Skip to content | Skip to navigation


email buttonBecome an EDISS Email Subscriber

 

Be the first to receive monthly education, holiday and/or building closure notifications, and special announcements. Take a moment to confirm and remind staff within your organization to review and take advantage of these high value emails available. Join Now

 

Production Alerts

Title Submitters Affected Description
Medicare Remittance Advice Delivery Delay - Resolved 2/17/2021 For All Medicare Submitters Remittance Advice Delivery delay for a subset of Part A and for Part B CA, CB, HI, NV, UT, MT, ID, and SD.
277CA Report Delivery Delay - Resolved 2/15/2021 For Medicare Part B Submitters Medicare Part B 277CA Delivery Delay for a subset of JE and JF from 2:06 PM on 02/12/2021 to 8:35 AM on 02/15/2021.

Production Alert Archives

 

What's New

Top Ten Medicare Edits
For All Medicare Submitters

EDISS has created a listing of the top ten Medicare Part A and Medicare Part B edits. This information can be used by submitters to avoid common claim rejections. The Top Ten Medicare Edits will be updated quarterly and can be found on the Reports tab or at Top Ten Medicare Edits.

 

Noridian Custom Edits (NCE) to Begin October 4, 2020
For All Medicare Submitters

 

As previously educated, Noridian Custom Edits (NCE) integration is complete and will go live October 4, 2020.

 

NCE will populate in the STC elements of the 277CA with distinct code sets that can be cross referenced to the NCE Spreadsheet. To assist submitters' NCE review, Noridian established an edit spreadsheet at http://www.edissweb.com/blue/reports/. This listing will increase as new edits are created and rolled out.

 

NCE will be reported in the 2200D STC and 2220D STC segments. The edit message will be in STC12. An example is included below:

 

STC*A3:23:41**U*********SMARTEDIT PATTERN 17198 PER MEDICARE GUIDELINES USE OF MODIFIER RH IS NOT TYPICAL FOR PROCEDURE CODE A0394.~

 

NCE enhance claims editing for both providers and payers and integrate with existing claims acknowledgement reporting (277CA) on 837 electronic claim submissions.

 

NCE allow Noridian to do the following:

 

  • Help identify problematic or “certain to deny” claims prior to Noridian claims processing
  • Alert providers of errors and potential claim processing issues around medical necessity, non-covered services, missing modifiers, and other clinical editing
  • Deliver timely and clear notifications of how to fix claim errors
  • Save administrative time tied to claim resubmissions
  • Improve transparency of claim editing and claims processing

 

ISA13 Requirement for Claim Submission Calls
For All Submitters

 

To provide the most efficient customer service possible for our Submitter community, EDISS will be implementing a change to what information is required when calling for claim submission assistance. Effective 8/1/2020, EDISS will require the ISA13 (Interchange Control Number) element from the inbound file for questions regarding claim submissions. This will specifically be required for Submitters who send more than 500 inbound files per day or in cases where the inbound file is not able to be located.

 

Providing this information ensures that EDISS reviews the correct file. Callers who do not have this may be asked to call back once they have obtained the ISA13 element.

 

A message from Noridian on COVID-19 and business continuity

 

Noridian Healthcare Solutions, LLC remains committed to its role in supporting essential functions for the Medicare FFS and Medicaid programs during the COVID-19 pandemic. Last week we moved 900 employees to temporary work from home. With nearly half of our employee base telecommuting already, we were very prepared for that move. Our process was organized, controlled, and phased to provide for continuity of business operations and the safety of our employees. Today 99 percent of our employees are work-from-home. Each of our office locations is closed, and access to those is restricted to a handful of employees with an approved business need. Those employees are operating under CDC recommended social distancing. We will continue to perform our work with quality and care.

 


 

 

 

Current System Status

Quick Links

Scheduled Maintenance Downtime
for HIPAA Production Line