The IHS Part B claim submission errors and resolutions for April 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for April 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B claim submission errors and resolutions for March 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for March 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for February 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for February 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for January 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for January 2022 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for December 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for December 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for November 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for November 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for October 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for October 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for September 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for September 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for August 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for August 2021 are now available. Please take time to review these errors and avoid them on future claims.
CMS has updated the COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing for Indian Health Service (IHS) Hospitals. The update for Indian Health Service (IHS) and Critical Access Hospitals (CAH) is listed in Section QQ, question 6. Refer to Hospital Billing for Remote Services, Section LL for additional information. Note: Currently there is no waiver in place for timely filing.
The IHS Part B claim submission errors and resolutions for July 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A claim submission errors and resolutions for July 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for June 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for June 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for May 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for May 2021 are now available. Please take time to review these errors and avoid them on future claims.
Indian Health Services (IHS) Virtual Symposium is here. Register now to reserve your seat!
When: June 8, 9 and 10, 2021
Where: Online
Interact with Medicare representatives
Participate in virtual, interactive presentations and demos
Learn about upcoming changes and important reminders regarding Medicare
Ask questions and receive real-time answers
Earn CEUs
Whether you are a new or experienced provider, biller, office staff member, or compliance officer, Medicare can sometimes be challenging. This virtual symposium allows you to participate, by webinar, for six classes; two each day.
View the topics for the symposium and register for events.
To register and participate in an educational event, you must have an account in the Novitas Learning Center. If you do not have one, request an IHS account today!
Need help signing in (account name or password issues), registering or starting a class? Access our step by step tutorials: event handouts in the Novitas Learning Center, starting a webinar through the Novitas Learning Center and a quick reference guide. If you still need help, email us at NovitasLearningCenterHelpDesk@novitas-solutions.com and we will respond with assistance as soon as possible.
IHS Hospital Payment Rates for Calendar Year 2021 (Change Request 12182), published on March 31, 2021, revised the IHS acute care hospital outpatient payment rate (All-Inclusive Rate (AIR)) and the inpatient ancillary Part B rate. This annual update is effective for dates of service on or after January 1, 2021. The new rates have been updated and the mass adjustments on previously paid 2021 claims will begin June 2021. The new rates are listed below.
Lower 48 States
Medicare Inpatient Ancillary Part B - $678
Medicare Outpatient per Visit Rate - $414
Alaska
Medicare Inpatient Ancillary Part B - $1,039
Medicare Outpatient per Visit Rate - $662
The IHS Part A top claim submission errors and resolutions for April 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for April 2021 are now available. Please take time to review these errors and avoid them on future claims.
This document provides billing guidance for Indian Health Services, Tribal and Urban Indians providing COVID-19 vaccine administrations and mAb administrations.
The IHS Part A top claim submission errors and resolutions for March 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for March 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for February 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for February 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for January 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for January 2021 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for December 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for December 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for November 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for November 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for October 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for September 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for September 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for August 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for August 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for July 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for July 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for June 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for June 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A top claim submission errors and resolutions for May 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for May 2020 are now available. Please take time to review these errors and avoid them on future claims.
IHS Hospital Payment Rates for Calendar Year 2020 (Change Request 11787), published on May 15, 2020, revised the IHS acute care hospital outpatient payment rate (All-Inclusive Rate [AIR]) and the inpatient ancillary Part B rate. This annual update is effective for dates of service on or after January 1, 2020. The new rates have been updated and the mass adjustments on previously paid 2020 claims will begin late June 2020. The new rates are listed below.
Lower 48 States
Medicare Inpatient Ancillary Part B - $838
Medicare Outpatient per Visit Rate - $427
Alaska
Medicare Inpatient Ancillary Part B - $1,186
Medicare Outpatient per Visit Rate - $683
The April 2020 Part A top claim submission errors and resolutions for Indian Health Services are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for April 2020 are now available. Please take time to review these errors and avoid them on future claims.
The March 2020 Part A top claim submission errors and resolutions for Indian Health Services are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B top claim submission errors and resolutions for March 2020 are now available. Please take time to review these errors and avoid them on future claims.
The MAC Satisfaction Indicator (MSI) is the best way to share your opinions directly with the Centers for Medicare & Medicaid Services (CMS) about your experience with us. These survey results will help us gain valuable insights and determine process improvements.
https://www.surveygizmo.com/s3/5439699/?MAC_BRNC=7&MAC=JH-Novitas
Thank you for your feedback.
Our Novitas Solutions team would like to take a moment to say thank you to our providers. We appreciate the feedback you provided us in the last year through surveys such as the Medicare Administrative Contractor Satisfaction Indicator (MSI). Your opinion of the service we provide matters to us.
Over the past year, we’ve implemented several improvements influenced by how we can better service you. Here are some of the positive changes:
Customer service: We’re decreasing the time it takes to resolve your complex questions. We reduced our average callback rate by almost 50% for telephone inquiries, providing resolution to your questions at first contact.
Written Inquiries: We reduced our overall processing time by 20%, answering your written inquiries with in an average of 35 days. Our intent is to further improve our response time in 2020.
Provider Outreach and Education: We completed our project to streamline our website’s content centers to allow you to find popular topics and new self-service tools (including a modifier lookup and an enrollment decision tree) even faster.
Website Usability: We enhanced our web search for cleaner results, and upgraded our navigation and layout for easier mouse use on desktops as well as touchscreen tablets and phones.
To these points, as well as others you have brought our way in the past, we say "Thank you!" We look forward to our continued partnership so that we understand how to better service you.
The February 2020 Part A IHS top claim submission errors and resolutions are now available. Please take time to review these errors and avoid them on future claims.
The February 2020 IHS top claim submission errors and resolutions are now available. Please take time to review these errors and avoid them on future claims.
The 2020 Medicare administrative contractor (MAC) Satisfaction Indicator (MSI), a survey administered by the Centers for Medicare & Medicaid Services (CMS), is coming in March. The MSI measures your satisfaction with our processes and service delivery so we can gain valuable insights and determine process improvements.
We appreciate your feedback in 2019. Novitas Solutions used your feedback and survey results to make improvements to our services that better serve you. Watch for an announcement on our website on how you can participate in the 2020 survey.
For additional information on the survey, you may visit the MSI page and the MSI frequently asked questions on the CMS website.
The 2020 Indian Health Services Workshop is coming soon to a location near you. Save the date!
Join Novitas Solutions at an IHS 2020 Workshop! This workshop is held at various locations throughout the country. You will have the opportunity to meet with the Novitas Provider Outreach and Education team and network with your colleagues. This full day workshop is dedicated to help you develop a well-rounded understanding of the Medicare program, review services covered by Medicare, and avoid costly common billing errors.
This instructor-led workshop explores various important Medicare topics for billing IHS services. The topics include: Medicare benefits, provider enrollment requirements, patient screening tools, the Medicare Beneficiary Identifier, billing guidelines for Part A and B services, common claim submission errors, Medicare initiatives and more. The workshop will review the self-service tools available on the Novitas website and in the IHS Training Manual.
The IHS Part A top claim submission and reason code errors and resolutions for January 2020 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for January 2020 are now available. Please take time to review these errors and avoid them on future claims.
Please note that due to legislative changes just before the end of 2019, you may have downloaded previously posted fee schedule files with amounts that have changed since first announced in November. We are recommending that customers who have saved downloaded files in PDF, Text, or Excel formats visit our Fee Lookup Tool and download current versions of any files to ensure that you have the correct data to reference.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for December 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for December 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for November 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for November 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for October 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for October 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for September 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for September 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for August 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for August 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for July 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for July 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for June 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for June 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for May 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for May 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for April 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for April 2019 are now available. Please take time to review these errors and avoid them on future claims.
Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2019 (Change Request (CR) 11217), published on April 5, 2019, revised the IHS acute care hospital outpatient payment rate (All-Inclusive Rate (AIR)) and the inpatient ancillary Part B rate. This annual update is effective for dates of service on or after January 1, 2019. Mass adjustments on previously paid 2019 claims will begin mid-May 2019. The new rates are listed below.
Lower 48 States
Medicare Inpatient Ancillary Part B - $789
Medicare Outpatient per Visit Rate - $405
Alaska
Medicare Inpatient Ancillary Part B - $1,144
Medicare Outpatient per Visit Rate - $646
The 2019 Medicare Satisfaction Indicator (MSI) survey, which allows you to share your comments on our services with CMS and Novitas Solutions, will remain available for just a limited time. If you have completed a survey this year, we appreciate it! If you have yet to visit the survey, or previously attempted to and needed more time to complete one, we would love to hear from you. Survey results will help us gain valuable insight about what works well for you and determine process improvements.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for March 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for March 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for February 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for February 2019 are now available. Please take time to review these errors and avoid them on future claims.
Change request (CR) 11163 adds procedure codes G2001-G2009 and G2013-G2015 to the MPFS effective for dates of service on and after January 1, 2019. The Centers for Medicare & Medicaid Services (CMS) communicated instructions for new codes G2001-G2009 and G2013-G2015 through a separate CR (CR 10907). Please consult MLN Matters article MM10907 external PDF file for these instructions and other information. In addition, CR 11163 revises the assistant surgery, co-surgeon, and team surgeon indicator for code G9987.
Contractors will not search their files to either retract payment for claims already paid or to retroactively pay claims, however, they will adjust claims that you bring to their attention.
In accordance with the Medicare Claims Processing Manual (Publication 100-04), Chapter 23, Section 30.1, this should be considered the 30-day notice of a change to the 2019 Medicare physician fee schedule scheduled for April 1, 2019.
More information is available in MLN Matters® article MM11163.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for January 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for January 2019 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for December 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for December 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for November 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for November 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for October 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for October 2018 are now available. Please take time to review these errors and avoid them on future claims.
The December Calendar of Events is now available. Visit the Education Center of our website for additional information and registration opportunities.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for September 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for September 2018 are now available. Please take time to review these errors and avoid them on future claims.
The Medicare October-November 2018 Calendar of Events is currently available for your reading pleasure. Please visit the Education Center of our webpage for additional information and registration opportunities.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for August 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for August 2018 are now available. Please take time to review these errors and avoid them on future claims.
Based on the implementation of the IOCE specifications from Change Request (CR) 10699, for claims received on or after July 1, 2018, regardless of the date of service, Critical Access Hospitals (CAHs) and Indian Health Service (IHS) hospitals that previously were not subject to NCCI edits '20' (W7020) and '40' (W7040) are now subject to these edits. Review the article for details.
The September 2018 Calendar of Events is now available for your immediate review. Visit the Education page of our website for additional information and registration opportunities.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for July 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for July 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for June 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for June 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for May 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for May 2018 are now available. Please take time to review these errors and avoid them on future claims.
Our downloadable data files have been updated to reflect the July MPFSDB update. The left column of our fee schedule search tool allows you to search for individual codes. Download complete fee schedules using the right column.
The 2018 June Calendar of Events is now available for your reading pleasure! Please visit the Education and Training page of our website for additional information and registration opportunities.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for April 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for April 2018 are now available. Please take time to review these errors and avoid them on future claims
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for March 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for March 2018 are now available. Please take time to review these errors and avoid them on future claims.
Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2018 (Change Request (CR) 10511), published on March 2, 2018, revised the IHS acute care hospital outpatient payment rate (All-Inclusive Rate (AIR)) and the inpatient ancillary Part B rate. This annual update is effective for dates of service on or after January 1, 2018. Mass adjustments on previously paid 2018 claims began on April 9, 2018. The new rates are listed below.
Lower 48 States
Medicare Inpatient Ancillary Part B - $740
Medicare Outpatient per Visit Rate - $383
Alaska
Medicare Inpatient Ancillary Part B - $1,061
Medicare Outpatient per Visit Rate - $595
Checkout the new update to the 2018 I.H.s. Calendar of Events.
Don't miss your opportunity to get I on additional education and training. Visit the Education and Training page of our website for additional information and registration opportunities.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for February 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for February 2018 are now available. Please take time to review these errors and avoid them on future claims.
The March 2018 Part A Calendar of Events is available for your immediate review. Visit the Education and Training page of our website for additional information and registration opportunities.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for January 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for January 2018 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for December 2017 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for December 2017 are now available. Please take time to review these errors and avoid them on future claims.
Novitas is aware that the IHS Reimbursement Rates for Calendar Year 2018 have been published in the Federal Register; however, until we receive a Change Request (CR) from the Centers for Medicare & Medicaid Services with guidance on implementing the new rates, we will continue to process claims with the 2017 rates. Once we receive the CR, we will post the information to our IHS website and notify you via our listserv.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for November 2017 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part B Top Claim Submission / Reason Code Errors and resolutions for November 2017 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for October 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for October 2017 are now available. Please take time to review these errors and avoid them on future claims.
The IHS Part A Top Claim Submission / Reason Code Errors and resolutions for September 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for September 2017 are now available. Please take time to review these errors and avoid them on future claims.
Novitas Solutions is conducting an IHS Ask the Contractor Webinar. We will be reviewing topics of provider interest on: CERT errors, Electronic Data Interchange (EDI), enrollment reminders, Medicare updates, website improvements, and upcoming education. We look forward to your participation!
The Top Claim Submission / Reason Code Errors and resolutions for August 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for August 2017 are now available. Please take time to review these errors and avoid them on future claims.
The 2017 September and October Calendar of Events is currently available for your viewing pleasure. Visit the Education and Training page of our website to review and register for your Fall sessions. You do not want to miss any of the great educational opportunities coming! Remain compliant and up to date with the Medicare program, register today.
The Top Claim Submission / Reason Code Errors and resolutions for July 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for July 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for June 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Top Claim Submission / Reason Code Errors and resolutions for June 2017 are now available. Please take time to review these errors and avoid them on future claims.
This instructor led workshop explores various Medicare topics such as provider enrollment requirements, patient screening tools, proper billing guidelines, Medicare changes, and more. The workshop offers a focused overview of Part A and Part B services that are referenced in the IHS Training Manual, navigation and utilization of the website, and a synopsis of Novitas initiatives.
The Top Claim Submission / Reason Code Errors and resolutions for May 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for May 2017 are now available. Please take time to review these errors and avoid them on future claims.
Join us for the October 26, 2017 Indian Health Services 2017 Workshop. Visit the IHS/Tribal/Provider's Education and Training page of our website for additional information and registration opportunities. You don't want to miss this event.
The Part B Top Claim Submission / Reason Code Errors and resolutions for March 2017 are now available. Please take time to review these errors and avoid them on future claims.
The September 2017 Indian Health Services Workshop date and location has been added. The workshop offers a focused overview of Part A and Part B services that are referenced in the IHS Training Manual, navigation and utilization of the website, and a synopsis of Novitas initiatives. Register today to attend this free workshop.
Per Change Request (CR) 9991, the IHS acute care hospital outpatient payment rate (All-Inclusive Rate (AIR)) and the inpatient ancillary Part B rate were updated for dates-of-service on or after January 1, 2017.
All claims were identified and the adjustments to these claims started March 20, 2017.
Change Request (CR) 9991: “Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2017” published on March 10, 2017, revised the IHS acute care hospital outpatient payment rate (All-Inclusive Rate (AIR)) and the inpatient ancillary Part B rate. This annual update is effective for dates-of-service on or after January 1, 2017. Mass adjustments on previously paid 2017 claims will start in the near future. An update will be provided when the adjustment process has been initiated.
The new rates are:
Lower 48 States
Medicare Inpatient Ancillary Part B $679
Medicare Outpatient per Visit Rate $349
Alaska
Medicare Inpatient Ancillary Part B $1,046
Medicare Outpatient per Visit Rate $577
For additional information refer to CR9991.
The Top Claim Submission / Reason Code Errors and resolutions for February 2017 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for February 2017 are now available. Please take time to review these errors and avoid them on future claims.
Join Novitas Solutions for their annual Indian Health Services (IHS) Medicare workshop. This workshop offers a focused overview of Part A and Part B services. This is a free full day workshop dedicated to providing you the knowledge necessary to be a successful IHS provider. Register today.
Our Part A Top Inquiries FAQs have been reviewed for January 2017 with new questions added to the Appeals and General Information categories. Please take time to review these and other FAQs for answers to your questions.
The 2017 March Calendar of Events is now available for your viewing pleasure! Take the time to review the Education and Training page of our website for additional information and registration opportunities.
The Part B Top Claim Submission / Reason Code Errors and resolutions for January 2017 are now available. Please take time to review these errors and avoid them on future claims.
The correction for the negative reimbursement issue was successfully installed on January 23, 2017. All claims that were being held in status location SMIHSC with reason code 7IHSC have been released for processing. Any claims that were incorrectly processed before the holding of claims will be identified and reprocessed. No provider action will be needed.
The 2017 IHS Ask-the-Contractor meeting dates are now available. Mark your calendar to join us at the next Ask-the-Contractor meeting.
The Top Claim Submission / Reason Code Errors and resolutions for December 2016 are now available. Please take time to review these errors and avoid them on future claims.
The Part B Top Claim Submission / Reason Code Errors and resolutions for December 2016 are now available. Please take time to review these errors and avoid them on future claims.
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