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Tools

Acronyms and Glossary - View Medicare acronyms of common terminology

Additional Documentation Request (ADR) Timeline Calculator - Calculate date Noridian must recieve requested documentation

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

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 deadlines

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

Forms - View and/or access most commonly used Medicare forms, form instructions, checklists, and coversheets

Inpatient PPS Billing for Cost Outlier Decision Tree - The IPPS Outlier 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

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).

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.

Provider Enrollment Application Denial Decision Tree - Determine if a denied application can be appealed

Provider Enrollment Revocation Decision Tree - Learn which options are available to appeal a revocation and what needs to be submitted

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

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

Reopening and Redetermination Timeliness Calculators - Calculate Reopening and Redetermination submission deadlines

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 Oct 31, 2017