September 28, 2018
Area(s) of Interest: Practice Management Public Payors
Noridian, the Medicare Administrative Contractor for California, recently announced improvements to the Noridian Medicare Portal (NMP) that will make it easier for providers to identify reasons behind eligibility-related claim denials. When a claim is denied for eligibility-related reasons, providers can select the link under Claim Status in the “Related Inquiries” portion of the page to access details to assist with determining their next steps.
Effective July 27, 2018, all NMP users can also send secure online messages to Noridian regarding medical reviews or to voice concerns to be addressed by the Noridian CERT liaison teams. With the ability to message Noridian, providers better understand claim review decisions and are better prepared to avoid future denials. Messages sent regarding non-medical review/CERT will be directed to the Provider/Supplier Contact Centers. Additional instructions can be found in the Noridian User Manual and self-paced tutorials.
Noridian also announced that provider enrollment functionality will soon be added to the NMP, allowing physicians the ability to review notification letters, application status and submit correspondence as needed, which will be automatically attached to the application. Having previously enrolled in Medicare is a prerequisite for NMP. This feature will assist providers with ongoing file maintenance.
Additional NMP enhancements include an updated inquiry function providing details for active, inactive, deductible and coinsurance period eligibility for Medicare Diabetes Prevention Program patients.