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Thursday, October 10, 2013 - 18:17

HETS update in December (2013)

December HETS update release will include:

Psychiatric Benefit Data (Lifetime Psychiatric Base Days and Psychiatric Remaining Days)
HHH Contractor Numbers
Hospice Total Number of Occurrences (know when a face-to-face visit is required)
Changes for Part B Plan Level Co-Insurance
Co-Insurance EB03 Data Element Changes

http://cms.gov/Research-Statistics-Data-and-Systems/CMS-Information-Technology/HETSHelp/Downloads/R2013Q400HETS270271ReleaseSummary.pdf

Wednesday, August 21, 2013 - 19:28

Jurisdiction E Implementation

Jurisdiction E Implementation EDI Enrollment and Claim Notice ( For JE Trading Partners)

Noridian, in collaboration with Palmetto GBA and CMS, has established the following dates to begin the transfer process of EDI Enrollment and EDI Claims Processing from Palmetto GBA to Noridian.

Medicare Part A

*Date*	*Category*	*Directive*
8/9/13	EDI Enrollment	Last day providers and vendors are able to submit Medicare Part A EDI Enrollment paperwork/correspondence to Palmetto GBA.
8/10/13 - 8/25/13	EDI Enrollment	Noridian will collect and *hold* all Medicare Part A EDI Enrollment additions and changes. (This includes changes received from Palmetto.)
8/21/13	EDI Claims Processing	Last day existing submitters are able to submit EDI claims to Palmetto GBA (5:00 p.m. ET / 2:00 p.m. PT cutoff).
8/21/13	EDI Claims Processing	Last day Noridian Early Boarding submitters are able to submit EDI claims to Noridian with existing Contractor IDs (1:00 p.m. CT / 11:00 a.m. PT cutoff).
8/22/13 – ongoing	EDI Claims Processing	All submitters must submit EDI Claims to Noridian’s gateway utilizing the NEW JE Contractor IDs as stated below.
8/26/13	EDI Enrollment	Noridian will begin processing Medicare Part A EDI Enrollment additions and changes.

Medicare Part B

*Date*	*Category*	*Directive*
8/30/13	EDI Enrollment	Last day providers and vendors are able to submit Medicare Part B EDI Enrollment paperwork/correspondence to Palmetto GBA.
8/31/13 – 9/15/13	EDI Enrollment	Noridian will collect and *hold* all Medicare Part B EDI Enrollment additions and changes. (This includes changes received from Palmetto.)
9/11/13	EDI Claims Processing	Last day existing submitters are able to submit EDI claims to Palmetto GBA (5:00 p.m. ET / 2:00 p.m. PT cutoff)
9/11/13	EDI Claims Processing	Last day Noridian Early Boarding submitters are able to submit EDI claims to Noridian with existing Contractor IDs (1:00 p.m. CT / 11:00 a.m. PT cutoff).
9/12/13 – ongoing	EDI Claims Processing	All submitters must submit EDI Claims to Noridian’s gateway utilizing the NEW JE Contractor IDs as stated below.
9/16/13	EDI Enrollment	Noridian will begin processing Medicare Part B EDI Enrollment additions and changes.

EDI Enrollment Points of Interest

EDI customers currently enrolled with Palmetto GBA will not be affected by the EDI Enrollment stop-work period. There will have no disruption during their transition to Noridian. Only new EDI enrollment and EDI enrollment changes will not be processed during this time period.
As of 8/26/13 for Part A and 9/16/13 for Part B, all EDI enrollments will need to be completed using Noridian’s Total OnBoarding web application at https://noridian.totalonboarding.com . Further information and training material for Total OnBoarding can be located at http://www.edissweb.com/cgp/registration/totalonboarding.html.

EDI Claims Processing Points of Interest

·Noridian will begin collecting Medicare Part A claims containing the NEW JE Contractor IDs on 8/22/13. Noridian will be placing the correct date of receipt on all claims; however Medicare Part A claims submitted from 8/22 – 8/26 will not appear in the Medicare payment system until 8/27/13.

·Noridian will begin collecting Medicare Part B claims containing the NEW JE Contractor IDs on 9/12/13. Noridian will be placing the correct date of receipt on all claims; however Medicare Part B claims submitted from 9/12 – 9/16 will not appear in the Medicare payment system until 9/17/13.

·Claims submitted to Noridian on or after 8/22 (Medicare Part A) and 9/12 (Medicare Part B) that do not contain the New JE Contractor IDs will be rejected and not processed.

HETS update in December (2013)

Jurisdiction E Implementation

Jurisdiction E Implementation EDI Enrollment and Claim Notice ( For JE Trading Partners)

Medicare Part A

Medicare Part B

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