Need help with Medicare payment issues or with Medicare coding? Do you need information about Medicare enrollment or about participation options? Or are you looking for information about the future of Medicare – what about the payment update, new provisions in the federal Affordable Care Act, new bonuses or new compliance requirements?
Do you have questions and need quick answers? Contact Novitas Solutions with questions.
(855) 252-8782Mon.-Fri. (8 am-5 pm)
Use these Novitas website links for quick information:
IVR Flow Guide: Easily navigate Novitas' phone system.
Medical Policy Search: Search by CPT and ICD-9 code or key word.
CMS Fee Schedule
You can also contact the TMA Knowledge Center at (800) 880-7955, or read the latest Medicare E-Tip from TMA.
The newly adopted 2018 Medicare Physician Fee Schedule has added a few new codes to the list of telehealth services Medicare will cover.
Barely 20,000 clinicians nationwide will get bonuses of 6.6 percent to 19.9 percent per claim in their Medicare Physician Fee Schedule payments this year, according to results of the final 2018 Value-Based Payment Modifier (VM) program.
TMA believes the patient-physician relationship must be preserved regardless of patients’ health conditions, ethnicity, economic circumstances, demographics, or treatment compliance patterns. Unfortunately, many pay-for-performance strategies, commonly referred to as “value-based payment models,” that intend to contain health costs could undermine this relationship.
Medicare-Eligible TRS Retirees Move to New Humana Health PlanIf you were contracted with Humana MA, you will be paid your contracted rates. If you were not contracted with Humana and you elect to see patients covered under the new TRS-Care MA plan, Humana is required to pay you the Medicare-allowed amount.
Can’t Say It Enough: Document, Document, DocumentWhen Medicare delves into claims errors, one stands out above the rest: insufficient documentation.
Medicare Adds Telemedicine CodesThe newly adopted 2018 Medicare Physician Fee Schedule has added a few new codes to the list of telehealth services Medicare will cover.
Ten Services You Can Bill Medicare for Separately From a Surgical Procedure See which services fall outside “normal,” so you can bill Medicare for them separately from that surgical procedure.
How to Identify Dual-Eligible Patients You must accept as payment in full the Medicare payment and Medicaid payment for services you provide to a patient enrolled in the Qualified Medicare Beneficiary (QMB) program.
Ways to Avoid a Medicare AppealNovitas Solutions reports receiving 1.7 million requests per year to correct minor errors or omissions of Medicare claim information.
Medicare Revalidation: It Begins Again Medicare provider enrollment revalidation has entered phase two. The Centers for Medicare & Medicaid Services (CMS) has completed its initial round of revalidations under the Affordable Care Act (ACA) and will be resuming regular revalidation cycles — for physicians, that generally means revalidation every five years.
Hospice Certification Form How-toUnclear about exactly what information a Medicare hospice certification or recertification form must contain? CMS offers guidance on essential elements the form must have.
Got Medicare questions? Call the Knowledge Center.
Medicare Fee Schedules - Novitas
Electronic Billing (EDI) Center - Novitas
Claims and Billing Center - Novitas
Evaluation & Management Center - Novitas
Provider Enrollment Center – Novitas
Use TMA’s free tool to screen physicians from whom you receive order/referrals to make sure they are enrolled in the Medicare program.
More than ten million Medicare beneficiaries currently receive their Medicare coverage through Medicare Advantage (MA); a program in which Medicare contracts with and pays private health plans to provide coverage for Medicare benefits.