Tuesday, April 7, 2015

Medicare Part A News-Jurisdiction H for April 7th, 2015

The following information is provided by Novitas Solutions.

Medicare News

Spring has sprung and so have our 2015 Medicare Symposiums!

Join us, live and in-person, as we discuss what is new and exciting with Medicare. Topics this year include Medicare Secondary Payer (MSP), provider enrollment, and modifiers. Don’t miss your chance to interact with the Novitas Solutions Provider Outreach and Education team!

Register today to attend our upcoming symposium in Albuquerque, NM on Wednesday, April 22! This event will be held at the DoubleTree by Hilton Albuquerque.

Registration is available for other symposium events and more locations are still to come!
Registration closes two business days prior to the event, so register early to reserve your seat!

We look forward to seeing you at an upcoming symposium event!


Important Credit Balance News


Any Credit Balance 838-Certifications that are not accurate and complete will be deemed invalid. Effective for the 03/31/15 reporting quarter, the immediate return of invalid or incomplete CMS-838 Certification Pages will result for the following reasons and please note that invalid Certification Pages will invalidate your entire submission:
  • The incorrect version of the CMS-838 Certification Page/Detail Page is received. Please use the correct version of the CMS-838 Credit Balance Report. You can type directly into this version which is strongly encouraged to ensure your report is legible. Once completed in full, the report should be printed for signatures.
  • Proper 6-digit Provider Transaction Access Number (PTAN) is missing, invalid, or a National Provider Identifier (NPI) is listed.
  • The name of the facility is missing.
  • Multiple PTANS are present. Only one PTAN per Certification Page is acceptable
  • Incomplete or inaccurate Quarter Ending date. Quarters should be reported as 03/31/XX, 06/30/XX, 09/30/XX or 12/31/XX. Four digit years will also be acceptable.
  • Signature and date of Administrator is missing
  • Correct “Check One” block is blank or does not match the contents.

Effective for the 06/30/14 reporting quarter, incomplete or inaccurate CMS-838 Detail Pages will be immediately returned. Please see the following for details:

How to Complete the CMS-838 Credit Balance Reports