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Event Materials

The Noridian Provider Outreach and Education (POE) team offers the following educational material to assist providers and their team members access Medicare training material. Attendance at events is encouraged to obtain the most current information.

Topic Workshop Presentation Workshop Question and Answer
Advance Beneficiary Notice of Noncoverage (ABN)
  • May 2017 [PDF] - ABN Form tips and resources
Appeals and Reopenings
  • Part One - Nov 2016 [PDF] - Overview of five levels of appeals, appeals process, and different redetermination decisions
  • Part Two - Nov 2016 [PDF] - Claims processing, appeal trends and medical record requirements
Avoiding Common Claim Errors
  • Nov 2017 [PDF] - Top 10 RTP, rejection and denial reason codes and how to avoid these errors on claims
  • N/A
Benefit Period
  • May 2017 [PDF] - Medicare benefit days, including full, coinsurance and lifetime reserve days for hospital inpatients and skill nursing facilities
Cardiac and Pulmonary Rehabilitation
  • May 2017 [PDF] - Coverage criteria, necessary components, sessions and coding requirements
Claim Submission
Comprehensive Error Rate Testing (CERT)
Critical Access Hospitals (CAH)
Direct Data Entry (DDE)
  • Part One - Aug 2017 [PDF] - DDE navigation, menu screens, inquiry options and reports
  • Part Two - Aug 2017 [PDF] - DDE claims inquiry, claims entry, roster billing, claims corrections and MSP claims
Drugs, Biologicals and Injections
End Stage Renal Disease (ESRD)
Federally Qualified Health Centers (FQHC)
Hyperbaric Oxygen (HBO) Therapy Services
  • Jun 2016 [PDF] - Review HBO NCD coverage and medical documentation requirements
  • Jun 2015 [PDF] - ICD-10-CM transition, preparation, testing and policy updates
Inpatient Psychiatric Facility (IPF)
  • Apr 2017 [PDF] - IPF coverage, billing guidance and reimbursement
Inpatient Prospective Payment System (IPPS)
Inpatient Rehabilitation Facility (IRF)
Integrated Outpatient Code Editor (OCE) and Medicare Code Editor (MCE)
  • Dec 2017 [PDF] - Medicare Code Editor, Outpatient Code Editor and Addendum A & B
Laboratory Services
  • Aug 2017 [PDF] - Regulations and billing guidelines
Limitation on Recoupments - 935 Process
  • Jan 2018 [PDF] - Overview of limitation on recoupment (935) process and provide an outline of steps involved and how to navigate recoupment process efficiently
  • N/A
Long Term Care Hospitals (LTCH)
  • Aug 2017 [PDF] - LTCH billing guidance, reimbursement and medical necessity
  • N/A
Medicare Secondary Payer (MSP)
  • Dec 2017 [PDF] - MSP types, BCRC process, billing guidance, tertiary claims and common reason code guidance
  • N/A
Medicare Learning Network (MLN) Products Overview
Mental Health Services (Outpatient)
  • Apr 2017 [PDF] - Outpatient Mental Health eligible professionals, coverage, treatment limitation and same-day billing guidance
National Correct Code Initiative (NCCI) Edits
  • Dec 2017 [PDF] - Medically Unlikely Edits (MUE), Procedure to Procedure (PTP) Edits and Add-on Code Edits
New Provider Education
Noridian Medicare Portal (NMP)
  • N/A
Outpatient Therapy
Paravertebral Facet Joint or Nerve Injection Services
  • Jan 2015 [PDF] - Facet coverage, medical review results, common errors and corrective action
Part A to Part B Rebilling
  • Sep 2017 [PDF] - Timeline of regulations, current regulations and billing guidance and common errors
  • N/A
Polices – Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)
  • Oct 2017 [PDF] - Medicare benefits, Medicare coverage database, NCD/LCD processes and LCD Reconsideration process
Preventive Services
Provider Based Billing
  • Dec 2015 [PDF] - Attestation, enrollment, obligations, physician supervision and billing guidance
  • N/A
Quarterly Release Training
  • Jan 2018 [PDF] - Quarterly Provider Updates
  • N/A
  • Dec 2017 [PDF] – Chest X-Ray coverage, billing guidance, and documentation requirements
Recovery Auditor (RA) Program
  • Nov 2017 [PDF] - Different types of reviews, identifying RA issues and appeals
Remittance Advice
  • N/A
Rural Health Clinics (RHC)
Skilled Nursing Facility (SNF)
Supplemental Medical Review Contractor (SMRC)
  • May 2017 [PDF] – Inform providers of SMRC reviews, discussion periods and documentation requirements.
Telehealth Services
  • Jul 2017 [PDF] - Telehealth services overview, originating site, CAH reimbursement, FQHC and RHC

Last Updated Feb 14, 2018