The following information is provided by Novitas Solutions.
Important Credit Balance WARNING!
Credit Balance Reports are not considered valid/accepted unless they are complete and accurate.
Effective immediately, telephone calls will be made to all contacts for Credit Balance Reports received with invalid, incomplete, and/or inaccurate information. These, among others, are reasons phone calls will be made:
- Incorrect Provider Number. Please ensure the 6-digit PTAN is valid (Do not use NPI).
- This Provider Number does not appear in our database. Please verify that the PTAN reported is accurate and that you do submit credit balance reports to Novitas for PART A (you bill using a UB04 and not a CMS-1500 claim form).
- More than one Provider Number listed on the Credit Balance Report. One PTAN per certification.
- Certification Page is missing.
- No signature and/or title of person who signed or signature must be of Owner, Administrator, Director, CEO, CFO, or Certified Officer of the facility.
- The following is not indicated at the bottom of the report: whether the provider 1) qualifies as a low utilization provider, 2) the credit balance report detail pages are attached, or 3) there are no Medicare credit balances to report for this quarter.
- Quarter end date is incorrect or missing (Should be 03/31/YY, 06/30/YY, 09/30/YY, or 12/31/YY format)
- Date of certification under the signature is missing.
- Report indicates there are credit balance report detail pages and they are missing or the report indicates there are no credit balances, but detail pages are submitted.
- 838 Detail Page is incomplete or inaccurate. Please complete all blocks of detail page.
- 838 Detail Page indicates “Check” as method of payment but no check was attached.
- Other
In the future, Credit Balance reports will be returned if incomplete or invalid.
Please contact us at 410-891-5552 if you have any questions about reports that have been returned or if you need specifics as to how to correct the rejected reports.
Medicare Learning Network (MLN) Articles from CMS
New:
MM8841 – Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS)
The following event has been added to the December Events Calendar:
12/12/2014 Modifier 59 Changes
2:00pm-3:00pm ET, 1:00pm-2:00pm CT
Register today for this event!
Want to Know More about Novitasphere? Upcoming Novitasphere Portal Webinar Sessions
Are you looking for more information on Novitasphere Portal and its use? Want to know more about the process for enrolling? Please join us for one of our upcoming informative webinar sessions!
The Novitasphere Portal Overview sessions will provide an overview of the features of Novitasphere, our Part B provider portal. The Novitasphere Provider Portal Enrollment Overview will review the required steps for enrolling in Novitasphere, including details of completing the IACS User ID process. The Novitasphere Direct Data Entry (DDE) Overview will review just the process of submitting claims and retrieving reports using the Direct Data Entry (DDE) function in Novitasphere.
We will have time for a Question and Answer session during each session.
Our upcoming webinars are listed below.
- Novitasphere Portal Overview – Wednesday, November 12, 2014 at 2:00PM Eastern Time (ET)
- Novitasphere Portal Enrollment Overview – Tuesday, November 18, 2014 at 2:00 PM ET
- Novitasphere DDE Overview – Thursday, November 20, 2014 at 2:00 PM ET.
Customers must register for an account through our new Novitas Medicare Learning Center in order to register for these events. Please visit our Novitas Medicare Learning Center page for more information, including how to create a Novitas Medicare Learning Center Training Account. Please note, registering for an account in the Novitas Medicare Learning Center will gain you access to these educational events, but will not enroll you for Novitasphere Portal usage.
Handouts will be provided as a download during the session and through the Novitas Medicare Learning Center.
