What’s New with Novitasphere Part B

 

Novitasphere, the FREE, secure internet portal for the Medicare Administrative Contractor (MAC) Jurisdictions H and L providers, billing services, and clearinghouses, is always looking for ways to improve the customer experience.  We are excited to announce that we have implemented a number of new features in the month of April 2018.

  • Immediate Recoupment Requests: The immediate recoupment process is for providers who have received an overpayment demand letter from Medicare. You may elect to have your 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 used to submit Redetermination and Clerical Error Reopening requests for finalized claims.
  • General Inquiry Requests: This feature may be used 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 can be used 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.

  • Part B Claims Status and Claim Correction required search criteria changes.  To allow for easier searches, 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.
  • Features that request the Patient’s Medicare # 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 your patient’s MBI number if they have not provided you with their 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.

You may also visit our website for more information about Novitasphere, including enrollment forms and instructions.

For questions regarding Novitasphere, please contact a Novitas EDI Analyst at 1-855-880-8424.