New Medicare contractor for Jurisdiction 2 - Noridian Out - NHIC In!
- National Heritage Insurance Corporation In, Noridian Out as Medicare
This is information I recently received and it was published by the
WSMA. I have not found anything on Noridian or Medicare's web site yet.
National Heritage Insurance Corporation (NHIC) has been awarded the
contract for the combined administration of Medicare Part A and Part B
fee-for-service claims for Jurisdiction 2, a geographic area comprised
by the States of Alaska, Idaho, Oregon, and Washington, CMS has
announced. NHIC is expected to assume full responsibility for the
contract by December 31, 2008. Noridian has had the contract since 1997.
The Medicare Modernization Act (MMA) of 2003 included a provision which
requires that by 2011 CMS must replace all current Medicare Part A
fiscal intermediaries and Part B carriers processing fee-for-service
claims with Part A/Part B Medicare Administrative Contractors (A/B
MACs), which will process almost all provider and supplier
fee-for-service claims for a given Jurisdiction.
CMS will go through this contracting drill no less frequently than once
every five years. The contract is a cost-plus-award-fee contract. NHIC
is expected to immediately begin implementation activities and is to
assume full responsibility for the work by the end of December 2008.
The WSMA is very sensitive to the potential loss of both access to and
responsiveness by the new contractor and we'll press CMS and NHIC to
maintain the same level of responsiveness achieved through Noridian.
WSMA also encourages you to share your comments/experiences as these
events unfold. The WSMA will continue to work with the CMS Region 10
office, as well as with Noridian and NHIC as this transition process
moves forward. We will also be posting background information and
periodic updates on the WSMA's Practice Resource Center
Melinda Brown, CMBS
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