Hospices Brace for New CMS Five-Day Submission Requirement for the NOE

CMS announced the final rule for hospices regarding the timely filing of the NOE in transmittal 3032 sent out August 22.

In the document, CMS designates that a timely-filed NOE (Notice of Election) shall be filed within five calendar days after the hospice admission date.  This applies to the NOTR (Notice of Election Termination/Revocation) as well.  This regulation is effective for dates of services on or after October 1st.

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Previously, there were no regulations regarding the timing of submitting these transactions. The NOE and the NOTR are essentially claims submitted to CMS that do not represent any services being billed, but the execution or revocation of an agreement between the hospice and the beneficiary receiving their services. These agreements are normally executed in the field, away from the office, at the patient’s home or with representatives of their family. The NOE is used to notify CMS that the beneficiary has elected to change their relationship with Medicare and to accept all medical services related to a diagnosis through the hospice only from that point forward, until they elect to change this relationship. Continue reading

Medicare dial-up connectivity is being eliminated for 717 area code.

EDI trading partners still connecting to Novitas via the former 717 area code modem telephone number will no longer be able to connect for claim submission and report retrieval as of 12:01 AM Eastern Time (ET) on Friday, August 29, 2014.:

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The majority of our trading partners have already made these changes,

Inability to connect for claim submission, remittance and/or report retrieval. and we appreciate your assistance with this effort.  Currently, customers still connecting through the 717 area code telephone number may already be experiencing:

  • Decreased connection quality.
  • Frequent connection time-outs.
  • If your modem is more than four years old, you may need to purchase a new dial-up modem in order to connect.

Customers who have not changed to the new connections should speak to their software vendor immediately to resolve any connection issues you are experiencing.   Additionally, trading partners who are located in the 717 area code will need a long distance phone service in order to connect.

MEDTranDirect is an Approved Network Service Provider for Novitas. MEDTranDirect can provide you with a solution! MEDTranDirect provides secure high-speed Internet connectivity to online inquiry services and the Common Working File (CWF).

MEDTranDirect provides a simple and easy to use product “PayerLink” that provides access to: DDE, PPTN, VIPS, HETS, and Claims file transfer.

 

By Aaron Brandwein – Vice President of Sales and Marketing, MEDTranDirect

 

Your Medicare dial-up connectivity is being eliminated!

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Dial-up connectivity will be eliminated as an EDI data exchange option for uploading claims and downloading ERAs:

These MACs recommend that users on dial-up make the transition as soon as possible to avoid disruption to Medicare service.

MEDTranDirect can provide you with a solution! MEDTranDirect provides secure high-speed Internet connectivity to online inquiry services and the Common Working File (CWF).

MEDTranDirect provides a simple and easy to use product “PayerLink” that allows Internet connectivity for batch claims submission and ERA download.

 

By Aaron Brandwein – Vice President of Sales and Marketing, MEDTranDirect