Wednesday, September 10, 2014

Medicare Part A News-Jurisdiction H for September 9th, 2014

The following information is provided by Novitas Solutions.

August 2014 Medicare Part A Newsletter

The August 2014 Medicare Part A Newsletter is now available! Please take a moment to review.


Update to Novitas Bad Debt Policy involving timeliness of patient billing

Please be aware that effective April 2014, Novitas is no longer using the 180 day standard for timeliness of billing coinsurance/ deductible. The following should be used:
  • Providers must issue the first bill within ninety days of the last processed Medicare remit.
  • When secondary insurance is involved, providers must issue the first bill to the beneficiary within two months of receiving the remittance advice from the secondary insurance. 
Absent any verifiable documentation to support otherwise, bad debt billing outside the above timeframes will result in adjustments disallowing bad debts.


Instructions for Denied Polysomnography Services Claims

Please disregard demand letters for Polysomnography services associated with the Office of Inspector General (OIG) report OEI-05-12-00340. Activities are underway to re-examine these denials. Please do not submit appeals for these overpayments as all denials will be reversed. Any monies collected to date will be refunded, including interest.