DME MAC Jurisdiction C 2011 News Archive
December 2011
- CMS Announces Delay to the Prepayment Review and Prior Authorization for Power Mobility Devices (PMDs) Demonstration and the Recovery Audit Prepayment Review Demonstration – 12.30.11
- Ankle Foot Orthoses — Coding Guidelines – 12.30.11
- Retired: Articulating Digit(s) and Prosthetic Hands—Correct Coding – 12.30.11
- New ASC X12 Version 5010 FAQs Posted to the CMS Website – 12.30.11
- Incorrect Biller Purged Claim Reports – 12.29.11
- The Compliance Deadline for the Transition to ASC X12 Version 5010 is Less Than One Week Away – 12.29.11
- Sent on Behalf of the CEDI – PECOS Warning Edit Change – 12.29.11
- DME MAC Jurisdiction C Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees -1st Quarter 2012
– 12.29.11 - Temporary Interruption in IVR and CSI/BE Availability – 12.29.11
- Revised - Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS): Allowing Contract or Non-contract Suppliers to Maintain and Service the Enteral Nutrition Equipment That They Provided in the 15th Continuous Month of Rental
[MLN Matters MM7498] – 12.29.11 - Revised - End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services [MLN Matters MM7064] – 12.29.11
- Additional Instructions Regarding Demand Bills Under the Home Health Prospective Payment System [MLN Matters MM7660] – 12.29.11
- Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), Medicare Remit Easy Print (MREP), and PC Print Update [MLN Matters MM7683] – 12.29.11
- Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims [MLN Matters SE1138] – 12.29.11
- Preparing for the Sunday, January 1, 2012 Version 5010 Deadline – 12.29.11
- Reminder: Time is Running Out for Authorized Officials to Register for DMEPOS Competitive Bidding – 12.29.11
- Two DMEPOS Competitive Bidding Announcements – 12.29.11
- Medicare Fee-For-Service (FFS) Policy Regarding 90 Day Discretionary Enforcement Period for Non-Compliant HIPAA Covered Entities – 12.28.11
- Now available: New Webcast for Round 2 and National Mail-Order Bidders – 12.28.11
- January 2012 Webinars are now available for registration – 12.28.11
- Revised - Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 [MLN Matters MM7567] – 12.22.11
- April 2012 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters MM7638] – 12.22.11
- Pharmacy Billing for Drugs Provided "Incident To" a Physician Service [MLN Matters MM7397] – 12.22.11
- Medicare Fee-for-Service (FFS) Part B Editing of the National Drug Code (NDC) – 12.20.11
- Registration Reminder for DMEPOS Competitive Bidding – 12.20.11
- Revised Average Sales Price (ASP) Template is Now Available – 12.20.11
- Centers for Medicare & Medicaid Services Special Open Door Forum: Medicare Fee-For-Service Recovery Auditor Prepayment Review Demonstration – 12.20.11
- The Winter 2012 Medical Review Frequently Asked Questions are now available – 12.20.11
- Power Mobility Documentation Requirements – 12.20.11
- The Version 5010 Transition Deadline Is Two Weeks Away! – 12.20.11
- Preventive Services Educational Resources for Health Care Professionals [MLN Matters SE1142] – 12.19.11
- Updates from the Medicare Learning Network® – 12.19.11
- 2012 ICD-10-CM Code Updates Now Available from CMS – 12.19.11
- Quality Care Finder Tools Help People with Medicare and their Caregivers Compare Healthcare Options – 12.19.11
- The Obama Administration and Expanded Efforts to Fight Fraud – 12.19.11
- Medicare Fee-For-Service (FFS) Policy Regarding 90 Day Discretionary Enforcement Period for Non-Compliant HIPAA Covered Entities – 12.19.11
- Update to Medical Loss Ratio Final Rule Regarding ICD-10 Conversion Costs – 12.15.11
- Revised Medicare DMEPOS Competitive Bidding Program Repairs and Replacements Fact Sheet – 12.15.11
- Microprocessor-Controlled Knee Systems-Correct Coding and Billing – 12.15.11
- Automatic External Defibrillators (AED) Draft Local Coverage Determination - Update – 12.15.11
- Wheelchairs Eligible for Advance Determination of Medicare Coverage (ADMC) - Group 4 Power Wheelchairs Removed – 12.15.11
- Safety Equipment Packages with Power Operated Vehicles (POVs)-Correct Coding – 12.15.11
- January 2012 Average Sales Price (ASP) Files Are Now Available – 12.13.11
- PC-ACE Pro32 Version 2.32 File Automatically Effective with ASC X12 5010 on Sunday, January 1, 2012 – 12.13.11
- Updates from the Medicare Learning Network® – 12.13.11
- Enteral Nutrition Checklist – 12.12.11
- Status Report for Quarter 3 - 2011: HCPCS Code K0823 Service-Specific Prepayment Review – 12.12.11
- Holiday Closure Schedule – CGS DME MAC Jurisdiction C – 12.09.11
- Status Report for Quarter 3 - 2011: HCPCS Codes A5500, A5512 and A5513 Service-Specific Prepayment Review – 12.09.11
- Status Report for Quarter 3 - 2011: HCPCS Codes J7605, J7606 & J7626 Service-Specific Prepayment Review – 12.09.11
- CMS Online Information Just Got Better – 12.08.11
- All Medicare Provider and Supplier Payments to Be Made by Electronic Funds Transfer – 12.08.11
- Healthcare Law Will Allow Patients to Compare Options, Find Best Value – 12.08.11
- 2012 ICD-10-CM Code Updates Now Available from CMS – 12.08.11
- Medicare Claims Processing Issue Related to Part B Services for Skilled Nursing Facility (SNF) Patients – 12.08.11
- Registration Now Open for DMEPOS Competitive Bidding – 12.08.11
- Reasonable Charge Update for 2012 for Splints, Casts, and Certain Intraocular Lenses [MLN Matters MM7628] – 12.08.11
- Status Report for Quarter 3 - 2011: HCPCS Codes B4150 and B4154 Service-Specific Prepayment Review – 12.08.11
- Status Report for Quarter 3 - 2011: HCPCS Code E1390 Service-Specific Prepayment Review – 12.08.11
- Status Report for Quarter 3 - 2011: HCPCS Code E0601 Service-Specific Prepayment Review – 12.08.11
- Interruption in IVR Eligibility System Availability on December 17, 2011 – 12.07.11
- RAC Demand Letters – 12.07.11
- Status Report for Quarter 3 - 2011: HCPCS Code E0277 – 12.07.11
- Status Report for Quarter 3 - 2011: HCPCS Code A4253 Service-Specific Prepayment Review – 12.07.11
- Version 5010 Enforcement Discretion Period – 12.07.11
- Medicare Announces Timeline for Bidding; Begins Bidder Education Program for DMEPOS Competitive Bidding – 12.07.11
- National Influenza Vaccination Week is December 4-10 – Get the flu vaccine, not the flu – 12.06.11
- Revised: Instructions to Accept and Process All Ambulance Transportation Healthcare Common Procedure Coding System (HCPCS) Codes [MLN Matters MM7489] – 12.06.11
- HCPCS Code Update – 2012 – 12.05.11
- DME MAC CERT Taskforce Webinar – 12.05.11
- The 1st Half 2012 DMEPOS Fee Schedule is now available in PDF, CSV and searchable formats – 12.05.11
- Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover Process [MLN Matters SE1137] – 12.02.11
- Medicare's Wednesday December 7th Open Enrollment Deadline Nears – 12.01.11
- Oxygen CMN Status Inquiries – 12.01.11
- Advisory Panel on Ambulatory Payment Groups Changes Name; Seeks New Members – 12.01.11
- Power Mobility Devices - Prepayment Review Demonstration Project – 12.01.11
November 2011
- Get Ready for DMEPOS Competitive Bidding – 11.30.11
- Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 [MLN Matters MM7567] – 11.30.11
- Updates from the Medicare Learning Network ® – 11.30.11
- Updates to the Ordering/Referring Report – 11.30.11
- Special Open Door Forum: Provider-Focused - Medicare's Prepayment Review and Prior Authorization Demonstration Project for Power Mobility Devices – 11.28.11
- Special Open Door Forum: Medicare's Prepayment Review and Prior Authorization Demonstration Project for Power Mobility Devices – 11.28.11
- Important Medicare Fee-for-Service Statement Regarding Versions 5010 and D.0 – 11.28.11
- National Provider Call: Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transaction Standards – Register Now – 11.28.11
- Version 5010 Resources are Available to Help Your Transition – 11.28.11
- Oxygen Denials for Missing Information – 11.28.11
- Registration for December Spanish language webinars is now open! – 11.23.11
- Registration for December English language webinars is now open! – 11.23.11
- Ankle-Foot Orthoses – Arizona-Type – Correct Coding – REVISED – 11.23.11
- Updates from the Medicare Learning Network – 11.23.11
- Medicare Shared Savings Program Application Webpage Updated with Notice of Intent to Apply and Complete Application Package – 11.23.11
- National Provider Call: CMS to Host its Twenty-first HIPAA Version 5010 and D.0 – Save the Date – 11.23.11
- Transcript of "Revalidation of Medicare Provider Enrollment" National Provider Call Now Available – 11.23.11
- CMS' Office of E-Health Standards and Services Announces 90-Day Period of Enforcement Discretion for Compliance with New HIPAA Transaction Standards – 11.23.11
- Join CMS in Observing the Great American Smokeout – 11.23.11
- REVISED: Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2010 [MLN Matters MM6792] – 11.23.11
- DME MAC CERT Taskforce Webinar – 11.21.11
- RAC - Extended Repayment Plan (No Longer Available) – 11.21.11
- Get Ready for DMEPOS Competitive Bidding – 11.21.11
- CMS Announces New Demonstrations to Help Curb Improper Medicare, Medicaid Payments – 11.21.11
- January 2012 Quarterly Update for the DMEPOS Competitive Bidding Program [MLN Matters MM7632] – 11.16.11
- Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement [MLN Matters MM7599] – 11.16.11
- Positive Airway Pressure Device Accessories - Utilization Reminder – 11.16.11
- The 2012 HCPCS Code Update – New, Discontinued, and Verbiage Changes – 11.16.11
- Important Information for Medicare FFS Providers – 11.16.11
- Recovery Audit Program MAC-Issued Demand Letters (Pilot Program) – 11.15.11
- We Can't Wait: Health Care Innovation Challenge Will Improve Care, Save Money, Focus on Health Care Jobs – 11.15.11
- Updates from the Medicare Learning Network – 11.15.11
- November is National Diabetes Month and Diabetic Eye Disease Month – 11.14.11
- Oxygen CMN Status on the CGS Jurisdiction C IVR – 11.14.11
- Now Available Online: List of Providers sent a Revalidation Request – 11.14.11
- REVISED: Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number [MLN Matters MM7499] – 11.14.11
- 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] – 11.14.11
- CY 2012 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) [MLN Matters MM7635] – 11.14.11
- Updates from the Medicare Learning Network – 11.14.11
- REVISED: New Qualified Independent Contractor (QIC) - C2C Solutions, Inc. – 11.11.11
- Changes to Medicare Overpayment Notification Process – 11.11.11
- CMS Has Created Implementation Handbooks to Help you Transition to ICD-10 – 11.11.11
- All Medicare Provider and Supplier Payments to be Made by Electronic Funds Transfer – 11.11.11
- Get Ready for DMEPOS Competitive Bidding – 11.11.11
- Important Information for Medicare FFS Providers about 5010 & D.O – 11.11.11
- DME Stop Gap Project – Medicare Part B and D Drug Billing – 11.10.11
- Innovation Advisors Program - Apply Today – 11.10.11
- Make Sure you are Prepared for Version 5010: Risk Mitigation Strategies – 11.09.11
- Important Information on the Revalidation of Medicare Provider Enrollment – 11.09.11
- National Provider Call: ICD-10 Implementation Strategies and Planning – Register Now – 11.09.11
- Get Ready for DMEPOS Competitive Bidding – 11.09.11
- Updates from the Medicare Learning Network – 11.09.11
- New Qualified Independent Contractor (QIC) - C2C Solutions, Inc. – 11.07.11
- REVISED: Proof of Delivery and Delivery Methods [MLN Matters MM7410] – 11.04.11
- January 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM7624] – 11.04.11
- Interruption in IVR Eligibility System Availability on November 4-5, 2011 – 11.03.11
- Updates from the Medicare Learning Network – 11.01.11
- Medicare Fee-for-Service Professional Providers and Suppliers: – 11.01.11
- ICD-10 Implementation Strategies and Planning National Provider Call – Registration Now Open – 11.01.11
- National Provider Call: Time is running out: Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transaction Standards – Register Now – 11.01.11
October 2011
- Voluntary Refunds – 10.28.11
- November 2011 Spanish Webinars are now available for registration – 10.28.11
- Reduced Medicare Regulatory Burdens for Healthcare Providers Would Save Nearly $1.1 Billion – 10.26.11
- 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] – 10.25.11
- Predictive Modeling Analysis of Medicare Claims [MLN Matters SE1133] – 10.25.11
- Get Ready for DMEPOS Competitive Bidding – 10.21.11
- Now Available - Video Slideshow Presentations, Podcasts, and Written Transcript of the August 3 National Provider Call on “ICD-10 Implementation Strategies for Physicians” – 10.21.11
- Updated CMS Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 R1 Pilot Software and Updated ICD-10 MS-DRG R1 Definitions Manual – 10.20.11
- Modifier usage reminder for claims from suppliers in Competitive Bid Areas – 10.20.11
- November 2011 Webinars are now available for registration – 10.20.11
- CMS to Host its Twentieth HIPAA Version 5010 and D.0 National Provider Call : Save the Date – 10.20.11
- REVISED: Medicare Pilot Project for Electronic Submission of Medical Documentation (esMD) [MLN Matters SE1110] – 10.20.11
- 2011 Version of Advance Beneficiary Notice of Noncoverage Must Be Used Beginning Sunday, January 1, 2012 – 10.20.11
- Updates from the Medicare Learning Network – 10.20.11
- Responding to Documentation Requests – 10.20.11
- National Provider Call: Revalidation of Medicare Provider Enrollment -Register now – 10.19.11
- The Fourth Quarter 2011 Drug Fees, Pharmacy Dispensing Fees, and Pharmacy Supply Fees have been revised – 10.14.11
- All Medicare Provider and Supplier Payments to be made by Electronic Funds Transfer – 10.14.11
- Updates from the Medicare Learning Network – 10.14.11
- Medicare's Provider Enrollment Revalidation Process and Improvements to Internet-Based PECOS – 10.14.11
- National Provider Call: Revalidation of Medicare Provider Enrollment – Save the Date – 10.14.11
- Reminder - Ultrasonic/Electronic Aerosol Generator With Small Volume Nebulizer – Coding Verification Review Requirement – 10.13.11
- Get Ready for DMEPOS Competitive Bidding – 10.12.11
- LCD and Policy Article Revisions Summary for October 14, 2011 – 10.12.11
- Version 5010 Level II Compliance: Do You Know What to Do? – 10.12.11
- CMS Recognizes October as National Breast Cancer Awareness Month – 10.07.11
- Updates from the Medicare Learning Network – 10.07.11
- Medicare 2012 Open Enrollment Drug and Health Plan Data Now Live – Online "Plan Finder" Offers Unbiased Resource to Review Plan Options – 10.07.11
- National Provider Call: Revalidation of Medicare Provider Enrollment – Save the Date – 10.07.11
- Are You Licensed for DMEPOS Competitive Bidding? – 10.07.11
- Common Electronic Data Interchange Help Desk Closed for Training October 10, 2011 – 10.07.11
- Version 5010 Testing Week Shows Promising Version 5010 Testing Results – 10.07.11
- REVISED: Additional Fields for Additional Documentation Request (ADR) Letters [MLN Matters MM7254] – 10.05.11
- Claim Status Category and Claim Status Codes Update [MLN Matters MM7585] – 10.05.11
- Proof of Delivery and Delivery Methods [MLN Matters MM7410] – 10.05.11
- Important Update Regarding 5010/D.0 Implementation - Action Needed Now [MLN Matters SE1131] – 10.05.11
- Implementation of Pay.gov Application Fee Collection Process through PECOS [MLN Matters SE1130] – 10.05.11
- Get Ready for DMEPOS Competitive Bidding – 10.05.11
- Only 90 Days Left Until Full 5010 Implementation - Important Information for Medicare Fee-For-Service Providers – 10.05.11
- The 2nd Half 2011 DMEPOS Fee Schedule is now available. – 10.05.11
- The Fall 2011 Jurisdiction C Supplier Manual is now available – 10.03.11
- The Fall 2011 DME Insider is now available – 10.03.11
- National Provider Call: Revalidation of Medicare Provider Enrollment – Save the Date Thursday, October 27, 2011; 12:30-2pm ET – 10.03.11
- Reminder: Telephone Reopenings and Provider Contact Center Closed on Columbus Day – 10.03.11
- 2012 ICD-10-PCS GEMs Files Now Available from CMS – 10.03.11
September 2011
- Vaccinate Early to Protect Against the Flu – 09.30.11
- Discontinuance of Verification of Foreign Born Status in Provider Enrollment – 09.30.11
- Prohibition on Balance Billing Qualified Medicare Beneficiaries (QMBs) [MLN Matters SE1128] – 09.29.11
- Updates from the Medicare Learning Network – 09.29.11
- Temporary Interruption in IVR and CSI/BE Availability – 09.29.11
- Pharmacy Billing for Drugs Provided "Incident To" a Physician Service [MLN Matters MM7397] – 09.28.11
- Additional Fields for Additional Documentation Request (ADR) Letters [MLN Matters MM7254] – 09.28.11
- Important Information for Medicare Fee-For-Service (FFS) Providers - Only 100 Days Left Until Full 5010 Implementation – 09.28.11
- Get Ready for DMEPOS Competitive Bidding – 09.27.11
- Reminder: Navigating Medicare in 2011 Workshop- Miami, Florida, October 5 and 6, 2011 – 09.27.11
- Reducing Improper Payments, Fighting Fraud, and Curbing Waste and Abuse under the Affordable Care Act – 09.26.11
- Get Ready for DMEPOS Competitive Bidding – 09.26.11
- Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM7514] – 09.23.11
- New Version 5010 Testing Readiness Fact Sheet Available – 09.23.11
- Vaccinate Early to Protect Against the Flu / 2011-2012 Influenza Vaccine Prices Are Now Available – 09.23.11
- Fall 2011 Medical Review FAQs are now available – 09.22.11
- October Webinars are now available for registration – 09.22.11
- RESCINDED: Listening Session: Open Enrollment for Stakeholders – 09.22.11
- Updates from the Medicare Learning Network – 09.21.11
- Listening Session: Open Enrollment for Stakeholders – 09.21.11 - REVISED 09.22.11
- Register Now for a HRSA Webinar on the "Impact of ICD-10 on Safety Net Providers" – 09.21.11
- October 2011 Average Sales Price (ASP) Files Are Now Available – 09.20.11
- Upcoming Interruption in IVR Eligibility System Availability – 09.20.11
- Delay in Implementation of Automated Medicare Secondary Payer (MSP) Adjustments (CR 6625) – 09.19.11
- All Medicare Provider and Supplier Payments to be made by Electronic Funds Transfer – 09.19.11
- Are You Prepared For Version 5010? – 09.19.11
- Updates from the Medicare Learning Network – 09.19.11
- Provider Enrollment Revalidation Does Not Affect Routine Enrollment Processes - Continue to Submit Routine Enrollment Changes – 09.16.11
- Upcoming Interruption in IVR Eligibility System Availability – 09.16.11
- CMS Seeks Members for Expert Panel to Develop and Maintain Quality Measures - Nomination Deadline: Monday, September 19, 2011 – 09.16.11
- Upcoming DME Provider Contact Center Closures – 09.15.11
- Get Ready for DMEPOS Competitive Bidding – 09.14.11
- Remittance Advice Changes Revoked – FCNs Now Available Again – 09.13.11
- 2011 MCPSS Results Are In! – 09.13.11
- Help Planning for Version 5010 and ICD-10 is Available from CMS – 09.12.11
- Contractor Entities at a Glance: Who May Contact You about Specific Centers for Medicare & Medicaid Services (CMS) Activities [MLN Matters SE1123] – 09.09.11
- Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) [MLN Matters MM7492] – 09.09.11
- Medicare Pilot Project for Electronic Submission of Medical Documentation (esMD) [MLN Matters SE1110] – 09.09.11
- REVISED: Populating REF Segment - Other Claim Related Adjustment - for Healthcare Claim Payment/Advice or Transaction 835 Version 5010A1 [MLN Matters MM7484] – 09.09.11
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Expansion Announced [MLN Matters SE1127] – 09.09.11
- Registration for September Spanish webinars is now available – 09.09.11
- Ask the Contractor Teleconference Coming September 29, 2011 – 09.09.11
- National Provider Call: Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – Register Now – 09.09.11
- September is Prostate Cancer Awareness Month – 09.09.11
- Find Out if You Are Prepared For Version 5010 – 09.09.11
- MLN Provider Exhibit Program Schedule – 09.09.11
- The Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Round 2 and the National Mail-order Competitions are Coming Soon!! – 09.08.11
- HIPAA 5010 & D.0 Implementation Calendar and Important Reminders for September 2011 – 09.08.11
- Updates from the Medicare Learning Network – 09.08.11
- 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update [MLN Matters MM7552] – 09.02.11
- Provider Outreach and Education Calendar of Events — September 2011 – 09.01.11
- Registration for Spanish language workshops in San Juan and Miami are now available! – 09.01.11
- Register now for the Navigating Medicare in 2011 workshop in Miami! – 09.01.11
- Medicare Fee-for-Service (FFS) Response to the Emergency in the State of Missouri Due to Severe Storms and Tornadoes (No Longer Available)– 09.01.11
August 2011
- Charcot Restraint Orthotic Walker - CROW Boot – Coding Update – 08.30.11
- Announcing the Release of Revised and New CMS-855 Medicare Provider-Supplier Enrollment Applications – 08.30.11
- CMS to Release a Comparative Billing Report on Ordering Durable Medical Equipment: Diabetic Supplies – 08.26.11
- Glucose Monitor Supplies – New Editing – 08.26.11
- Enhancements to the CGS Jurisdiction C IVR – 08.26.11
- "The Medicare Overpayment Collection Process" Fact Sheet Revised – 08.25.11
- Gammagard Liquid (J1569) Added as Covered Subcutaneous Immune Globulin – 08.25.11
- LCD and Policy Article Revisions Summary for August 25, 2011 – 08.25.11
- Dear Physician - Documentation of Artificial Limbs – 08.25.11
- DMEPOS Competitive Bidding Program Expansion Announced – 08.24.11
- Provider Enrollment Revalidation - Wait Until You Hear From Your Medicare Administrative Contractor (MAC) – 08.23.11
- Registration for September webinars is now available! – 08.22.11
- Chiropractors Not Eligible to Order and Refer – 08.22.11
- Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS): Allowing Contract or Non-contract Suppliers to Maintain and Service the Enteral Nutrition Equipment That They Provided in the 15th Continuous Month of Rental [MLN Matters MM7498] – 08.19.11
- National Provider Call on Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – Save the Date – 08.19.11
- Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number {MLN Matters MM7499] – 08.19.11
- CMS Announces National Version 5010 Testing Week – 08.19.11
- 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] – 08.18.11
- Items Provided on a Recurring Basis and Request for Refill Requirements – 08.12.11
- Information You Need: CMS Fraud Prevention Initiative – 08.12.11
- CMS series of three Provider Compliance Group (PCG) Outreach Calls – 08.12.11
- Updates from the Medicare Learning Network® – 08.12.11
- Medicare Remit Easy Print (MREP) Version 3.1 is now Available! – 08.12.11
- New Podcasts Available from Four Popular CMS ICD-10 National Provider Calls – 08.12.11
- REVISED: Pharmacy Billing for Drugs Provided "Incident To" a Physician Service [MLN Matters MM7397] – 08.12.11
- Medicare Providers Must Begin to Revalidate Enrollment By March 2013 – 08.12.11
- Updates from the Medicare Learning Network® – 08.11.11
- First National Version 5010 Testing Day Results Now Available – 08.09.11
- August is National Immunization Awareness Month – 08.09.11
- IMPORTANT 5010/D.0 IMPLEMENTATION ITEMS – 08.09.11
- CMS Announces National Version 5010 Testing Week – 08.09.11
- FY2012 ICD-9-CM Code Titles Available – 08.09.11
- Therapeutic Shoes for Diabetics: Physician Documentation Requirements– 08.05.11
- LCD Revisions Released for Comment - Automatic External Defibrillators, Pneumatic Compression Devices, and Suction Pumps – 08.05.11
- Medicare Remit Easy Print (MREP) and PC Print User Guide Update for Implementation of Version 5010A1 [MLN Matters MM7466] – 08.05.11
- Quarterly Update to the End-Stage Renal Disease Prospective Payment System [MLN Matters MM7476] – 08.05.11
- Populating REF Segment - Other Claim Related Adjustment - for Healthcare Claim Payment/Advice or Transaction 835 Version 5010A1 [MLN Matters MM7484] – 08.05.11
- October 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM7488] – 08.05.11
- Independent Laboratory Billing of Automated Multi-Channel Chemistry (AMCC) Organ Disease Panel Laboratory Tests for Beneficiaries who are not Receiving Dialysis for Treatment of End Stage Renal Disease (ESRD) [MLN Matters MM7497] – 08.05.11
- Registration is now available for the September 12, 2011 Navigating Medicare Workshop to be held in Jacksonville, FL – 08.05.11
- Adjudication and Payment of 5010A1 Production Claims – Issue Resolved: The issue with 5010A1 production claims completing processing has been resolved by the DME MACs and the claims are now processing as they should. – 08.04.11
- Recovery Audit Program: Medicare Administrative Contractor (MAC)-issued Demand Letters [MLN Matters MM7436] – 08.04.11
- Three Draft LCDs have been released for comment – 08.04.11
- Draft Medical Policy Open Meeting All DME MAC Jurisdictions – 08.04.11
- Reprocessing of Customized Prosthetic Devices – 08.02.11
- The Slide Presentation for the August 3 ICD-10 National Provider Call is Now Available – 08.01.11
- Adjudication and Payment of 5010A1 Production Claims: 5010A1 Production claims are being received by CEDI and those that pass the CEDI front end edits are being delivered to the DME MAC Jurisdictions. However, due to a system issue, the claims are unable to complete processing. The DME MACs are working to resolve the issue. More information will be provided as we work towards implementing the resolution. – 08.01.11
July 2011
- August Spanish language Webinars are now available for registration – 07.29.11
- August 2011 Webinars are now available for registration – 07.29.11
- Important Notice Regarding Eligibility Information on the IVR – 07.29.11
- Update to the 5010A1 Edits – 07.29.11
- Last Chance to Register for the ICD-10 Implementation Strategies for Physicians National Provider Call – 07.29.11
- CEDI Listserv – 07.28.11
- Interruption in IVR Eligibility System Availability on July 30, 2011 and August 6, 2011 – 07.27.11
- Updates from the Medicare Learning Network – 07.26.11
- REVISED: Durable Medical Equipment National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies [MLN Matters MM7389] – 07.26.11
- Six Month Check-in: Act Now for the Version 5010 Transition – 07.25.11
- Medicare Remit Easy Print (MREP) download issue: The issue regarding downloading the MREP software from the CMS website has been resolved – 07.25.11
- Remittance Advice Change Impacting the IVR – 07.22.11 - Revised 07.27.11
- Prospective Billing for Refills of DMEPOS Items Provided on a Recurring Basis [MLN Matters MM7452] – 07.21.11
- "Place of Service Codes" on the CMS Website – 07.21.11
- Change to the DME MAC Jurisdiction C Provider Contact Center Schedule – 07.21.11
- Medicare Remit Easy Print (MREP) download issue: The ability to download the Medicare Remit Easy Print (MREP) software from the CMS website is currently not working due to server glitches. OIS is working with the website support team to resolve this issue as soon as possible. – 07.21.11
- Retired: Correct Coding Instructions– Porta-Lung® Negative Pressure Ventilator – 07.20.11
- Now Available - Video Slideshow Presentation, Podcasts, and Written Transcripts of the May 18th National Provider Call on "CMS ICD-10 Conversion Activities, Including a Lab Case Study" – 07.19.11
- CMS Announces National Version 5010 Testing Week! – 07.19.11
- Updates from the Medicare Learning Network® – 07.19.11
- Registration Now Open for the ICD-10 Implementation Strategies for Physicians National Provider Call – 07.19.11
- Accreditation Denials – ANSI Code B7, Remark N211 – 07.18.11
- Retired: Medicare Record Authentication – Tips for Physicians – 07.15.11
- The 3rd Quarter 2011 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available – 07.15.11
- LCD and Policy Article Revisions Summary for July 14, 2011 – 07.14.11
- Provider Contact Center Closure – 07.13.11
- The CGS Provider Contact Center for DME MAC Jurisdiction C is receiving an unusually high volume of telephone calls today. As a result, you may experience longer than usual wait times before reaching an agent. The best times to call are between 8:30am - 11:30am and 3:30pm - 5:00pm CST. We would like to suggest that you call during these times to avoid unnecessary delays. The IVR is operational and available for your use. – 07.12.11
- Lessons Learned: J7626 Widespread Probe Review – 07.11.11
- Updates from the Medicare Learning Network® – 07.11.11
- Pharmacy Billing for Drugs Provided "Incident To" a Physician Service [MLN Matters MM7397] – 07.11.11
- Delayed Implementation of X12N Version 5010 Paperwork Segment – 07.11.11
- Medicare Proposes Revisions to the End-Stage Renal Disease Prospective Payment System – 07.08.11
- HIPAA 5010 & D.0 Implementation Calendar and Important Reminders for July 2011 – 07.08.11
- Status Report: Therapeutic Shoes For Persons With Diabetes Service-Specific Prepayment Review – 07.08.11
- Status Report: HCPCS Code A4253 Service-Specific Prepayment Review – 07.08.11
- Status Report: HCPCS Code E0601 Service-Specific Prepayment Review – 07.08.11
- First Quarter Health Outcomes Results for DMEPOS Competitive Bidding – 07.07.11
- Status Report: HCPCS Code E1390 Service-Specific Prepayment Review (No Longer Available)– 07.07.11
- Status Report: Enteral Nutrition Service-Specific Prepayment Review – 07.07.11
- Status Report: HCPCS Code K0823 Service-Specific Prepayment Review – 07.07.11
- Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) [MLN Matters MM7454]– 07.06.11
- Interruption in CWF Availability Affecting Jurisdiction C IVR – 07.06.11
- The 2011 Jurisdiction C Supplier Manual and DME Insider are now available – 07.05.11
- Updates from the Medicare Learning Network® – 07.05.11
- New K-Codes for Wound Suction Pumps and Associated Dressings – Coding Guidelines – 07.05.11
- Medicare Remit Easy Print (MREP) Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update – 07.01.11
June 2011
- Claim Status Category Code and Claim Status Code Update [MLN Matters MM7456]– 06.28.11
- Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Reopenings via a Secure Internet Portal/Application [MLN Matters MM7420] – 06.28.11
- Updates from the Medicare Learning Network® – 06.28.11
- Quarterly ICD-10 Article Reminds Industry to get Ready for Version 5010 (No Longer Available) – 06.28.11
- Registration is now available for the July 25, 2011 Navigating Medicare Workshop to be held in Nashville, TN – 06.27.11
- REVISED: Modifications to the Implementation of the Paperwork (PWK) Segment for X12N Version 5010 [MLN Matters MM7306] – 06.27.11
- Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters SE1035]– 06.27.11
- REVISED: Edit to Deny Claims for Repairs to Capped Rental Durable Medical Equipment (DME) [MLN Matters MM7212]– 06.27.11
- Drugs Used With External Infusion Pumps – Coverage and Billing Reminders – 06.27.11
- Supplies Used With Functional Electrical Stimulators (FES) - E0770 – 06.27.11
- Billing for Supplies Prior To Delivery of the Base Item - Billing Reminder – 06.27.11
- LCD and Policy Article Revisions Summary for June 23, 2011 – 06.27.11
- Interruption in IVR Eligibility System Availability on June 25, 2011 – 06.24.11
- Revised July 2010 - April 2011 Average Sales Price (ASP) Files Are Now Available – 06.24.11
- New Podcasts Available from the Wed Jan 12 National Provider Call on "Preparing for ICD-10 Implementation in 2011" – 06.24.11
- Temporary Interruption in IVR and CSI/BE Availability – 06.24.11
- New Spanish webinars are now available for registration - 06.24.11
- National Provider Call on Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – 06.22.11
- The 3rd Quarter 2011 DMEPOS Fee Schedule is now available in PDF, CSV, and searchable formats – 06.22.11
- Medicare Now Provides Coverage for an Annual Wellness Visit and the Initial Preventive Physical Examination – 06.22.11
- Updates from the Medicare Learning Network® – 06.22.11
- Are You Submitting a Handwritten Medicare Enrollment Application? – 06.22.11
- Materials from the AAPC-CMS ICD-10 Code-a-thon Have Been Posted to the ICD-10 Website – 06.20.11
- Upcoming Closures for the DME MAC Jurisdiction C Provider Contact Center – 06.20.11
- Test Your Version 5010 Implementation Efforts! – 06.17.11
- Power Wheelchair Billing Reminder – Modifiers and National Competitive Bidding – 06.17.11
- July Quarterly Update for 2011 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM7416] – 06.15.11
- Men's Health Month and National Men's Health Week – 06.14.11
- CMS Announces National Version 5010 Testing Days – 06.14.11
- Save the Date: National Provider Call on Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – 06.14.11
- Updates from the Medicare Learning Network® – 06.14.11
- Join the MLN Education Products Listserv! – 06.14.11
- Correct Coding - L0174 Coding Review – 06.14.11
- Three Reminders to Medicare Providers for Billing Correctly for Ordered/Referred Services – 06.14.11
- Affordable Care Act provision provides new opportunity for the use of Medicare and private sector claims data in evaluating the performance of physicians, other providers, and suppliers – 06.09.11
- The Transcript for the Medicare Shared Savings Program Proposed Rule Overview National Provider Teleconference is Now Available on the CMS Website – 06.09.11
- HIPAA 5010 & D.0 Implementation Calendar and Important Reminders for June 2011 – 06.09.11
- Phase 3 of Manual Revisions to Reflect Payment Changes for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005 [MLN Matters MM7401] – 06.09.11
- Edit to Deny Claims for Repairs to Capped Rental Durable Medical Equipment (DME) [MLN Matters MM7212] – 06.09.11
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2011 Update [MLN Matters MM7303] – 06.09.11
- Reminder: No Date Set for Expanded Ordering/Referring Provider Claim Edits – 06.09.11
- Two Messages about Accountable Care Organizations (ACOs) – 06.06.11
- A7 Claims Adjustment Reason Code to Force Balance the Remittance Advice – 06.03.11
- Shoes and Foot Inserts - Coverage Reminder – 06.03.11
- Orthopedic Shoes – HCPCS Code L3000 - Billing Reminder – 06.03.11
- Power Wheelchair Rental - Frequently Asked Questions – UPDATED June 2011 – 06.03.11
- Are You Submitting a Handwritten Medicare Enrollment Application? – 06.01.11
- October 2011 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters MM7425] – 06.01.11
- Pharmacy Billing for Drugs Provided "Incident To" a Physician Service [MLN Matters MM7397] – 06.01.11
- What you Should Know About the GEMS and Partial Code Freeze – 06.01.11
- Updates from the Medicare Learning Network® – 06.01.11
- CMS Announces National Version 5010 Testing Day – 06.01.11
- New Frequently-Asked-Questions Available about HIPAA Version 5010 Implementation – 06.01.11
May 2011
- Oral Appliance for OSA - E0486 Custom Fabricated - Coding and Utilization Guidelines – 05.26.11
- LCD and Policy Article Revisions Summary for May 26, 2011 – 05.26.11
- We're Changing Our Name! – 05.26.11
- Updates from the Medicare Learning Network® – 05.25.11
- Sixteenth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions " Call to Action: Test! – 05.23.11
- June 2011 Webinars are now available for registration – 05.23.11
- Affordable Care Act Gives Providers New Options to Better Coordinate Healthcare – New Accountable Care Organization Models Will Improve Patient Care; Could Save Medicare Up to $430 Million – 05.23.11
- New Spanish webinars are now available for registration - 05.23.11
- Revised - Glucose Monitor Supplies – Use of Upgrade Modifiers – 05.19.11
- Sixteenth National Education Call on Medicare Fee-For-Service ( FFS) Implementation of HIPAA Version 5010 and D.O. Transactions – 05.19.11
- Register Now for the Medicare Shared Savings Program Proposed Rule Overview National Provider Teleconference – 05.17.11
- Faxing Information to CGS – 05.17.11
- The Slide Presentation for the May 18 ICD-10 National Provider Teleconference is Now Available – 05.17.11
- Healthcare Common Procedure Coding System Collection Instrument Published in Federal Register Notice for a 60-Day Comment – 05.16.11
- Healthcare Common Procedure Coding System (HCPCS) Public Meeting Agendas for Durable Medical Equipment (DME) and Accessories – 05.16.11
- May is National Osteoporosis Awareness and Prevention Month – 05.16.11
- Updates from the Medicare Learning Network® – 05.16.11
- Don't Forget to Register for the CMS ICD-10 Conversion Activities National Provider Teleconference, Including a Lab Case Study – 05.16.11
- Durable Medical Equipment National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies [MLN Matters MM7389] – 05.16.11
- LCD and Policy Article Revisions Summary for May 12, 2011 – 05.13.1
- Chiropractor Limitations - Coverage Reminder – 05.13.11
- Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update [MLN Matters MM7369] – 05.13.11
- Don't Forget to Register for the CMS ICD-10 Conversion Activities National Provider Teleconference, Including a Lab Case Study – 05.13.11
- Reminder — CGS Closing in Observance of Memorial Day – 05.12.11
- HIPAA 5010 & D.0 Implementation Calendar and Important Reminders for May 2011 – 05.11.11
- Updates from the Medicare Learning Network® – 05.10.11
- CMS Announces National Version 5010 Testing Day - Wednesday, June 15, 2011 – 05.10.11
- National Women's Health Week and National Women's Checkup Day – 05.10.11
- Save the Date: National Provider Call on Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – 05.10.11
- Healthcare Common Procedure Coding System (HCPCS) Public Meeting Agendas for Orthotics & Prosthetics – 05.10.11
- CMS ICD-10 Conversion Activities National Provider Teleconference - Including a Lab Case Study – 05.10.11
- NDC for Capecitabine (Xeloda®) 500 mg. Dosage Form - European Formulation Blister Pack – 05.09.11
- New K Codes for Suction Pumps and Wound Dressings [MLN Matters MM7411] – 05.09.11
- Ask the Contractor Teleconference (ACT) – 05.06.11
- The 1st and 2nd Quarter 2011 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees have been revised – 05.06.11
- Power Mobility Device Face-to-Face Examination Checklist [MLN Matters SE1112] – 05.05.11
- Implementation of New Reasonable Useful Lifetime (RUL) Policy for Stationary and Portable Oxygen Equipment [MLN Matters MM7213] – 05.04.11
- CMS Seeks Expert Input on New Medication Measures – 05.03.11
- CMS ICD-10 Conversion Activities National Provider Teleconference - Including a Lab Case Study – 05.03.11
- Updates from the Medicare Learning Network® – 05.02.11
- Healthcare Common Procedure Coding System (HCPCS) Public Meeting Agendas for Supply and Other – 05.02.11
- Important News about Beneficiary Eligibility on the IVR – 05.02.11
April 2011
- Interruption in IVR Eligibility System Availability – 04.29.11
- Upgrades to Group 2 Power Operated Vehicles (K0806-K0808) and Group 4 Power WheelchairCs (K0868-K0886) – 04.28.11
- REVISED: Implementation of the PWK (Paperwork) Segment for X12N Version 5010 [MLN Matters MM7041] – 04.27.11
- Billing for Capecitabine (Xeloda®) 500 mg Dosage Form – European Formulation Blister Pack – 04.26.11
- Updates from the Medicare Learning Network® – 04.26.11
- Dismissals of Redetermination Requests – 04.25.11
- Misdirected Redetermination Requests – 04.25.11
- Healthcare Common Procedure Coding System Public Meeting Agendas for Drugs, Biologicals and Radiopharmaceuticals – 04.22.11
- New Spanish webinars are now available for registration - 04.21.11
- Correct Coding Instructions: A4358 Urinary Collection Bag – 04.21.11
- LCD and Policy Article Revisions Summary for April 21, 2011 – 04.21.11
- Final Reminder! Time Is Running Out – Have You Responded to the MCPSS? – 04.12.11
- April is National Minority Health Month – 04.12.11
- Healthcare Common Procedure Coding System (HCPCS) Code Set Update – 04.12.11
- Updated October 2010 and January 2011 Average Sales Price (ASP) Files Are Now Available – 04.12.11
- CMS Launches a Dedicated Web Page for the Medicare Shared Savings Program – 04.11.11
- Reminder: Medicare Enrollment Application Fees, New Screening Categories – 04.11.11
- Get Ready 5010: Version 5010 Test Education Week – 04.06.11
- DME MAC Jurisdiction C Provider Contact Center Closure – 04.05.11
- Medicare Enrollment Application Fees, New Screening Categories effective Fri Mar 25, 2011 – 04.05.11
- Centers for Medicare & Medicaid Services (CMS) Issued Today, a Proposed Rule on the Medicare Shared Savings Program, Created by the Affordable Care Act – 04.05.11
- July 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM7357] – 04.05.11
- The Version 5010 Transaction Standards Deadline Is Approaching. Are You Ready? – 04.04.11
- Reminder: Important Information on the Timely Claims Filing Requirement – 04.04.11
- Updates from the Medicare Learning Network® – 04.04.11
- The Spring 2011 DME Insider and Supplier Manual are now available – 04.01.11
March 2011
- Termination of Provider Call Center Satisfaction Survey – 03.31.11
- Nebulizer Drugs Units of Service (UOS) – 03.31.11
- Updates from the Medicare Learning Network – 03.30.11
- Important Information on the Timely Claims Filing Requirement – 03.29.11
- Temporary Interruption in IVR and CSI/BE Availability – 03.29.11
- Important News from CGS – 03.29.11
- Sign Up for the CMS ICD-10 Industry Update Messages – 03.28.11
- REVISED: Emergency Update to the CY 2011 Medicare Physician Fee Schedule Database [MLN Matters MM7300] – 03.24.11
- REVISED: Capped Rental DME: Enforcement of Payment Requirements for Beneficiary-owned Capped Rental Durable Medical Equipment (DME) [MLN Matters SE1103] – 03.24.11
- Claim Status Category Code and Claim Status Code Update [MLN Matters MM7348] – 03.24.11
- Revised April 2011 Average Sales Price (ASP) Files Are Now Available – 03.24.11
- Program Advisory and Oversight Committee (PAOC) Meeting – Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program – 03.24.11
- No Date Set for Expanded Ordering/Referring Provider Claim Edits – 03.24.11
- Sent on Behalf of the CEDI - CEDI Gateway outage for April '11 release deployment, Important testing information for 5010A1, and Reduction of capacity for CEDI dial-up users – 03.23.11
- Reminder: Important Information on the Timely Claims Filing Requirement – 03.23.11
- ICD-10 MS-DRG Conversion Project Website: New Information Now Available – 03.23.11
- RESCINDED: Additional Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) [MLN Matters MM7073] – 03.18.11
- Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) [This CR Rescinds and Fully Replaces CR7073] [MLN Matters MM7333] – 03.18.11
- Listening Session Series: Provider Compliance Group National Outreach – 03.18.11
- Fifteenth National Provider Education Call on Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – 03.17.11
- National Native HIV/AIDS Awareness Day & American Diabetes Alert Day – 03.17.11
- Attention CSI/BE Users – Annual Recertification is Due April 30! – 03.15.11
- Internet-Based PECOS Even More User-Friendly – 03.15.11
- MLN Product Catalog, Updated Medicare Immunization Billing Chart, NPI Revised Booklet, Fact Sheets on "Section 1011, Physician Fee Schedule & Ambulatory Surgical Centers Fee Schedule – 03.15.11
- March is National Nutrition Month – 03.11.11
- MLN Opinion Page & Revised Factsheet on Dual Eligible's – 03.11.11
- Important Reminders about HIPAA 5010 & D.0 Implementation [MLN Matters SE1106] – 03.11.11
- Positive Airway Pressure Device Accessories – Utilization Reminder – 03.10.11
- On-Site Supplier Reviews – 03.10.11
- Beneficiary Request for Refill of Supplies, Accessories, and Drugs – 03.10.11
- Dear Physician - Completion of Certificates of Medical Necessity – 03.10.11
- ICD-10 Implementation Updates – 03.10.11
- Implementation of Provider Screening and Risk Based Categories for Provider/Supplier Enrollment – 03.10.11
- HIPAA 5010 & D.O Implementation Calendar and Important Reminders – 03.10.11
- Implementation of Application Fees for Medicare Provider/Supplier Enrollment – 03.10.11
- Medical Review Frequently Asked Questions (FAQs) - Spring 2011 – 03.10.11
- A transcript and audio file of the 2-23-11 Oxygen ACT call are now available – 03.09.11
- ICD-9-CM Coordination & Maintenance Committe Agendas for March 2011 – 03.08.11
- LCD and Policy Article Revisions Summary for March 3, 2011 – 03.03.11
- Nebulizer Drugs – Billing Reminder – 03.03.11
- Urological Supplies - Extension of A4353 Coding Guideline Effective Date to March 20, 2011 – 03.03.11
- The Sixth Annual Administration of the CMS 2011 Medicare Contractor Provider Satisfaction Survey (MCPSS) – 03.02.11
- Program Advisory and Oversight Committee (PAOC) Meeting – Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program – 03.02.11
- March is National Colorectal Cancer Awareness Month – 03.02.11
- Updates from the Medicare Learning Network® – 03.01.11
- Sent on behalf of the CEDI: Network Service Vendor Requirement Reminder – 03.01.11
February 2011
- Negative Pressure Wound Therapy - LCD Documentation – 02.25.11
- March Webinars are now available for registration – 02.25.11
- Lessons Learned: Widespread Probe Reviews of J7507 and J7517 – 02.24.11
- Aztreonam Lysine (Cayston®) Inhalation Solution - Coding and Coverage – 02.24.11
- Redetermination Requests for Nebulizer Drugs – 02.24.11
- ICD-9-CM Coordination & Maintenance Committee Agenda – 02.22.11
- CMS Staff to Conduct Follow-up Calls for CERT Program – 02.22.11
- "Medicare Appeals Process: Five Levels to Protect Providers, Physicians, and Other Suppliers" Revised – 02.22.11
- Removal of National Uniform Billing Committee & NUBC & UB-04 Code Lists from Contractor websites – 02.21.11
- Accurately File Claims to Medicare the First Time – 02.21.11
- Important Information on the Timely Claims Filing Requirement – 02.21.11
- DMEPOS Competitive Bidding Program Focuses on Providing Access to High-Quality Products and Services for People with Medicare – 02.21.11
- HCPCS Code K0823 - Service Specific Pre-Pay Review – 02.18.11
- ICD-10 Sessions at the 2011 Healthcare Information Management & Systems Society – 02.18.11
- The Reopening Request Form Completion Guide is now available – 02.17.11
- Clarification - HCPCS Code E0571 - Invalid – 02.17.11
- Oral Appliances Used For the Treatment of Obstructive Sleep Apnea - Clerical Revision – 02.17.11
- LCD and Policy Article Revisions Summary for February 17, 2011 – 02.17.11
- Updates from the Medicare Learning Network – 02.17.11
- Important Information on the Timely Claims Filing Requirement – 02.17.11
- New Spanish webinars are now available for registration – 02.17.11
- CMS Improves IVR Eligibility Connectivity – 02.16.11
- Two Important ICD-9 and ICD-10 Announcements – 02.16.11
- Uninsured Americans with Pre-existing Conditions Continue to Gain Coverage through Affordable Care Act – 02.14.11
- Medicare & Medicaid Research Review Call for Papers (Ongoing Submissions Accepted) – 02.14.11
- Important 5010/D.0 Implementation Reminders – 02.14.11
- Positive Airway Pressure (PAP) Devices – Interpreting Physician Credentials – 02.10.11
- Auto Denial of Claims Submitted With a GZ Modifier [MLN Matters MM7228] – 02.09.11
- 2011 Jurisdiction List for DMEPOS HCPCS Codes – 02.09.11
- Registration is now open for the Mobility Specialty Workshop in Nashville on March 2! – 02.08.11
- February is American Heart Month – 02.08.11
- A two-part Medicare Minute℠ series on Least Costly Alternative is now available on our video education page – 02.08.11
- National DME MAC CERT Education Task Force - Oxygen ACT Pre-Submitted Questions – 02.07.11
- Important Information on the Timely Claims Filing Requirement – 02.07.11
- Have You Started External Testing of Version 5010? – 02.07.11
- Revision Request for the ASC X12 005010 TR3 – 02.07.11
- Modifications to the Implementation of the Paperwork (PWK) Segment for X12N Version 5010 [MLN Matters MM7306] – 02.07.11
- SAVE THE DATE: February 18, 2011 CMS Atlanta Regional Office and CBIC Ombudsmen DMEPOS Competitive Bidding Program Webinar for Suppliers Servicing Beneficiaries in Competitive Bidding Areas – 02.07.11
- Medicare Remit Easy Print (MREP) Version 2.8 is now Available! – 02.07.11
- February Flu Shot Reminder – 02.07.11
- Provider Contact Center and Telephone Reopenings – President's Day Availability – 02.07.11
- Power Wheelchair Rental – Frequently Asked Questions - UPDATED January 2011 – 02.04.11
- Parenteral Nutrition – Least Costly Medically Appropriate Alternative Eliminated – 02.04.11
- CS New Modifier - Correction - Effective Date April 10, 2010 – 02.04.11
- Urological Supplies – A4353 Correct Coding Clarification Policy Revision – 02.04.11
- Expansion of Durable Medical Equipment (DME) Supplier Standards [MLN Matters SE1032] – 02.04.11
- Additional Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Replacement Part, Accessories, and Supplies Pricing Logic Established By Change Requests (CRs) 5917 and 6573 [MLN Matters MM7261] – 02.04.11
- New Spanish webinars are now available for registration – 02.04.11
- DME MAC Reports for CEDI Claims from Wednesday, February 2, 2011 – 02.03.11
- Health Care Fraud Prevention And Enforcement Efforts Recover Record $4 Billion; New Affordable Care Act Tools Will Help Fight Fraud – 02.03.11
- Now Available from CMS-Written Transcript and Audio Recording for the "Preparing for ICD-10 Implementation in 2011" January 12 teleconference – 02.02.11
- New Affordable Care Act Rules to Fight Healthcare Fraud – 02.02.11
- REVISED: Calendar Year (CY) 2011 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM7248[ – 02.01.11
- Changes to the Time Limits for Filing Medicare Fee-For-Service Claims [MLN Matters MM7270] – 02.01.1
January 2011
- Now Available! Revised Medicare DME Redetermination Request Form and Completion Guide – 01.31.11
- Now Available! DME MAC Reopening Request Form, Checklist, and Completion Guide – 01.31.11
- New Spanish webinars are now available for registration – 01.31.11
- Home Oxygen Use to Treat Cluster Headache (CH) [MLN Matters MM7235] – 01.28.11
- April 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM7298] – 01.28.11
- Elimination of Lump Sum Purchase Payment for Standard Power Wheelchairs Furnished on or after January 1, 2011 due to the Affordable Care Act [MLN Matters MM7116] – 01.28.11
- January is National Glaucoma Awareness Month – 01.27.11
- The DME MAC National CERT Education Task Force presents Oxygen "Ask the Contractor" Teleconference – 01.25.11
- REVISED: End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services [MLN Matters MM7064] – 01.25.11
- 2011 Durable Medical Equipment Prosthetics, Orthotics, and Supply (DMEPOS) Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List [MLN Matters MM7257] – 01.25.11
- Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update [MLN Matters MM7250] – 01.25.11
- February Webinars are now available for registration – 01.25.11
- 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] – 01.20.11
- HIPAA 5010 & D.0 Implementation Calendar and Important Reminders – 01.20.11
- New Health Coverage Option for the Uninsured – The Pre-Existing Condition Plan – 01.20.11
- Healthcare Common Procedure Coding System (HCPCS) Collection Instrument – 01.20.11
- HCPCS Code Update – 2011 – Revised – 01.19.11
- New January Webinars are now available for registration – 01.19.11
- Revised - Use of Upgrade Modifiers – 01.18.11
- FACT Sheets: DMEPOS Competitive Bidding Procedures for Upgrades, Oxygen Therapy Supplies, Positive Airway Pressure Devices and Cardiac Pacemakers – 01.18.11
- Specialty Enteral Formulas – 01.14.11
- Resubmitting Claims with Upgrade Modifiers – 01.14.11
- REVISED: Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters SE1035] – 01.14.11
- January Spanish webinars are now available for registration – 01.14.11
- Healthcare Common Procedure Coding System (HCPCS) Code Set Update - April 2011 Quarterly Update – 01.14.11
- No Date Set for Expanded Ordering/Referring Provider Claim Edits – 01.12.11
- Healthcare Common Procedure Coding System (HCPCS) Code Set – 01.12.11
- Emergency Update to the CY 2011 Medicare Physician Fee Schedule Database [MLN Matters MM7300] – 01.12.11
- Claims Denied in Error with ANSI Code 182, Remark Code N56 – 01.10.11
- Pharmacy Billing for Drugs Provided "Incident to" a Physician's Service [MLN Matters MM7109] – 01.10.11
- The Durable Medical Equipment Medicare Administrative Contractor (DME MAC) National CERT Education Task Force presents Oxygen "Ask the Contractor" Teleconference – 01.10.11
- Reminder: Preparing for ICD-10 Implementation in 2011 National Provider Teleconference – 01.10.11
- Clarification Message For Non-Contract Grandfathered Suppliers – 01.07.11
- January Flu Shot Reminder – 01.07.11
- Fourteenth National Education Call on Medicare Fee-For-Service Implementation of HIPAA Version 5010 and D.0 Transactions – 01.07.11
- The 4th Quarter 2010 Drug Fees Schedule has been Revised and the 1st Qtr 2011 Drug Fees Schedule is now available. – 01.07.11
- Preparing for ICD-10 Implementation in 2011 National Provider Teleconference – 01.05.11
- Claims Denied in Error with ANSI Code 4, Remark Code MA13, M114 – 01.05.11
- From the Medicare Learning Network: "DMEPOS Competitive Bidding Procedures for Upgrades" Fact Sheet – 01.05.11
- CMS Launches the 2011 Medicare Contractor Provider Satisfaction Survey (MCPSS) – 01.05.11
- January 2011 Average Sales Price (ASP) Files are now Available – 01.05.11
- Important Information on the Timely Claims Filing Requirement – 01.05.11
- Face Validity Assessment of Advance Beneficiary Notice (ABN) for Complex Medical Record Review [MLN Matters MM6988] – 01.04.11
- Medicare Remit Easy Print (MREP) Enhancement [MLN Matters MM7218] – 01.04.11
- Get Ready 5010 Website: Now Live – 01.04.11
- Inpatient Hospital Web Guide, Inpatient Rehabilitation Facility PPS Fact Sheet & DMEPOS Competitive Bidding Program Repairs and Replacements Fact Sheets – 01.03.11
- Reminder: Contact Your Medicare Fee-For-Service Contractor for Specific Testing Schedules for HIPAA Version 5010 & D.0 Transactions – 01.03.11
- Important Information for Non-Contract, Grandfathered Suppliers – 01.03.11
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