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2017 DME MAC Jurisdiction B News

NOTE: All articles and announcements for 2017 are available on our Articles Archive Page

October 2017

• Revised: Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program [MLN Matters SE1128] – 10.20.17
• Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires [MLN Matters SE17035] – 10.20.17
• Pharmacy Billing of Immunosuppressive Drugs [MLN Matters SE17032] – 10.19.17
• myCGS Version 4 Initial Login Instructions for Existing Users – 10.19.17
• myCGS Version 4 Coming on October 23! – 10.19.17
• MLN Connects® for Thursday, October 19, 2017 – 10.19.17
• LCD Revision Summary for October 19, 2017 – 10.19.17
• Correct Coding - Insulin Used with Continuous External Insulin Infusion Pumps – 10.19.17
• Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims [MLN Matters SE17034] – 10.16.17
• myCGS Version 4 is Almost Here! Take Action and Get Ready Now! – 10.12.17
• January 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM10320] – 10.12.17
• MLN Connects® for Thursday, October 12, 2017 – 10.12.17
• Policy Article (PA) Revision Summary for October 12, 2017 – 10.12.17
• Rescinded: Accepting Payment from Patients with a Workers' Compensation Medicare Set-Aside Arrangement (WCMSA), a Liability Insurance Medicare Set-Aside Arrangement (LMSA), or a No-Fault Insurance Medicare Set-Aside Arrangement (NFMSA) [MLN Matters SE17019] – 10.10.17
• Revised: Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims [MLN Matters SE17028] – 10.06.17
• MLN Connects® for Thursday, October 5, 2017 – 10.05.17
• Correct Coding – PRO-FLEX® Prosthetic Foot (Össur) – 10.05.17
• Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) [MLN Matters MM9904] – 10.04.17
• Updates to Medicare's Cost Report Worksheet S-10 to Capture Uncompensated Care Data [MLN Matters SE17031] – 10.04.17
• The Fall 2017 DME MAC Insider is now available – 10.02.17
• The Fall 2017 DME Jurisdiction B Supplier Manual is now available – 10.02.17

September 2017

• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2017 Update [MLN Matters MM10234] – 09.29.17
• The 4th Quarter 2017 Drug Fees are now available. – 09.29.17
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: September 29 - October 1, 2017 – 09.28.17
• MLN Connects® for Thursday, September 28, 2017 – 09.28.17
• Appeal Requests for Providers/Suppliers Affected by a Natural Disaster – 09.28.17
• The 4th Quarter 2017 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 09.27.17
• Revised: Hurricane Harvey and Medicare Disaster Related Texas Claims [MLN Matters SE17020] – 09.26.17
• Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims [MLN Matters SE17021] – 09.26.17
• Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims [MLN Matters SE17022] – 09.26.17
• Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims [MLN Matters SE17028] – 09.26.17
• Revised: Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims [MLN Matters SE17024] – 09.26.17
• Accepting Payment from Patients with a Workers' Compensation Medicare Set-Aside Arrangement (WCMSA), a Liability Insurance Medicare Set-Aside Arrangement (LMSA), or a No-Fault Insurance Medicare Set-Aside Arrangement (NFMSA) [MLN Matters SE17019] – 09.25.17
• Cures Act Adjustments Finishing Up! – 09.22.17
• COMING SOON – myCGS Version 4.0 with Built-in ID Management – 09.22.17
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018 [MLN Matters MM10233] – 09.22.17
• Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims MLN Matters Article – New – 09.21.17
• Correct Coding - Lithium Batteries – Revised – 09.21.17
• MLN Connects® for Thursday, September 21, 2017 – 09.21.17
• Billing in Medicare Secondary Payer (MSP) Liability Insurance Situations [MLN Matters SE17018] – 09.21.17
• Revised: Revision to Publication 100.06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment [MLN Matters MM9815] – 09.21.17
• October Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM10248] – 09.20.17
• Cures Act Adjustments - No News is Good News! – 09.15.17
• Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims [MLN Matters SE17022] – 09.15.17
• Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims [MLN Matters SE17024] – 09.15.17
• 2018 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update [MLN Matters MM10262] – 09.15.17
• Request for Information – Topical Oxygen Therapy Used for Wound Care – 09.14.17
• MLN Connects® for Thursday, September 14, 2017 – 09.14.17
• Jurisdiction B Provider Outreach and Education on New Medicare Cards – 09.13.17
• Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims MLN Matters Article – New – 09.11.17
• Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims MLN Matters Article – New – 09.11.17
• Revision to Publication 100.06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment [MLN Matters MM9815] – 09.08.17
• Clarification of the Billing of Immunosuppressive Drugs [MLN Matters MM10235] – 09.08.17
• MLN Connects Special Edition for Thursday, September 7, 2017 – 09.07.17
• LCD and Policy Article Revisions Summary for September 7, 2017 – 09.07.17
• MLN Connects® for Thursday, September 7, 2017 – 09.07.17
• Correct Coding – HCPCS Coding of Surgical Dressings - Components to Report on the PDAC HCPCS Code Verification Application – 09.07.17
• Surgical Dressings Comments and Response Summary – Revised – 09.07.17
• Revised: Hurricane Harvey and Medicare Disaster Related Louisiana Claims [MLN Matters SE17021] – 09.06.17
• Revised: Hurricane Harvey and Medicare Disaster Related Texas Claims [MLN Matters SE17020] – 09.06.17
• CMS MLN Connects Special Edition – Tuesday, September 5, 2017 – 09.06.17
• Special Edition – Friday, September 1, 2017 – 09.01.17
• Cures Act Adjustments – KE Modifier Reminder and Updates for the Supplier Community – 09.01.17
• Special Edition – Thursday, August 31, 2017 – 09.01.17

August 2017

• MLN Connects® for Thursday, August 31, 2017 – 08.31.17
• CMS Emergency Response for Hurricane Harvey – 08.30.17
• Revised: Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program [MLN Matters SE1128] – 08.29.17
• Adding the KE Modifier: Instructions for Reopening a Claim Adjusted Under the Cures Act – 08.25.17
• Claims for Rental Items outside of the Original Rental Period and Using Claim Narrative Abbreviations – 08.25.17
• MLN Connects® for Thursday, August 24, 2017 – 08.24.17
• LCD and Policy Article Revisions Summary for August 24, 2017 – 08.24.17
• Revised: Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) [MLN Matters MM9904] – 08.24.17
• Claim Status Category and Claim Status Codes Update [MLN Matters MM10132] – 08.24.17
• Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) [MLN Matters MM10140] – 08.24.17
• Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update [MLN Matters MM10141] – 08.24.14
• Correct Coding - SpeediCath® Flex Coudé Catheter (Coloplast) – 08.24.17
• Cures Act Adjustments and Crossovers – 08.18.17
• MLN Connects® for Thursday, August 17, 2017 – 08.17.17
• Revised: July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM10071] – 08.14.17
• Cures Act Adjustments Continue! – 08.11.17
• Correct Coding - Center Mount Elevating Leg Rest - Revised – 08.10.17
• Correct Coding - Submitting Diabetic Shoe Inserts for HCPCS Coding - PDAC Coding Application Instruction – 08.10.17
• Correct Coding – A5513 Product Coding Redetermination Project – 08.10.17
• MLN Connects® for Thursday, August 10, 2017 – 08.10.17
• Suppression of the Standard Paper Remittance Advice (SPR) in 45 days if also Receiving Electronic Remittance Advice (ERA) [MLN Matters MM10151] – 08.09.17
• Status Report for Quarter 2 – 2017: HCPCS Code A4253 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code A4353 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code E0277 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code E0601 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code E1390 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code E0260, E0294, E0301, E0303, E0912 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code J7507 Service-Specific Prepayment Review – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code K0001, K0002, K0003, K0004, K0006, K0007, K0008, K0009, E1161 and Accessories E0973, K0195 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code L0450-L0640 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code A6197-A6199 – 08.08.17
• Status Report for Quarter 2 – 2017: HCPCS Code A6210-A6212 – 08.08.17
• MLN Connects® for Thursday, August 3, 2017 – 08.03.17
• CMS MLN Connects Special Edition for Thursday, August 3, 2017 – 08.03.17
• DME Supplier Participation and Assignment Reminders – 08.03.17
• Top Reasons for Non-Affirmative Condition of Payment Prior Authorization (K0856 and K0861) Decisions – 08.02.17

July 2017

• MLN Connects® for Thursday, July 27, 2017 – 07.27.17
• Correct Coding – Bariatric Pressure Reducing Support Surfaces – 07.27.17
• October 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions To Prior Quarterly Pricing Files [MLN Matters MM10187] – 07.26.17
• The 3rd Quarter 2017 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 07.24.17
• Cures Act Claims and Crossovers – 07.21.17
• MLN Connects® for Thursday, July 20, 2017 – 07.20.17
• Scheduled Maintenance to myCGS on July 21, 2017 – 07.20.17
• CGS Continues to Adjust CURES Act Claims! – 07.14.17
• Special Edition – Thursday, July 13, 2017 – 07.14.17
• Condition of Payment Prior Authorization (PA) Program for HCPCs Codes K0856 and K0861 Has Been Expanded Nationally – 07.13.17
• MLN Connects® for Thursday, July 13, 2017 – 07.13.17
• Correct Coding – A5513 Custom Molding Requirements – 07.13.17
• MM9968 CURES Act Mass Adjustment Reminders! – 07.11.17
• CGS Begins MM9968 CURES Act Mass Adjustments! – 07.10.17
• Revised: Extension of the Transition to the Fully Adjusted Durable Medical Equipment Prosthetics, Orthotics, and Supplies Payment Rates Under Section 16007 of the 21st Century Cures Act [MLN Matters MM9968] – 07.06.17
• Revised: Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System [MLN Matters MM9911] – 07.06.17
• MLN Connects® for Thursday, July 6, 2017 – 07.06.17
• The 3rd Quarter 2017 Drug Fees are now available. – 07.03.17
• Updated Repair Modifiers Tool & Spreadsheet – RT & LT Modifier Changes – 07.03.17
• The Summer 2017 DME Jurisdiction B Supplier Manual is now available – 07.03.17
• The Summer 2017 DME MAC Insider is now available – 07.03.17

June 2017

• Using HCPCS Code A9270 With "ROLLATOR" Walkers – 06.30.17
• MLN Connects® for Thursday, June 29, 2017 – 06.29.17
• Modernized National Plan and Provider Enumeration System [MLN Matters SE17016] – 06.29.17
• LCD and Policy Article Summary for June 29, 2017 – 06.29.17
• Targeted Probe and Educate (TPE) Pilot For Jurisdiction B – 06.27.17
• MLN Connects® for Thursday, June 22, 2017 – 06.22.17
• Retired: Correct Coding - Center Mount Elevating Leg Rest – 06.22.17
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2017 [MLN Matters MM10128] – 06.21.17
• Do You Have Questions? We Have Answers! – 06.20.17
• 21st Century CURES Act Mass Adjustments – What You Need to Know! – 06.19.17
• MLN Connects® for Thursday, June 15, 2017 – 06.15.17
• Requesting Additional Tax IDs in myCGS – 06.13.17
• Revised: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) [MLN Matters MM9893] – 06.12.17
• Retired: Surgical Dressings Comments and Response Summary – 06.08.17
• LCD and Policy Article Summary for June 8, 2017 – Drafts Released to Final – 06.08.17
• MLN Connects® for Thursday, June 8, 2017 – 06.08.17
• Policy Article Revision Summary for June 8, 2017 – 06.08.17
• Top 5 Reasons to Attend the Nashville, TN JB/JC Mega Workshop on June 21, 2017! – 06.06.17
• Lower Limb Prosthetic Covers and Covering Systems - Appropriate Coding and Billing – 06.06.17
• Registering for myCGS—Be Sure to Choose the Correct Role – 06.02.17
• Scheduled End of the Intravenous Immune Globulin (IVIG) Demonstration [MLN Matters SE17008] – 06.01.17
• Policy Article Revisions Summary for June 1, 2017 – 06.01.17
• Attention myCGS Users: Change to EIDM Password Requirements – 06.01.17
• Claim Status Category and Claim Status Codes Update [MLN Matters MM10043] – 06.01.17
• Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) [MLN Matters MM10041] – 06.01.17
• Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update [MLN Matters MM10040] – 06.01.17
• MLN Connects® for Thursday, June 1, 2017 – 06.01.17

May 2017

• Revised: Two New "K" Codes for Therapeutic Continuous Glucose Monitors [MLN Matters MM10013] – 05.31.17
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2017 Update [MLN Matters MM10107] – 05.31.17
• Physicians! Are You Ordering Diabetic Shoes for Your Patients? – 05.30.17
• Supplies and Accessories Used With Beneficiary Owned Equipment – 05.30.17
• Learn How Easy It Is To Get Payments Electronically! – 05.30.17
• MLN Connects® for Thursday, May 25, 2017 – 05.25.17
• LCD and Policy Article Revisions Summary for May 25, 2017 – 05.25.17
• Revised: Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program [MLN Matters SE1128] – 05.19.17
• Updated Advance Beneficiary Notice – Required for Use June 21, 2017 – 05.19.17
• Glucose Monitors LCD and Related Policy Article – Revised – 05.18.17
• LCD and Policy Article Revisions Summary for May 18, 2017 – 05.18.17
• MLN Connects® for Thursday, May 18, 2017 – 05.18.17
• Revised: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) [MLN Matters MM9893] – 05.16.17
• Less Paper and Faster Payments! – 05.16.17
• Status Report for Quarter 1 – 2017: HCPCS Code A4253 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code A4353 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code E0277 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code E0570 Service-Specific DCR Prepayment Review – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code E0601 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code E1390 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Codes E0260, E0294, E0301, E0303, E0912 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code J7507 Service-Specific Prepayment Review – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Codes K0001, K0002, K0003, K0004, K0006, K0007, K0008, K0009, E1161, and Accessories E0973, K0195 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code L0450-L0640 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code A6197-A6199 – 05.15.17
• Status Report for Quarter 1 – 2017: HCPCS Code A6210-A6212 – 05.15.17
• Revised: April Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM9988] – 05.12.17
• Are You Signed up to Receive Electronic Remittance Advices? – 05.11.17
• MLN Connects® for Thursday, May 11, 2017 – 05.11.17
• LCD and Policy Article Revisions Summary for May 11, 2017 – 05.11.17
• CGS Summary Article: Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act – 05.08.17
• UPDATED Billing Instructions for E2609 (Custom-Fabricated Seat) and E2617 (Custom-Fabricated Back) – 05.05.17
• Revised: Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System [MLN Matters MM9911] – 05.05.17
• Revised: The Process of Prior Authorization [MLN Matters MM9940] – 05.05.17
• July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM10071] – 05.05.17
• Two New "K" Codes for Therapeutic Continuous Glucose Monitors [MLN Matters MM10013] – 05.05.17
• MLN Connects® for Thursday, May 4, 2017 – 05.04.17
• Continuous Glucose Monitors – Frequently Asked Questions – 05.04.17
• LCD and Policy Article Revisions Summary for May 4, 2017 – 05.04.17
• Improvements to the Adjudication Process of Serial Claims [MLN Matters SE17010] – 05.02.17
• Responding to Additional Documentation Requests (ADRs) – 05.01.17

April 2017

• MLN Connects® Special Edition – Friday, April 28, 2017 – 04.28.17
• Scheduled Maintenance to myCGS on April 28, 2017 – 04.27.17
• MLN Connects® for Thursday, April 27, 2017 – 04.27.17
• LCD and Policy Article Revisions Summary for April 27, 2017 – 04.27.17
• Receive Your Medicare Payment Information Faster! – 04.21.17
• Billing Instructions – Continuous Glucose Monitors – 04.20.17
• LCD and Policy Article Revisions Summary for April 20, 2017 – 04.20.17
• MLN Connects® for Thursday, April 20, 2017 – 04.20.17
• The 1st and 2nd Quarter 2017 Drug Fees have been revised. – 04.19.17
• MLN Connects® for Thursday, April 13, 2017 – 04.13.17
• July 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revision to Prior Quarterly Pricing Files [MLN Matters MM10016] – 04.12.17
• Acknowledgement of Your Redetermination Requests – 04.11.17
• Correct Coding – Interferential Current (IFC) Therapy Devices – 04.06.17
• DME Information Forms (DIFs) Usage for Enteral and Parenteral Nutrition and External Infusion Pumps - Revised – 04.06.17
• MLN Connects® for Thursday, April 6, 2017 – 04.06.17
• LCD and Policy Article Revisions Summary for April 6, 2017 – 04.06.17
• Incorrect Denials for Portable Oxygen Equipment – 04.05.17
• The 2nd Quarter 2017 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 04.04.17
• DMEPOS Order Requirements for Changing Suppliers [MLN Matters MM9886] – 04.03.17
• The Spring 2017 DME MAC Insider is now available – 04.03.17
• The Spring 2017 DME Jurisdiction B Supplier Manual is now available – 04.03.17

March 2017

• MLN Connects® for Thursday, March 30, 2017 – 03.30.17
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: March 31–April 2, 2017 – 03.30.17
• LCD and Policy Article Revisions Summary for March 30, 2017 – 03.30.17
• CGS Listens! Announcing Process Improvements – 03.29.17
• ICD-10 Coding Revisions to National Coverage Determination (NCDs) [MLN Matters MM9861] – 03.29.17
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2017 [MLN Matters MM10004] – 03.23.17
• Coding and Coverage – Therapeutic Continuous Glucose Monitors (CGM) – 03.23.17
• MLN Connects® for Thursday, March 23, 2017 – 03.23.17
• Reclassification of Certain DME to the Capped Rental Payment Category – 03.23.17
• LCD and Policy Article Revisions Summary for March 23, 2017 – 03.23.17
• Attention CSI Users: Change in Password Requirements Beginning March 23, 2017 – 03.22.17
• Standard Documentation Requirements for All Claims Submitted to DME MACs – 03.16.17
• Correct Coding and Coverage – Braces Constructed Primarily of Elastic or Other Fabric Materials - Revised – 03.16.17
• MLN Connects® for Thursday, March 16, 2017 – 03.16.17
• LCD and Policy Article Revisions Summary for March 16, 2017 – 03.16.17
• Correct Coding – Interferential Current (IFC) Therapy Devices – 03.16.17
• Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – 03.16.17
• April Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM9988] – 03.13.17
• Completion of Certificates of Medical Necessity – Annual Reminder – 03.09.17
• MLN Connects® for Thursday, March 9, 2017 – 03.09.17
• Reminder – Oxygen Qualification Tests and Documentation – 03.09.17
• Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment [MLN Matters MM9848] – 03.08.17
• CGS Discontinues Medical Review Denial Letters – 03.08.17
• Extension of the Transition to the Fully Adjusted Durable Medical Equipment Prosthetics, Orthotics, and Supplies Payment Rates Under Section 16007 of the 21st Century Cures Act [MLN Matters MM9968] – 03.02.17
• MLN Connects® for Thursday, March 2, 2017 – 03.02.17
• Updates to the "Medicare Claims Processing Manual," Pub. 100-04, Chapters 12, 17 and 23 to Correct Remittance Advice Messages [MLN Matters MM9906] – 03.02.17
• Healthcare Provider Taxonomy Codes (HPTCs) April 2017 Code Set Update [MLN Matters MM9869] – 03.02.17
• Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) [MLN Matters MM9904] – 03.02.17
• Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM9878] – 03.01.17

February 2017

• New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) [MLN Matters MM9893] – 02.24.17
• MLN Connects® for Thursday, February 23, 2017 – 02.23.17
• JW Modifier Use – Correct Coding – Revised - Effective for Claims with Dates of Service On or After January 1, 2017 – 02.23.17
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program – April 2017 [MLN Matters MM9971] – 02.17.17
• Extension of Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 16005 of the 21st Century Cures Act [MLN Matters MM9966] – 02.17.17
• Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System [MLN Matters MM9911] – 02.17.17
• MLN Connects® for Thursday, February 16, 2017 – 02.17.17
• Changes to Infusion Drug Reimbursement – 02.16.17
• MLN Connects® for Thursday, February 9, 2017 – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code A4253 – Service-Specific DCR Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code A4253 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code A4353 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code A6197-A6199 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code A6210-A6212 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code E0277 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code E0570 – Service-Specific DCR Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code E0601 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code E1390 – Service-Specific DCR Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code E1390 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code E0260, E0294, E0301, E0303, E0912 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Code L0637 – Service-Specific Prepayment Review – 02.10.17
• Status Report for Quarter 4 2016: HCPCS Codes K0001, K0002, K0003, K0004, K0006, K0007, K0008, K0009, E1161 and Accessories E0973, K0195 – Service-Specific Prepayment Review – 02.10.17
• Reopenings for Nebulizer Claims due to Diagnosis Codes – 02.08.17
• MLN Connects® for Thursday, February 2, 2017 – 02.03.17

January 2017

• The Process of Prior Authorization [MLN Matters MM9940] – 01.31.17
• Retired: DME Information Forms (DIFs) Usage for Enteral and Parenteral Nutrition and External Infusion Pumps - Revised – 01.19.17
• MLN Connects® for Thursday, January 19, 2017 – 01.19.17
• Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement [MLN Matters MM9771] – 01.18.17
• April 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM9945] – 01.18.17
• MLN Connects® for Thursday, January 12, 2017 – 01.12.17
• 2017 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List [MLN Matters MM9903] – 01.12.17
• Revised: Centers for Medicare & Medicaid Services (CMS) 855S Application - Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers [MLN Matters SE17004] – 01.10.17
• Change to the DME MAC Jurisdiction B Provider Call Center Staff Training Schedule for 2017 – 01.10.17
• Noncovered Items – 01.06.17
• MLN Connects® for Thursday, January 5, 2017 – 01.05.17
• CGS System Maintenance Scheduled Saturday, January 14th: Notice of Service Disruptions – 01.05.17
• Hospital Beds and Pressure Reducing Support Surfaces - Billing Instruction – 01.05.17
• DME MACs LCD Format Change – 01.05.17
• The 1st Quarter 2017 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 01.04.17
• The 1st Quarter 2017 Drug Fees are now available. – 01.03.17
• LCD and Policy Article Revisions Summary for December 29, 2016 – 01.03.17
• The Winter 2017 DME MAC Insider is now available – 01.03.17
• The Winter 2017 DME Jurisdiction B Supplier Manual is now available – 01.03.17
• The acceptance of a voluntary refund as repayment for the claim specified in no way affects or limits the rights of the Federal Government, or any of its agencies or agents, to pursue any appropriate criminal, civil, or administrative remedies arising from or relating to these or any other claims. – 01.03.17

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