/27/2020 | 07:46 AM

The Noridian Medicare Portal (NMP) now provides Overpayment Results for Part A and Part B Users. The Overpayment Results inquiry is available for any user that already has access to the Financials tab within NMP. The Overpayment Results inquiry will provide information on claims that caused an overpayment and the steps being taken to satisfy that overpayment....Read More

Pneumococcal Vaccine Codes Display Previous Service History

03/04/2020 | 12:56 PM

Effective April 30, 2020, the HIPAA Eligibility Transaction System (HETS) is now displaying a previous service history for each Pneumococcal Vaccine (PPV) HCPCS code. These codes include 90670 and 90732 in the Eligibility response. The previous service history for each code will display the previous dates of service and the rendering NPI.  

A message from Noridian on COVID-19 and business continuity

03/23/2020 | 14:36 PM

Noridian Healthcare Solutions, LLC remains committed to its role in supporting essential functions for the Medicare FFS and Medicaid programs during the COVID-19 pandemic. Last week we moved 900 employees to temporary work from home. With nearly half of our employee base telecommuting already, we were very prepared for that move. Our process was organized, controlled, and phased to provide for continuity of business operations and the safety of our employees. Today 99 percent of our employees are work-from-home. Each of our office locations is closed, and access to those is restricted to a handful of employees with an approved business need. Those employees are operating under CDC recommended social distancing. We will continue to perform our work with quality and care.

Noridian Medicare Portal Provides Additional Self-Service Reopening Functionality

02/26/2020 | 12:31 PM

Effective February 21, 2020, the Noridian Medicare Portal (NMP) now allows Part B and DME users to do multiple clerical error reopening adjustments on a single claim with one transaction. NMP previously only allowed a single adjustment per transaction. For example, if a claim requires an updated date of service, procedure code, modifier, and billed amount, these requests can be completed in one transaction. Also, providers will be able to recoup or bill in error claims over a year from the process date....Read More

Part B Deductible, Hospice and MDPP Updates on NMP

11/11/2019 | 08:53 AM

The Noridian Medicare Portal (NMP) information returned within the eligibility inquiry responses has been updated to include expanded deductible information for multiple years, more comprehensive hospice episodes, and Medicare Diabetes Prevention Program (MDPP) service periods....Read More

Pneumococcal Vaccine Eligibility Data Issue

08/22/2019 | 13:39 PM

CMS announced a data issue with beneficiary eligibility information for the pneumococcal conjugate vaccine (PCV13) and the pneumococcal polysaccharide vaccine (PPSV23) which are both covered by Medicare. When a provider administers only one vaccine, in some cases the beneficiary eligibility response reflects both vaccines have been administered.  CMS anticipates this will be resolved in early 2020. View MLN Connects dated August 22, 2019 for more information.

Transfer of Appeal Rights Form May be Submitted via NMP

06/18/2019 | 08:49 AM

Effective June 13, 2019, the CMS Transfer of Appeal Rights form may be submitted as documentation through the Noridian Medicare Portal (NMP). For submission details, see the Begin New Appeal section of the NMP User Manual....Read More

Part B Claim Specific Remittance Advices

05/07/2019 | 09:01 AM

The beneficiary’s name on the claim specific remittance has been removed due to a potential privacy issue. Noridian is working towards producing this again, but there is no estimated time of when this will be corrected.

Noridian Medicare Portal Password Criteria Changes

04/22/2019 | 10:57 AM

The password criteria has been revised to include a few less requirements for the Noridian Medicare Portal (NMP) accounts....Read More