Revision vs Appeals - Telehealth Place of Service 02

Noridian appeals department has been receiving hundreds of redeterminations requesting a change to their claims from Place of Service (POS) 02 (Telehealth) to 11 (office).

For providers who may not be aware, this type of change to their claims should and can be expedited through the reopening process. Self-Service Option via the Noridian Medicare Portal (NMP) is a fast and effective way of making minor corrections to a processed claim.

Self-Service Reopenings can initiate both claim and line level adjustments within a single transaction. Examples of these adjustments are:

  • Billed Amount
  • Deny Services Billed in Error
  • Diagnosis
  • Modifiers-see exceptions below
  • Month/Day of Service Changes
  • MSP Type
  • Place of Service
  • Procedure Code and Billed Amount
  • Procedure Code, Modifier and Billed Amount
  • Rendering NPI and PTAN
  • Referring NPI
  • Reprocess Claim (without changes)
  • Units and Billed Amount
  • Units, Modifier and Billed Amount

            Last Updated Wed, 22 Jul 2020 15:16:44 +0000