CLIA Requirements 2015
From: Noridian Medicare Update [mailto:medweb@noridian.com]
Sent: Friday, February 13, 2015 4:30 PM
Subject: Noridian Medicare Jurisdiction E Part B Update
CLIA
Edits – HCPCS Codes for 2015
Change Request
(CR)
9035 informs
MACs about the HCPCS codes for 2015 that are both subject to and excluded
from CLIA edits. CR 9035 also includes the HCPCS codes discontinued
as of December 31, 2014. Read the
complete update
ADR
Response – New Timeframe – Third Revision
This article is based on Change Request (CR)
8583, which instructs MACs and Zone Program Integrity Contractors
(ZPICs) to produce pre-payment review Additional Documentation Requests
(ADRs) that state that providers and suppliers have 45 days to respond
to an ADR issued by a MAC or a ZPIC. Failure to respond within 45
days of a pre-payment review ADR will result in denial of the claim(s)
related to the ADR. Make sure your billing staffs are aware of these
changes. Read
the complete update
Compliance
Program Workshop – March 11, 2015
The
Noridian Provider Outreach and Education (POE) staff is hosting a
Compliance Program workshop on March 11, 2015 at 11 a.m. Pacific Time.
Read
the complete update
Outpatient
Therapy Services Workshop – March 10, 2015
The
Noridian Provider Outreach and Education (POE) staff is an Outpatient
Therapy Services workshop on March 10, 2015 at 11 a.m. Pacific Time.
Read
the complete update
Medicare
Participating Physician Directory Information for 2015
The
Medicare Participating Physician Directory (MEDPARD) is a list of
physicians, suppliers and practitioners (Medicare health care providers)
who have signed an agreement to accept assignment on all claims. When
a Medicare provider accepts assignment, they agree to accept the Medicare
approved amount as payment in full for a covered service and can only
bill the patient for deductible, coinsurance, and any non-covered
services. Read
the complete update