Noridianmedicare.com

Modifier and HCPCS Changes for 2024

WEBIn compliance with the Health Insurance Portability and Accountability Act (HIPAA), CMS eliminated the 3-month grace period for discontinued codes in Change Request (CR) …

Actived: 6 days ago

URL: https://med.noridianmedicare.com/web/jfb/topics/claim-submission/modifier-and-hcpcs-changes/2024

Overlapping Claim Resolution Tips

WEBHospital Overlapping with a Long-Term Care Hospital (LTCH): When a patient is admitted to an inpatient acute care hospital, upon discharge from an LTCH …

Category: Health Go Health

Evaluation and Management (E/M)

WEBProviders billing for these services will have the choice to document office/outpatient E/M visits via medical decision making (MDM) or total time. Changes …

Category: Medical Go Health

Evaluation and Management (E/M) Office or Other Outpatient

WEBServices January 1, 2021, and after. This collection of inquiries is a collaborative from all Medicare Administrative Contractors (MACs) that have been …

Category: Health Go Health

Home and Domiciliary Visits

WEBHome and domiciliary visits are when a physician or qualified non-physician practitioner (NPPs) oversee or directly provide progressively more sophisticated …

Category: Health Go Health

Social Determinants of Health

WEBAny communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. Social Determinants of Health …

Category: Health Go Health

RHC Billing Guide

WEB3800-3974. 3975-3999. 8500-8999. A provider-based CMS Certification Number (CCN) is not an indication that the RHC has a provider-based determination for …

Category: Health Go Health

Electronic Submission of Medical Documentation (esMD)

WEBNoridian accepts Medicare’s Electronic Submission of Medical Documentation (esMD) transactions from providers. The intent of esMD is to: Reduce …

Category: Medical Go Health

Ordering and Referring Provider Documentation Requirements

WEBProviders must ensure all necessary records are submitted to support services rendered. They may include: Check. Brief Description. Practitioner, nurse, and …

Category: Health Go Health

Claim Form Instructions

WEBReminder: Providers and suppliers have the option of entering either a 6 or 8-digit date in items 11b, 14, 16, 18, 19, or 24A.The format chosen must be consistent …

Category: Health Go Health

CMS-1500 Claim Form Instructions

WEBInstructions. Item 1. Type of Health Insurance Coverage Applicable to the Claim Show the type of health insurance coverage applicable to this claim by checking …

Category: Health Go Health

Opt Out of Medicare

WEBOpt out is a contract between a provider, beneficiary and Medicare where the provider or beneficiary does not file a claim to Medicare. The physician or …

Category: Health Go Health

Hospital-based PHP Billing Guide

WEBPartial Hospitalization Program (PHP) services must be billed with below revenue codes and a CPT or HCPCS code descripting encounter. 0250 - Drugs and …

Category: Health Go Health

Complexity Add-on Code G2211

WEBEffective January 1, 2024, complexity add-on code G2211 may be submitted with Evaluation and Management (E/M) office or outpatient (O/O) visits, 99202-99215. …

Category: Health Go Health