DME MAC Jurisdiction C 2010 News Archive
December 2010
- 2011 Medicare Contractor Provider Satisfaction Survey (MCPSS) – 12.30.10
- January 2011 Webinars are now available for registration – 12.30.10
- Hospice Face-to-Face Encounter Requirement – 12.29.10
- Face-to-Face Encounter Home Health Certification Requirement – 12.29.10
- Power Mobility Devices - Detailed Product Descriptions - Implications of Fee Schedule and Payment Policy Changes – 12.29.10
- Medicare's Open Enrollment Deadline Nears; Important Beneficiary Outreach Continues – 12.29.10
- Heating Pads and Heat Lamps - Draft Medical Policy Finalized – 12.28.10
- CORRECTION: Submit Claims with Correct Billing Number/NPI – 12.28.10
- HCPCS Code Update – 2011 – 12.27.10
- REVISED: Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers' Claims Processed by Durable Medical Equipment Medicare Administrative Contractors (DME MACs)
[MLN Matters MM6421] – 12.27.10 - Claim Status Category and Claim Status Code Update - [MLN Matters MM7259] – 12.27.10
- Calendar Year (CY) 2011 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM7248] – 12.27.10
- Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters SE1035] – 12.27.10
- 2011 Versions of the ICD-10-CM and ICD-10-PCS Crosswalks now Available – 12.27.10
- Home Dialysis and Epoetin – Medical Policies Retired – 12.23.10
- Three Important DMEPOS Competitive Bidding Updates – 12.22.10
- New Tools to Prevent & Fight Fraud – 12.22.10
- January 2011 Average Sales Price Files are now Available – 12.22.10
- Signature on Requisitions for Clinical Diagnostic Laboratory Tests – 12.22.10
- Place of Service Indicator for HCPCS Codes G0339 and G0340 – 12.22.10
- President Obama Signs the Medicare and Medicaid Extenders Act of 2010 – 12.22.10
- Reminder: /Medicare Fee-For-Service Implementation of HIPAA Version 5010 & D.O Transactions –12.22.10
- SAVE THE DATE: December 28, 2010 CMS Atlanta Regional Office and CBIC Ombudsmen DMEPOS Competitive Bidding Program Webinar for Suppliers Servicing Beneficiaries in Competitive Bidding Areas – 12.22.10
- MLN Updates: Glucose Testing Supplies Fact Sheet & Hospice Payment System, CORF Publications – 12.22.10
- Nebulizer Resources – 12.22.10
- Revision Request for the ASC X12 005010 TR3 – 12.21.10
- CMS To Conduct the 2011 Medicare Contractor Provider Satisfaction Survey – 12.21.10
- Revision HCPCS Code J7605, J7606 and J7626 – Service-Specific Pre-pay Review – 12.20.10
- Medical Review Frequently Asked Questions (FAQs) - WINTER 2011 – 12.20.10
- Documentation Reminders: Nebulizer Drugs – 12.20.10
- HIPAA Eligibility Transaction System (HETS) – 12.20.10
- Modification to the Healthcare Common Procedure Coding System (HCPCS) Code Set – 12.20.10
- REVISED: Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted or /Terminated [MLN Matters MM6625] – 12.17.10
- CGS Implements Enhancements to Redetermination Acknowledgement Letters – 12.16.10
- Use of Upgrade Modifiers – 12.16.10
- LCD and Policy Article Revisions Summary for December 2010 – 12.16.10
- Local Coverage Determinations – Elimination of Least Costly Alternative – 12.16.10
- HCPCS Code E0571 - Invalid –12.16.10
- Draft Glucose Monitors Local Coverage Determination Withdrawn – 12.14.10
- Important Information on the Timely Claims Filing Requirement – 12.13.10
- Updates from the Medicare Learning Network – 12.09.10
- SAVE THE DATE: CMS Atlanta Regional Office and CBIC Ombudsmen DMEPOS Competitive Bidding Program meeting with suppliers in Miami, FL on 12/8/10 and North Carolina-South Carolina on 12/13/10 – 12.07.10
- Reminder: Timely Claims Filing Requirement – 12.07.10
- December 5-11, 2010 is National Influenza Vaccination Week – 12.07.10
- REVISED: 2010 - 2011 Seasonal Influenza (Flu) Resources for Health Care Professionals [MLN Matters SE1031] – 12.07.10
- Important Information on the Timely Claims Filing Requirement – 12.07.10
- Instructions for PLB code reporting on Remittance Advice, a Crosswalk between the HIGLAS PLB codes and ASC X12 Transaction 835 PLB codes, and RAC Recoupment Reporting on Remittance Advice for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) claims [MLN Matters MM7068] – 12.03.10
- Important Update on PECOS & Ordering/Referring – 12.03.10
- DMEPOS Program: Changes Coming January 1, 2011 – 12.03.10
- REMINDER: National Education Call on Medicare Fee-For-Service Implementation of HIPAA Version 5010 and D.0 Transactions: Taking EDI to the Next Level – 12.03.10
- Implementation of Section 2902 of the Affordable Care Act for Indian Health Service (IHS) Part B Services and All Inclusive Rate (AIR) Billing for Return Visits - [MLN Matters MM6908] – 12.02.10
- Update to Medicare Deductible, Coinsurance and Premium Rates for 2011 [MLN Matters MM7224] – 12.02.10
- Reasonable Charge Update for 2011 for Splints, Casts, and Certain Intraocular Lenses [MLN Matters MM7225] – 12.02.10
- National Modifier and Condition Code to Identify Items or Services Related to the 2010 Oil Spill in the Gulf of Mexico [MLN Matters MM7087] – 12.02.10
- REMINDER: National Education Call on Medicare Fee-For-Service Implementation of HIPAA Version 5010 and D.0 Transactions: Taking EDI to the Next Level – 12.02.10
- The Winter 2011 DME MAC Insider and DME MAC Supplier Manual are now available – 12.01.10
November 2010
- Claim Editing for Ordering/Referring Providers – 11.30.10
- Thirteenth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions Medicare FFS 5010 Program: Taking EDI to the Next Level – 11.30.10
- Products and Resources for Billing and Coding Professionals – 11.30.10
- HCPCS Code Update - 2011
– 11.30.10 - December Webinars are now available for registration – 11.29.10
- SAVE THE DATE: CMS Atlanta Regional Office and CBIC Ombudsmen present to suppliers on the DMEPOS Competitive Bidding Program in local competitive bidding areas – 11.29.10
- Continuous Passive Motion (CPM) Devices – Accessories Reminder – 11.24.10
- Revised: End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services [MLN Matters MM7064] – 11.23.10
- Registration for ONC Personal Health Records Roundtable Now Open – 11.23.10
- Transitions to Version 5010 and ICD-10 – 11.23.10
- Additional Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) [MLN Matters MM7073] – 11.23.10
- January 2011 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters MM7181] – 11.23.10
- Provider Education for Handling National Provider Identifier (NPI) Issues Related to Deceased Providers Who Had an NPI Provider Types [MLN Matters MM6984] – 11.23.10
- Special Open Door Forum - Health Care Delivery System Reform – 11.22.10
- Change to Provider Contact Center Staff Training Schedule – 11.18.10
- Oral Appliances for Obstructive Sleep Apnea – 11.18.10
- Treprostinil Inhalation Solution (Tyvaso®) – Coverage – 11.18.10
- Change to Redetermination Acknowledgement Letters – 11.18.10
- Ultrasonic/Electronic Aerosol Generator With Small Volume Nebulizer - Coding Verification Review Requirement- 11.18.10
- Oral Antimetic Drugs – Coverage Reminder – 11.18.10
- Revised: Implementation of the PWK (Paperwork) Segment for X12N Version 5010 - [MLN Matters MM7041] – 11.17.10
- Implementation of Errata version 5010 of Health Insurance Portability and Accountability Act (HIPAA) transactions, and updates in 837I, 837P, and 835 flat files - [MLN Matters MM7202] – 11.17.10
- Outpatient Therapy Cap Values for CY 2011 - [MLN Matters MM7107] – 11.17.10
- Partial Code Freeze Prior to ICD-10 Implementation - [MLN Matters SE1033] – 11.17.10
- From the Medicare Learning Network: "5010: Taking Electronic Billing and Electronic Data Interchange (EDI) to the Next Level" – 11.17.10
- November 17th Grandfathering Notification Deadline for DMEPOS Bidding Program - Message From CMS – 11.16.10
- Medicare Fee-For-Service Implementation of HIPAA Version 5010 & D.0 Transactions Call and Personal Health Records Roundtable Webcast – 11.16.10
- Medicare Learning Network Releases Three New Fact Sheets for the DMEPOS Competitive Bidding Program – 11.12.10
- Updates from the Medicare Learning Network – 11.12.10
- REMINDER: National Education Call for Referral Agents for the DMEPOS Competitive Bidding Program – 11.12.10
- Power Wheelchair Rental – Frequently Asked Questions – 11.11.10
- Therapeutic Shoes for Diabetics - Physician Documentation Requirements for DME Reimbursement – 11.11.10
- Immunosuppressive Drugs Coverage Requirements – 11.11.10
- Glucose Monitor Supplies – Use of Upgrade Modifiers – 11.11.10
- Provider Contact Center Weekly Staff Training Schedule Change – 11.10.10
- Healthcare Common Procedure Coding System (HCPCS) Code Set Update – 11.09.10
- Medicare Fee-for-Service Professional Providers and Suppliers: – 11.09.10
- Medicare DMEPOS Rules to Take Effect in 2011 – 11.09.10
- DMEPOS Contract Suppliers Announced! – 11.09.10
- Ultrasonic/Electronic Aerosol Generator With Small Volume Nebulizer—Coding Verification Review Requirement – 11.09.10
- November Webinars are now available for registration – 11.08.10
- Updates from the Medicare Learning Network – 11.08.10
- Registration Deadline EXTENDED: National Education Call for Non-Contract Suppliers in the DMEPOS Competitive Bidding Program – 11.08.10
- Reminder: National Education Call for Non-Contract Suppliers in the DMEPOS Competitive Bidding Program – 11.05.10
- X12 Announces Deadline for Requests for Modifications to the ASC X12 005010 Health Care Implementation Guides – 11.04.10
- National Education Call for Non-Contract Suppliers in the DMEPOS Competitive Bidding Program – 11.04.10
- Twelfth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 11.04.10
- New from the Medicare Learning Network – 11.02.10
- 2010-2011 Seasonal Influenza (Flu) Resources for Health Care Professionals [MLN Matters SE1031] – 11.02.10
- National Education Call for Non-Contract Suppliers in the DMEPOS Competitive Bidding Program – 11.02.10
- Oxygen and Enteral Nutrition Claims Tips – 11.02.10
October 2010
- November Webinars are now available for registration – 10.29.10
- IVR Enhancement – Ordering/Referring Provider Information Now Available – 10.29.10
- Updates from the Medicare Learning Network – 10.28.10
- New from the Medicare Learning Network – 10.27.10
- The October 2010 Medical Review FAQs are now available – 10.27.10
- Partial Code Freeze Prior to ICD-10 Implementation – 10.26.10
- "IMPACT" Workshop coming to Mobile, AL – November 10, 2010 – 10.26.10
- January 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM7188] – 10.26.10
- Updates from the Medicare Learning Network – 10.25.10
- Reminder: Eleventh National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 10.22.10
- Upcoming Interruption in IVR Eligibility System Availability – 10.22.10
- Provider Contact Center and Telephone Reopenings – Veterans Day Availability – 10.22.10
- HCPCS Code J7605, J7606 and J7626 – Service-Specific Pre-pay Review – 10.20.10
- HHS Publishes X12 Version 5010 and NCPDP Version D.0 Errata Notification – 10.19.10
- Medicare Fee-For-Service (FFS) Implementation of HIPAA 5010/D.0 - Errata Impacts – 10.19.10
- Registration is now available for IMPACT Your Medicare Knowledge Workshop in Mobile! – 10.18.10
- Documentation Requests in Jurisdiction C – 10.15.10
- Now Available from CMS: Written Transcript of the Mon Sep 13 "ICD-10 Implementation in a 5010 Environment Follow-Up" Conference Call – 10.15.10
- Physicians and Non-Physician Practitioners – Have you tried Internet-based PECOS for your Medicare enrollment actions? – 10.15.10
- Interruption in IVR Eligibility System Availability – 10.15.10
- Eleventh National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 10.14.10
- UPDATE: Jurisdiction C CERT Ask the Contractor Teleconference (ACT) Call – 10.13.10
- 2010 - 2011 Seasonal Influenza (Flu) Resources for Health Care Professionals [MLN Matters SE1031] – 10.12.10
- Results of the 2010 Medicare Contractor Provider Satisfaction Survey (MCPSS) [MLN Matters SE1030] – 10.12.10
- Registration is now available for IMPACT Your Medicare Knowledge Workshops in Dallas and San Antonio – 10.11.10
- New from the Medicare Learning Network Medicare Quarterly Provider Compliance Newsletter - First Edition Released! – 10.11.10
- Internet-based Provider Enrollment, Chain and Ownership System (PECOS) For Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers – 10.11.10
- Updates from the Medicare Learning Network – 10.06.10
- October Flu Shot Reminder – 10.06.10
- Medicare Fee-For-Service Emergency Policies and Procedures: Questions and Answers (Qs & As) for All Types of Emergencies and Disasters - Rescission of CRs 5099, 6146, 6164, 6174, 6209, 6256, 6280, 6284, and 6378 - [MLN Matters MM6837] – 10.04.10
- Durable Medical Equipment (DME) National Competitive Bidding (NCB) Implementation- Phase 11E: Remittance Advice (RA) and Medicare Summary Notice (MSN) Messages for Round One - [MLN Matters MM7066] – 10.04.10
- Glucose Monitors – Draft Medical Policy Revision – 10.04.10
- New - Medicare Self-Referral Disclosure Protocol – 10.01.10
- Updates from the Medicare Learning Network – 10.01.10
- The 4th Quarter 2010 Drug Fee Schedule is now avalable and several quarters have been revised – 10.01.10
September 2010
- New - Medicare Self-Referral Disclosure Protocol – 09.30.10
- The September 2010 Medical Review FAQs are now available – 09.29.10
- October Spanish-language webinars are now available for registration – 09.29.10
- "IMPACT" Workshop coming to Memphis, TN – October 6, 2010 – 09.28.10
- Jursdiction C CERT "Ask the Contractor Teleconference" (ACT) Call – 09.28.10
- CMS Is Here to Help in the Transitions to Version 5010 and ICD-10 – 09.28.10
- The 2010 Medicare Contractor Provider Satisfaction Survey (MCPSS) Results Are Now Available! –09.28.10
- Issue Affecting the Crossing Over of End-Stage Renal Disease Facility Claims – 09.28.10
- October 2010 Average Sales Price (ASP) Files and Updated 2009 and 2010 ASP Files Are Now Available – 09.28.10
- REVISED: Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - Phase 8A: Hospital Exception [MLN Matters MM6677] – 09.28.10
- Important News about Flu Shot Frequency for Medicare Beneficiaries [MLN Matters SE1026] – 09.28.10
- 2010 Durable Medical Equipment Prosthetics, Orthotics, and Supply (DMEPOS) Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List [MLN Matters MM7110] – 09.28.10
Attachment - CR7110 - Claim Status Category and Claim Status Codes Update [MLN Matters MM7158] – 09.28.10
- 2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update - [MLN Matters MM7159] –09.28.10
- DATE CHANGE for Special Open Door Forum: Medicare Provider & Supplier Enrollment - Pharmacy Focused – 09.27.10
- Provider Contact Center Closing in Observance of Columbus Day – 09.27.10
- Glucose Monitors Draft Medical Policy Open Meeting October 26, 2010 – 09.24.10
- Interruption in IVR Eligibility System Availability – 09.24.10
- Registration is now available for an Othrothics & Prosthetics Webinar scheduled for September 28th – 09.24.10
- Registration is now available for an IMPACT Your Medicare Knowledge Workshop in McAllen, TX. This workshop will be presented in both English and Spanish. – 09.23.10
- Registration is now available for our October Webinars, which will include a focused set of Webinars on Wheelchairs. – 09.23.10
- Retired: Wheelchair Options and Accessories - LT and RT modifiers – 09.23.10
- Power Wheelchairs and Power Operated Vehicles √ Documentation Requirements – 09.23.10
- Draft - Glucose Monitors – LCD 11520 – 09.23.10
- Medicare Program ESRD PPS 2011 National Provider Conference Call – 09.21.10
- Updates from the Medicare Learning – 09.20.10
- Now Available from CMS: Audio Transcript of the Mon Sep 13 "ICD-10 Implementation in a 5010 Environment Follow-up Conference Call" – 09.20.10
- Tenth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions Medicare FFS 5010 Program: Taking EDI to the Next Level – 09.20.10
- Special Open Door Forum: Medicare Provider & Supplier Enrollment- Pharmacy Focused – 09.20.10
- Version 5010/D.0 National Calls – 09.20.10
- Enteral Nutrition Resources – 09.17.10
- TSD Resources – 09.17.10
- Banking Services Reminder – 09.17.10
- Oxygen Resources (No Longer Available) – 09.17.10
- Interruption in IVR Eligibility System Availability – 09.17.10
- Retired 05.19.16: Modifier JW Use – 09.16.10
- Retired: Submitting Diabetic Shoe Inserts for Coding – 09.16.10
- Sent on behalf of the CEDI - Thursday, September 30, 2010 – CEDI Outage for October 2010 Quarterly Release Implementation – 09.15.10
- New Medicare DME MAC Redetermination Request Form – 09.14.10
- Updates from the Medicare Learning Network – 09.13.10
- CMS Announces Release of New DMEPOS Competitive Bidding Program Fact Sheet for Referral Agents in Hardcopy – 09.13.10
- Centers for Medicare & Medicaid Services Special Open Door Forum: Medicare Provider & Supplier Enrollment – 09.13.10
- Implementation of the PWK (Paperwork) Segment for X12N Version 5010 [MLN Matters MM7041] – 09.13.10
- Sent on Behalf of the CEDI - Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses and Vendors – 09.13.10
- Registration is now open for the IMPACT workshop in Memphis on October 6! – 09.09.10
- REVISED: Medicare Policy Regarding Pressure Reducing Support Surfaces [MLN Matters SE1014] – 09.09.10
- Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update [MLN Matters MM7089] – 09.09.10
- Request for Refill - Documentation – 09.09.10
- JUST RELEASED - How to Protect Your Identity Using the Provider Enrollment, Chain and Ownership System (PECOS) – 09.08.10
- Final Reminder ICD-10 Implementation in a 5010 Environment Follow-Up National Provider Call – 09.08.10
- Additional September Webinars are now available for registration – 09.08.10
- ICD-9-CM C&M Committee to Meet September 15 on ACA Requirements for ICD-10 Crosswalk Revisions – 09.07.10
- Medicare Imposes Stronger Protections on Medical Equipment Suppliers: New Rule Strengthens Supplier Enrollment Standards to Help Prevent Fraud – 09.07.10
- Updates from the Medicare Learning Network – 09.07.10
- Updates from the Medicare Learning Network – 09.07.10
- The 4th Quarter 2010 DMEPOS Fee Schedule is now available in CSV, PDF, and searchable formats – 09.03.10
- Incorrect Overpayment Follow Up Letters Issued – 09.03.10
- Retired: Therapeutic Shoes – Policy Revision/ Documentation Requirements – 09.02.10
- Urethral Inserts - HCPCS Code A4336 - Coverage and Documentation – 09.02.10
- End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services [MLN Matters MM7064] – 09.02.10
- Registration is now open for September 2010 Spanish language Webinars! – 09.01.10
- The Fall 2010 DME Insider and DME MAC Jurisdiction C Supplier Manual are now available – 09.01.10
- Provider and Supplier Organizations: Have you tried Internet-based PECOS for your Medicare enrollment actions? – 09.01.10
- Upcoming Home Health, DME, and Hospice Open Door Forums (ODF) regarding Pharmacies – 09.01.10
August 2010
- Follow-Up National Provider Call regarding ICD-10 Implementation in a 5010 Environment – 08.30.10
- Correction to Labor Day Information Regarding IVR Availability – 08.30.10
- Discarded Drugs and Biologicals Policy at Contractor Discretion [MLN Matters MM7095] – 08.30.10
- New Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Specialty Code for Ocularists [MLN Matters MM6891] – 08.30.10
- Payment for Replacement of Oxygen Equipment in Bankruptcy Situations [MLN Matters MM6838] – 08.30.10
- September 2010 Webinars are now available for registration – 08.30.10
- Closing in on 120 Days and Counting Until January 2011 Target Testing for Version 5010 (This article is no longer available) – 08.27.10
- Aztreonam Lysine (Cayston®) Inhalation Solution - Coding and Coverage (This article is no longer available) – 09/01/10
- Treprostinil Inhalation Solution (Tyvaso®) – Coding and Coverage – 08.26.10
- The August 2010 Medical Review Frequently Asked Questions are now available – 08.26.10
- Retired: Pneumatic Knee Splint - Coding Verification Review Requirement – 08.24.10
- Reminder – CGS Closing in Observance of Labor Day – 08.24.10
- ICD-9-CM C&M Committee to Meet September 15 on ACA – 08.24.10
- Reminder: Ninth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 08.23.10
- Billing for Denial of Vancomycin Administered Via an External Infusion Pump – 08.23.10
- PAP Documentation Requirement Revision - Ineffective Therapy on E0601 – 08.19.10
- Updates from the Medicare Learning Network JUST RELEASED: MLN Matters Article #SE1022 - Medical Record Retention and Media Formats for Medical Records – 08.19.10
- Special Open Door Forum: End-Stage Renal Disease Quality Incentive Program Payment Year 2012: Proposed Rule Overview for Facilities, Providers, and Suppliers – 08.19.10
- ICD-10 Implementation in a 5010 Environment Follow-Up National Provider Call – 08.19.10
- Interruptions in IVR Eligibility System Availability – 08.18.10
- "IMPACT" Workshop coming to Tallahassee, Florida – September 22, 2010 – 08.16.10
- Updates from the Medicare Learning Network – 08.16.10
- Recently Released MLN Matters Articles of Particular Interest – 08.16.10
- Provider and Supplier Organizations – Have you tried Internet-based PECOS for your Medicare enrollment actions? – 08.16.10
- Skilled Nursing Facility (SNF) Overpayments – 08.13.10
- Oral Anticancer Drugs - Policy Article - Effective June 2010 (August 2010 Revision) (A25619) – 08.12.10
- CMS Is Here to Help in the Transitions to Version 5010 and ICD-10 – 08.12.10
- Medical Record Retention and Media Formats for Medical Records [MLN Matters SE1022] – 08.12.10
- August is National Immunization Awareness Month – 08.12.10
- Ninth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions Medicare FFS 5010 Program: Taking EDI to the Next Level – 08.11.10
- Oral Anticancer Drugs – Covered Diagnoses - Update – 08.11.10
- Policy Article Revision Summary for August 12, 2010 – 08.11.10
- Additional August 2010 Webinars are now available for registration – 08.10.10
- REVISED: Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) [MLN Matters MM7006] – 08.10.10
- Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted or Terminated [MLN Matters MM6625] – 08.10.10
- Timely Claims Filing: Additional Instructions [MLN Matters MM7080] – 08.09.10
- Attention Phsyicians: Oral Anticancer Drugs – Coverage Issue – 08.06.10
- Oral Anticancer Drugs – Covered Diagnoses – 08.06.10
- Temporary Interruption in IVR Eligibility System Availability – 08.06.10
- Durable Medical Equipment National Competitive Bidding Implementation -- 10G: Paying for Oxygen Equipment when Grandfathered [MLN Matters MM6934] – 08.06.10
- Meeting on ACA Requirements for ICD-10 Crosswalk Revisions – 08.05.10
- The Supplier Positive Airway Pressure (PAP) FAQs have been updated – 08.05.10
- SAVE THE DATE! ICD-10 Implementation in a 5010 Environment Follow-Up National Provider Call – 08.05.10
- Change to the Provider Contact Center Closure Schedule – 08.05.10
- Update to Banking Transition Date – 08.05.10
- Retired 09.22.16: Correct Coding for Pneumatic Compression Devices – 08.05.10
- August 2010 Spanish language Webinars are now available for registration! – 08.04.10
- Oral Anticancer Drugs - Covered Diagnoses – 08.03.10
- Provider and Supplier Organizations – Have you tried Internet-based PECOS for your Medicare enrollment actions? – 08.02.10
- Updates from the Medicare Learning Network – 08.02.10
- The ELECTRONIC FUNDS TRANSFER (EFT) AUTHORIZATION AGREEMENT has been updated – 08.02.10
- CMS Announces New Prospective Payment System For End-Stage Renal Disease Facilities – 08.02.10
- REVISED: Skilled Nursing Facility Consolidated Billing as It Relates to Certain Types of Exceptionally Intensive Outpatient Hospital Services [MLN Matters SE0432] – 08.02.10
- October Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM7070] – 08.02.10
July 2010
- Provider and Supplier Organizations Declare Your Independence from the Paper Enrollment Process – Use Internet-based PECOS! – 07.29.10
- August Webinars are now available for registration – 07.29.10
- Payers, Get the Conversation Started about the Version 5010 and ICD-10 Transition – 07.28.10
- Claim Status Category and Claim Status Code Update [MLN Matters MM7052] – 07.27.10
- Eighth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 07.27.10
- It's Almost Here! – 07.23.10
- REVISED: Skilled Nursing Facility Consolidated Billing as It Relates to Certain Types of Exceptionally Intensive Outpatient Hospital Services [MLN Matters SE0432] – 07.23.10
- Something New From The Medicare Learning Network (MLN) for Billing and Coding Professionals – 07.22.10
- CMS Announces Release Of New DMEPOS Competitive Bidding Program Fact Sheet For Referral Agents – 07.21.10
- Medicare Enrollment Guidance for Physicians that Infrequently Receive Reimbursement from the Medicare Program – 07.20.10
- Now Available from CMS - The Written Transcript of the June 15 ICD-10 Implementation in a 5010 Environment Teleconference – 07.20.10
- Eighth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 07.19.10
- Electronic Health Record (EHR) Incentive Program "Meaningful Use" Final Rule (CMS-0033-F) – 07.19.10
- The Interactive Voice Response (IVR) system script and checklisthave been updated – 07.16.10
- ICD-9-CM C&M Committee to Meet September 15 on PPACA Requirements for ICD-10 Crosswalk Revisions – 07.15.10
- Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) [MLN Matters MM7006] – 07.14.10
- Enhancements to the DME MAC IVR – 07.14.10
- New Information Regarding DMEPOS Accreditation for Pharmacies – 07.13.10
- Talking About Version 5010 and ICD-10 – Vendors and Providers, Get the Conversation Started – 07.13.10
- Registration is now open for IMPACT Your Medicare Knowledge Workshops in Tulsa OK, Tallahassee FL, and Asheville NC – 07.13.10
- REVISED: July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM6945] – 07.12.10
- Preventive Services to Help Keep Your Medicare Patients Healthy This Summer! – 07.12.10
- MLN Matters Article #SE1023 - Provisions in the Affordable Care Act of 2010 (ACA) – 07.12.10
- DME MAC Jurisdiction C Provider Contact Center Closure – 07.12.10
- Additional July Webinars are now available for registration – 07.12.10
- Lessons Learned: E0601 – Continuous Airway Pressure Device – 07.12.10
- The article titled "HCPCS Code E0601 – Service-Specific Pre-pay Review", published on 08.25.09, has been revised – 07.07.10
- Healthcare Common Procedure Coding System (HCPCS) Quarterly Update - Other Codes – 07.07.10
- Provisions in the Affordable Care Act of 2010 (ACA) [MLN Matters SE1023] – 07.07.10
- October 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM7007] – 07.06.10
- The 3rd Quarter 2010 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available – 07.06.10
- Sent on behalf of the CEDI:CMS Ordering/Referring Provider Report Updated – 07.06.10
- CMS Announces DMEPOS Competitive Bidding Payment Amounts – 07.02.10
- REMINDER: CMS has Released MLN Matters Special Edition Article SE1019 - ICD-10 Implementation Information – 07.02.10
- Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program (DMEPOS CBP) ACA Section 3136 Power-Driven Wheelchairs – 07.02.10
- Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program (DMEPOS CBP) Appeals Process for Termination of Competitive Bidding Contract Provisions for Notice of Proposed Rulemaking (1503-P) – 07.02.10
- Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program (DMEPOS CBP) Medicare Payment for Grandfathering Provisions for Notice of Proposed Rulemaking (1503-P) – 07.02.10
- Proposed DMEPOS Regulatory Updates – 07.02.10
- ANSI Code CO-184 Claim Denials – 07.02.10
- Now Available from CMS – The Audio Transcript of the June 15 ICD-10 Implementation in a 5010 Environment Teleconference – 07.02.10
- CMS to Review PECOS Enrollment Process – 07.02.10
- IMPACTANDO Su Conocimiento de Medicare! – 07.01.10
June 2010
- July Webinars are now available for registration! Topics include Reopenings, PAP devices, Oxygen, and more! – 06.30.10
- Temporary Interruption in IVR and CSI/BE Availability – 06.30.10
- Break in Service Guidelines for Medicare Advantage Plan Enrollment – Correction to the DME MAC Insider – 06.29.10
- Reminder – CGS Closing in Observance of Independence Day – 06.29.10
- Now Available from CMS - The Audio Transcript of the June 15 ICD-10 Implementation in a 5010 Environment Teleconference – 06.29.10
- Statement on the One Year Anniversary of Obama "Year Of Community Living" Initiative – 06.29.10
- July 2010 Average Sales Price (ASP) Files are Now Available – 06.29.10
- REMINDER: CMS to Host 7th National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 06.28.10
- MLN Matters Article #SE1019 – ICD-10 Implementation Information – 06.28.10
- REVISED: Durable Medical Equipment National Competitive Bidding Implementation -- Phase 10C: Exception for Medicare Beneficiaries Previously Enrolled in a Medicare Advantage Plan [MLN Matters MM6918] – 06.28.10
- ICD-10 Implementation Information [MLN Matters SE1019] – 06.28.10
- July 2010 Average Sales Price (ASP) Files Are Now Available – 06.28.10
- New From The Medicare Learning Network – 06.28.10
- July 2010 Spanish language Webinars are now available for registration! – 06.25.10
- Version 5010 and ICD-10 are coming. Will you be ready? – 06.23.10
- Clarification of the Date of Service for Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2010 [MLN Matters MM6990] – 06.22.10
- 7th National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 06.22.10
- Acknowledgment and Development of Redetermination Requests – 06.21.10
- Documentation Requirements Webinars now available for registration – 06.18.10
- REVISED: Clinical Review Judgment [MLN Matters MM6954] – 06.18.10
- REVISED: Signature Guidelines for Medical Review Purposes [MLN Matters MM6698] – 06.18.10
- Clarification of the Date of Service for Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2010 [MLN Matters MM6990] – 06.18.10
- June 14-20th is National Men's Health Week and June 20th is Father's Day – 06.18.10
- Power Wheelchair Electronics Clarification - Correction – 06.18.10
- Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Appeals via Facsimile and/or via a Secure Internet Portal/Application [MLN Matters MM6958] – 06.18.10
- REVISED: Enhancements to Home Health (HH) Consolidated Billing Enforcement [MLN Matters MM6911] – 06.18.10
- Immunosuppressive Drugs Everolimus (Zortress®) – 06.17.10
- HCPCS Codes A5500, A5512 and A5513 – Service-Specific Pre-pay Review – 06.17.10
- HCPCS Codes B4150 and B4154 – Service-Specific Pre-pay Review – 06.17.10
- HHS, CMS and the Administration on Aging Launch Fraud Prevention Education Campaign to Ensure Medicare Beneficiaries are Protected from Scams Kicks off with a $1 million national & ethnic radio buy targeted around the $250 one time tax-free donut hole rebate check included in the Affordable Care Act – 06.16.10
- Are You Ready For a Change? – 06.15.10
- HCPCS Code E1390 – Service-Specific Pre-pay Review – 06.15.10
- Reminder - Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months – 06.15.10
- REVISED: Preparing for a Transition from an FI/Carrier to a Medicare Administrative Contractor (MAC) or from one Durable Medical Equipment (DME) MAC to another DME MAC [MLN Matters SE0837] – 06.11.10
- Preparing for a Transition from an FI/Carrier to a Medicare Administrative Contractor (MAC) or from one Durable Medical Equipment (DME) MAC to another DME MAC [MLN Matters SE1017] – 06.11.10
- Don't Forget To Register For The ICD-10 Implementation in a 5010 Environment National Provider Conference Call – 06.11.10
- Two Messages Regarding Prescription Drug Coverage for Medicare Beneficiaries – 06.10.10
- Additional Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) Version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR) [MLN Matters MM6975] – 06.10.10
- June 2010 Spanish language Webinars are now available for registration – 06.10.10
- Registration is now open for the August 18th IMPACT workshop in Amarillo, TX! – 06.09.10
- Orthotics Webinars – 06.09.10
- Wheelchair Week Webinars – 06.09.10
- Temporary Interruption to IVR and Fax Lines – 06.08.10
- ICD-10 Implementation in a 5010 Environment National Provider Conference Call – 06.08.10
- New From The Medicare Learning Network – 06.08.10
- Reminder ICD-10 Implementation in a 5010 Environment National Provider Conference Call – 06.08.10
- June 6th is National Cancer Survivors Day – 06.08.10
- Registration is now open for IMPACT workshops in Columbia, Atlanta, and Virginia Beach! – 06.07.10
- Ask the Contractor (ACT) Teleconference – 06.07.10
- Outreach Listening Session for Office of the Inspector General (OIG) Reports Regarding Durable Medical Equipment (DME) – 06.04.10
- WIN2K Sunset Project Activities - RightFax Impact – 06.04.10
- REMINDER: Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 – Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months – 06.03.10
- New From The Medicare Learning Network – 06.03.10
- ICD-10 Implementation in a 5010 Environment National Provider Conference Call – 06.03.10
- External Infusion Pump LCD Immune Globulin Subcutaneous (Human), 20% Liquid (Hizentra™) – 06.03.10
- Power Wheelchair Electronics Clarification (This article is no longer available) – 06.03.10
- E1028 Mounting Hardware - Billing Reminder – 06.03.10
- Updated Form CMS-1500 Information [MLN Matters MM6929] – 06.02.10
- REVISED: Quarterly Healthcare Common Procedure Coding System (HCPCS) Code Changes - July 2010 Update [MLN Matters MM6809] – 06.02.10
- REVISED: Discarded Drugs and Biologicals Updates [MLN Matters MM6711] – 06.02.10
- New Frequently Asked Questions (FAQs) on ICD-10 Implementation – 06.02.10
- The Summer 2010 DME Insider and DME MAC Jurisdiction C Supplier Manual are now available – 06.01.10
- REVISED: Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) [MLN Matters MM6566] – 06.01.10
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Code Changes - July 2010 Update [MLN Matters MM6809] – 06.01.10
May 2010
- The 2nd Half - 2010 DMEPOS Fee Schedule is now available in CSV, PDF, and searchable formats – 05.28.10
- CMS Sends Medicare Mailing To Beneficiaries To Educate Them On The New Affordable Care Act And What It Means For Medicare – 05.28.10
- New From The Medicare Learning Network – 05.28.10
- Reminder: Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 - Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months – 05.28.10
- Implementation of the new Health Insurance Portability and Accountability Act Formats for all Durable Medical Equipment Medicare Administrative Contractor Electronic Trading Partners – 05.28.10
- Reminder - DME MAC Jurisdiction C Provider Contact Center Closing in Observance of Memorial Day – 05.25.10
- The Latest on the Centers for Medicare & Medicaid Services (CMS) ICD-10 Website Section – 05.25.10
- UPDATE: Banking Transition – 05.25.10
- There Is No 'One-Size-Fits-All' in Building a Nationwide Health Information Network – 05.25.10
- May 26 is National Senior Health and Fitness Day! – 05.25.10
- Registration is now open for the IMPACT workshop on June 22 in Ft. Smith, AR – 05.25.10
- Clinical Review Judgment [MLN Matters MM6954] – 05.21.10
- Reminder: Sixth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 05.21.10
- Pressure Reducing Support Surfaces - Group 3 - Coverage Criteria Reminder – 05.20.10
- Therapeutic Shoes – In-Person Fitting and Delivery – 05.20.10
- Glucose Monitors and Supplies – 05.20.10
- Registration is now available for CERT and Medicare Secondary Payer (MSP) Webinars – 05.20.10
- June webinars are now available for registration, including Respiratory Assist Devices, Oxygen, and more: English or Spanish –- 05.19.10
- July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, O rthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM6945] – 05.17.10
- Healthcare Common Procedural Coding System (HCPCS) Public Meeting Agendas – 05.14.10
- Change in the Amount in Controversy (AIC) Requirement for Administrative Law Judge Hearings and Federal District Court Appeals [MLN Matters MM6894] – 05.12.10
- Change in Claims Filing Jurisdiction for Tracheo-Esophageal Voice Prostheses Healthcare Common Procedure Coding System (HCPCS) Code [MLN Matters MM6743] – 05.12.10
- The May 2010 Medical Review Frequently Asked Questions are now available – 05.12.10
- JUST RELEASED: MLN Matters Article #MM6960 - Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 – Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months – 05.12.10
- Coding Guidelines for Therapeutic Shoes for Persons with Diabetes – 05.12.10
- May 9-15 is National Women's Health Week! – 05.11.10
- A Health Information Technology Update -- Beacon Communities Lead the Charge to Improve Health Outcomes – 05.11.10
- Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 - Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months [MLN Matters MM6960] – 05.11.10
- New From The Medicare Learning Network – 05.11.10
- Time Is Running Out – Have You Responded? – 05.10.10
- Medicare Policy Regarding Pressure Reducing Support Surfaces [MLN Matters SE1014] – 05.10.10
- Hold the Date For The CMS 2010 ICD-10/5010 National Provider Conference Call – 05.10.10
- Durable Medical Equipment National Competitive Bidding Implementation -- Phase 10C: Exception for Medicare Beneficiaries Previously Enrolled in a Medicare Advantage Plan [MLN Matters MM6918] – 05.07.10
- REVISED: Medicare Coverage of Blood Glucose Monitors and Testing Supplies [MLN Matters SE1008] – 05.07.10
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2010 [MLN Matters MM6964] – 05.07.10
- Enhancements to Home Health (HH) Consolidated Billing Enforcement [MLN Matters MM6911] – 05.07.10
- Sixth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions – 05.07.10
- Centers for Medicare & Medicaid Services Special Open Door Forum: Medicare Provider & Supplier Enrollment – 05.07.10
- Four States (MO, NM, OR, WA) and Puerto Rico to Receive Federal Matching Funds for Electronic Health Record Incentives Program – 05.07.10
- Payment of Oxygen Contents to Suppliers after the 36th Month Rental Cap under the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters MM6939] – 05.05.10
- Discarded Drugs and Biologicals Updates [MLN Matters MM6711] – 05.05.10
- Healthcare Common Procedural Coding System (HCPCS) Public Meeting Agendas – 05.05.10
- New From The Medicare Learning Network – 05.05.10
- Update to the Healthcare Common Procedure Coding System (HCPCS) Codes for Payment of Surgical Dressings in Indian Health Service (IHS) Providers [MLN Matters MM6909] – 05.05.10
- Addition of Repair Codes to the List of Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Instructions Provided in Change Requests (CRs) 6573 and 5917 [MLN Matters MM6914] – 05.05.10
April 2010
- REVISED: Signature Guidelines for Medical Review Purposes [MLN Matters MM6698] – 04.30.10
- LCD and Policy Article Revisions Summary for April 29, 2010 – 04.29.10
- Recent Trends in Nebulizer and RAD Claims – 04.28.10
- Members to Advise CMS on the Clinical Integrity of the APC Groups and Their Payment Weights – 04.28.10
- 5010: Taking EDI to the Next Level – 04.27.10
- New from the Medicare Learning Network – 04.26.10
- Transcripts for ICD-10-CM National Provider conference Call Now Available – 04.26.10
- Medicare Coverage of Blood Glucose Monitors and Testing Supplies [MLN Matters SE1008] – 04.23.10
- New From The Medicare Learning Network – 04.22.10
- CMS Signature Requirements – 04.22.10
- Registration is now open for the 2010 IMPACT workshops in Denver, CO, and Gulfport, MS – 04.20.10
- Denials for Positive Airway Pressure (PAP) Accessories/Supplies – 04.19.10
- Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion. CR6880 rescinds and fully replaces CR 6544. [MLN Matters MM6880] – 04.19.10
- Signature Guidelines for Medical Review Purposes [MLN Matters MM6698] – 04.19.10
- REVISED: Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) [MLN Matters MM6566] – 04.19.10
- April 21, 2010 Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) Webinar Available – 04.16.10
- Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Medicare Administrative Contractors Requirements [MLN Matters MM6472] – 04.15.10
- Edits on the Ordering/Referring Providers in Medicare Part B Claims (Change Requests 6417, 6421, and 6696) [MLN Matters SE1011] – 04.15.10
- Section 2902 of the Patient Protection and Affordable Care Act Permanently Extends Section 630 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 for the Payment of Indian Health Services (IHS) [MLN Matters SE0930] – 04.15.10
- Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers' Claims Processed by Durable Medical Equipment Medicare Administrative Contractors (DME MACs) [MLN Matters MM6421] – 04.15.10
- 5010: Taking EDI to the Next Level – 04.14.10
- HITECH Update: Preparing Professionals for a Nationwide Health Care Transformation – 04.12.10
- April is National Cancer Control Month – 04.12.10
- New Spanish language Webinars begin April 16! Topics include Advance Beneficiary Notice (ABN), Reopenings and Appeals, and Nebulizers. – 04.12.10
- New April Webinars are now available for registration, including Modifiers Webinars, and a week focused on Orthotics and Prosthetics – 04.12.10
- 2010 Medicare Contractor Provider Satisfaction Survey – 04.12.10
- Temporary Interruption in IVR Eligibility System Availability – 04.12.10
- HCPCS Public Meeting Agendas for Drugs, Biologicals and Radiopharmaceuticals – 04.12.10
- Centers for Medicare & Medicaid Services (CMS) Public Website Address Change: The Centers for Medicare & Medicaid Services (CMS) changed its website address from www.cms.hhs.gov to www.cms.gov
. Existing bookmarks and links from other websites will continue to work following this address change. – 04.12.10 - The 2nd Quarter 2010 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available – 04.12.10
- Nebulizer Webinars! – 04.09.10
- New News from the Medicare Learning Network – 04.09.10
- Detailed Written Orders – 04.08.10
- Retired 03.10.16: Hand-Finger Orthoses (L3923) - Use of CG Modifier – 04.08.10
- Oral Appliances for Obstructive Sleep Apnea (OAOSA) Billing Information – 04.08.10
- April 5-11 is National Public Health Week and April 7 is World Health Day! – 04.07.10
- DME MAC Jurisdiction C Provider Contact Center Closure – 04.07.10
- Reporting Changes in Surety Bonds [MLN Matters MM6854] – 04.07.10
- Benefit Integrity Prepayment Review Claims Processing Timeframe (AdvanceMed) – 04.07.10
- Corrective Action Plans – 04.06.10
- Announcements Related to The Patient Protection and Affordable Care Act (PPACA) for Health Care Provider – 04.05.10
- Banking Transition – 04.05.10
- The Patient Protection and Affordable Care Act (PPACA) – 04.05.10
- Medigap Claim-Based Crossover in the New NCPDP Format Version D.0 – 04.02.10
- New From The Medicare Learning Network - Six States (NC, CO, MS, NV, WY, and UT) to Receive Federal Matching Funds for Electronic Health Record Incentives Program – 04.02.10
- New From The Medicare Learning Network – 04.02.10
- Upcoming CMS ICD-10 Vendor Conference – 04.02.10
- Now Available! Special Edition MLN Matters Article #SE1009 - Medicare Quality Standards and Beneficiary Protections for Respiratory Equipment, Power Mobility Devices (PMDs), and Other Related Durable Medical Equipment – 04.02.10
- Claim Status Category Code and Claim Status Code Update [MLN Matters MM6859] – 04.02.10
- Timely Filing Requirements for Medicare Fee-For-Service Claims – 04.02.10
- Centers for Medicare & Medicaid Services (CMS) Public Website Address Change – 04.02.10
- Retired: Spinal Orthoses – Coding Verification Review Requirement – 04.01.10
- LCD & PA Revisions Summary for April 1, 2010 – 04.01.10
March 2010
- New Spanish language Webinars begin April 2! – 03.31.10
- Interruption in IVR and CSI/BE Availability – 03.31.10
- Attention Fee-for-Service Providers and Suppliers, Have You Responded? – 03.29.10
- Promptly Period Rules for Liability, No Fault, or Workers' Compensation Related Claims – 03.29.10
- New Post Payment Claim Audits Video Education Course – 03.29.10
- Medicare Quality Standards and Beneficiary Protections for Respiratory Equipment, Power Mobility Devices, and Other Related Durable Medical Equipment - [MLN Matters SE1009] – 03.26.10
- Temporary Interruption in IVR Eligibility System Availability – 03.26.10
- New Webinars begin April 1st! Session topics include Medical Review, Diabetic Shoes, and Diabetic Supplies! – 03.26.10
- 2010 Nashville DME Medicare Workshop – 03.24.10
- New From The Medicare Learning Network – 03.23.10
- Reminder - Basic Introduction to ICD-10-CM National Provider Conference Call – 03.22.10
- April 2010 Average Sales Price (ASP) Files Are Now Available – 03.22.10
- The March 2010 Medical Review Frequently Asked Questions are now available – 03.22.10
- MCPSS Information: Attention Fee-for-Service Providers and Suppliers, Have You Responded? – 03.22.10
- Revised "Guided Pathways to Medicare Resources" from the Medicare Learning Network – 03.22.10
- 5010: Taking EDI to the Next Level: Rescheduled: Fourth National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010 – 03.22.10
- Diabetes Alert Day! – 03.19.10
- Revised Medicare Fraud & Abuse Fact Sheet (February 2010) – 03.19.10
- Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) on Wednesday, March 24, 2010 - Webinar Available – 03.19.10
- Reminder – Basic Introduction to ICD-10-CM National Provider Conference Call – 03.19.10
- Medically Unlikely Edits (MUEs) – 03.19.10
- On-Site Supplier Reviews – 03.18.10
- Completion of Certificates of Medical Necessity – 03.18.10
- New From The Medicare Learning Network – 03.18.10
- Beneficiary Request for Refill of Supplies, Accessories, and Drugs – 03.18.10
- 5010: Taking EDI to the Next Level – 03.18.10
- New and Improved Redetermination Request Form – 03.17.10
- IMPACT Workshops! Registration is now open for sessions in Austin, TX, and Montgomery, AL! – 03.17.10
- Healthcare Provider Taxonomy Codes (HPTC) April 2010 Update – 03.16.10
- New Webinars! Available topics include Documentation Requirements, Certificate of Medical Necessity, and Modifiers. Register now! – 03.12.10
- Medicare Learning Network News – 03.12.10
- Attention Albuquerque suppliers! Registration is now open for the April 14, 2010 IMPACT workshop – 03.11.10
- July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files - [MLN Matters MM6805] – 03.11.10
- Basic Introduction to ICD-10-CM National Provider Conference Call – 03.11.10
- Wheelchair Week Webinars begin March 15! – 03.11.10
- Durable Medical Equipment - Documentation of Continued Medical Necessity – 03.11.10
- LCD and Policy Article Revisions Summary for March 11, 2010 – 03.11.10
- Attention Tallahassee suppliers! Registration is now open for the April 7, 2010 IMPACT workshop – 03.10.10
- National Supplier Clearinghouse (NSC) Ask the Contractor Teleconference (ACT) – 03.10.10
- Temporary Interruption in IVR Eligibility System Availability – 03.09.10
- Submitting Complete Redetermination Requests – 03.09.10
- Reminder: Comment Period Closing on Proposed Rule for Medicare and Medicaid Electronic Health Record (EHR) Incentive Program/Meaningful Use – 03.09.10
- Medicare Learning Workshops - Practical Education for Today's Suppliers and Providers – 03.08.10
- Proposed Rule for the Establishment of Certification Programs for Health Information Technology – 03.08.10
- Dress in Blue This Friday and Kick Off National Colorectal Cancer Awareness Month! – 03.04.10
- New Spanish language Webinars begin March 8! – 03.03.10
- Program Advisory and Oversight Committee Meeting Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (This article is no longer available) – 03.02.10
- CMS Needs Your Feedback – 03.02.10
- Webinar sobre Nutrición Enteral – 03.01.10
- The Spring 2010 DME MAC Insider is now available – 03.01.10
- The Spring 2010 DME MAC Jurisdiction C Supplier Manual is now available – 03.01.10
February 2010
- A Message from Dr. David Blumenthal on Advancing Health Information Exchange – 02.26.10
- LCD and Policy Article Revisions Summary for February 25, 2010 – 02.25.10
- New from the Medicare Learning Network – 02.25.10
- Webinar registrations are now open! Topics include CERT, Oxygen, and Enteral Nutrition. Webinars begin March 3, so register now! – 02.25.10
- Update on Claims Processing for Ordering/Referring Providers – 02.24.10
- The February 2010 Medical Review Frequently Asked Questions are now available – 02.23.10
- REVISED: Revision of Definition of Compendia as Authoritative Source for Use in the Determination of a Medically-Accepted Indication of Drugs/Biologicals Used Off-label in Anti-Cancer Chemotherapeutic Regimens [MLN Matters MM6806] – 02.23.10
- Reporting the Beneficiary's Residence State Code and ZIP Code for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims [MLN Matters MM6359] – 02.23.10
- The Medicare Learning Network--Quality You Can Trust! – 02.22.10
- CMS Invites You to HITECH Teleconference on Medicare & Medicaid Incentives Program NPRM – 02.22.10
- LCD and Policy Article Revisions Summary for February 19, 2010 – 02.19.10
- E0118 - Crutch Substitute – 02.19.10
- Program Advisory and Oversight Committee (PAOC) Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (This article is no longer available) – 02.18.10
- Temporary Interruption in IVR Eligibility System Availability – 02.18.10
- HCPCS Code E0277 – Service-Specific Pre-pay Review – 02.18.10
- Medicare Claims Crossover to Supplemental Payer Problem – 02.17.10
- RESCINDED - Compliance Standards for Consignment Closets and Stock and Bill Arrangements [MLN Matters MM6528] – 02.16.10
- Medicare Systems Edit Refinements Related to Hospice Services [MLN Matters MM6778] – 02.16.10
- Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2010 [MLN Matters MM6792] – 02.16.10
- Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims [MLN Matters MM6736] – 02.16.10
- New from the Medicare Learning Network – 02.16.10
- Medicare's Durable Medical Equipment, Prosthetics, Orthotics and Supplies DMEPOS Competitive Bidding Program (This article is no longer available) – 02.16.10
- Centers for Medicare & Medicaid Services Special Open Door Forum: Medicare Provider & Supplier Enrollment – 02.15.10
- Webinar registrations are now open! Available topics include Ostomy and Urological Webinars, Claim Denials & Resolutions, and Medicare Resources Webinars – 02.15.10
- Medicare Learning Workshops - Practical Education for Today's Suppliers and Providers – 02.12.10
- CERT: Attention Physicians Ordering Supplies! – 02.11.10
- IMPORTANT MESSAGE RE: HIPAA National Provider Conference Call – 02.10.10
- Agenda Now Available for Program Advisory and Oversight Committee (PAOC) Meeting on Competitive Acquisition for DMEPOS (This article is no longer available) – 02.10.10
- Free Educational Products and Free Shipping from the Medicare Learning Network! – 02.10.10
- Medicare's Durable Medical Equipment, Prosthetics, Orthotics and Supplies DMEPOS Competitive Bidding Program (This article is no longer available) – 02.09.10
- Revision of Definition of Compendia as Authoritative Source for Use in the Determination of a Medically-Accepted Indication of Drugs/Biologicals Used Off-label in Anti-Cancer Chemotherapeutic Regimens [MLN Matters MM6806] – 02.09.10
- IMPACT Your Medicare Knowledge Workshop Series - Registration for the Shreveport, Roanoke, and Little Rock sessions is now open! – 02.08.10
- Special Open Door Forum: Medicare Provider & Supplier Enrollment – 02.08.10
- 5010: Taking EDI to the Next Level – 02.05.10
- Medicare Learning Network (MLN) Matters Special Edition Article Now Available on the Medicare DMEPOS Competitive Bidding Program (This article is no longer available) – 02.05.10
- New From The Medicare Learning Network – 02.05.10
- LCD and Policy Article Revisions Summary for February 4, 2010 – 02.04.10
- April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM6804] – 02.04.10
- Medicare's DMEPOS Competitive Bidding Program - A Better Way for Medicare to Pay for Medical Equipment - [MLN Matters SE1007] – 02.04.10
- February is American Heart Month! – 02.03.10
- February Closures for DME MAC Jurisdiction C Contact Center – 02.02.10
- Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) - [MLN Matters MM6566] – 02.02.10
- "DR" Condition Code and the "CR" Modifier on Medicare Fee-for-Service Claims – 02.02.10
- Interest to Physicians and Non-Physician Practitioners Regarding NPI and Enrollment Files – 02.01.10
- Reminder: Ordering/Referring Provider Front-End PECOS Warning Edits at the Common Electronic Data Interchange – 02.01.10
January 2010
- 5010: Taking EDI to the Next Level: Fourth National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010 – 01/28/2010
- Positive Airway Pressure (PAP) LCD Revision - January 2010 – 01/28/2010
- LCD and Policy Article Revisions Summary for January 28, 2010 – 01/28/2010
- Registration is now available for the following Spanish-language Webinars:
- Webinar sobre Zapatos para Personas con Diabetes
- Webinar sobre Suministros para Personas con Diabetes
- Webinar sobre Notificación Previa al Beneficiario (ABN, por sus siglas en inglés)
- Webinar sobre Recursos de Jurisdicción C – 01.25.10
- Registration is now available for the following Webinars:
- Medicare 101
- Medicare 102
- Advance Beneficiary Notice (ABN)
- Medicare Secondary Payer (MSP)
- Documentation Requirments – 01.25.10
- Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond – 01.25.10
- Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond [MLN Matters SE1005] – 01.25.10
- The Medical Review Frequently Asked Questions have been updated – 01.22.10
- Correction to the Top 10 CEDI Edits for December 2009 – 01.22.10
- Break in Service Guidelines for Patients in a Hospital, Skilled Nursing Facility (SNF), Hospice, or Medicare Advantage Plan – 01.22.10
- LCD and Policy Article Revisions Summary for January 2010 – 01.21.10
- Medicare Remit Easy Print (MREP) Software Codes Update – 01.21.10
- REVISED: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 276/277 Claim Status Second Phase [MLN Matters MM6721] – 01.21.10
- HOLD THE DATE - Program Advisory and Oversight Committee (PAOC) Update Meeting on Competitive Acquisition for DMEPOS (This article is no longer available) – 01.21.10
- From the Medicare Learning Network -- Did You Resolve To Learn Something New This Year? – 01.21.10
- New QUICK REFERENCE charts now available from the Medicare Learning Network (MLN) – 01.21.10
- World of Medicare NEW WBT course from the Medicare Learning Network (MLN) – 01.21.10
- Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) [MLN Matters MM6566] – 01.21.10
- Registration is now available for the following Spanish Webinars:
- Webinar sobre Oxígeno
- Webinar sobre Dispositivos de Asistencia Respiratoria (RAD)
- Webinar sobre Equipo de Presión Positiva vía Aérea (PAP)
- Webinars de Requisitos de Documentación – 01.15.10
- Registration is now available for the following Webinars:
- Medical Review
- Nebulizers
- Immunosuppressive Drugs
- IVR Security Enhancements and Updates – 01.14.10
- The Medicare Learning Network – Celebrating 10 Years As Your Medicare Educational Resource! – 01.14.10
- Revised Medicare Physician Guide – 01.13.10
- Sent on Behalf of the CEDI: CEDI Complete Outage for Routine Maintenance on Sunday, January 17, 2010 – 01.13.10
- CMS Launches Fifth Annual Medicare Contractor Provider Satisfaction Survey – 01.13.10
- IMPACTANDO Su Conocimiento de Medicare – 01.12.10
- Two Messages from the Medicare Learning Network – 01.12.10
- IMPACT Your Medicare Knowledge Workshop Series - Registration for the Houston and Miami sessions is now open! – 01.11.10
- Upcoming IVR Changes: Protecting the security of your information is a priority for CGS. During the month of January, CGS will be implementing changes to our Interactive Voice Reponse (IVR) system which will enhance your access to important information while adding new security measures. Please monitor your ListServ messages from CGS for important implementation dates and instructions. – 01.11.10
- IMPORTANT REMINDER: DME MAC Contractors Introduce National Comprehensive Error Rate Testing (CERT) Education Initiative In Special "Ask-The-Contractor Teleconference" January 13, 2010 – 01.11.10
- 2009: A Year of Enhancements! – 01.11.10
- Scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set – 01.08.10
- Medically Unlikely Edits (MUEs) - PDF Document Change Request 6712 Transmittal 617 – 01.08.10
- ICD-10-CM/PCS Conference Call Transcript Summaries – 01.07.10
- CMS Launches Fifth Annual Medicare Contractor Provider Satisfaction Survey – 01.07.10
- January is National Glaucoma Awareness Month – 01.07.10
- CMS News from the Medicare Learning Network – 01.05.10
- CMS and ONC Issue Regulations Proposing a Definition of "Meaningful Use" and Setting Standards for Electronic Health Record Incentive Program – 01.04.10
- Zone 5 Pre-Pay Claims – 01.04.10
- New Place of Service (POS) Code for Walk-in Retail Health Clinic [MLN Matters MM6752] – 01.04.10
- Zone 5 Announcement – 01.04.10
- Annual Certification for CR3274 – 01.04.10
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