Small and Rural Providers

A provider of services with less than 25 full-time employees or a physician, practitioner, facility, or supplier with less than 10 full-time equivalent employees.

This page offers links to resources for small and rural providers to assist with successful Medicare billing.

Enroll in Medicare

  • Enrollment - Access information to enroll and/or make changes online using PECOS Web, Electronic Funds Transfer (EFT), Reasons for delays.
  • Enrollment On Demand (EOD) - View Enrollment on Demand Tutorials for assistance with enrolling, making changes or revalidating with Medicare.
  • Revalidation - View Revalidation details, tools, application submission, what happens if a provider fails to revalidate, tips and resources.

Resources for Billers

Resources for Clinicians

  • Locate Policies - Local Coverage Determinations (LCDs) - An LCD is a decision by a contractor under Medicare Part A jurisdiction respecting whether a particular item or service is covered within the states that the contractor administers Medicare on behalf of CMS.
  • Telehealth - Find out more about providing telehealth to your beneficiaries.
  • Preventive Services - Review and search what Preventive Services Medicare covers.
  • Quality Payment Program - Information and resources to help understand how the QPP works for small, underserved, and rural providers.

Education

Self Service Tools

Once a provider is enrolled in Medicare, we offer a variety of tools that you can use for Self Service. Our Self Service Tools include:

  • The Noridian Medicare Portal (NMP) - As a small provider, it is recommended to register for a dual role in the Noridian Medicare Portal where you can access online eligibility, claim status, single-claim remittance advices, and appeal submission and status.
  • Use the Interactive Voice Response (IVR) System - To provide an efficient and more streamlined service to you as a Medicare provider, CMS and Noridian require Medicare providers to use the IVR for IVR specific information. IVR details including a flowchart and detailed IVR User Guide are available within the Contact section of this website.
  • Verify Noridian Contact Information - Phone numbers for various Noridian teams (Enrollment, Contact Center, Electronic Data Interchange, and User Security) in addition to the mailing address for claims, correspondence, appeals, Freedom of Information Act requests, and Fraud referrals are provided in the Contact Us section of the website.

 

Last Updated Feb 01, 2018