Attention state #Medicaid agencies! Are you looking to improve efficiencies, reduce administrative costs and enhance the quality of healthcare for your members? If so, check out this article by Jessica Stimpson and Gerald A. Maccioli in MedCity News for ways to improve your state’s provider management experience: https://bit.ly/4e7O4FX
Noridian Healthcare Solutions, LLC
Hospitals and Health Care
Fargo, North Dakota 5,956 followers
Delivering solutions that put people first
About us
Noridian Healthcare Solutions, LLC (Noridian) develops solutions for federal, state and commercial health care programs through a full suite of innovative offerings, including claims processing, medical review, and contact center and provider administrative services. Headquartered in Fargo, N.D. with staff located throughout the nation, Noridian administrates people-first services across all 50 U.S. states. Leveraging its decades of experience, the Noridian team designs and implements customizable, high-quality solutions to eliminate common health care barriers, enabling access to care.
- Website
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http://noridian.com
External link for Noridian Healthcare Solutions, LLC
- Industry
- Hospitals and Health Care
- Company size
- 1,001-5,000 employees
- Headquarters
- Fargo, North Dakota
- Type
- Privately Held
- Founded
- 1966
Locations
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Primary
4510 13th Ave S
Fargo, North Dakota 58121, US
Employees at Noridian Healthcare Solutions, LLC
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Theresa Lomperski
Project, Program, and Operations Professional with a Collaborative, Entrepreneurial Spirit
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Michael Smith
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Maria James
Results-oriented, 11-year professional in leadership development, new hire onboarding, team effectiveness, and talent development. Passionate about…
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Rangaprasad Gunda
Updates
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Check out the therapeutic shoes for persons with diabetes activity timeline tool on our website. Ensure the dates of service, in-person visit, Certification Statement, and documentation from another provider (when the in-person visit is with a podiatrist, other M.D or D.O., physician assistant, nurse practitioner, or clinical nurse specialist) are within six months prior to delivery of the shoes/inserts. Also document one or more of criteria 2 a-f within the timelines identified in the Local Coverage Determination (LCD) or Policy Article for TSPD. Jurisdiction A: https://bit.ly/42T0ddi Jurisdiction D: https://bit.ly/3IgYjtw
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Tonya McDonnell, Provider Enrollment Rep., is celebrating 25 years with Noridian! When reflecting on her time at Noridian Tonya said, it is crazy to believe that this will be my 25th year with Noridian. Noridian opened an office in Jamestown and hired about 27 of us back in 1999 and I watched us grow to over 100 at one point. There are so many memories over the years that I can’t pinpoint one, but I can tell you I watched our team year in and year out support one another as family on all our ups and downs, not just work related. We have celebrated a lot of accomplishments and rallied around our team in a time of need. I will forever be thankful for the friendships I have made throughout the years. It has been a journey to say the least." Thank you, Tonya, for your commitment to excellence and all you have contributed to Noridian over the past 25 years!
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Feeding supply allowances describe a daily supply fee rather than a specifically defined “kit”. Refill requirements are not applicable to the enteral daily supply fee allowances for HCPCS codes B4034, B4035, B4036, and B4148 or the parenteral nutrition supply allowances for HCPCS codes B4220, B4222, and B4224. These codes are considered all-inclusive and include all supplies required for the administration of nutrition to the beneficiary for one day. More than one unit of service (UOS) per day of enteral administration is not reasonable and necessary. Refer to the Noridian Medicare website for additional Nutrition resources. Jurisdiction A: https://bit.ly/43C54yT Jurisdiction D: https://bit.ly/3MFnQhW
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One of the top reasons for a claim denial is when a patient is in a skilled nursing facility (SNF). To prevent such denials, suppliers should verify a beneficiary’s eligibility and discharge status code using the Noridian Medicare Portal (NMP). On the NMP, under the eligibility tab, suppliers can check the discharge status code to determine if the beneficiary is eligible for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items. Ensuring that the discharge status code indicates the beneficiary has been discharged to home is crucial for coverage eligibility. Reviewing the Inpatient SNF Hospital Summary tab on the NMP, which includes details like billing NPI, admit and end dates, and discharge status code, can provide additional insight for eligibility of DMEPOS items. If the discharge status code does not show that the beneficiary has been discharged to home, suppliers may need to coordinate with the facility to confirm discharge and update the medical record accordingly for reimbursement to occur. The discharge to home is required for DMEPOS items to be considered for reimbursement. https://bit.ly/46O7Tzk
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You will be able to effectively avoid Medicare prior authorization compliance pitfalls. You will learn the keys required to insure you leave no stone unturned, so Mr. Holmes (Sherlock) is not searching for you. Part A: JEA: https://bit.ly/2ZDzOnl JFA: https://bit.ly/2ZDzOnl Part B: JEB: https://bit.ly/3bvwkGf JFB: https://bit.ly/2ZDzOnl
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Ready to kick off the NPEC? Here's your guide to the main ballroom and registration! Follow the signs to make sure you don't miss a beat. See you there! For more information visit, https://bit.ly/3Mn8EGj #NPEC2024 #ProviderEnrollment
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We're thrilled to spotlight Dr. Jeanna Blitz, MD, FASA, DFPM, one of our esteemed Contractor Medical Directors for her leadership in developing AI ethics training for physicians! Dr. Blitz is contributing to The Health AI Partnership, a national initiative focused on the safe and equitable use of AI in healthcare. This training will guide healthcare leaders through the complex ethical considerations of AI in medicine. Thank you, Dr. Blitz, for your invaluable contributions in shaping the future of AI ethics!
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We’re just 5 days away from the National Provider Enrollment Conference in San Diego, where Noridian is honored to co-host alongside the Centers for Medicare & Medicaid Services from August 28-29! This collaboration is a testament to our commitment to supporting healthcare providers nationwide. Get ready for two days of insightful sessions, networking opportunities, and discussions that will shape the future of provider enrollment. We'll see you in San Diego!
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