Noridian Healthcare Solutions, LLC

DME suppliers are noticing an increase in beneficiaries receiving new Medicare cards with different MBI numbers. Here are a few reasons why: ? Data Breach: New Medicare numbers may be issued due to data breaches at Medicare contractors. CMS recently notified beneficiaries of a breach, prompting new cards to be sent out. ? Fraudulent Claims: A recent fraud scheme led to the replacement of hundreds of thousands of MBIs for those affected. ? Lost/Stolen Cards: Beneficiaries can request a new MBI if they believe their card or number has been compromised. Important Actions for DME Suppliers: 1. Verify Beneficiary Info: Regularly check and update MBI numbers. 2. Use the NMP MBI Lookup Tool: If you get a claim denial with specific codes, this tool can confirm MBIs. 3. Follow Denial Code Guidelines: Consult the Denial Code Resolution tool for next steps if denied. https://bit.ly/48iF9Or https://bit.ly/3P8dPvV

Exciting news for ND Medicaid providers! Our State Medicaid Provider Enrollment team has been rolling out new enhancements to better serve you: ? Live support available! Call us at (877) 328-7098 or (701) 328-7098. ? Faster enrollment application processing times! ? Revalidation notifications sent 90 days in advance. ? Introducing ND state’s new Provider Education Team! ? Updated resources and tools to streamline the enrollment process. We’re committed to optimizing your experience! Stay tuned for more improvements ahead.

Our amazing employees have really demonstrated their generosity! Our CEO also pitched in, volunteering to pack backpacks with essential supplies for children in need. Together, we're making a meaningful difference and helping to create a bright future for young minds.

DMEPOS claims are often denied when the billed equipment is deemed "the same as" or "similar to" a previously provided item, especially if it falls within the Reasonable Useful Lifetime (RUL). To prevent or address these denials, suppliers should carefully assess whether the beneficiary's medical condition has changed, whether the original item has been lost, stolen, or irreparably damaged, and whether the beneficiary has previously received a "same or similar" item. Using tools like the Noridian Medicare Portal (NMP) to verify claim history across Jurisdictions A and D and checking for any updates in HCPCS codes can help avoid errors. If an item hasn't reached its RUL, an Advance Beneficiary Notice (ABN) may be necessary. If a claim is denied due to item similarity, suppliers should consider initiating an appeal with supporting documentation, such as evidence of loss, theft, or damage, medical records showing a change in the beneficiary's condition, and a valid ABN if applicable. These documents are essential in justifying the need for the new item. Suppliers can find more guidance on managing ABN requirements and using the Same or Similar functionality through resources like the NMP Same or Similar Inquiry Guide and Noridian's Same or Similar Chart. https://bit.ly/3ZqpOuk JA - https://bit.ly/4d7dRh7 JD - https://bit.ly/3Lrcb61

Billing for Continuous Glucose Monitors (CGMs) and their related supplies can be confusing, especially when it comes to the specific billing codes and timelines. It's important to understand the details of CGM Supply Allowances to ensure accurate billing, compliance, and timely delivery of essential items to your beneficiaries. Here’s a breakdown of the key points: ???????? ?????? ?????? ???????????? ????????????????????? CGM Supply Allowances cover the essential items required for the use of CGMs and can be billed once every 30 days. Once a supply code is billed, all included items must be delivered at no additional charge for the following 30 days. Items not covered by the supply code can be billed separately. ?????? ???????????? ??????????: ? A4239 - Non-Adjunctive CGM Supply Allowance o Covers non-implanted, non-adjunctive CGMs and their related supplies. o Includes: - CGM sensors & transmitters - Home blood glucose monitor (BGM) and related supplies (test strips, lancets, etc.) o Billing: 1 unit every 30 days. If supplies are billed separately, claims will be denied. ? A4238 - Adjunctive CGM Supply Allowance o Covers adjunctive, non-implanted CGMs. o Includes: - CGM sensors & transmitters. o Billing: 1 unit every 30 days. Home BGM supplies can be billed separately. Billing Guidelines: ? A maximum of 3 units of service can be billed per 90 days for the supply allowance. ? Use the Continuous Glucose Monitor Supply Allowance Calculator to help track and schedule billing dates accurately and avoid errors. For more details, make sure to consult the Glucose Monitors Local Coverage Determination (LCD) and the Glucose Monitors Policy Article. This ensures compliance and helps prevent claim denials. https://bit.ly/3UJG0EM https://bit.ly/4bCf1kJ https://go.cms.gov/3V66n7a https://go.cms.gov/3ZnNpvF

Happy National Rural Health Day! We are proud to support one of the largest networks of rural providers in the nation and understand the unique challenges they face. We customize our solutions to fit their needs so they can focus on providing quality health care to their patients. To learn more about how Noridian is reducing burdens for rural health systems, check out this article: https://bit.ly/3SM6VPy #NationalRuralHealthDay

Noridian Healthcare Solutions is proud to be a Stout Sponsor for the 2nd Annual #Elev8 and #EngageGovCon social event! Join us today at 4 PM at the iconic Guinness Open Gate Brewery in Maryland for an unforgettable evening celebrating the leaders and innovators driving key missions in the #federalgovernment space. Connect with top government professionals, partners, and industry leaders as we celebrate the power of collaboration and recognize the incredible work shaping our future.

Introducing Noridian's bold new brand-- celebrating 60 years of growth and commitment to quality care. From supporting a single state's Medicare program to serving over 24 million beneficiaries, Noridian continues to evolve while staying true to our mission. Our new brand captures the spirit of growth and commitment to our mission. To read more about Noridian's refresh brand identity visit, https://bit.ly/48XBIyX

Join this session as we talk about Inpatient and Outpatient Part A Psychiatric Services, Partial Hospitalizations Program (PHP), Community Mental Health Center (CMHCs) and Medicare’s new Intensive Outpatient Program (IOP). Part A/B: JEA: https://bit.ly/3w8y2qr JFA: https://bit.ly/3GJLeqW

This presentation will talk about topics that are crucial to ESRD such as eligibility and enrollment, coverage timelines, items and services, home dialysis, services specific to Parts A and B, and Physician billing. Part A/B: JEA: https://bit.ly/3w8y2qr JEB: https://bit.ly/3bvwkGf JFA: https://bit.ly/3GJLeqW JFB: https://bit.ly/2ZDzOnl