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Tools

Administrative Law Judge (ALJ) Calculator - Calculate ALJ submission deadline

Advance Beneficiary Notice of Noncoverage (ABN) Tutorial - Hover over form fields to identify details required for each

CERT Quick Look Documentation Tool - A quick look reference guide of common Comprehensive Error Rate Testing (CERT) policies under review and the documentation that is usually required for the policy criteria to be met.

Claim Submission Timelines Calculator - Calculate claim submission deadlines

Documentation Checklists - View checklists to help identify records not routinely submitted by providers but must be available upon request

Enteral Nutrition Calculator - Determine correct number of units to submit Enteral and Parenteral Nutrition claims

Fee Schedule Lookup Tool - Find DMEPOS, Drug or PEN fees

IVR Conversion Tool - Determine touch-tone number sequence to enter in IVR

Medicare Secondary Payer (MSP) Payment Calculator - Providers may enter specific amounts from the primary insurance company's Explanation of Benefits in addition to their billed amount to determine Medicare's payment (line-level, not full claim billed amount).

Noridian Medicare Portal (NMP) - Access eligibility, claim status, same or similar, overpayments, Reopening/Redetermination submission and status inquiry, power mobility device prior authorization request status, and claim-specific remittance advices

Physician Resource Letters - Suppliers may provide these letters to physicians to assist in gathering appropriate documentation

Reconsideration Calculator - Calculate Reconsideration submission deadline

Recovery Auditor Contractor Calculator - Calculate time frames for Recovery Auditor activities

Redetermination Calculator - Calculate Redetermination submission deadline

Remittance Advice (RA) Tutorial - Hover over RA items to identify details of each

Last Updated Sep 19, 2017