Medicare Part B News-Jurisdiction H for March 20th, 2014
The following announcements are brought to you by Novitas Solutions.


Novitas Educational Tips and Tools – NETTs: Importance of Documentation

In an effort to bring the “Importance of Documentation” to the forefront and provide you a useful resource, Novitas Educational Tips and Tools – NETTs is providing a document for your reference and use. Please select and review the “Key Points” and additional “Reference” resources available so you will be “in the know” of what is expected with your general Evaluation & Management documentation. Continue to look for notifications of future additions and join our Listserv so you receive notification of updates and important “need to know” information.
The article can be found by clicking here.
System Alert-Issued Closed

Codes 76937 & 76942 denied when performed by a Physician Assistant or Nurse Practitioner
UPDATED: (3/20/14 @ 8:45AM)
As of March 20, 2014, all claims have been adjusted. This issue is now closed.

ORIGINALLY ISSUED: (2/27/14 @ 4:00PM)
Beginning August 2, 2013 Novitas Solutions incorrectly denied Current Procedural Terminology (CPT) codes 76937 and 76942 when performed by a Physician Assistant (PA) or Nurse Practitioner (NP) in the JH jurisdiction. We have updated our processing system to allow payment for these two codes as of February 28, 2014. A mass adjustment project is being initiated to automatically adjust claims that may have been denied in error. No provider action is necessary to request adjustment of claims.

Medicare Learning Network (MLN) Matters Articles from CMS

CMS MLN Connects Provider e-News


The March 20, 2014 edition of the MLN Connects Provider e-News is now available.

**Please take note of the article included in the Claims, Pricers and Codes section of this edition:

  • Medicare Only Accepting Revised CMS 1500 Claim Form (02/12) Starting April 1













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