Dr. Larry Clark and Dr. Gary Oakes, both medical directors at Noridian Healthcare Solutions, will be participating in this year’s Outpatient CDI Workshop and CPT® and RBRVS 2022 Annual Symposium from AMA. As the world’s only medical coding conference, the event helps attendees learn about important CPT code and relative value unit (RVU) changes for 2022 directly from experts in the industry.
On Friday, Nov. 19 from 11 a.m. – noon CST, Dr. Clark and Dr. Oakes will participate in a live, general Q&A session where they will answer questions about the new codes and implications for practitioners. The symposium will be held virtually from Nov. 16 – 19, 2021. For more information, visit www.ama-assn.org.
Noridian Awarded Medicaid Provider Enrollment Services Contract by North Dakota Department of Human Services
FARGO, NORTH DAKOTA – June 30, 2021 Noridian Healthcare Solutions, LLC (Noridian) has been awarded a contract to enroll qualified providers and suppliers into the Medicaid Program. This contract, awarded to Noridian by the North Dakota Department of Human Services (DHS), will cover an initial contract period of 16 months with the option of two extensions of 24 months each.
Noridian’s proposal to North Dakota’s DHS showcased decades of experience running large-scale call centers, Medicaid knowledge, and a more efficient call center model. “This award reflects Noridian’s reputation as a dependable contracting partner,” said Paul Wilson, Noridian President and CEO.
Headquartered in North Dakota, Noridian has deep roots in the state. “Fifty years ago, when Noridian started, Medicare claims from North Dakota providers were the first claims we processed,” said Wilson. “We have grown tremendously and now have a nationwide footprint, serving both federal and state health care programs. But we still focus on the person in each transaction. We believe every encounter is worthy of our very best.”
Noridian already assists many North Dakota providers and members with questions about Medicaid claims payment, claims submission, and prior authorization. That work is done under a separate Medicaid Call Center contract awarded in June 2019 to Noridian by North Dakota DHS. In April 2020, DHS also contracted with Noridian to assist with answering questions that come into the COVID-19 hotline.
“Service providers are the heart of North Dakota’s Medicaid program,” said Caprice Knapp, DHS Medical Services Division director. “Our latest partnership with Noridian will provide even better customer service and support to providers who serve North Dakota Medicaid members.”
On a nationwide scale, Noridian holds several Medicare Administrative Contractor (MAC) contracts including the Medicare Part A/Part B contracts for Jurisdictions E and F, and the Durable Medical Equipment (DME) contracts for Jurisdictions A and D. Noridian also is the Supplemental Medical Review Contractor (SMRC) for CMS and holds a Unified Program Integrity Contractor (UPIC) award, which allows Noridian to bid on procurements under the UPIC umbrella.
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About Noridian Healthcare Solutions
Noridian Healthcare Solutions, LLC (Noridian) designs and delivers innovative administrative services that enhance federal and state government health care programs. Noridian has served as a government claims contractor since the federal Medicare program’s inception in 1966. The company is headquartered in Fargo, North Dakota, with staff located throughout the country. For more information, visit https://www.noridian.com.
Noridian Healthcare Solutions, LLC remains committed to its role in supporting essential functions for the Medicare and Medicaid programs during the COVID-19 pandemic. In March of 2020, we moved our in-office employees to a temporary work-from-home solution in response to the Worldwide Pandemic of COVID-19. In consideration of decreasing COVID-19 cases, vaccine availability, health official input, and school distance learning practices, we are moving 40% of our North Dakota in-office employees back in office during the week of June 1, 2021. We established a return-to-office process that is organized, controlled, and phased to provide for continuity of business operations and the safety of our employees. Each of our office locations will remain closed to visitors. All employees are operating under CDC social distancing and mask recommendations. We will continue to perform our work with quality and care.
Cyndee Thormodson Named one of the Top 25 Women in Business for 2021
Each year Prairie Business, a Grand Forks-based magazine that circulates in the Dakotas and western Minnesota, honors the Top 25 Women in Business. The 25 women chosen were nominated by their peers, employees, and coworkers, and selected by Prairie Business staff.
This year, Noridian Senior Vice President and Chief Financial Officer Cyndee Thormodson was nominated and selected for this award.
Prairie Business’s nomination process emphasized professional achievement, community contributions, and volunteerism. Cyndee was recognized for her exceptional contributions in her chosen field and community.
Visit thedigital edition of Prairie Business to read more about Cyndee and other recipients. Cyndee’s information is on page 25, and page 29 has our organization’s note of congratulations to Cyndee. As that note says, Cyndee’s leadership exemplifies never losing sight of why the work Noridian does matters – we make lives better!
Noridian Named as one of the Top 25 Most Engaged Workplaces
Each year, United Way of Cass Clay recognizes companies and individuals who have gone above and beyond in their service and involvement. During the event, the Top 25 Most Engaged Workplaces were announced with a fun remix of Old Town Road by two United Way volunteers. Noridian placed 17 out of the top 25. That recognition goes to all employees at Noridian for supporting the United Way and the community! Noridian employees put people first.
Noridian’s Aimee Stone Wins Emerging Leaders Catalyst Award
During the LIVE UNITED event, ran by the United Way of Cass Clay, companies and individual who have gone above and beyond in their community service and involvement were recognized.
This year, Noridian’s Subcontract Vendor Specialist with Contract Administration, Aimee Stone, was awarded the Emerging Leaders Catalyst award. The United Way selected Aimee for the Emerging Leaders Catalyst of the Year award from a group of five nominees. Each nominee had demonstrated going above and beyond in serving the Cass Clay community this past year. Aimee won the award for her recognized work in connecting with others, building skills, and volunteering on behalf of the United Way—all things that have served her employer and the community well.
A LIVE UNITED award event recording is available here. At 41 minutes in, you can hear the announcement of the Emerging Leaders Catalyst award and the video of the wonderful celebration of Aimee’s win of the award.
Noridian Healthcare Solutions re-awarded CMS JE contract
FARGO, N.D. – (December 21, 2020) Noridian Healthcare Solutions, LLC (Noridian) has been re-awarded the Part A and Part B Medicare Administrative Contractor Jurisdiction E (JE) contract by the Centers for Medicare & Medicaid Services (CMS), concluding a full-and-open competitive procurement. Under this re-award, Noridian will continue to perform the JE contract, which it was first awarded in 2012.
“The JE re-award reflects CMS’ confidence in our abilities as a MAC contractor to achieve solid performance and introduce innovations that provide the best value to CMS, “said Paul Wilson, President and CEO. “This award is a direct result of the good work Noridian employees do every day.”
Under the JE contract, Noridian will continue to process claims for California, Nevada, Hawaii, American Samoa, Guam, and Northern Mariana Islands. The contract serves 118,765 physicians and over 440 hospitals. Jurisdiction E represents nearly 10% of the national Medicare Part A and B claims volume.
The contract period for the new award includes a base year and six optional one-year renewal years, with a total value of $525 million.
In addition to the JE contract, Noridian holds the Medicare Part A and Part B contract for Jurisdiction F and the Durable Medical Equipment (DME) contracts for Jurisdictions A and D. Noridian also is the Supplemental Medical Review Contractor (SMRC) for CMS and holds a Unified Program Integrity Contractor (UPIC) award, which allows Noridian to bid on procurements under the UPIC umbrella.
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About Noridian Healthcare Solutions
Noridian Healthcare Solutions, LLC (Noridian) designs and delivers innovative administrative services that enhance federal and state government health care programs. Noridian has served as a government claims contractor since the federal Medicare program’s inception in 1966. The company is headquartered in Fargo, N.D., with staff located throughout the country. For more information, visit https://www.noridian.com.
Wilfred (Fred) Mamuya, MD, PhD, has been promoted to Vice President of Medical Policy for Noridian Healthcare Solutions, LLC. Noridian is a trusted Medicare Administrative Contractor (MAC) serving beneficiaries, health care providers, and durable medical equipment (DME) suppliers across the United States.
A graduate of Boston University School of Medicine, Dr. Mamuya completed his medical residency and fellowship in cardiovascular medicine at Brigham & Women’s Hospital, Boston, MA. He is board certified in internal medicine, specializing in cardiovascular disease and licensed to practice medicine in Massachusetts.
Well-respected by colleagues, Dr. Mamuya has been the medical director for the Medicare Jurisdiction A DME MAC since 2013. In his newly expanded role, he will provide policy oversight and lead medical director collaboration for Noridian’s Jurisdictions A, D, E, F, and Supplemental Medical Review Contractor (SMRC) contracts, as well as potential new Noridian clinical contracts.
Dr. Mamuya expressed appreciation to Noridian’s senior leadership team for entrusting him in this role, adding, “I look forward to forming enduring relationships with each member of the Noridian family, so that in these changing times, we can together navigate towards whatever ‘new normal’ lies ahead of us.”
With Dr. Mamuya’s promotion, Noridian’s long-standing medical director, Dr. Richard Whitten, will continue full-time medical director responsibilities for the SMRC contract. Noridian’s federal health care contracts will continue to benefit from Dr. Whitten’s 20 years of Medicare experience and knowledge. Dr. Mamuya noted, “Dick is a renaissance man, likely cannot be replicated, and we are all grateful for his many years of leadership.”
Dr. Whitten stated, “Fred now has responsibility for coordinating all activities and processes to assure clinical appropriateness and standards of care within the boundaries of federal and state laws, regulations, and coverage requirements.” He added, “His position provides the expertise to explain, teach, and represent these criteria, activities, and processes to all stakeholders, as appropriate, and specifically on a regular basis to Noridian’s Senior Leadership for both current and potential areas of business. We are in very good hands!”
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About Noridian Healthcare Solutions
Noridian Healthcare Solutions, LLC (Noridian) designs and delivers innovative administrative services that enhance federal and state government health care programs. Noridian has served as a government claims contractor since the federal Medicare program’s inception in 1966. The company is headquartered in Fargo, N.D., with staff located throughout the country. For more information, visit www.noridian.com.
FARGO, N.D. – (April 21, 2020) Noridian Healthcare Solutions, LLC (Noridian) has received a contract to provide assistance to the North Dakota Department of Health’s COVID-19 hotline. The hotline was established by the Department to answer questions and advise residents about coronavirus precautions, COVID-19 testing, quarantine guidelines and a rapidly changing and growing list of…Read More
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. During the week of March 16, 2020, 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.
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