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Dear Colleagues:
As a friendly reminder, we will be going through a transition in Medicare with our Jurisdiction changing from J1 to JE and, along with the jurisdictional name change, a change in our carrier from Palmetto GBA to Noridian. The transition dates are for Part A and for Part B. Both Palmetto and Noridian have repeatedly pledged to provide a smooth transition.
Recently, I attended a meet and greet session provided by Noridian on July 18, 2013 which was very informative. They have been traveling around the state holding these meet and greet sessions for all who are interested.
In case neither you nor your billing staff has been able to attend any of these sessions, below are some notes I took listing some of the highlights of the meet and greet session. I have also included a copy of the handout from the session and a copy of the slides from their presentation. I hope you find this information useful.
Sincerely,
Mark Yeh, MD
Alternate CAC member for CRS
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Notes from Noridian Meet and Greet (7/18/2013):
With regarded to all work submitted to Palmetto:
- All workloads will be automatically transitioned to Noridian. Should not have to resubmit work in progress given to Palmetto.
EFTs (Electronic Funds Transfer):
- No new authorization necessary.
LCDs (Local Coverage Determinations):
- Policy numbers will change but the policies themselves for both Parts A and B will transition from Palmetto to Noridian without changes.
- After transition, LCDs will be reviewed for updating and for continuing need for the LCD.
- Any substantive changes will require a public comment period.
Listserv:
Contact info:
- Will have single toll-free number after JE implementation.
- Noridian said they WILL answer the phones.
- For questions regarding the implementation itself, email JEQuestions@noridian.com or call 1-800-361-8289.
- Secure Provider Portal à Endeavor
Provider Enrollment:
- Gail Renwick is the Provider Enrollment Operational Team Leader. Her contact info: 701-251-3045 or gail.renwick@noridian.com.
- In progress applications -- including new applications, change applications, and revalidations -- will transfer to Noridian with the same date of initial receipt.
- Revalidation occurs every 5 years. Phase 2 (Part 5) revalidation requests were sent by Palmetto in June and July. Subsequent revalidations, Phase 2 (Part 6) and Phase 3, will be done by Noridian.
- Enrollment tips:
o Update NPI data via NPPES.
o Register for Part A/ Part B listservs.
o Use PECOS website to apply to Medicare program and to revalidate. Applications are processed much more quickly via the PECOS website.
EDI (Electronic Data Interchange):
- Early boarding - can start sending claims to Noridian early. Noridian will act as a clearing house and forward claims to Palmetto.
- Contact EDI help desk if interested: 855-721-4184
- Testing is not necessary but available and encouraged.
- Subscribe to EDI email distribution: www.edissweb.com/cgp/news.
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