Medicare Carrier Web Access
The National Heritage Insurance Company (NHIC), BWH’s local Medicare carrier, publishes frequently asked questions on its website — (www.medicarenhic.com). A recent addition included the following important Q&A:
Q. Does Medicare Part B (NHIC) cover “this specific procedure?”
A. Medicare B does not give out prior approval. NHIC Medicare Part B publishes the Medicare B Resource bulletin, which issues focused information, for Medicare B Providers…
The March “Medicare B Resource” provides detailed information regarding “Medicare Directives” including topics such as ‘Ordering Diagnostic Tests and Payment Conditions for Radiology Services’ and ‘Supervised Physicians in a Teaching Setting – CMS Revision;’ “Coverage & Reimbursement” including an article on Sacral Nerve Stimulation – CMS Reminder; “General Information” covering such topics as ‘Reimbursement for Relatives or Household Members;’ and “Local Medical Review Policies” providing information on the latest revisions.
A full listing and complete details of local medical policies can be located on NHIC’s website at (www.medicarenhic.com/lmrp/final/ne/nelmrpindx.htm). This website also includes a section entitled “Draft Policies.” and readers are afforded the opportunity to submit their comments about the appropriateness of proposed policies.
If You Have Any Questions please call or e-mail Neil Walsh in the Billing Compliance Department at 617-732-9377 or (cwalsh6@partners.org).