Monday, July 15, 2013

What you can do to prepare for the transition from Medicare claims administrator Palmetto to Noridian

What you can do to prepare your practice for the transition from Medicare claims administrator Palmetto to Noridian?
The transition from Medicare claims contractor Palmetto GBA to Noridian takes place on September 16, 2013 (Part B). During the transition, Noridian is encouraging providers that submit electronic claims to take advantage of an ‘early boarding’ opportunity.
Early boarding will allow providers to connect to Noridian’s EDI Support Services gateway prior to the transition. Noridian will act as a clearinghouse, collecting claims, performing basic front-end editing and then sending the claims to Palmetto GBA for processing and payment.
Providers that use a vendor to submit claims do not need to take any action. Your vendor will be working with Noridian directly to connect. However, providers should check with vendors to ensure this is occurring and encourage them to make contact with Noridian if it is not.
If you bill directly, you can take the necessary steps to ‘board early’ by reading an article published online by Noridian titled: Noridian Jurisdiction E (JE) Early Boarding Has Begun.
The Centers for Medicare and Medicaid Services also asks that physicians check to make sure that their National Provider Identification (NPI) numbers are updated in the National Plan and Provider Enumeration System (NPPES) are up to date and consistent with information in the Provider Enrollment, Chain and Ownership System (PECOS). According to Noridian, the number one reason for problems during similar transitions is inaccurate NPI data in the NPPES system. Updates can be made on the NPPES website.
Noridian has also set up "Meet and Greet" workshops throughout the state. The California Medical Association (CMA) encourages practices to take advantage of this opportunity to meet Noridian staff and learn about the transition, including what will and will not change with the transition from Palmetto to Noridian.
To stay up to date on the latest news related to the Noridian transition, see CMA's Medicare Transition webpage at www.cmanet.org/medicare-transition.

This article courtesy of: http://www.cmanet.org/news/detail/?article=what-you-can-do-to-prepare-your-practice-for

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