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Emergencies and Disasters

COVID-19

To support our providers, a COVID-19 Hotline has been established to help with COVID-19 related inquiries. The hotline number is: 866-575-4067. Customer services representatives will be on the line to help from Monday-Friday from 8 a.m.-6 p.m. CDT. This hotline will answer questions on provisional billing privileges and enrollment flexibilities afforded by the COVID-19 waiver for health care providers, as well as advance payments related to COVID-19.

Visit the CMS Current Emergencies page for information and updates related to COVID-19.

On this page, view the below information.

COVID-19: Advance Payment

CMS has expanded the current Advance Payment Program during the COVID-19 public health emergency to extend financial hardship relief to impacted Medicare providers, physicians, and suppliers. Special considerations will be given for COVID-19 circumstances. See the FACT SHEET: EXPANSION OF THE ACCELERATED AND ADVANCE PAYMENTS PROGRAM FOR PROVIDERS AND SUPPLIERS DURING COVID-19 EMERGENCY for more information.

The request form instructions for the Accelerated and Advance Payment Form [PDF] are located in the same document.

The request may be submitted to Noridian via email, fax or mail, using the below information.

Email: PartBAdvancePayments@noridian.com

Fax: 701-277-7865

US Postal Mail
Noridian Healthcare Solutions
Attn: Part B-Recoupment
PO Box 6055
Fargo, ND 58108-6055

Mail sent through FedEx or Other Courier
Noridian Healthcare Solutions
Attn: Part B-Recoupment
900 42nd Street South
PO Box 6055
Fargo, ND 58103-2119

We encourage fax and email submissions for faster action on your request.

Enrollment Hotline

  • Provider enrollment has established a hotline in order for enrollments to initiate provisional temporary Medicare billing privileges via telephone and address questions regarding provider enrollment flexibilities afforded by the COVID-19 waiver. On the established hotline, you can complete the following:
    • Initial enrollments for providers or organizations
    • New reassignments
    • Changes to practice location only
  • Providers enrolled on the hotline receive a temporary PTAN with the earliest effective date being March 1st, 2020. Noridian will cease providing temporary provisional billing privileges on the date that the national emergency designation is lifted, or notification is provided by CMS to Noridian.
  • If a provider or organization wishes to enroll in Medicare and continue to be enrolled after the national emergency, an application should be submitted. The processing of the application will be expedited due to the national emergency
  • The hotline number is 866-575-4067. Customer services representatives will be available from 8 a.m.-6 p.m. CDT.
  • In order to make your enrollment quick and easy, please have the following information ready when you call:

Group Member (Reassignment)

  1. SSN
  2. First/Last Name/Middle Initial
  3. DOB
  4. Type 1 NPI
  5. State where you are physically located and providing services
  6. Specialty
  7. Medical school and graduation date
  8. State license information
  9. Correspondence Address
  10. Organization PTAN where the provider will be reassigning benefits or:
    1. Organization Legal Business Name
    2. Organization Tax ID Number
    3. Organization NPI

Physician Assistant

  1. SSN
  2. First/Last Name/Middle Initial
  3. DOB
  4. Type 1 NPI
  5. State where you are physically located and providing services
  6. Medical school and graduation date
  7. State license information
  8. Correspondence Address
  9. Organization PTAN where the PA will be establishing employment or:
    1. Organization Legal Business Name
    2. Organization Tax ID Number
    3. Organization NPI

Individual Sole Proprietor

  1. SSN
  2. First/Last Name/Middle Initial
  3. DOB
  4. Type 1 NPI
  5. State where you are physically located and providing services
  6. Specialty
  7. Medical school and graduation date
  8. State license information
  9. Correspondence Address
  10. Practice location and special payments address
  11. EFT information

Organization

  1. TIN
  2. LBN
  3. Type 2 NPI
  4. State where you are physically located and providing the services
  5. Correspondence Address
  6. Practice location and special payments address
  7. Owner and managing employee
  8. EFT information

Enrollment Guidelines

Telehealth

  • Providers are not required to report their home address if providing telehealth services from their home.
  • MACs shall not process changes to enrollments via the hotline if the provider is only calling to add their home location to provide telehealth services.
  • If a provider submits a paper/web application and the MAC is able to clearly determine that the application is to add a home address, MAC shall return the application.
  • MACs shall note the following as the return reason in the letter "This application is not needed for the transaction in question. Providers are not required to report their home address if providing telehealth services from their home."

Application Fees

For applications received on or after March 1, 2020, providers are not required to submit an application fee.

Revalidation

  • For applications received prior to March 1, 2020, Noridian will not deactivate for non-response to development or revalidation.
  • If a provider was previously due for revalidation but submits a change of information application, Noridian will process the application as a change of information and not a revalidation.

License and Certification Verification

  • For all licenses that are unable to be verified, Noridian will rely on other PECOS enrollments in approved status for these providers to determine if there is an active license.
  • If Noridian can verify a license using this method, no additional verification is required.
  • If no other methods of verification can be found, Noridian will request the provider submit a copy of their license.
    • This can be submitted via mail, e-mail or fax
  • For non-physicians, Noridian will attempt to validate required certifications.

Participation Status

  • Hotline providers who reassign benefits should inherit the participation status of the group.
  • Organizations will be setup automatically as PAR
    •  The providers reassigning to the organization will be set-up as par

Applications Received After Hotline Enrollment Established

  • All changes of information will need to be submitted via the appropriate CMS-855 application.
  • Noridian will not allow providers/suppliers to submit changes on letterhead alone.

Enrollment of Ambulatory Surgical Centers (ASCs) as Hospitals

  • ASCs can use the provider enrollment hotline to establish temporary billing privileges as a ‘Hospital.'
  • Noridian will deactivate the ASC's billing privileges once the approval for the hospital enrollment has been established.
  • The effective date of the deactivation should be the date prior to the effective date for the hospital.
    • CMS will provide additional guidance to the MACs in the future with the reactivation of the ASC enrollment.
  • Noridian will verify that the ASC is in an approved status in PECOS.
    • If the ASC is not in an approved status, the ASC will not be able to be converted to a hospital
    • If the ASC is in an approved status, a temporary billing privileges process is initiated, and they should expect an approval of temporary billing privileges within 3 business days.
  • Once Noridian has established the enrollment, we will reach out to CMS for approval
  • Upon receipt of the tie-in information, Noridian shall finalize the enrollment record in PECOS and issue the attached temporary billing privileges approval letter via email.

Resources

In the event of a national or regional catastrophe or disaster, the Emergency Response and Recovery webpage contains information about the most recent emergencies and disasters.

Access the below topic related information from this page.

Access additional resources that may assist providers when handling claims related inquiries from the below.

 

Last Updated Apr 08, 2020

The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.