11/05/2018
Medicare Website-Checking to See Last Date of Patient Diabetic Shoe Dispensing-Step by Step Guide
I received your link to the noridian portal in your response to my question submitted previously. I went to the site but I did not see a link to the specific question of trying to find out what date the patient had previously received diabetic shoes. I am concerned about being rejected because of the 1 pair per year rule due to another provider giving shoes prior to my dispensing date.
See the text below from the Noridian Medicare website regarding instructions on how to access this information from the contractor’s website (https://med.noridianmedicare.com/web/jadme/topics/nmp/end-user-manual#samesimilar):
Same or Similar
Inquiry
- Select Same or Similar from home page
- Choose TINor SSN, NPI and PTAN combination under Provider/Supplier Details
- Complete mandatory fields in Beneficiary Details section
Under Same or Similar Details, select 1 of 2 Options
- Option 1: Enter the date of service and a HCPCScode 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.
Option 2:Search for all paid date of services for a range of HCPCS codes beginning with the same prefix. Example: B0000-B9999.
Response – Option 1: Same or Similar
The portal searches claims back five years on most items; eight years for enteral nutrition pumps. For oxygen, the portal searches lifetime.
Same or Similar Example
HCPCS code: E0184
Date of service entered: 01/01/2015
NMP searches: 01/01/2010 – 01/01/2015
The following information is provided:
- Submitted HCPCScode
- Approved HCPCScode
- Initial date on file
- Recertification date (if applicable)
- Last day item billed
- Name of supplier who provided the item
- Supplier's phone number
Possible Error Messages
- The message "After searching the beneficiary files, Noridiandoes not show any results for the criteria inquired on" displays when there are no same or similar HCPCS codes on the beneficiary's file.
- If the beneficiary information entered does not match our system, a message stating "The beneficiary Medicare number, name or date of birth does not match our records."
Response – Option 2: Supplies, Orthotics, Prosthetics and Vision
Frequency Example
From HCPCS Code: A5510
To HCPCS Code: A5540
The following information is provided:
- HCPCS
- Date of Service
- Number of Units
- Name of supplier who provided the item
- Supplier's phone number
If no matching HCPCS are on file the message returned will state, "After searching the beneficiary files, Noridiandoes not show any results for the criteria inquired on. This response is the same information that our NoridianDME Customer Service Representatives have access to."