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Archive for all Region 1 and Region 5 Updates

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April 25, 2017

Dear DMEPOS Suppliers, it has come to our attention that Noridian for MAC Jurisdiction D, between March 15, 2017 and April 21, 2017 inadvertently mailed 3,647 initial demand letters to DMEPOS Suppliers which incorrectly identified Performant as the applicable review contractor for claims related to the Comprehensive Error Rate Testing (CERT) audit process.  Noridian has corrected the incorrect reference as of April 24, 2017 and will be mailing out updated letters to the affected suppliers over the next week.

Please note, Performant is not the applicable review contractor for these CERT audits and is not involved in any way with these claims.  Providers should contact Noridian’s Customer Service Department at (877)320-0390 (M – F, 8:00 am to 6:00 pm CST) if there are any questions that pertain to these CERT claims.

April 21, 2017

Medical records for our first set of ADR’s have been coming in at a record pace.  Thank you!  In order to keep operations running smoothly, we have a few tips for those submitting records via CD or FAX that will help to ensure your records are processed timely and accurately:

  • Files loaded to CD’s must be loaded with the proper naming convention of NPI-Claim number (an example can be found in the ADR letter).
  • If submitting a large record on a CD (200 MB+), please break it into volumes (i.e. NPI-Claim number Vol 1, NPI-Claim Number Vol 2, etc.).  If you do not want to break it into volumes, please ensure the settings on the CD allow us to modify the files so that we can separate large files into volumes for you.
  • When submitting CD’s with passwords, please use the standard password found in the ADR letter or if submitting with your own password please email that password to the RAC Mailbox at info@performantrac.com before sending us the CD.
  • If you want to fax records, please limit the page count to 50 pages or less.  Faxes larger than 50 pages will fail or be incomplete due to size and transmission time limitations (meaning the Fax machine will “time-out” and the transmission will fail).  Records larger than 50 pages must be submitted via CD, Paper, or esMD.

If there is an error in the submission format, Customer Service will make a courtesy call to advise you of the error.  If the files are submitted incorrectly or fail a second time, the files will be rejected and you will have to resubmit them with the correct format.  Please don’t forget, you can check status for the receipt of records by signing into the provider portal.

Thank you in advance for your understanding and assistance.

March 16, 2017

There is now a recording available of the RAC Region 1 Provider Outreach presentation.  Click on the link below and complete the registration form.  Once you have registered the recorded presentation will begin.

https://attendee.gotowebinar.com/register/5257189885021016066

March 8, 2017

Performant, Region 1 (which includes MI, IN, KY, OH, VT, NH, ME, MA, RI, CT and NY) has received CMS approval to begin audit activity.

Performant, Region 5 (National DMEPOS/HHH) has received CMS approval to begin audit activity for DMEPOS suppliers.

February 14, 2017

The Provider Outreach presentation for Region 1 is located on the Region 1 Resources Page here.

The Provider Outreach presentation for Region 5 is located on the Region 5 Resources Page here.