License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Part B Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA website.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

AMA Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a fourth party beneficiary to this Agreement.

CMS Disclaimer

The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this license. The AMA is a fourth party beneficiary to this license.

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

1. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
2. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association website.
3. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please click here to see all U.S. Government Rights Provisions.
4. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT-4. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a fourth-party beneficiary to this Agreement.
5. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. End users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen.

IVR: 866.238.9650 Customer Service and myCGS: 866.270.4909

DME MAC Jurisdiction C 2012 News Archive

December 2012

• Remittance Advice Remark and Claims Adjustment Reason Code, Medicare Remit Easy Print, and PC Print Update[MLN Matters MM8154] – 12.31.12
• Change to the Provider Contact Center Staff Training Schedule – 12.31.12
• LCD Revisions Summary for December 28, 2012 – 12.28.12
• Transcutaneous Electrical Nerve Stimulators (TENS) Sold Over-the-Counter – Coding Guidelines – 12.28.12
• Glucose Monitors and Supplies LCD – Clerical Correction – 12.28.12
• Prior Authorization Requests Now Accepted through esMD – 12.27.12
• HCPCS Code Update – 2013 – 12.26.12
• Collagen Surgical Dressings – Coding Verification Review Requirement – 12.26.12
• CMS Medicare FFS Provider e-News for Thursday, December 20, 2012 – 12.26.12
• The 2013 HCPCS Updates – New, Verbiage Changes, and Discontinued HCPCS Codes – 12.26.12
• Medical Review FAQs – Winter 2012 – 12.21.12
• Breathe NIOV™ – Coding Reminder – E1399 - DURABLE MEDICAL EQUIPMENT, MISCELLANEOUS – 12.20.12
• Attention Health Professionals: Information Regarding the 2013 Medicare Physician Fee Schedule – 12.19.12
• The 2013 DMEPOS Fee Schedule is now available in PDF, CSV, and Searchable formats – 12.19.12
• Revised: Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers[MLN Matters SE1201] – 12.18.12
• Revised: Implementation of the PWK (Paperwork) Segment for X12N Version 5010[MLN Matters MM7041] – 12.18.12
• CMS e-News for Thursday, December 13, 2012 - 12.17.12
• Round 1 Rebid Mail-Order Diabetic Supply Contracts Ending on December 31, 2012 - 12.14.12
• Phase 2 of Ordering/Referring Requirement[MLN Matters SE1221] – 12.14.12
• Revised: Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers[MLN Matters SE1201] – 12.14.12
• Calendar Year (CY) 2013 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule[MLN Matters MM8133] – 12.14.12
• HIPAA Eligibility Transaction System (HETS) to Replace Common Working File (CWF) Medicare Beneficiary Health Insurance Eligibility Queries[MLN Matters SE1249] – 12.14.12
• Update to Medicare Deductible, Coinsurance and Premium Rates for 2013[MLN Matters MM8052] – 12.14.12
• Revised: Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)[MLN Matters MM7836] – 12.10.12
• CMS e-News for Thursday, December 6, 2012 - 12.06.12
• LCD and Policy Article Revisions Summary for December 6, 2012 – 12.06.12
• New Place of Service (POS) Code for Place of Employment/Worksite[MLN Matters MM8125] – 12.04.12
• Revised: Quarterly Update to the End Stage Renal Disease (ESRD) Prospective Payment System (PPS)[MLN Matters MM7858] – 12.04.12
• Redesign of the Medicare Summary Notice (MSN) - Final Implementation - And Major Update to Chapter 21 of the Claims Process Manual [MLN Matters MM7676] – 12.04.12

November 2012

• Introducing myCGS — The Jurisdiction C Web Portal – 11.30.12
• CMS e-News for Thursday, November 29, 2012 – 11.29.12
• Medicare Eligibility and Documentation Requirements for DMEPOS items Obtained Prior to Medicare Eligibility – 11.29.12
• Importance of Preparing/Maintaining Legible Medical Records[MLN Matters SE1237] – 11.26.12
• Medicare DMEPOS Competitive Bidding Program: Quick Reference Article[MLN Matters SE1244] – 11.26.12
• CMS e-News for Wednesday, November 21, 2012 – 11.21.12
• Reminder Concerning Responses to Requests for Additional Documentation – 11.20.12
• CMS e-News for Thursday, November 15, 2012 – 11.16.12
• Revised: Durable Medical Equipment (DME) National Competitive Bidding (NCB): National Mail Order (NMO) Program Implementation for Diabetic Supplies[MLN Matters MM8080] – 11.13.12
• Quarterly Update to the End Stage Renal Disease (ESRD) Prospective Payment System (PPS)[MLN Matters MM7858] – 11.13.12
• Beneficiary Appeals Issues Related to Hurricane Sandy FAQs – 11.12.12
• Hurricane Sandy and Medicare Disaster Related Claims[MLN Matters SE1247] – 11.09.12
• Coverage Reminder - Testing for Oxygen and Oxygen Equipment Coverage –11.09.12
• Surgical Dressings – Benefit Category Reminder –11.09.12
• LCD and Policy Article Revisions Summary for November 9, 2012 –11.09.12
• Implementation of Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Consolidated Billing Requirements for Daptomycin and a Clarification of Outlier Services for Calendar Year 2013[MLN Matters MM7869] – 11.08.12
• Alert Concerning Impacts Arising from Having Non-Compliant Physical or Practice Address Information on File with Medicare[MLN Matters SE1245] – 11.08.12
• Termination of the Common Working File ELGB Provider Query[MLN Matters MM8086] – 11.08.12
• Durable Medical Equipment (DME) National Competitive Bidding (NCB): National Mail Order (NMO) Program Implementation for Diabetic Supplies[MLN Matters MM8080] – 11.08.12
• CMS e-News for Thursday, November 8, 2012 – 11.08.12
• New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States[MLN Matters MM8009] – 11.08.12
• New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries[MLN Matters MM8007] – 11.06.12
• Revised: Phase 2 of Ordering/Referring Requirement[MLN Matters SE1221] – 11.06.12
• Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician/Practitioner[MLN Matters MM8100] – 11.06.12
• January 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files[MLN Matters MM8116] – 11.06.12
• CMS Issues ESRD and Home Health Payment Rules – 11.05.12
• New Look for the CMS Medicare FFS Provider e-News – 11.05.12
• Thursday, November 1, 2012 — CMS Issues 2 Payment Rules – 11.02.12
• CMS e-News for Thursday, November 1, 2012 – 11.01.12
• Centers for Medicare & Medicaid Services Approved Clinical Trials – 11.01.12
• Consumable Supplies - Request for Refill Documentation Requirements – 11.01.12
• LCD and Policy Article Revisions Summary for November 1, 2012 – 11.01.12

October 2012

• Medicare Guidance Regarding Meningitis Outbreak[MLN Matters SE1246] – 10.29.12
• The e-News for Friday, October 26, 2012: "Medicare Guidance Regarding Meningitis Outbreak" MLN Matters® Article – Released – 10.29.12
• CMS e-News for Thursday, October 25, 2012 – 10.25.12
• Numerical Rounding Rules for Medicare – 10.25.12
• Jurisdiction C Prior Authorization Demonstration Project Status Report: September 1, 2012 – October 16, 2012 – 10.24.12
• LCD and Policy Article Revisions Summary for October 2012 – 10.18.12
• Coverage Reminder – Transcutaneous Electrical Nerve Stimulators (TENS) Used For Chronic Low Back Pain – 10.18.12
• CMS e-News for Thursday, October 18, 2012 – 10.18.12
• 2012-2013 Seasonal Influenza (Flu) Resources for Health Care Professionals[MLN Matters SE1242] – 10.18.12
• Tips for Sending Faxes to CGS – 10.17.12
• The e-News for Monday, October 15, 2012: Bidding is Now Open for the Round 1 Recompete of the DMEPOS Competitive Bidding Program – 10.16.12
• Ask the Contractor Teleconference – 10.15.12
• Jurisdiction C Provider Contact Center and Telephone Reopenings — Veterans Day and Staff Training Schedule Change – 10.15.12
• Beneficiary Names — Avoiding Claim Rejections & Denials – 10.15.12
• CMS e-News for Friday, October 12, 2012 – 10.12.12
• CMS e-News for Thursday, October 11, 2012 – 10.11.12
• Registration Now Available – External Breast Prostheses Webinar – 10.08.12
• Only 14 Days Left to Register for the Round 1 Recompete of the DMEPOS Competitive Bidding Program – 10.05.12
• CMS e-News for Thursday, October 4, 2012– 10.04.12
• The Fall 2012 update to the DME Supplier Manual is now available – 10.01.12
• The Fall 2012 edition of the DME Insider is now available – 10.01.12

September 2012

• The Medicare PWK Fax/Mail Cover Sheet is now available – 09.28.12
• 4th Qtr 2012 Drug Fees Bulletin – 09.28.12
• 3rd Qtr 2012 Drug Fees Bulletin (Revised per CR 7885) – 09.28.12
• Interruption in CSR Availability/Provider Contact Center Partial Closure — October 19, 2012 – 09.27.12
• CMS e-News for Wednesday, September 26, 2012 – 09.27.12
• Partial Code Freeze Prior to ICD-10 Implementation[MLN Matters SE1240] – 09.26.12
• Updated ICD-10 Implementation Information[MLN Matters SE1239] – 09.26.12
• CMS Open Door Forums for September 26, 2012: Medicare's Prior Authorization for Power Mobility Devices Demonstration and Manual Medical Review of Therapy Claims – 09.25.12
• Medicare Contractor Events at Medtrade Conference and Exposition in Atlanta! – 09.25.12
• Revised: Phase 2 of Ordering/Referring Requirement[MLN Matters SE1221] – 09.21.12
• Revised: Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers[MLN Matters SE1201] – 09.21.12
• Revised: Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856)[MLN Matters SE1011] – 09.21.12
• Claim Modifier Did Not Prevent Medicare from Paying Millions in Unallowable Claims for Selected Durable Medical Equipment[MLN Matters SE1238] – 09.21.12
• Top Reasons for Prior Authorization Request Rejections and Denials – 09.20.12
• Temporary Interruption in IVR and CSI/BE Availability – 09.20.12
• CMS e-News for Wednesday, September 19, 2012– 09.20.12
• Upcoming Changes to the Remittance Advice – 09.20.12
• Claim Status Category and Claim Status Codes Update[MLN Matters MM8045] – 09.19.12
• Jurisdiction C Provider Contact Center and Telephone Reopenings—Columbus Day Closure and Staff Training Schedule – 09.19.12
• 2013 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update[MLN Matters MM8037] – 09.19.12
• ICD-9-CM Coordination and Maintenance Committee Materials and Long-Term Care Hospital Announcements and Updates – 09.19.12
• Medical Review FAQs – Fall 2012 – 09.18.12
• PWK Segment—Coming October 1, 2012 – 09.17.12
• Information about a Medicare Claims Processing Issue Related to Part B Services for Skilled Nursing Facility Patients – 09.17.12
• Ask-the-Contractor Teleconference on September 25, 2012 - Presented in Spanish – 09.14.12
• Revised - PWK vs. esMD—Understanding the Difference – 09.14.12
• Revised - A Preview of PWK—When to Use the PWK Segment – 09.14.12
• Herramienta Para Manejar las Denegaciones de Acuerdo a la Razon: Monitores Para Medir la Glucosa – 09.13.12
• CMS e-News for Wednesday, September 12, 2012– 09.13.12
• LCD and Policy Article Revisions Summary for September 2012 – 09.13.12
• REVISED: K0009 Manual Wheelchair – Coding Verification Review Requirement – 09.12.12
• Clarification of the Quality Standards and Accreditation Requirements for Ultra Lightweight Manual Wheelchairs[MLN Matters SE1233] – 09.11.12
• Retired: Changing a 7-Element-Order for a Power Mobility Device – 09.11.12
• CMS e-News for Wednesday, September 5, 2012– 09.06.12
• PMD ACT Call on September 18, 2012 – 09.06.12
• Medicare Part B Outpatient Therapy Cap and Exceptions Process Extended Through December 31, 2012 – 09.05.12

August 2012

• Revised: Prohibition on Balance Billing Qualified Medicare Beneficiaries (QMBs)[MLN Matters SE1128] – 08.31.12
• CMS e-News for Wednesday, August 29, 2012– 08.30.12
• Medicare Demonstration Allows for Prior Authorization for Certain Power Mobility Devices (PMDs)[MLN Matters SE1231] – 08.30.12
• Important Reminder About Medicare Secondary Payer Laws[MLN Matters SE1227] – 08.30.12
• Items Provided on a Recurring Basis and Request for Refill Requirements - Revised - August 2012 – 08.30.12
• Refill Requirements for Non-consumable Supplies – Frequently Asked Questions – 08.30.12
• LCD and Policy Article Revisions Summary for August 30, 2012 – 08.30.12
• Responding to Documentation Requests – 08.29.12
• New Health Care Standards to Save up to $6 Billion – 08.28.12
• Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update[MLN Matters MM8029] – 08.28.12
• September Spanish language webinars are now open for registration – 08.28.12
• Items Requiring Coding Verification Reviews by the PDAC – 08.27.12
• National Provider Call: Stage 2 Requirements for the Medicare and Medicaid EHR Incentive Programs – Save the Date – 08.24.12
• CMS e-News for Wednesday, August 22, 2012– 08.23.12
• Sent on Behalf of the CEDI: Update to 835 Health Care Payment/Advice Companion Guide – 08.23.12
• Dear Supplier Letter: Prior Authorization Demonstration Project– 08.23.12
• PAP Devices Denial Help Aid – 08.22.12
• Registration Now Open for DMEPOS Competitive Bidding – 08.20.12
• CMS Announces Timeline for DMEPOS Competitive Bidding Round 1 Recompete; Begins Bidder Education Program – 08.17.12
• CMS e-News for Wednesday, August 15, 2012– 08.16.12
• Addition of Digital Document Repository to Provider Enrollment Chain and Ownership System (PECOS)[MLN Matters SE1230] – 08.16.12
• Handling Form CMS-1500 Claims Where an ICD-9-CM "E" Code is Reported as the First Diagnosis on the Claim[MLN Matters MM7700] – 08.16.12
• Special Open Door Forum Series: IRF Quality Reporting Program * Thursday, August 16; 1-2:30pm ET – 08.16.12
• August 16 Special Open Door Forum for Long-Term Care Hospital Providers – Rescheduled for August 30 – 08.15.12
• Change to the Provider Contact Center Staff Training Schedule – 08.15.12
• Revised: Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers' Compensation (WC) Medicare Secondary Payer (MSP) Claims[MLN Matters MM7355] – 08.15.12
• Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)[MLN Matters MM7836] – 08.15.12
• Claim Status Category and Claim Status Codes Update[MLN Matters MM7905] – 08.10.12
• October 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files[MLN Matters MM7885] – 08.10.12
• Revision of Medicare Summary Notice (MSN) for Non-Competitive Bid Claims[MLN Matters MM7729] – 08.10.12
• CMS e-News for Wednesday, August 8, 2012– 08.09.12
• Instructions for Accessing the Medscape Modules – 08.08.12
• CMS Fraud Prevention Training Modules for Providers – 08.08.12
• Status Report for Quarter 2 - 2012: HCPCS CodeS J7605, J7606 & J7626 Service-Specific Prepayment Review – 08.08.12
• Status Report for Quarter 2 - 2012: HCPCS Code K0823 Service-Specific Prepayment Review – 08.08.12
• Status Report for Quarter 2 - 2012: HCPCS Code E1390 Service-Specific DCR Prepayment Review – 08.07.12
• Status Report for Quarter 2 - 2012: HCPCS Code E1390 Service-Specific Prepayment Review – 08.07.12
• Status Report for Quarter 2 - 2012: HCPCS Code E0601 Service-Specific Prepayment Review – 08.07.12
• Status Report for Quarter 2 - 2012: HCPCS Code A4253 Service-Specific DCR Prepayment Review – 08.07.12
• Status Report for Quarter 2 - 2012: HCPCS Code A4253 Service-Specific Prepayment Review – 08.07.12
• Medicare Shared Savings Program Electronic Application Process through Health Plan Management System Call – 08.03.12
• CMS e-News: August 1, 2012– 08.03.12
• LCD and Policy Article Revisions Summary for August 2012 – 08.01.02

July 2012

• From the CDC: Life-Threatening Outbreaks Due To Injection Practices – 07.31.12
• Act Now to Avoid Claim Denials for Ordered/Referred Services – 07.30.12
• MLN Educational Products Update – 07.27.12
• Obama Administration Announces Ground-Breaking Public-Private Partnership to Prevent Health Care Fraud – 07.27.12
• Medicare to Automatically Convert Format 4010A1 Electronic Remittance Advice (835) to X12 Version 5010 Effective August 1, 2012 – 07.27.12
• Revised: Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number[MLN Matters MM7499] – 07.27.12
• All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 07.27.12
• 2013 ICD-10 CM Codes and Mapping Files are Now Available – 07.27.12
• One Week to Transition to Version 5010 for the Remittance Advice (835) – 07.27.12
• Get Ready for DMEPOS Competitive Bidding – 07.27.12
• How to Prepare for Documentation Changes and Improvements with ICD-10 – 07.27.12
• Pricing, Data Analysis, and Coding Contractor (PDAC) Education Opportunity – 07.26.12
• Upcoming Interruptions in IVR Availability – 07.23.12
• A Denial Help Aid for Oxygen is now available – 07.20.12
• MLN Educational Products Update – 07.20.12
• Get Ready for DMEPOS Competitive Bidding – 07.20.12
• Latest Version of MREP for Medicare Fee-For-Service Professional Providers and Suppliers – 07.20.12
• Steps to Assess How the ICD-10 Transition will Affect your Organization – 07.20.12
• Medicare Fee-For-Service Version 5010 July 1, 2012 Implementation Update for the Week of July 16 – 07.20.12
• From the CDC: Life-Threatening Outbreaks Due To Injection Practices – 07.20.12
• CMS Slide Presentation Now Available for Public Meeting Regarding Inherent Reasonableness of Medicare Fee Schedule Amounts for Non-Mail Order (Retail) Diabetic Testing Supplies – 07.19.12
• MLN Educational Products Update – 07.17.12
• MSP Denial Tip – 07.13.12
• Get Ready for DMEPOS Competitive Bidding – 07.13.12
• Public Meeting Regarding Inherent Reasonableness of Medicare Fee Schedule Amounts for Non-Mail Order (Retail) Diabetic Testing Supplies — Reminder – 07.13.12
• Raise Blood Pressure Control and Cardiovascular Disease Awareness this Summer as Part of the Million Hearts™ Campaign – 07.12.12
• More Than 16 Million People With Medicare Get Free Preventive Services in 2012 – 07.12.12
• Medicare Fee-For-Service (FFS) Version 5010 July 1, 2012 Implementation Update for the Week of July 9 – 07.12.12
• Public Meeting Regarding Inherent Reasonableness of Medicare Fee Schedule Amounts for Non-Mail Order (Retail) Diabetic Testing Supplies — Reminder – 07.10.12
• CGS General Fax Number – 07.09.12
• Claim Reopening Versus Redetermination Reopening – 07.09.12
• Implementation of the Paperwork Segment within the 5010 837 Professional and Institutional Electronic Transactions – 07.06.12
• October Quarterly Update to 2012 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement[MLN Matters MM7856] – 07.06.12
• Revised: Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number[MLN Matters MM7499] – 07.06.12
• Enhancement to Jurisdiction C IVR—Redetermination Status Option – 07.06.12
• Correct Coding for Oral Appliances for the Treatment of Obstructive Sleep Apnea (E0486) – 07.05.12
• LCD and Policy Article Revisions Summary for July 6, 2012 – 07.05.12
• Medicare Fee-For-Service Version 5010 July 1, 2012 Implementation Update for the Week of July 2 – 07.05.12
• Major Improvements to the Internet-based PECOS system – 07.05.12
• Medscape ICD-10 Video Lectures Have Launched – 07.05.12
• Updates from the Medicare Learning Network – 07.05.12
• Public Meeting Regarding Inherent Reasonableness of Medicare Fee Schedule Amounts for Non-Mail Order (Retail) Diabetic Testing Supplies – 07.05.12
• The Summer 2012 DME Jurisdiction C Supplier Manual is now available – 07.02.12
• The Summer 2012 DME Insider is now available – 07.02.12

June 2012

• Glucose Monitors LCD - Retracted – 06.29.12
• MLN Educational Products Update – 06.29.12
• 2013 ICD-10 PCS Files Now Available – 06.29.12
• All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 06.29.12
• Get Ready for DMEPOS Competitive Bidding – 06.29.12
• Upcoming Medicare Fix to Address a Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Professional Crossover Issue Tied to Edit H46201 – 06.28.12
• Medicare Fee-For-Service (FFS) Version 4010 Closeout Activities for the Week of June 25 – 06.28.12
• Changes to Immediate Offset Request Process – 06.28.12
• Immediate Offset Changes – 06.28.12
• Temporary Interruption in IVR and CSI/BE Availability – 06.27.12
• The 3rd Quarter 2012 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available– 06.27.12
• Public Meeting Regarding Inherent Reasonableness of Medicare Fee Schedule Amounts for Non-Mail Order (Retail) Diabetic Testing Supplies – 06.25.12
• Correction to Skilled Nursing Facility Consolidated Billing File – 06.25.12
• Updates from the Medicare Learning Network – 06.25.12
• Two New Fraud and Abuse CME Modules Posted on Medscape – 06.22.12
• 2013 ICD-10 PCS Files Now Available – 06.22.12
• HHS Announces 81 Health Care Innovation Awards – 06.22.12
• DME MAC CERT Task Force Webinar – 06.22.12
• Inappropriate Use of Corrected Claim Language on the CMS 1500 Form – 06.22.12
• Medicare Fee-For-Service Version 5010/D.0 Update for the Week of June 18, 2012 – 06.22.12
• Change to the Provider Contact Center Staff Training Schedule – 06.21.12
• Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856)[MLN Matters SE1011] – 06.21.12
• Summer 2012 Medical Review Frequently Asked Questions are now available – 06.21.12
• CGS Fax Lines – 06.20.12
• NPPES Issues Resolved, NPI Registry Tip – 06.20.12
• Revised: Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856)[MLN Matters SE1011] – 06.19.12
• Phase 2 of Ordering and Referring Requirement[MLN Matters SE1221] – 06.19.12
• July 2012 Webinars are now available for registration – 06.19.12
• Revised: Important Update Regarding 5010/D.0 Implementation - Action Needed Now[MLN Matters SE1131] – 06.18.12
• Revised: Important Reminders about HIPAA 5010 & D.0 Implementation[MLN Matters SE1106] – 06.18.12
• Medicare Fee-For-Service Version 5010/D.0 Update for the Week of June 11, 2012 – 06.15.12
• Medicare Fee-For-Service Version 5010 Specialty Types Transition Information – 06.15.12
• Updates from the Medicare Learning Network – 06.15.12
• Get Ready for DMEPOS Competitive Bidding – 06.15.12
• A Denial Help Aid for Oxygen is now available – 06.15.12
• Revised: Questionable Billing By Suppliers of Lower Limb Prostheses[MLN Matters SE1213] – 06.14.12
• Special Open Door Forum: Suggested Electronic Clinical Template for Power Mobility Devices – 06.13.12
• Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG)[MLN Matters SE1223] – 06.13.12
• July 2012 Average Sales Price Files Now Available – 06.13.12
• Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions[MLN Matters MM7821] – 06.13.12
• Medicare Fee-For-Service to Reject Version 4010 Electronic Transactions July 1, 2012 – 06.13.12
• DME General Ask-The-Contractor Teleconference (ACT) on June 22 – 06.08.12
• Recognizing Men's Health Week, June 11-17 – 06.08.12
• Major Improvements to Medicare Online Enrollment System – 06.08.12
• HHS Harnesses the Power of Health Data to Improve Health – 06.08.12
• Were You Sent a Request to Revalidate Your Medicare Enrollment? – 06.08.12
• Beneficiary Address—Which Jurisdiction Should Process Your Claim – 06.08.12
• Updates from the Medicare Learning Network® – 06.07.12
• Medicare Fee-For-Service to Reject Version 4010 Electronic Transactions July 1, 2012 – 06.07.12
• Items Provided on a Recurring Basis and Request for Refill Requirements – Revised - June 2012 – 06.07.12
• Supplier Replacement of Beneficiary-owned Capped Rental Equipment Based upon Accumulated Repair Costs – 06.07.12
• Toe Fillers and Diabetic Shoe Inserts - Coding Clarification – 06.07.12
• A Denial Help Aid for Blood Glucose Monitors is now available – 06.06.12
• Health Care Law Saved People With Medicare Over $3.5 Billion on Prescription Drugs – 06.06.12
• CMS to Release a Comparative Billing Report on Home Oxygen Services - Target Release June 26 – 06.06.12
• Upcoming Interruptions in IVR Availability – 06.05.12
• Revised: Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers' Compensation (WC) Medicare Secondary Payer (MSP) Claims[MLN Matters MM7355] – 06.05.12
• Diabetic Supplies and Shoes Option on the IVR – 06.05.12
• How to Avoid Common Version 5010 Claims Rejections – 06.01.12
• Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies[MLN Matters MM7834] – 06.01.12
• Revised - Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)[MLN Matters SE1216] – 06.01.12

May 2012

• Changes to Immediate Offset Request Process – 05.31.12
• The 2nd Half 2012 DMEPOS Fee Schedule is now available in PDF, CSV and Searchable formats – 05.31.12
• NPPES System Issues – 05.29.12
• Updates from the Medicare Learning Network – 05.29.12
• Honor Our Nation's Seniors in May During Older Americans Month – 05.29.12
• Provider Education Video Presentations Now Available on the CMS YouTube Channel – 05.29.12
• Only 38 days left before Version 5010 Enforcement Discretion Period ends – 05.25.12
• All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 05.25.12
• October 2012 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP)[MLN Matters MM7768] – 05.24.12
• Handling Misdirected Claims for Part B Items and Services[MLN Matters MM7629] – 05.24.12
• Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers' Compensation (WC) Medicare Secondary Payer (MSP) Claims[MLN Matters MM7355] – 05.23.12
• Revised Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number[MLN Matters MM7499] – 05.21.12
• July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule[MLN Matters MM7822] – 05.21.12
• Negative Pressure Wound Therapy Interpretive Guidelines[MLN Matters SE1222] – 05.21.12
• Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)[MLN Matters SE1216] – 05.21.12
• Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10)[MLN Matters MM7820] – 05.21.12
• The "Correct Billing for Upper Limb Prosthesis with L6895 instead of L7499" article has been updated to reference the CMS Alpha Numeric Workgroup when seeking a new HCPCS code." – 05.18.12
• Updates from the Medicare Learning Network – 05.18.12
• May is Hepatitis Awareness Month and May 19 is National Hepatitis Testing Day – 05.18.12
• Denise Buenning from CMS Answers the Industry's Top Questions about the Version 5010 Upgrade – 05.18.12
• Prior Authorization Demonstration Update – 05.18.12
• DME MAC CERT Taskforce Webinar Q&A Document – 05.18.12
• The Supplier Positive Airway Pressure (PAP) Frequently Asked Questions have been updated – 05.17.12
• HCPCS Code E0277 – Service-Specific Pre-pay Review – 05.16.12
• HCPCS Codes A5500, A5512 and A5513 – Service-Specific Pre-pay Review – 05.16.12
• HCPCS Codes B4150 and B4154 – Service-Specific Pre-pay Review – 05.16.12
• We Can't Wait: HHS Announces First 26 Health Care Innovation Awards – 05.16.12
• Notice of Service-Specific Prepayment Review: HCPCS Code E0260 – 05.14.12
• The following Documentation Checklists have been revised:
  • Large Volume Nebulizers and Inhalation Drugs– 05.14.12
  • Manual Wheelchairs– 05.14.12
  • Nebulizers and Inhalation Drugs: Iloprost and Treprostinil– 05.14.12
  • Negative Pressure Wound Therapy Pumps (NPWT)– 05.14.12
  • Oxygen: Beneficiaries Meeting Group I Criteria– 05.14.12
  • Oxygen: Beneficiaries Meeting Group II Criteria– 05.14.12
  • Small Volume Nebulizer– 05.14.12
• Revised: New Physician Specialty Code for Sleep Medicine and Sports Medicine[MLN Matters MM7600] – 05.14.12
• Status Report for Quarter 1 - 2012: HCPCS Code A4253 Service-Specific Prepayment Review – 05.11.12
• Status Report for Quarter 1 - 2012: HCPCS Code A4253 Service-Specific DCR Prepayment Review – 05.11.12
• Status Report for Quarter 1 - 2012: HCPCS Code E0601 Service-Specific Prepayment Review – 05.11.12
• Status Report for Quarter 1 - 2012: HCPCS Code E1390 Service-Specific Prepayment Review – 05.11.12
• Status Report for Quarter 1 - 2012: HCPCS Code E1390 Service-Specific DCR Prepayment Review – 05.11.12
• Status Report for Quarter 1 - 2012: HCPCS Code K0823 Service-Specific Prepayment Review – 05.11.12
• Status Report for Quarter 1 - 2012: HCPCS Codes J7605, J7606 & J7626 Service-Specific Prepayment Review – 05.11.12
• May is National Osteoporosis Month – 05.11.12
• There is only 1 week to Submit Comments for the HHS Proposed Rule to Delay ICD-10 – 05.11.12
• National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Register Now – 05.11.12
• Submit Your Medicare Enrollment Application Up to 60 Days Before the Effective Date – 05.11.12
• Medicare Enrollment/Revalidation: Requests for the IRS Form CP 575 – 05.11.12
• Were You Sent a Request to Revalidate Your Medicare Enrollment? – 05.11.12
• Sent on Behalf of the CEDI- 51 Days to Transition to the 5010/D.0 Formats – 05.11.12
• Top Claim Reject Submission Errors – 05.11.12
• Correct Billing for Upper Limb Prosthesis with L6895 instead of L7499 – 05.11.12
• Spotlight Women's Health in May in Recognition of Women's Health Week, and Women's Checkup Day – 05.10.12
• Concentric Adjustable Torsion Joints – Correct Coding – 05.10.12
• LCD and Policy Article Revisions Summary for May 2012 – 05.10.12
• DMEPOS Suppliers Can Easily Update Authorized Official and Ownership Information Using Medicare's Online Enrollment System – 05.09.12
• New Physician Specialty Code for Sleep Medicine and Sports Medicine[MLN Matters MM7600] – 05.08.12
• Jurisdiction C Orthotic and Prosthetic Provider Outreach and Education Advisory Group – 05.08.12
• Major Improvements to Medicare Online Enrollment System – 05.07.12
• There are only 2 weeks to Submit Comments for the HHS Proposed Rule to Delay ICD-10 – 05.07.12
• HHS Announces New Affordable Care Act Options for Community Based Care – 05.07.12
• The Dallas, TX Workshop is Fast Approaching – 05.07.12
• Providers who Receive Error Codes H20203 and H45255 Need to Balance Bill – 05.07.12
• Slides and Comments from the WEDI-CMS Industry Collaboration and Problem Solving Webinar are Now Posted – 05.04.12
• National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Save the Date – 05.04.12
• Modification to CWF, FISS, MCS and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch[MLN Matters MM7260] – 05.03.12
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2012 Update[MLN Matters MM7831] – 05.03.12
• Overpayment Recovery from Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)[MLN Matters MM7744] – 05.03.12
• Major Improvements to Medicare Online Enrollment System – 05.02.12

April 2012

• The 30-Day Comment Period is Now Open for the HHS Proposed Rule to Delay ICD-10 – 04.27.12
• Complete Signing Your Medicare Enrollment Application Electronically – 04.27.12
• Medicare Stable, But Requires Strengthening – 04.27.12
• Temporary Interruption in IVR and CSI/BE Availability – 04.26.12
• Health Care Law Protects Against Fraud, Saves Nearly $1.6 Billion – 04.26.12
• New Delivery Reform CME Module Posted on Medscape – 04.24.12
• New Report: Competitive Bidding Saving Money for Taxpayers and People with Medicare – 04.24.12
• National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Last Chance to Register – 04.24.12
• April is National Cancer Control Month – 04.20.12
• Claim Status Category and Claim Status Codes Update[MLN Matters MM7793] – 04.20.12
• National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Register Now – 04.20.12
• DMEPOS Competitive Bidding Round 1 Recompete Announced – 04.20.12
• All Medicare Provider and Supplier Payments to be Made by Electronic Funds Transfer – 04.17.12
• Agendas for Upcoming HCPCS Public Meetings Now Available – 04.17.12
• National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Register Now – 04.17.12
• Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update[MLN Matters MM7775] – 04.16.12
• Guidance for Correct Claims Submission When Secondary Payers Are Involved[MLN Matters SE1217] – 04.16.12
• April is Alcohol Awareness Month – 04.13.12
• New Affordable Care Act program to Improve Care, Control Medicare Costs, Off to a Strong Start – 04.13.12
• Take a Look at the Version 5010 FAQs and View CMS' Version 5010 Page and Resources – 04.13.12
• New Health Care Law Provisions Cut Red Tape, Save up to $4.6 Billion – 04.13.12
• CMS.gov Website Upgrade Completed-Check your Bookmarks – 04.13.12
• Revised: Pharmacy Billing for Drugs Provided "Incident To" a Physician Service[MLN Matters MM7397] – 04.12.12
• July 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files[MLN Matters MM7810] – 04.12.12
• Redesigned Medicare Summary Notices[MLN Matters SE1218] – 04.12.12
• Changes to the Redetermination Acknowledgement Process – 04.11.12
• Quarterly Update for HCPCS Codes Effective Sun July 1 – 04.11.12
• PMD Prior Authorization Session at the Charlotte Workshop – 04.10.12
• Diabetic Supplies and Diabetic Shoes Information Now Available on the IVR – 04.10.12
• 7 Ways to Protect Yourself from Medical Identity Theft – 04.09.12
• HHS and Department of Justice Highlight Health Reform Tools to Combat Medicare Fraud – 04.09.12
• Centers for Medicare & Medicaid Services Special Open Door Forum: Suggested Electronic Clinical Template for Power Mobility Devices – 04.09.12
• HHS Secretary Sebelius's Statement on National Minority Health Month – 04.06.12
• National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Register Now – 04.06.12
• Oxygen CMN Values on Claims Submitted in the 837 5010 Format – 04.02.12
• 2012 Jurisdiction List for DMEPOS HCPCS Codes – 4.02.12
• ICD-10: It's Closer Than It Seems - Have You Completed Your 5010 Implementation? – 04.02.12
• The Spring 2012 edition of the DME Supplier Manual is now available – 04.02.12
• The Spring 2012 edition of the DME Insider is now available – 04.02.12

March 2012

• PWK vs. esMD—Understanding the Difference – 03.30.12
• Sign Your Medicare Enrollment Application Electronically – 03.30.12
• Reminder of How Reasonable Cost Principles Apply to Provider Taxes on Medicare Cost Reports – 03.30.12
• Questionable Billing By Suppliers of Lower Limb Prostheses[MLN Matters SE1213] – 03.30.12
• Important Message from the Commissioner of Social Security to Healthcare Providers – 03.30.12
• 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction[MLN Matters MM7679] – 03.30.12
• Last Day to Bid for the Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 03.30.12
• Mobility Webinar Week is Coming! – 03.29.12
• Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 03.29.12
• Reminder: Fri Mar 30 is the Application Deadline for the Medicare Shared Savings Program Sun July 1 Start Date – 03.29.12
• PWK (Paperwork) Segment Delayed – 03.29.12
• PMD Prior Authorization Session at the Charlotte Workshop – 03.28.12
• The Second Quarter 2012 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available– 03.28.12
• The esMD—New Documentation Case ID Number Added to Documentation Request Letters – 03.27.12
• "Announcements from the ICD-9-CM Coordination and Maintenance Committee" and "New Materials Now Available for the ICD-10 MS-DRG Conversion Project" – 03.26.12
• Happy Second Anniversary to the Affordable Care Act – 03.26.12
• Updates from the Medicare Learning Network – 03.26.12
• Temporary Interruption in IVR and CSI/BE Availability – 03.23.12
• Audio Recording and Written Transcript from "Medicare Shared Savings Program and Advance Payment Model Application Process" National Provider Call Now Available – 03.23.12
• April 2012 Webinars are now available for registration – 03.21.12
• Extension of Enforcement Discretion Period for Updated HIPAA Transaction Standards through June 30, 2012 – 03.16.12
• April 2012 Average Sales Price Files Now Available – 03.16.12
• CMS.gov Website Upgrade – 03.16.12
• All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 03.16.12
• Special Open Door Forum: Medicare's Prior Authorization for Power Mobility Devices Demonstration – 03.16.12
• Revision of Medicare Summary Notice (MSN) for Non-Competitive Bid Claims[MLN Matters MM7729] – 03.16.12
• Enteral Nutrition Webinar FAQs – 03.16.12
• ACT Call Scheduled for March 29, 2012 – 03.15.12
• NEW: Nebulizer Medication Calculator – 03.15.12
• Health Reform Law Ends Lifetime Limits for 105 Million Americans – 03.14.12
• Raise Awareness in March about Kidney Disease - National Kidney Disease Month – 03.13.12
• March is National Nutrition Month – 03.13.12
• Medicare Redesigns Claims and Benefits Statement – 03.13.12
• Clarification on Submission of the Correct "Amount Paid" on Assigned Claims - Item 29 of the CMS-1500 Claim Form or Electronic Equivalent – 03.13.12
• Revised: Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries[MLN Matters MM7678] – 03.12.12
• Join the Medicare Contractors at the Medtrade Exposition! – 03.09.12
• Ordering/Referring Reports Now Contain Complete National Provider Identifier – 03.09.12
• Comment Period Extended for Off-The-Shelf Orthotic HCPCS Codes – 03.09.12
• March is National Colorectal Cancer Awareness Month – 03.09.12
• The Documentation Checklists for Support Surfaces: Groups 1, 2 and 3, have been updated - 03.09.12
• A Preview of PWK—When to Use the PWK Segment – 03.07.12
• DME MAC CERT Task Force Webinar Q&A Document Coming Soon! – 03.06.12
• Updates from the Medicare Learning Network® – 03.05.12
• Two Version 5010 Messages: "ICD-10: It's Closer Than It Seems - Steps to Take to Refine your Version 5010 Upgrade" and "Important Update - "HIPAA Version 5010/D.0 Implementation" Document has been Updated" – 03.05.12
• Revised: The Role of the Zone Program Integrity Contractors (ZPICs), Formerly the Program Safeguard Contractors (PSCs)[MLN Matters SE1204] – 03.02.12
• Crossover Claims Rejecting Due to Unnecessary Billing of Discharge Date – 03.02.12
• Save Time - Submit Your Medicare Enrollment Application through Internet-Based PECOS, Now with e-Signature – 03.02.12
• Suction Pumps Final Local Coverage Determination Released – 03.01.12
• Suction Pumps August 2011 Draft LCD - Summary of Comments With Responses – 03.01.12
• LCD and Policy Article Revisions Summary for March 1, 2012 – 03.01.12
• The Role of the Zone Program Integrity Contractors (ZPICs), Formerly the Program Safeguard Contractors (PSCs)[MLN Matters SE1204] – 03.01.12
• Were You Sent a Request to Revalidate Your Medicare Enrollment? – 03.01.12
• Revised: Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims[MLN Matters SE1138] – 03.01.12
• HIPAA 5010 Claims Translation Issues Affecting Medicare Crossover Claims - Error Codes H51108, H20203, and H45255 – 03.01.12

February 2012

• President Obama Signs the Middle Class Tax Relief and Job Creation Act of 2012 - New Law Includes Physician Update Fix through December 2012 – 02.29.12
• One Day Until the Covered Document Review Date for DMEPOS Competitive Bidding Round 2 and National Mail-Order Competition – 02.29.12
• April 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files[MLN Matters MM7734] – 02.29.12
• Claim Status Category and Claim Status Codes Update[MLN Matters MM7670] – 02.29.12
• Claims against Surety Bonds for Suppliers of Durable Medical Equipment (DME), Prosthetics, Orthotics and Supplies (DMEPOS)[MLN Matters MM7167] – 02.29.12
• Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers[MLN Matters SE1201] – 02.29.12
• Revised: 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] – 02.29.12
• Revised: The Role of the Zone Program Integrity Contractors (ZPICs), Formerly the Program Safeguard Contractors (PSCs)[MLN Matters SE1204] – 02.29.12
• Updates from the Medicare Learning Network – 02.27.12
• Only 6 Days Until the Covered Document Review Date for DMEPOS Competitive Bidding Round 2 and National Mail-Order Competition – 02.27.12
• Appeals Time Limit Calculator – 02.24.12
• National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process – Registration Now Open – 02.24.12
• Completion of Certificates of Medical Necessity– 02.24.12
• Items Provided on a Recurring Basis and Request for Refill Requirements – 02.24.12
• If You Registered for the MDS 3.0 Provider Conference in St Louis -Act Today – 02.23.12
• Healthcare Fraud Prevention and Enforcement Efforts Result In Record-Breaking Recoveries Totaling Nearly $4.1 Billion – 02.22.12
• Special Open Door Forum: Prior Authorization of Power Mobility Devices Demonstration – 02.22.12
• Revised: Immediate Recoupment for Fee for Service Claims Overpayments[MLN Matters MM7688] – 02.22.12
• National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process – Registration Now Open – 02.21.12
• Important Update Regarding HIPAA Version 5010/D.0 Implementation – 02.17.12
• Major Improvements to Medicare Online Enrollment System – 02.17.12
• HHS Announces Intent to Delay ICD-10 Compliance Date – 02.17.12
• ASC X12 Decides Against Proposing Version 6020 for Consideration as Next Version of Standard Under HIPAA – 02.17.12
• Medicare Proposes New Steps to Protect Taxpayer Dollars – Affordable Care Act Gives New Authority To Recover Overpayments More Quickly – 02.17.12
• Updates from the Medicare Learning Network ® – 02.17.12
• New DMEPOS Competitive Bidding Program Analysis Shows No Changes in Health Outcomes – 02.17.12
• Only 2 Weeks Until the Covered Document Review Date for DMEPOS Competitive Bidding Round 2 and National Mail-Order Competition – 02.17.12
• Retired 04.28.16: Standard Documentation Language for Local Coverage Determinations – 02.17.12
• Revised Documentation Checklist: Power Mobility: POVs (HCPCS Codes K0800 - K0808 and K0812) – 02.16.12
• Revised Documentation Checklist: Glucose Monitors and Supplies– 02.16.12
• Revised Documentation Checklist: Power Mobility: Group 5 (Pediatric) PWCs with Single (K0890) or Multiple (K0891) Power Options & Push-Rim Activated Power Assist Device (E0986) for a Manual Wheelchair– 02.15.12
• Revised Documentation Checklist: Power Mobility: Group 1 PWCs (K0813 – K0816) & Group 2 PWCs (K0820 – K0829) – 02.15.12
• Revised Documentation Checklist: Power Mobility: Group 2 Single Power Option PWCs (K0835 – K0840) & Group 2 Multiple Power Option PWCs (K0841 – K0843)– 02.15.12
• Revised Documentation Checklist: Power Mobility: Group 3 No Power Option PWCs (K0848 – K0855), Group 3 Single Power Option PWCs (K0856 – K0860), & Group 3 Multiple Power Option PWCs (K0861 – K0864)– 02.15.12
• CMS Furnishes List of Off-the-Shelf Orthotic Healthcare Common Procedures Coding System Codes – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Codes A5500, A5512 and A5513 Service-Specific Prepayment Review – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Codes J7605, J7606 & J7626 Service-Specific Prepayment Review – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Code K0823 Service-Specific Prepayment Review – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Codes B4150 and B4154 Service-Specific Prepayment Review – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Code E1390 Service-Specific Prepayment Review – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Code E0601 Service-Specific Prepayment Review – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Code E0277 – 02.14.12
• Status Report for Quarter 4 - 2011: HCPCS Code A4253 Service-Specific Prepayment Review – 02.14.12
• Updating Beneficiary Information with the Coordination of Benefits Contractor[MLN Matters SE1205] – 02.13.12
• February is American Heart Month – 02.10.12
• Updates from the Medicare Learning Network® – 02.10.12
• Immediate Recoupment for Fee for Service Claims Overpayments[MLN Matters MM7688] – 02.10.12
• National Provider Call: Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transaction Standards – Register Now – 02.09.12
• All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 02.09.12
• Last Day to Register for the Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 02.09.12
• Preparing for the Version 5010 Upgrade: Questions to Ask Your Vendor – 02.09.12
• President's Day Schedule Change—DME MAC Jurisdiction C Provider Contact Center and Telephone Reopenings to Remain Open – 02.08.12
• Only 2 Days Left to Register for the Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 02.08.12
• CMS Announces Prior Authorization of Power Mobility Devices Demonstration and Recovery Audit Prepayment Review Demonstration – 02.07.12
• Only 3 Days Left to Register for the Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 02.07.12
• Documentation Request Letters - Timeframe Revised – 02.06.12
• Envelope Control / Reference Number Matching for Version 5010 Claim Transitions – 02.06.12
• Two Affordable Care Act Messages – 02.06.12
• Extension of Licensure Deadline for the Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 02.06.12
• DME MAC Jurisdiction C Provider Contact Center and Telephone Reopenings – President's Day Partial Closure – 02.02.12
• Bidding is Now Open for the Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 02.02.12

January 2012

• Now Available: New education materials for Round 2 and National Mail-Order Bidders – 01.31.12
• Credit Report/Score Requirements for DMEPOS Competitive Bidding – 01.31.12
• Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.31.12
• Medicare FFS Version 5010 Requirement Changes for Non-Specific Procedure Codes – 01.30.12
• Third Anniversary of ICD-10 Rule – 01.30.12
• Updates from the Medicare Learning Network ® – 01.27.12
• Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.26.12
• Updates from the Medicare Learning Network ® – 01.26.12
• January is National Glaucoma Awareness Month – 01.26.12
• Video Slideshow Presentations from ICD-10 National Provider Calls Available on CMS YouTube Channel – 01.25.12
• Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.25.12
• Oxygen Edits Revised – 01.24.12
• Three Ways to Enhanced EDI Assistance – 01.24.12
• National Provider Call: Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – Register Now – 01.24.12
• All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 01.24.12
• Clarification Concerning HIPAA 5010 and NCPDP D.0 Cut-Over and Impacts on Crossover Claims – 01.24.12
• Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.20.12
• Sent on Behalf of ZPIC Zone 5: Referring-Ordering "Dear Physician" Letter – 01.20.12
• Sent on Behalf of ZPIC Zone 5: Referring-Ordering Education Article – 01.20.12
• Taxonomy Codes on Crossover Claims – 01.12.12
• Revised: Recovery Audit Program: Medicare Administrative Contractor (MAC)-issued Demand Letters[MLN Matters MM7436] – 01.12.12
• Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries[MLN Matters MM7678] – 01.12.12
• Change to the Provider Contact Center Staff Training Schedule – 01.12.12
• Healthcare Common Procedure Coding System (HCPCS) Code Set Update – 01.12.12
• Target Deadline Today for Backup Authorized Officials to Register for DMEPOS Competitive Bidding – 01.12.12
• Three DMEPOS Competitive Bidding Announcements – 01.11.12
• Now Available: New Webcast for National Mail-Order Bidders – 01.11.12
• Version 5010 Benefits and Resources – 01.11.12
• Now Available on the CMS website: Medicare Shared Savings Program 2012 ACO Narrative Quality Measures Specifications Manual and Application Crosswalks – 01.11.12
• Now Available - Video Slideshow Presentation and Podcasts of the November 17 National Provider Call on "ICD-10 Implementation Strategies and Planning" – 01.11.12
• President Obama Signs the Temporary Payroll Tax Cut Continuation Act of 2011 – 01.11.12
• Stay on Track and Complete Your Version 5010 Upgrade – 01.10.12
• Time is Running Out to Register for DMEPOS Competitive Bidding – 01.10.12
• Now Available - Medicare Shared Savings Program Video Slideshow Presentations and Podcast – 01.09.12
• HHS Adopts HIPAA Standard for Electronic Funds Transfers/Remittance Advice – 01.09.12
• Important Information About the CGS IVR System: January 13 – 16, 2012 – 01.06.12
• Important Information About CGS E-Mail Changes: January 13 – 16, 2012 – 01.06.12
• Durable Medical Equipment - Documenting Continued Use– 01.06.12
• Interruption in IVR Eligibility System Availability on January 6-8, 2012 – 01.06.12
• New ASC X12 Version 5010 FAQs Posted to the CMS Website (Revised Link) – 01.06.12
• Healthcare Professionals Selected for the New Innovation Advisors Program to Improve Care for Patients – 01.06.12
• CEDI Reminder: 5010A1/D.0 Implementation Plans – 01.05.12
• The acceptance of a voluntary refund as repayment for the claims specified in no way affects or limits the rights of the Federal Government, or any of its agencies or agents, to pursue any appropriate criminal, civil, or administrative remedies arising from or relating to these or any other claims. – 01.05.12
• Update to Federal District Court Amount in Controversy – Difference in CD-ROM Version of Jurisdiction C Supplier Manual – 01.04.12
• The Winter 2012 DME Jurisdiction C Supplier Manual is now available – 01.03.12
• The Winter 2012 DME Insider is now available – 01.03.12
• Power Mobility Devices - Prepayment Review Demonstration Project – 01.03.12

Looking for older articles? All DME MAC Jurisdiction C articles and announcements can be found on our Articles Archive Pages:

• 2020 Archive
• 2019 Archive
• 2018 Archive
• 2017 Archive
• 2016 Archive
• 2015 Archive
• 2014 Archive
• 2013 Archive
• 2012 Archive
• 2011 Archive
• 2010 Archive
• 2009 Archive
• 2008 Archive
• 2007 Archive

Utilities	Stay Connected	Site Info	Contact Us
Join/Update Listserv	Facebook	Video Tour	People With Medicare
Print	Twitter	Website Feedback
Bookmark	YouTube	Site Map
Email		Disclaimer
		Privacy Statement

26 Century Blvd Ste ST610, Nashville, TN 37214-3685

© CGS Administrators, LLC. All Rights Reserved