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Novitas Resource Center
Local Medicare Coverage Guidance on Drugs and Biologicals
Novitas Solutions has published a local coverage article regarding drugs and biologicals, effective Dec. 17, 2012.
TrailBlazer to Novitas Transition Resources
Novitas Contact Center
Contact Novitas Solutions with questions at:
Monday - Friday
8am - 5pm CT and MT
Novitas Website Links
IVR Flow Guide
: Easily navigate Novitas' phone system.
Medical Policy Search
: Search by CPT and ICD-9 code or key word.
CMS Fee Schedule
Hot Topics for Novitas
Review the latest information identified as Medicare
, including the top 10 requested pages and other popular links.
TMA Knowledge Center
is always ready to help.
Articles on Novitas Transition
How's Novitas Doing?
Medicare wants to know what you think of the job Novitas Solutions is doing administering the Medicare program in Texas.
How to Report Medicare Split Post-Operative Care
What is the correct way to report split post-operative care on a Medicare claim? (Tips from Novitas)
Novitas ADR Letters: A Mailing Delay
For Additional Documentation Request (ADR) letters from Novitas Solutions dated April 1 to April 12, 2013, you have 30 days from the date you receive the letter to respond to the request.
Novitas Requires Certain Forms for Paper Documentation
Starting May 1, 2013, Novitas Solutions will return faxed or mailed documentation that is not submitted with certain approved Novitas forms.
Turning the Corner
Physicians have encountered various problems since Novitas Solutions Inc. took over from TrailBlazer last November as the Texas Medicare carrier. Novitas representatives acknowledge the company fell short in some areas, with customer service challenges and delays in appeals processing being the main ones. Texas Medical Association's Payment Advocacy staff members continue to closely monitor Novitas' operations. They remain in regular conversations with the carrier and the Centers for Medicare & Medicaid Services, which approved Novitas as the regional Medicare contractor in 2011.
Novitas Mails Medicare Revalidation Letters
On March 1, Novitas, the Texas Medicare claims processor, began sending physicians in the Medicare program letters asking them to revalidate their enrollment information. Physicians not on the March 1 mailing list will receive their letters either March 15 or March 29.
Watch for E-Prescribing Overpayment
Texas Medicare contractor Novitas Solutions has identified a problem with e-prescribing payment reductions for 2012 dates of service, resulting in overpayments for some physicians.
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