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SMRC: Noridian is in, StrategicHealthSolutions is out


FARGO, N.D. – Noridian Healthcare Solutions has taken over yet another CMS contract.

Noridian named new SMRC contractor


FARGO, N.D. – Noridian Healthcare Solutions has been awarded a $227 million Supplemental Medical Review Contractor (SMRC) contract by CMS. The primary role of the SMRC is to conduct nationwide medical review of Part A, Part B and DME providers as directed by CMS.

It’s a bumpy start for prior authorizations


WASHINGTON – CGS and Noridian have begun accepting prior authorization requests for K0856 and K0861, but complex rehab providers say they still don’t have all the information they need to comply with the program.

Short takes: Medtrade, Noridian, AAHomecare, NSM


Medtrade will have a dedicated area for showcasing point-of-purchase displays. “Ideas in Caretail: Point-of-Purchase and Small Spaces” will be offered in cooperation with The VGM Group and KC Fixtures. Medtrade will take place Oct.

Review finds 63% error rate for CPAP devices


FARGO, N.D. – A pre-payment review by Noridian found potential improper payment rates of 63% for CPAP devices from February to May 2014.

In brief: Clock ticks on MPP, MAC outlines responsibilities


WASHINGTON – All eyes in Washington, D.C., last week may have been on the Affordable Care Act and the website that couldn’t, but that didn’t stop stakeholders from meeting with legislative staffers to get a sense of what the industry might accomplish before the end of the year.

Reviews underway for oxygen, neb meds


FARGO, N.D. – Noridian, the Jurisdiction D DME MAC is conducting prepayment reviews of oxygen and oxygen equipment claims, and compliance reviews of neb-med claims.

Noridian reports overpayments on PMD rentals


FARGO, N.D. – Noridian Administrative Services has reported overpayments on some power mobility devices in Round 2 competitive bidding areas. Noridian says the problem stems from a system issue that led to DME MACs paying a higher rate than allowed under the program.

Noridian gets new Medicare contract


FARGO, N.D. – Noridian Administrative Services has been awarded a new Medicare claims processing contract, according to an article in the Grand Forks Herald.

CMS admits RAC got it wrong


CMS plans to halt automated CPAP audits in Jurisdiction D after learning that its contractor has misinterpreted Medicare policy, AAHomecare reported this week.