Medicare Coverage Articles

Medicare contractors post articles into the Medicare Coverage Database (MCD). Articles address local coverage, coding or medical review related billing and claims considerations, and may include...

Physician Supervision of Dialysis for Acute Kidney Injury Coverage Article

View coverage and billing requirements for Physician Supervision of Dialysis for Acute Kidney Injury Coverage.

October 2020 Update of the Ambulatory Surgical Center (ASC) Payment System - Revised

CR 11963 that informs you about the changes to and billing instructions for various payment policies implemented in the October 2020 ASC payment system update.

Quarterly Update for CLFS and Laboratory Services Subject to Reasonable Charge Payment - Revised

This article informs laboratories of changes resulting from the quarterly update to the clinical laboratory fee schedule (CLFS).

Published for Review and Comments: Facet Joint Interventions for Pain Management-Proposed LCD and Billing and Coding Article

The following proposed Local Coverage Determinations (LCDs) have been published for review and comments for contract numbers: 02102 (AK), 03102 (AZ), 02202 (ID), 03202 (MT), 03302 (ND), 02302 (OR),...

Open Meeting Announcement - Facet Joint Interventions for Pain Management - October 21, 2020

This article has been published for notice under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Open Public Meeting

The Part B Open Public Meetings are scheduled by the Noridian Contractor Medical Director(s) to allow the general public to submit information for Noridian's consideration in Medicare Local...

Proposed LCDs

When there are proposed Local Coverage Determinations (LCDs) that are in the comment period, this webpage will provide a summary of comments received and Noridian's response as well as the LCD...

2020 ICD-10 Local Coverage Determinations (LCD) and Local Coverage Article (LCA) Updates

This Local Coverage Determination (LCD) has been revised under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and...

Forms - Enrollment

View and/or access common enrollment related forms.

CAP Reconsideration Coversheet Noridian JFB

Complete this form to appeal an initial determination by Provider Enrollment.

2020 ICD-10 Local Coverage Determinations (LCD) and Local Coverage Article (LCA) Updates

This Local Coverage Determination (LCD) has been revised under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and...

CAP Reconsideration Coversheet CMS JFB

Complete this form to appeal an initial determination by Provider Enrollment.

Medical Review Top Trending Errors: Chronic Care Management (CCM) Webinar - October 22, 2020

This event includes: Chronic Care Management Overview, Coverage and Indications, Documentation, Examples, and Resources

Provider Enrollment EFT and Payment Holds Webinar - October 7, 2020

This event includes: Electronic Funds Agreement Form and Payment Holds

Provider Enrollment Submitting Your Enrollment Online Part 1 (PECOS) Webinar - October 7, 2020

This event includes: Identity and Access

2020 MPFS Indicator List and Descriptors

View the 2020 MPFS Indicator List, Descriptors and the CMS changes included in quarterly updates made to the 2020 MPFS payment files.

Improving Electronic Claims Processing with Noridian Custom Edits (NCE)

Noridian Custom Edits (NCE) will enhance claims editing for both providers and payers and will integrate with existing claims acknowledgement reporting (277CA) on 837 electronic claim submissions.

MolDx Covered Tests

MolDx Covered Tests.

Active LCDs

The active LCD procedure codes, policy title, policy number and hyperlink per state are offered to assist providers in accessing the LCDs from the CMS website.

Browse by Specialty

Podiatry

If provided by a physician (M.D.) or a Medicare-certified podiatrist (doctor of podiatric medicine, or DPM), medically necessary care for treatment of injury, disease, or other medical conditions affecting the foot, ankle, or lower leg is covered by Medicare Part B. Routine foot care that's not medically necessary is not covered.

Access the below podiatry related information from this page.

Resources

 

Last Updated Thu, 12 Mar 2020 08:22:52 +0000

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.

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Clinicians, Are You Ordering Diabetic Shoes for Your Patients? - Revised 08/10/2020