Provider Outreach and Education Advisory Group (POE AG) Meeting Minutes - March 10, 2020

Roll Call

Noridian Attendees

Claire Anderson, Elizabeth Barton, Tammy Ewers, Lu Newell, Tim Morrissey, Annessa Schjeldrup, Tana Williams, Kim Graham, Robin McMichael, Naomi Umstot, Teresa Cirelli, Reanna Doele, Robin McMichael, Lu Newell

POEAG Member Attendance

Alexis Christian-Abbott (CMS), Lisa Beyer, Lisa Davies, Dawn Davidson, Mindy Gale, Jan Mathis, Pam Fisher, Samantha Karpenko, Trisha Anderson

POEAG Mission and Goals

During each meeting, the Mission and Goals are reviewed.

Suggestion Date Description Resolution
12/09/19 Suggestion from physicians regarding the final rule for evaluation and management changes within 2020 for 2021. In expectation of Medical Review on the audit process with the upcoming changes. The suggestion has been shared with Noridian's Medical Review team. Medical Review awaits CMS guidance regarding implementation of the final rule. Medical Review routinely communicates through website, Latest Update articles and partnerships with education team.


Prior Meeting Minutes

The prior meeting minutes were distributed to POEAG members and published to the website


New Agenda Items Prior to the meeting, Noridian solicited agenda topics from members and evaluated significant program changes to discuss.

Part A/B

  1. New Medicare Card / Medicare Beneficiary Identifier (MBI) Updates
    1. The adoption rate is 98%, Noridian is maintaining the resources on our website right now. We appreciate all the providers support during this transition.
  2. The 2020 MAC Satisfaction Indicator (MSI)
    1. The 2020 MAC Satisfaction Indicator (MSI), a survey administered by the Centers for Medicare & Medicaid Services (CMS), started March 2. The MSI measures your satisfaction with our processes and service delivery so we can gain valuable insights and determine process improvements.

      Thanks for your feedback in 2019. We used your feedback to make improvements to our services. Here are some highlights:
      1. Provider Enrollment Application and Correspondence Details were made available in Noridian Medicare Portal.
      2. Denial code resolution webpage was created.
      3. Noridian Medicare Portal was enhanced to upload functionality for requested documentation.
    2. MSI 2020 survey going live please participate.

Part A

  1. Common Working File (CWF)
    1. CMS revoking access to Common Working File (CWF) eligibility transactions HIQA, HIQH, ELGA and ELGH effective February 1, 2020
      • Submitters that aggregate transactions for otherwise disparate providers (e.g., clearinghouses, billing services, software vendors, etc.) and have both HETS and CWF-based eligibility access should use HETS exclusively.
  2. Providers with Multiple Service Locations
    1. Address requirements included in SE19007 - implementation date April 2020
      • Exact match required between claim address and PECOS address
      • PO or PN modifier required for off-campus locations
  3. Noridian Medicare Portal (NMP) Education
    1. The 2019 1099-INT and/or 1099-MISC are now available on the Noridian Medicare Portal (NMP). The 1099 inquiry is available through the Financials function.
      1. 1099s on the portal are a copy of the official 1099 form that will be mailed to your facility.
      2. View the 1099 Inquiry section of the Portal Guide to download copy today.
    2. Part B Self-service Reopening (SSRO) enhancements
      1. Correct multiple fields at one time.
      2. Now you can do a full recoupment of a claim from the NMP SSRO.
  4. Provider Enrollment Education
    1. New Rebuttal Process: Rebuttals give providers or suppliers the opportunity to demonstrate that their Medicare billing privileges should not have been deactivated. Must be submitted within 20 calendar days from date of the deactivation notice. This will be sent in before the reconsideration and CAP. The notification letter sent to the provider will have instructions on where to send it.
    2. New Opt out Process: The opting out of Medicare process has updated. Here is some of the information that has updated:
      • If the provider opts out of Medicare with one MAC, they will be opted out of Medicare throughout the USA. If the provider sees a patient with a different MAC, they are now required to submit an opt out affidavit to the additional MAC.
      • If the provider is trying to bill for emergency services, they will need to fully enroll into Medicare in order to submit the claims.
      • Notification letters will be sent out 90 days before the provider is automatically renewed. Using the opt out status it will advise them about the auto-renewal process. They will then have the option to stay opted out of Medicare or to enroll back into Medicare.
    3. New 855R Application: The 855R application has updated. Here are the updates made to the 855R:
      • Change of Reassignment Information is a new submission reason in Section 1
      • Information for reassigning to a sole proprietor is now included.
      • Secondary practice location information is now captured.
      • Change, add or remove a contact person.

New POEAG Suggestions and Recommendations

During each meeting, all POEAG members are asked to provide suggestions on ways to increase education, improve training methods, or elaborate on topics discussed during the meeting.

Provider comment: This was their first time to be part of this meeting. They had one question it was regarding items that are not published by CMS and is left up to Contractor discretion such as unlisted items. Recommendation: It might be beneficial to providers if some additional education if possible, could be done on these types of services. Any kind of updates for any new codes would be good.

Provider comment: Interested in the items on the agenda. The one thing that was a focus of attention is the PECOS change of address match requirements. They did note that they received a spread sheet from Noridian so they can compare what Noridian have versus what they have regards more information on that additional information practice addresses requesting more clarification on the spread sheets

  • Noridian explained that the practice location address information was not being pulled over into the PECOS system, a plan was put into action in our billing jurisdiction to send them a listing of their provider-based billing locations. Audit was responsible to add all that information so in April the claims would not return to providers as non-processable.

Provider commented: Many of their departments have greatly appreciated all the ongoing educational efforts Noridian has been hosting.

Provider comment: Noticed that may webinars get full. Is there a way to record those webinars? We are interested in Modifier 59 we have tried several times and some of us have been unable to attend.

  • Noridian responded we have a limitation of 500 but are looking into a functionality to record presentations. We are looking into that possibility, currently Noridian creates Education on Demand (EoD) of the highly attended trainings. We try and repeat the hot topic webinars more frequently, Modifier 59 is one of them. Modifier 59 is hosted monthly or every other month.

Provider comment: We recently have new billers and they have expressed how much they use Noridian's tools, and they are very happy with the website and all Noridian has available for them.

  • Noridian asked if there are any specific tools, they found most helpful.

Provider commented: I will query her staff and send some suggestions back for Noridian to review and will bring present to the group.

Provider comment: They are interested in more information and guidance on the changes when they occur. Such as the therapy services change of bundling the evaluation with treatment codes.

  • Noridian indicated the NCCI bundling issue will be redacted in the next provider quarterly release. Noridian hosts a Quarterly Medicare Updates – A/B to inform the provider community on the changes for that time frame.

Provider recommendation: That the portal include the ADR actual findings like it does on DDE.

  • Noridian will research that suggestion.

Upcoming Meetings

Scheduled Meetings for 2020

All meeting times 1-2 PM CT

  • June 9
  • September 8
  • December 8

Thank you for attending today's meeting, we look forward to working with all of you again.


Last Updated Thu, 08 Oct 2020 13:31:22 +0000