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Calculators and Tools

Calculators

Calculator/Tool Details
Administrative Law Judge (ALJ) Calculator Suppliers have 60 days from the date of the reconsideration decision to submit an ALJ request.
Enteral Nutrition Calculator Determine the correct number of units to submit for Enteral and Parenteral Nutrition claims.
Reconsideration Calculator Suppliers have 180 days from the date of the redetermination decision to submit a reconsideration request.
Recovery Auditor Contractor Calculator Enter the date of the Recovery Auditor demand letter to determine the time frames.
Redetermination Calculator Enter remittance advice date to find Redetermination submission deadline.

 

Tools

Calculator/Tool Details
Educational Tools This page contains workshop materials, self-paced tutorials, workshop questions and answers and links to consolidated resource pages
Fee Schedule Lookup Tool Use this tool to find your DMEPOS, Drug or PEN fee. Select your state and enter a DME HCPCS to view
IVR Conversion Tool Enter Provider Transaction Access Number (PTAN), National Provider Identifier (NPI) and beneficiary's first/last name to convert information into appropriate numbers sequence to enter in IVR.
Noridian Medicare Portal

View the following information online:

  • Eligibility
  • Claim Status
  • Same or Similar
  • Overpayments
  • Reopening/Redetermination Submission and Status Inquiry
  • Power Mobility Device Prior Authorization Request Status
  • Claim-Specific Remittance Advices

 

Guides/Tutorials

Calculator/Tool Details
Advance Beneficiary Notice of Noncoverage (ABN) Tutorial This tutorial provides instructions on the completion of the ABN
CMS-1500 Tutorial (Version 2/12) Instructions Instructions for completing the paper claim form are provided.
Documentation Checklists Documentation checklists are guidelines for suppliers to use when gathering required documentation.
IVR Guide [PDF] View instructions for obtaining eligibility, claim status and other information from the IVR.
Physician Letters Suppliers may provide these letters to physicians to assist in gathering appropriate documentation
Remittance Advice Tutorial This tutorial provides descriptions of the remittance advice fields

 

Last Updated Sep 30, 2016