Tools - JE Part A
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340B Drug Program Reimbursement Calculator - Used to determine the reimbursement amount of a drug purchased under the 340B Drug Program.
Acronyms and Glossary - View Medicare acronyms of common terminology. Not all-inclusive
Additional Documentation Request (ADR) Timeline Calculator - Calculate date Noridian must receive requested documentation
Administrative Law Judge (ALJ) Timeliness Calculator - Calculate ALJ submission deadline
Advance Beneficiary Notice of Noncoverage (ABN) Tutorial - Hover over form fields to identify details required for each
Ambulance Zip Code Definition Lookup - Use this tool to determine if the zip code being billed is urban, rural or super rural
Appeals Decision Tree - Determine if a claim appeal may be requested
Appointment of Representative (AOR) Tutorial - Hover over form fields to identify details required for each
Claim Submission Timelines Calculator - Calculate claim submission deadline
Documentation Checklists - View checklists to help identify records not routinely submitted by providers but must be available upon request
Education on Demand Tutorials - Access self-paced educational tutorials based on Noridian hosted webinars
End Stage Renal Disease (ESRD) 30 Month Coordination Calculator - Calculate 30 month coordination period prior to Medicare becoming primary insurance
Extended Repayment Schedule (ERS) Decision Tree - Provides a listing of the documentation needed with an ERS application depending on the length of the loan being requested
Forms - View and/or access most commonly used Medicare forms, form instructions, checklists, and coversheets
Inpatient PPS Billing for Cost Outlier Decision Tree - This tool was developed based on scenarios encountered by the Noridian Provider Contact Center
Interactive Voice Response (IVR) Conversion Tool - Determine touch-tone number sequence to enter in IVR
Medically Unlikely Edit (MUE) Lookup Tool - Helps to determine the maximum units of service that a provider would report under most circumstances for a single beneficiary on a single date of service
Medicare Secondary Payer (MSP) Decision Tree - Determine if Medicare is primary or 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).
NMP vs. IVR Self Service Elements Comparison - Guidance on accessing details via the Noridian Medicare Portal and/or the Interactive Voice Response
Noridian Medicare Portal (NMP) - Access web-based portal to check claim status, verify eligibility, review single claim remittance advices, submit Redeterminations request, upload supporting appeal documentation and check appeal status
Overpayment Interest Calculators - These calculators are commonly used to determine how much interest have been accrued on an unpaid overpayment
Prior Authorization Look Up Tool - Determines which HCPCS codes require a Prior Authorization
Provider Enrollment Application Status Search - This search allows providers and suppliers to follow the application progress. Enter an Application/Reference Number or Web Tracking ID into its search field and select "View Application Status"
Provider Enrollment Corrective Action Plan (CAP), Reconsideration, and Rebuttal Decision Tree - This tool will assist the user in submitting a Provider Enrollment reconsideration request, corrective action plan or rebuttal.
Provider Enrollment on Demand Tutorials - Access self-paced application tutorials to assist in the application completion
Quick Reference Billing Guide - View compilation of commonly used coding and billing processes
Reason Code Guidance - View common claim submission error codes, descriptions of issues and potential solutions
Reconsideration Timeliness Calculator - Calculate Reconsideration submission deadline
Recovery Auditor Determination Decision Tree - Determine correct action to Recovery Auditor claim review
Recovery Auditor Timeliness Calculator - Calculate time frames for Recovery Auditor activities
Redetermination/Reopening Form Tutorial - Hover over form fields to identify details required for each
Redetermination Timeliness Calculator - Calculate Redetermination submission deadline
Reopening Timeliness Calculator - Calculate Reopening submission deadline
Site Map - View listing of primary and secondary website contents. Help and Contact information also available
Web Tour - High level overview of website content layout and design
Last Updated Wed, 23 Jun 2021 15:58:51 +0000