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Noridian JE Implementation Website Launch

Noridian is the new Medicare Administrative Contractor (MAC) for Jurisdiction E (JE) – formerly Jurisdiction 1; California, Hawaii, Nevada (transition date 9/16/2013). As they begin the process of implementing the JE workload, they want to inform you of important changes that may impact you. Their objective is to make the fewest changes possible in order to allow for a smooth implementation. Noridian will continue to be adding many more features and articles in the coming weeks to the website.

NAS Changes Name to Noridian Healthcare Solutions (Noridian)

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.

HOLDING CLAIMS FOR PRICING BASED ON JANUARY 2012 FISS RELEASE

This article is to remind providers who bill Medicare Part A services that effective for dates of service beginning January 1, 2012, a brief hold will be placed on all claims. The hold will take place during the first 15 days of January 2012.

Due to updated pricing files installed into the Fiscal Intermediary Shared System (FISS), claims need to be verified for correct pricing to ensure proper payment. All claims held during this time will be released no later than January 15, 2012.

NMP22 Bladder Check Test for Monitoring Bladder Cancer - Revised

The NMP22 Bladder Check Test is used in the diagnosis and monitoring of bladder cancer. NAS will allow coverage and payment for this test when used to monitor bladder cancer between cystourethroscopy intervals.

Effective for dates of service on or after January 1, 2012, use the following codes:

• 86386 - Nuclear Matrix Protein 22(NMP22), qualitative and V10.51 - Personal history of malignant neoplasm of bladder

HOLDING CLAIMS FOR PRICING BASED ON JANUARY 2012 FISS RELEASE

This article is to remind providers who bill Medicare Part A services that effective for dates of service beginning January 1, 2012, a brief hold will be placed on all claims. The hold will take place during the first 15 days of January 2012.

Due to updated pricing files installed into the Fiscal Intermediary Shared System (FISS), claims need to be verified for correct pricing to ensure proper payment. All claims held during this time will be released no later than January 15, 2012.

NMP22 Bladder Check Test for Monitoring Bladder Cancer - Revised

The NMP22 Bladder Check Test is used in the diagnosis and monitoring of bladder cancer. NAS will allow coverage and payment for this test when used to monitor bladder cancer between cystourethroscopy intervals.

Effective for dates of service on or after January 1, 2012, use the following codes:

• 86386 - Nuclear Matrix Protein 22(NMP22), qualitative and V10.51 - Personal history of malignant neoplasm of bladder

NMP22 Bladder CheckÆ Test for Monitoring Bladder Cancer

The NMP22 Bladder Check TestÆ is used in the diagnosis and monitoring of bladder cancer. NAS will allow coverage and payment for this test when used to monitor bladder cancer between cystourethroscopy intervals, effective for dates of service on or after September 19, 2011.

For claim payment, use the following codes:

• 88299 - Unlisted cytogenetic study, adding the description "NMP22" in Item 19 of the CMS-1500 form or the electronic equivalent. For Part A claims, add this notation to the remarks screenÖ.and

Medicare Administrative Contract Jurisdiction F (MAC JF) Implementation

Noridian Administrative Services (NAS) will administer the Medicare Part A and Part B contract for the new jurisdiction which consists of the following states: Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming.

A MAC JF implementation page has been posted to the NAS website. The page will be the web source for Part A and Part B providers as NAS implements the new CMS JF contract. Providers should begin to refer to the site for developing information during the implementation process.

Medicare Administrative Contract Jurisdiction F (MAC JF) Implementation

Noridian Administrative Services (NAS) will administer the Medicare Part A and Part B contract for the new jurisdiction which consists of the following states: Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming.

A MAC JF implementation page has been posted to the NAS website. The page will be the web source for Part A and Part B providers as NAS implements the new CMS JF contract. Providers should begin to refer to the site for developing information during the implementation process.

NMP22 Bladder CheckÆ Test for Monitoring Bladder Cancer

The NMP22 Bladder Check TestÆ is used in the diagnosis and monitoring of bladder cancer. NAS will allow coverage and payment for this test when used to monitor bladder cancer between cystourethroscopy intervals, effective for dates of service on or after September 19, 2011.

For claim payment, use the following codes:

• 88299 - Unlisted cytogenetic study, adding the description "NMP22" in Item 19 of the CMS-1500 form or the electronic equivalent. For Part A claims, add this notation to the remarks screenÖ.and

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