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Tools

Acronyms and Glossary - View Medicare acronyms of common terminology. Not all-inclusive

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

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

Claim Submission Timelines Calculator - Calculate claim submission deadlines

Documentation Requirements 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

Enrollment On Demand Tutorials - View eligible Medicare Part B Specialties and Enrollment on Demand application tutorials to help such providers complete the appropriate applications correctly the first time

ESRD 30 Month Coordination Calculator - Calculate 30 month coordination period prior to Medicare becoming primary insurance

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).

New vs Established Patient Decision Tree - Determine whether a patient is New or Established

Noridian Medicare Portal (NMP) - Access web-based portal to check claim status, verify eligibility, review claim specific and full remittance advices, view claim processing comments, view pending and finalized check information issued, submit Reopenings and Redeterminations request, gain more information about a finalized claim that was denied or received a reduced payment due to related services, 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

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

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

Website Tour - High level overview of website content layout and design

Last Updated Oct 31, 2017