With a radio button built into the Medicare Eligibility – Summary Dashboard, one-click auto fills the patient’s details into the Same or Similar fields with a second click completing the Same or Similar Check. pVerify supports unlimited uploads of Medicare patients to be processed for their Same or Similar Claims History.
How to check Medicare same or similar status quickly and efficiently?
You can check your beneficiaries Medicare same or similar status quickly and efficiently with episode alerts letting you get through DME medical billing in no time. We have also added a handy option most other DME billing software don't have.
How do I enter same or similar HCPCS codes?
Option 1: Enter the date of service and a HCPCS code tracked for Same or Similar. The HCPCS code must be listed on the Same or Similar Reference Chart. Same or Similar is not available for HCPCS codes beginning with G, J, L, Q or V.
How do I use the same/similar tool?
Use the Same/Similar Tool to determine if an item may be considered the same as, or similar to, equipment already in possession of the beneficiary when billing base items. Just enter the HCPCS code to view the results!
Are You a Medicare DME provider who wants to save time?
If you are a Medicare DME provider who wants to save time and money, you are in the right place. You can check your beneficiaries Medicare same or similar status quickly and efficiently with episode alerts letting you get through DME medical billing in no time. We have also added a handy option most other DME billing software don't have.
What is same and similar?
Same means that two (or more) things are identical. For instance, a person might have two identical plastic cups or three pairs of ankle-cut socks by the same company and in the same color. Similar means that two (or more) things are nearly identical but not quite.
Is noridian same as Medicare?
Since CMS opened its doors in 1966, Noridian has been a trusted Medicare Administrative Contractor (MAC), evolving alongside the agency through the years. Today, Noridian has nationwide, multiyear contracts serviced by employees throughout the United States.
What is same or similar Medicare?
'Same and Similar' denials occur when the patient's CMN history indicates a piece of equipment or item is the same or similar to the service or equipment being billed.
What is noridian Medicare portal?
The Noridian Medicare Portal (NMP) is a free and secure, internet-based portal that allows users access to beneficiary and claim information. The portal is available for all Part A, Part B and Durable Medical Equipment (DME) users in the Jurisdictions of JA, JD, JE and JF.
Are your reports up to date?
Yes, Our reports are real-time straight from CMS.
Can I run multiple checks or batch mode?
Yes, we offer batch mode so you can check batches of beneficiaries to save you time.
How do you determine if equipment type is ok to sell?
We use Noridian's Same or Similar Chart to determine if the beneficiary has any active equipment (Same or Similar).
Is Noridian's Same or Similar Chart updated?
We use Noridian's Same or Similar chart as a reference. Their Reference Chart is updated daily.
How long does it take to check a beneficiary's status?
Physicians, DME/HME, and other providers can check a beneficiary's same or similar status in under a minute with our service. Allowing your sales team the crucial time they need.
Can you run Medicare eligibity checker with DME?
We have also added a handy option most other DME billing software don't have. You can run that S&S patient through or Medicare eligibity checker with a click of a button.
What is a claim status in pVerify?
pVerify’s Claim Status allows users to check the current status from the payer to discover the claim was accepted, or denied, and review the Status Codes to determine if action is required.
Does pVerify allow Medicare patients to upload their claims history?
pVerify supports unlimited uploads of Medicare patients to be processed for their Same or Similar Claims History.
Does Medicare have a similar claim history?
Eligibility of a Medicare patient must be run prior to the Same or Similar Claims History review in order to confirm there is no HMO or PPO Payer. With a radio button built into the Medicare Eligibility – Summary Dashboard, one-click auto fills the patient’s details into the Same or Similar fields with a second click completing the Same or Similar Check.
Can a patient have received a piece of equipment?
In order for a supplier to be paid for issuing an item to a patient, that patient cannot have received that piece of equipment or one considered similar for a specific window of time. Therefore, each patient’s claim history must be reviewed prior to issuing any item.
Does pVerify pay Medicare?
In order for a supplier to be paid by Medicare for an item, they need to confirm that Medicare is the Primary Payer. pVerify’s Medicare Eligibility allows for unlimited batching, single patient verification, and provides a Medicare Summary Dashboard for quick and informed review. Inpatient SNF. Most eligibility venders provide Skilled Nursing ...
What happens if there is no similar product grouping for a HCPCS?
If no ‘Similar’ product grouping is designated for a HCPCS, the HCPCS must be checked for ‘Same’
Does Noridian have a similar grid?
Noridian has published a Same and Similar grid that is available on their website.
How long does it take to redetermine a DME?
While a redetermination must be completed within a 90-day period (once received by the carrier), it will typically take only 30 days using the provider portal.
What is the DME MAC interested in?
Recent communication between APMA and the DME MAC Medical Directors seems to indicate that the DME MACs are interested in developing new edits to substantially reduce the number of “Same or Similar” rejections.
Can a supplier receive the same or similar rejection?
Suppliers may still initially receive a “Same or Similar” rejection. However, a properly documented progress note including the above information may be used to successfully appeal (Redetermination) a “Same or Similar” rejection.
Does Noridian provide the same or similar information?
The Noridian Provider Portal will only provide “Same or Similar” information regarding services provided in Regions A and D, while MyCGS will only provide “Same or Similar” Information for services provided in Regions B and C.
