Oregon

Effective May 13, 2013 Noridian Administrative Services (NAS) has officially changed its name to Noridian Healthcare Solutions (Noridian) to better reflect the scope of capabilities that have grown from their core business.

MAC JF for Arizona, Alaska, Idaho, Oregon, Montana, North Dakota, South Dakota, Utah, Washington, Wyoming for Part B  and Minnesota for Part A. Future MAC JE for California, Hawaii and Nevada.

Due to the severe revenue shortfall, most provider rates will be reduced in the 2011-2013 budget. As most of the dollars in the Oregon Health Plan (OHP) budget go to providers for services, that is where the bulk of the budget reductions will occur.

• Clinical lab codes will be reduced from 74% to 70% of the 2010 Medicare Clinical Lab fee schedule.

Beginning January 1, 2011, The Division of Medical Assistance Programs (DMAP) will require affected providers to include an NPI on all paper claims submitted. DMAP currently requires affected providers to include an NPI on all electronic claims. NPI must be included to prevent denial of claims.

Source: Bulletin 10-966 09/10

The use of the term, "standing orders," in Medicare is problematic due to its diverse meanings and usages, not all of which are covered by Medicare. "Standing orders" may be understood to describe both recurring orders specific to the care of an individual patient and as routine orders for services delivered to a population of patients. Standing orders may be utilized for non-laboratory services if they met the definition of recurring orders, not routine orders. Standing orders may be used for laboratory tests ONLY if several conditions are met. Read the complete update.