Attention Suppliers with CERT Reviews related to DME MAC Jurisdiction D (Noridian)!

On April 26, 2017, Noridian sent the following notice to ListServ subscribers:

Notice – Some Jurisdiction D Demand Letters incorrectly identified Performant Recovery as the claim review contractor

Noridian Jurisdiction D mailed 3,647 initial demand letters during the period of March 15, 2017 through April 21, 2017 that incorrectly identified Performant Recovery (the Jurisdiction D Recovery Auditor) as the contractor who reviewed the claim. While these demand letters stated that suppliers could contact Nordian with any questions about the demand letter, they included an incorrect paragraph stating that suppliers could also contact Performant (and provided contact information) to discuss the demand letter. This paragraph was incorrect since Performant was not the review contractor.

Suppliers should call JD Customer Service: 877-320-0390 (M – F, 8 a.m. – 6 p.m. CT) with any questions about these incorrect demand letters. Please note Noridian Customer Service can always be contacted with any questions on a JD demand letter, no matter who was identified as the reviewing contractor in the letter.

Noridian apologizes for this error. Please call JD Customer Service: 877-320-0390 (M – F, 8 a.m. – 6 p.m. CT) with any questions about this listserv message.

The CERT contractor reviews claims on a post-payment basis to ensure appropriate coverage and billing guidelines were applied, both by the Supplier and the DME MAC. Improperly paid claims compile the DMEPOS error rate. As a reminder, it is imperative that you respond to CERT requests in an attempt to reduce the error rate by showing your compliance with Medicare rules and regulations. For more information about CERT, visit the Noridian JD website here.

If you have been audited by the CERT, or other audit contractors, The van Halem Group can help. We offer a variety of services to assist you in various stages of the audit process. Visit the Products and Services section of our website to learn more!