Novitas website and operational problems continue

Posted On: 12/4/2013

Hospitals continue to experience problems stemming from system changes at Novitas Solutions, the Medicare Administrative Contractor (MAC) for Oklahoma and other south central states.

Novitas launched a new website on Sep. 29. This was the most visible change stemming from the transfer of Novitas’ business operations platform from the data center of its former owner, Highmark, to that of Blue Cross and Blue Shield of Florida.

As an example of the website problems, Novitas intended to display content for Part A and Part B separately. This is not working as planned. A manual process of splitting all website content is underway, with a completion goal of February 2014.

While some of the website problems are apparent to users, more serious problems remain to be resolved behind the scenes in the MAC’s workflow management. David Vaughan, Jurisdiction H project manager for Novitas, told OHA that the system changeover caused a delay of a week or so during which Novitas was unable to use its imaging system. This created backlogs in processing documentation related to medical reviews and appeals. Although the backlog has been reduced, the problems have not been fully resolved.

Novitas has listed the status of the operational problems.

In other Novitas news, CMS hired Novitas in August with a $12 million no-bid contract to design financial management components of the federal Marketplace, such as payment systems to send premiums to insurers, according to a Nov. 23 Reuters report. (Rick Snyder)