Novitas, the Medicare Administrative Contractor (MAC) for Jurisdictions L (and Jurisdiction H), is always looking for ways to improve our customers’ Medicare experience. Novitasphere, a FREE, secure internet portal for providers, billing services, and clearinghouses, is one of the great ways we do just that. We are excited to announce a number of new features that were implemented in April 2018 as well as new features coming in June 2018.
Exciting New Features:
Immediate Recoupment Requests: The immediate recoupment process is for providers who have received an overpayment demand letter from Medicare. Providers may elect to have overpayment(s) repaid through the immediate recoupment process and avoid paying by check or waiting for the standard recoupment that begins 41 days from the date of the initial demand letter.
Appeals Requests for Redeterminations: The Appeal Requests feature is available to submit Redetermination and Clerical Error Reopening requests for finalized claims.
General Inquiry Requests: This feature is available to submit a general question to Medicare, such as questions related to coverage guidelines, policy issues, or how to bill Medicare. This form should not be used to submit claim-specific questions, questions that require PHI to research, or Novitasphere-related questions.
Medical Review Claims: The Medical Review Claims feature is available to perform a search of medically reviewed claims to obtain Additional Documentation Request (ADR) dates, ADR letter copies, review status, and education information.
We have also implemented some changes to make Novitasphere even better for our users. For example:
Changes to the Part B Claims Status and Claim Correction required search criteria allow for easier searches. Specifically, the Patient Medicare Number, First Name Initial, and Last Name fields are no longer required to search for claims. You may choose to narrow your search by using these fields, but they are no longer required fields.
Features that request the Patient’s Medicare Health Insurance Claim (HIC) Number will now allow the new Medicare Beneficiary Identifier (MBI) to be entered.
Additionally, more changes are coming to Novitasphere this summer. To assist providers with the Medicare Beneficiary Identifier (MBI) transition, the MBI Lookup tool will only be available in Novitasphere beginning in June 2018. This will be your go-to resource to look up the beneficiary’s MBI number if the beneficiary has not provided an updated card. If you are not already enrolled for Novitasphere, we strongly encourage you to enroll now. To see what customers are saying about Novitasphere, check out our customer testimonials:
To learn more about Novitasphere, we offer a monthly series of educational webinars to review the features within Novitasphere. We encourage you to join us for our upcoming presentations for the Novitasphere Part B Overview, Novitasphere Enrollment Overview, Novitasphere Claim Submission Overview, Novitasphere Claim Correction Overview, or Novitasphere Hot Topics and Frequently Asked Questions.
Please visit the Educational Events page of our website to register for an upcoming event.