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 2014 News Archive

December 2014

• Sent on behalf of CEDI: April 2015 Limited ICD-10 End-to-End Testing - Volunteer by January 9th, 2015 – 12.31.14
• Revised: FAQs - International Classification of Diseases, 10th Edition (ICD-10) End-to-End Testing [MLN Matters SE1435] – 12.30.14
• HCPCS CODE UPDATE – (2015) – 12.30.14
• MLN Connects™ Provider eNews Special Edition for Monday, December 29, 2014 – 12.30.14
• 2015 Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List [MLN Matters MM9018] – 12.26.14
• Incorporation of Certain Provider Enrollment Policies in CMS-4159-F into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 [MLN Matters MM8901] – 12.26.14
• Results from November ICD-10 Acknowledgement Testing Week – 12.23.14
• Website Updates to Extended Repayment Schedule Information – 12.22.14
• Temporary Interruption in IVR and myCGS Availability Due to Quarterly System Maintenance – January 1–4, 2015 – 12.22.14
• MLN Connects™ Provider eNews for December 18, 2014 – 12.19.14
• DME MAC Jurisdiction C Holiday Schedule – 12.19.14
• Fitness Monitoring Technologies - Correct Coding – 12.18.14
• HyQvia® - Coverage and Correct Coding – 12.18.14
• Integrated Respiratory Products - Correct Coding – 12.18.14
• MLN Connects™ Provider eNews for December 18, 2014 – 12.18.14
• Winter 2015 Medical Review FAQs are now available – 12.18.14
• Coverage and Correct Coding of Continuous Glucose Monitoring (CGM) Devices – Revised December 2014 – 12.18.14
• Sent on behalf of CEDI: April 2015 Limited ICD-10 End-to-End Testing - Volunteer by January 9th, 2015 – 12.16.14
• 2015 Jurisdiction List for DMEPOS HCPCS Codes – 12.16.14
• ICD-10 End-to-End Testing Frequently Asked Questions – 12.15.14
• International Classification of Diseases, 10th Edition (ICD-10) End-to-End Testing [MLN Matters SE1435] – 12.15.14
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: Intravenous Immune Globulin (IVIG) Demonstration Calendar Year Billing Reminder – 12.15.14
• The 1st Quarter 2015 Jurisdiction C DMEPOS/PEN Fee Schedule is now available in PDF and CSV formats – 12.12.14
• CMS Announces Timeline for the DMEPOS Competitive Bidding Round 2 Recompete/National Mail-Order Recompete – 12.12.14
• Overpayments for CPAP Accessories – 12.11.14
• MLN Connects™ Provider eNews for December 11, 2014 – 12.11.14
• Revised: Rescind/Replace Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category [MLN Matters MM8566] – 12.10.14
• Claim Status Category and Claim Status Codes Update [MLN Matters MM8994] – 12.10.14
• Revised: Medicare Fee-For-Service (FFS) International Classification of Diseases, 10th Edition (ICD-10) Testing Approach [MLN Matters SE1409] – 12.09.14
• myCGS Version 2.11 Now Available – 12.08.14
• Competitively Bid Wheelchair Accessories: Guidance on claims billing and processing effective January 5, 2015 – 12.05.14
• What's New in myCGS Version 2.11 – 12.05.14
• MLN Connects™ Provider eNews for December 4, 2014 – 12.04.14
• Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE [MLN Matters MM8983] – 12.03.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2015 [MLN Matters MM8918] – 12.03.14
• myCGS Version 2.11 to be Released on Friday, December 5, 2014 – 12.02.14
• Calendar Year (CY) 2015 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM8999] – 12.01.14
• Update to Medicare Deductible, Coinsurance, and Premium Rates for 2015 [MLN Matters MM8982] – 12.01.14

November 2014

• MLN Connects™ Provider eNews for November 26, 2014 – 11.26.14
• DME MAC CERT Outreach and Education Task Force PAP Webinar! – 11.25.14
• Policy Article Revision – Vacuum Erection Devices (VED) – 11.25.14
• The 2015 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes – 11.25.14
• HCPCS Code E2378 When Furnished For Use with a Complex Rehabilitative Power Wheelchair – 11.21.14
• Documentation Reminders for Detailed Written Orders – 11.21.14
• Retired: MyoPro® (Myomo, Inc.) Assist Device - Correct Coding – 11.21.14
• Face-to-Face Requirements for Orders Used to Obtain Medicare Payment on ACA Items – 11.21.14
• MLN Connects™ Provider eNews for November 20, 2014 – 11.20.14
• External Infusion Pumps (EIP), Supplies, and Drugs - Coverage Reminder – 11.20.14
• Medicare Coverage for Shoes - Correct Coding – 11.20.14
• Revised: New Timeframe for Response to Additional Documentation Requests [MLN Matters MM8583] - 11.19.14
• October Quarterly Update for 2014 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM8865] - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Codes E2603 and E2622 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code J7507 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code K0004 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code K0823 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code E0260 Service-Specific DCR Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code E0260 Service-Specific DCR Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code E0601 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code E0277 - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code A5500 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Codes A4351, A4352 and A4353 Service-Specific DCR Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code A4253 Service-Specific Prepayment Review - 11.19.14
• Status Report for Quarter 3 - 2014: HCPCS Code E1390 Service-Specific Prepayment Review - 11.19.14
• New Timeframe for Response to Additional Documentation Requests [MLN Matters MM8583] – 11.18.14
• Revised: Centers for Medicare & Medicaid Services (CMS) 855R Application - Reassignment of Medicare Benefits [MLN Matters SE1432] – 11.17.14
• Sent on behalf of CEDI: Reminder: ICD-10 Acknowledgement Testing Week: November 17-21, 2014 – 11.14.14
• New Informational Unsolicited Response (IUR) Process for Durable Medical Equipment (DME) Items Furnished during a Part A Inpatient Stay [MLN Matters MM8844] – 11.14.14
• E1825, E1830 and E1831 and Use of Modifiers – 11.13.14
• MLN Connects™ Provider eNews for November 13, 2014 – 11.13.14
• Redetermination Requests Now Accepted through esMD – 11.10.14
• MLN Connects™ Provider eNews for November 6, 2014 – 11.06.14
• Sent on behalf of CEDI: Reminder: ICD-10 Acknowledgement Testing Week: November 17-21, 2014 – 11.04.14
• Oral Anticancer Drugs and PDAC's NDC/HCPCS Crosswalk Listings - Correct Coding – 11.03.14

October 2014

• ACA Requirement for Indicating Receipt Date of Documentation – 10.31.14
• Retired 04.28.16: Standard Documentation Language for Local Coverage Determinations and Related Policy Articles – Revised – 10.31.14
• MLN Connects™ Provider eNews for October 30, 2014 – 10.30.14
• Revised: Attention CSI Users: Annual Recertification has been extended. The deadline is November 15! – 10.30.14
• Changes to DME MAC Jurisdiction C Provider Contact Center and Telephone Reopenings Schedule – November 2014 – 10.23.14
• MLN Connects™ Provider eNews for October 23, 2014 – 10.23.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2014 [MLN Matters MM8676] – 10.22.14
• For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html – 10.21.14
• Medicare Secondary Payer (MSP) Group Health Plan (GHP) Working Aged Policy – Definition of "Spouse;" Same-Sex Marriages [MLN Matters MM8875] – 10.17.14
• MLN Connects™ Provider eNews for October 16, 2014 – 10.16.14
• Pneumatic Compression Devices LCD – Implementation Delayed – 10.16.14
• HETS Outage Impacting myCGS Eligibility Requests on October 18, 2014 – 10.16.14
• Notice of Service-Specific Prepayment Review: HCPCS Codes B4150 and B4154 – 10.10.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2014 [MLN Matters MM8676] – 10.09.14
• Join the DME MAC CERT Outreach and Education Task Force at the Fall 2014 Medtrade Exposition in Atlanta! – 10.09.14
• Sent on behalf of CEDI: ICD-10 Acknowledgement Testing Week: November 17-21, 2014 – 10.09.14
• MLN Connects™ Provider eNews for October 9, 2014 – 10.09.14
• LCD and Policy Article Revision Summary for October 9, 2014 – 10.09.14
• CMS 1500 Claim Form Instructions: Revised for Form Version 02/12 [MLN Matters MM8509] – 10.07.14
• 2015 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update [MLN Matters MM8943] – 10.07.14
• HETS Outage Impacting myCGS Eligibility Requests on October 11, 2014 – 10.07.14
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: Intravenous Immune Globulin (IVIG) Demonstration Billing Reminders – 10.06.14
• The 4th Quarter 2014 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available – 10.03.14
• The 3rd Quarter 2014 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees have been updated. – 10.03.14
• Negative Pressure Wound Therapy Devices (NPWT) - Coverage Reminder - Revised – October 2, 2014 – 10.02.14
• LCD and Policy Article Revisions Summary for October 2, 2014 – 10.02.14
• Retired: Cefaly® - Correct Coding – 10.02.14
• New Physician Specialty Code for Interventional Cardiology [MLN Matters MM8812] – 10.02.14
• MLN Connects™ Provider eNews for October 2, 2014 – 10.02.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2014 [MLN Matters MM8676] – 10.01.14
• January 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM8912] – 10.01.14
• Transitioning Medicare Administrative Contractor (MAC) Workloads to the New Banking Contractor(s) [MLN Matters MM8847] – 10.01.14
• Manual Update to Clarify Claims Processing for Laboratory Services [MLN Matters MM8883] – 10.01.14
• Changes to DME MAC Jurisdiction C Provider Contact Center and Telephone Reopenings Schedule – October 2014 – 10.01.14
• The Fall 2014 DME Jurisdiction C Supplier Manual is now available – 10.01.14
• The Fall 2014 DME MAC Insider is now available – 10.01.14

September 2014

• Sent on behalf of CEDI: Medicare Remit Easy Print Upgrade to Version 4.2 – 09.30.14
• myCGS Now Includes Prior Authorization and ADMC Status! – 09.29.14
• Fall 2014 Medical Review FAQs are now available – 09.29.14
• MLN Connects™ Provider eNews for September 25, 2014 – 09.25.14
• ICD-10 Updates to Local Coverage Determinations (LCDs) and Policy Articles (PAs) - Updated – 09.25.14
• Palatal Lift Prosthesis - Correct Coding – 09.25.14
• HETS Outage Impacting myCGS Eligibility Requests on September 27, 2014 – 09.24.14
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance – October 3–5, 2014 – 09.22.14
• MLN Connects™ Provider eNews for September 18, 2014 – 09.18.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2014 [MLN Matters MM8676] – 09.17.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2015 [MLN Matters MM8907] – 09.17.14
• Sent on behalf of CEDI: Limited ICD-10 End-to-End Testing - Volunteer by October 3, 2014 – 09.17.14
• Pub 100-03, Chapter 1, Language-only Update [MLN Matters MM8506] – 09.16.14
• myCGS Registration – Why Was My Application Rejected? – 09.16.14
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: Applications for Participation in the IVIG Demonstration will Continue to be Accepted – 09.16.14
• New Physician Specialty Code for Interventional Cardiology [MLN Matters MM8812] – 09.15.14
• Surgical Dressings Containing Medical Honey - Correct Coding – 09.11.14
• MLN Connects™ Provider eNews for September 11, 2014 – 09.11.14
• The 4th Quarter 2014 Jurisdiction C DMEPOS/PEN Fee Schedule is now available – 09.11.14
• Pneumatic Compression Devices (PCD) – Response to Comments Summary – 09.11.14
• Revised: Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN) [MLN Matters SE1216] – 09.10.14
• Find Claim Denial Explanations in myCGS – 09.09.14
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: Reminder - The IVIG Demonstration Open Enrollment period is from August 8, 2014 through September 12, 2014 – 09.05.14
• Attention myCGS Users: IACS Outage on September 5-7, 2014 – 09.05.14
• MLN Connects™ Provider eNews - for Thursday September 4, 2014 – 09.04.14
• Intravenous Immune Globulin (IVIG) Demonstration - Implementation [MLN Matters SE1424] – 09.04.14
• Revised: Two New "K" Codes for Prefabricated Single and Double Upright Knee Orthoses That Are Furnished Off-The-Shelf (OTS) [MLN Matters MM8839] – 09.04.14
• New Manual Correction for Extracorporeal Photopheresis [MLN Matters MM8866] – 09.04.14
• Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE [MLN Matters MM8838] – 09.04.14
• CPM Device Date Span Calculator Now Available! – 09.03.14
• Claim Status Category and Claim Status Codes Update [MLN Matters MM8735] – 09.03.14

August 2014

• DME MAC Jurisdiction C Provider Contact Center Availability – September 4, 2014 – 08.29.14
• HETS Outage Impacting myCGS Eligibility Requests on August 30, 2014 – 08.29.14
• ACA 6407 Requirements – Corrections and Amendments to the Face-To-Face Visit and Written Order Prior to Delivery (WOPD) – 08.28.14
• MLN Connects™ Provider eNews - for August 28, 2014 – 08.28.14
• International Classification of Diseases, 10th Revision (ICD-10) Testing - Acknowledgement Testing with Providers [MLN Matters MM8858] – 08.27.14
• New Physician Specialty Code for Interventional Cardiology [MLN Matters MM8812] – 08.27.14
• MLN Connects™ Provider eNews - for August 21, 2014 – 08.21.14
• Revised Modification to the Medically Unlikely Edit (MUE) Program [MLN Matters MM8853] – 08.21.14
• Vibration Therapy Devices - Correct Coding – 08.21.14
• Fingerprint-based Background Check Begins August 6, 2014 [MLN Matters SE1427] – 08.21.14
• Competitive Bidding Program (CBP): Correction to VIPS Medicare System (VMS) Processing of Wheelchair Accessory Claims for Round 2 [MLN Matters MM8864] – 08.19.14
• Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - July 1, 2014 Version 3.1.1 [MLN Matters MM8711] – 08.18.14
• MSP Type billed correctly on Electronic Claims – 08.18.14
• Status Report for Quarter 2 – 2014: HCPCS Code E0260 Service-Specific DCR Prepayment Review – 08.15.14
• Status Report for Quarter 2 – 2014: HCPCS Code K0823 Service-Specific Prepayment Review – 08.15.14
• Status Report for Quarter 2 – 2014: HCPCS Code K0004 Service-Specific Prepayment Review – 08.15.14
• Status Report for Quarter 2 – 2014: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review – 08.15.14
• Status Report for Quarter 2 – 2014: HCPCS Code J7507 Service-Specific Prepayment Review – 08.15.14
• Status Report for Quarter 2 – 2014: HCPCS Code E1390 Service-Specific Prepayment Review – 08.15.14
• Status Report for Quarter 2 – 2014: HCPCS Codes E2603 and E2622 Service-Specific Prepayment Review – 08.15.14
• Status Report for Quarter 2 – 2014: HCPCS Codes A4351, A4352 and A4353 Service-Specific Prepayment Review – 08.14.14
• Status Report for Quarter 2 – 2014: Written Order Prior to Delivery Service-Specific DCR Prepayment Review – 08.14.14
• MLN Connects™ Provider eNews - for August 14, 2014 – 08.14.14
• Status Report for Quarter 2 – 2014: HCPCS Code E0601 Service-Specific Prepayment Review – 08.14.14
• Status Report for Quarter 2 – 2014: HCPCS Code E0277 – 08.14.14
• Status Report for Quarter 2 – 2014: HCPCS Code A5500 Service-Specific Prepayment Review – 08.14.14
• Status Report for Quarter 2 – 2014: HCPCS Code A4253 Service-Specific Prepayment Review – 08.14.14
• Two New "K" Codes for Prefabricated Single and Double Upright Knee Orthoses That Are Furnished Off-The-Shelf (OTS) [MLN Matters MM8839] – 08.13.14
• Medicare Demonstration Allows for Prior Authorization for Certain Power Mobility Devices (PMDs) [MLN Matters SE1231] – 08.13.14
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: Medicare Intravenous Immune Globulin (IVIG) Demonstration Webinars – 08.11.14
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: Join NHIC, Corp. for Intravenous Immune Globulin (IVIG) Demonstration Teleconferences – 08.11.14
• October Quarterly Update for 2014 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM8865] – 08.11.14
• myCGS Version 2.08 Now Available! – 08.11.14
• HETS Outage Impacting myCGS Eligibility Requests on August 9, 2014 – 08.08.14
• myCGS Version 2.08 to be Released on Friday, August 8, 2014 – 08.08.14
• MLN Connects™ Provider eNews - for August 7, 2014 – 08.07.14
• Medicare Remit Easy Print (MREP) Enhancement [MLN Matters Document MM8856] – 08.07.14
• Intravenous Immune Globulin (IVIG) Demonstration - Implementation [MLN Matters Document SE1424] – 08.07.14
• Proof of Delivery – Requirements for Signature and Date Joint DME MAC Article – 08.07.14
• Written Order Prior to Delivery – Corrections to Document Joint DME MAC Article – 08.07.14
• Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) - A Re-Issue of MM7492 [MLN Matters Document SE1408] – 08.05.14
• Partial Code Freeze Prior to ICD-10 Implementation [MLN Matters Document SE1240] – 08.05.14
• CPM Billing Reminders – 08.05.14
• Receiving IACS Verification Emails When Registering for myCGS – 08.04.14
• Revised: Medicare Fee-For-Service (FFS) International Classification of Diseases, 10th Edition (ICD-10) Testing Approach [MLN Matters Document SE1409] – 08.04.14
• MLN Connects™ Provider eNews - Special Edition for August 1, 2014 – 08.01.14

July 2014

• HETS Outage Impacting myCGS Eligibility Requests on August 2, 2014 – 07.31.14
• MLN Connects™ Provider eNews for July 31, 2014 – 07.31.14
• Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update [MLN Matters Document MM8855] – 07.31.14
• LCD and Policy Article Revisions Summary for July 24, 2014 – 07.24.14
• Attention myCGS Users: IACS Outage on July 25-26, 2014 – 07.23.14
• MLN Connects™ Provider eNews for July 24, 2014 – 07.23.14
• October 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files - MLN Matters PDF Document MM8836 – 07.23.14
• Open Payments System Registration – 07.17.143
• MLN Connects™ Provider eNews for July 17, 2014– 07.17.14
• Electronic Health Records and Addenda – 07.17.14
• Positive Airway Pressure (PAP) Devices - Continued Coverage beyond the First Three Months of Therapy - Policy Reminder – 07.17.14
• Coverage and Correct Coding of Continuous Glucose Monitoring Devices – 07.17.14
• CMS Provider Education Message: DMEPOS Competitive Bidding Round 2 Recompete and National Mail-Order Recompete Announced – 07.17.14
• HETS Outage Impacting myCGS Eligibility Requests on July 19, 2014 – 07.16.14
• Dear Physician - Electronic Health Records and Addenda– 07.15.14
• Paper Claims Billed with Incorrect Modifiers to be Returned as Unprocessable – 07.15.14
• MLN Connects™ Provider eNews for July 10, 2014 – 07.10.14
• Positive Airway Pressure Device and Respiratory Assist Device - Nasal Interfaces and Liners – Revised – 07.10.14
• Orthoses/Prostheses - Coding for Professional Services/Fabrication Supplies – 07.10.14
• Orthoses - Replacement of Components Clarification – 07.10.14
• Retired: Functional Electrical Stimulation (FES) - Coverage and HCPCS Coding – Revised – 07.10.14
• Ankle-Foot Orthoses - Walking Boots - Coverage and Coding Issues – Revised – 07.10.14
• Medicare Signature Requirements - Educational Resources for Health Care Professionals[MLN Matters SE1419] – 07.9.14
• MLN Connects™ Provider eNews for July 3, 2014– 07.03.14
• The 3rd Quarter 2014 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available and 1st and 2nd Quarters 2014 and 3rd and 4th Quarters 2013 fees have been updated. – 07.03.14
• The Summer 2014 DME Jurisdiction C Supplier Manual is now available – 07.01.14
• The Summer 2014 DME MAC Insider is now available – 07.01.14
• Medically Unlikely Edits (MUEs) and Bilateral Procedures[MLN Matters SE1422] – 07.01.14
• CGS Launches MR WIZARD Denial Explanation Tool! – 07.01.14

June 2014

• DME MAC Jurisdiction C Holiday Schedule – July 4, 2014 – 06.30.14
• Attention CSI Users: Annual Recertification is Due August 15! – 06.30.14
• Feedback Requested – 06.26.14
• Reminder – Oxygen Equipment and Contents Delivery – 06.26.14
• MLN Connects™ Provider e-News Edition for June 26, 2014– 06.25.14
• Clarification of Billing Instructions Related to the Home Health Benefit[MLN Matters MM8775] – 06.25.14
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance – July 3–6, 2014 – 06.25.14
• Summer 2014 Medical Review Frequently Asked Questions are now available – 06.24.14
• The 2nd Quarter 2014 Drug Fees, Pharmacy Dispensing Fees, and Pharmacy Supply Fees have been revised – 06.23.14
• Looking for LCDs Converted to ICD-10? – 06.23.14
• How to Access Updates to ICD-10 Local Coverage Determinations in the CMS Medicare Coverage Database[MLN Matters SE1421] – 06.20.14
• Interruption in myCGS Eligibility Information – June 21, 2014 – 06.20.14
• Correct Coding – Billing of HCPCS Code E0986 – 06.19.14
• LCD and Policy Article Revisions Summary for June 19, 2014 – 06.19.14
• Supplier Exit from Oxygen Equipment Business – Revised – 06.19.14
• Dear Physician - Home Oxygen Initial Qualification Testing– 06.19.14
• MLN Connects™ Provider eNews for June 19, 2014– 06.18.14
• The 3rd Quarter 2014 Jurisdiction C DMEPOS/PEN Fee Schedule is now available – 06.17.14
• myCGS Version 2.06 Now Available! – 06.16.14
• Revised: Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims[MLN Matters MM8401] – 06.13.14
• CGS Education Opportunities – 06.12.14
• MLN Connects™ Provider e-News Edition for June 12, 2014– 06.12.14
• myCGS Version 2.06 – Coming Friday, June 13 – 06.12.14
• Interruption in myCGS Eligibility Information – June 14, 2014 – 06.12.14
• LCD and Policy Article Summary for June 12, 2014 – Drafts Released to Final – 06.12.14
  • Transcutaneous Electrical Joint Stimulation Devices (TEJSD) – Response to Comment Summary – 06.12.14
  • Tumor Treatment Field Therapy (TTFT) – Response to Comment Summary – 06.12.14
  • Vacuum Erection Device (VED) - Response to Comment Summary – 06.12.14
• Vacuum Erection Device - Coding Verification Review Requirement – 06.12.14
• Don't Forget! Take the Survey Today! – 06.10.14
• Interruption in myCGS Eligibility Information – June 7, 2014 – 06.05.14
• Sent Behalf of CEDI: Updates to the CEDI ERA Enrollment Form – 06.05.14
• MLN Connects™ Provider e-News Edition for June 5, 2014– 06.04.14
• ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs) - Maintenance CR[MLN Matters MM8691] – 06.04.14
• CGS Introduces Direct Mail Initiative to Clarify Medical Review Denials – 06.03.14
• Open Payments Sunshine Program Increases Transparency in Health Care – 06.03.14
• Successful Results from CMS ICD-10 Acknowledgement Testing Week – 06.03.14

May 2014

• MLN Connects™ Provider eNews for May 29, 2014– 05.29.14
• Revised: Dear Physician – Face-to-Face and Written Order Requirements for High Cost DME (No Longer Available) – 05.29.14
• Interruption in myCGS Eligibility Information – May 31, 2014 – 05.29.14
• Retired: In-person Visit Requirement for Section 6407 of the Affordable Care Act - Clarification – 05.29.14
• Retired: Face-to-Face Examination and Prescription Requirements Prior to the Delivery of Certain DME Items Specified in the Affordable Care Act – 05.29.14
• Claim Status Category and Claim Status Codes Update[MLN Matters MM8684] – 05.28.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2014[MLN Matters MM8676] – 05.28.14
• Rescinded: Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions[MLN Matters MM8456] – 05.23.14
• Additional States Requiring Payment Edits for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Update to CR 3959 and CR 8390.[MLN Matters MM8730] – 05.23.14
• Update to Surety Bond Collection Procedures[MLN Matters MM8636] – 05.23.14
• Retired 07.28.16: Reminders for Miscellaneous Healthcare Common Procedure Coding System (HCPCS) Codes - 05.22.14
• Billing Reminders for HCPCS code K0739 - 05.22.14
• MLN Connects™ Provider e-News Edition for May 22, 2014 – 05.22.14
• Change to DME MAC Jurisdiction C Provider Contact Center Schedule – June 6, 2014 - 05.21.14
• Status Report for Quarter 1 – 2014: HCPCS Code A4253 Service-Specific Prepayment Review - 05.20.14
• Revised: Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims[MLN Matters MM8401] – 05.19.14
• Interruption in myCGS Eligibility Information – May 17, 2014 – 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Code J7507 Service-Specific Prepayment Review - 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review - 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Code E0601 Service-Specific Prepayment Review - 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Code K0823 Service-Specific Prepayment Review - 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Code E1390 Service-Specific Prepayment Review - 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Codes A4351, A4352 and A4353 Service-Specific DCR Prepayment Review – 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Codes E2603 and E2622 Service-Specific Prepayment Review – 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Code A5500 Service-Specific Prepayment Review – 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Code E0260 Service-Specific DCR Prepayment Review – 05.16.14
• Status Report for Quarter 1 – 2014: HCPCS Code E0277 – 05.16.14
• MLN Connects™ Provider e-News Edition for May 15, 2014– 05.15.14
• Revised: Billing Reminder - Modifier Usage for Urological Supplies – 05.15.14
• REMINDER: DME MAC Jurisdiction C Provider Contact Center Unavailable on May 16, 2014, 12:15–2:15 pm Central Time – 05.14.14
• Rescinded: International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters[MLN Matters MM8602] – 05.14.14
• Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - June 1, 2014 version 3.0.5[MLN Matters MM8711] – 05.09.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2014[MLN Matters MM8702] – 05.09.14
• Interruption in myCGS Eligibility Information – 05.08.14
• MLN Connects™ Provider e-News Edition for May 8, 2014– 05.08.14
• Misdirected Redeterminations Delay Processing and Timely Decisions – 05.08.14
• CMS MLN Connects™ eNews: ICD-10 Compliance Date and End-to-End Testing Information – 05.05.4
• Retired: Correct Coding – Lithium Batteries – 05.01.14
• CMS Issues Proposed Hospital Inpatient Payment Regulation – 05.01.14
• Interruption in myCGS Eligibility Information – May 3, 2014 – 05.01.14
• Click to view the Complete MLN Connects™ Provider eNews for May 1, 2014– 05.01.14

April 2014

• Puerto Rico Workshop! – 04.29.14
• July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files[MLN Matters MM8748] – 04.29.14
• Announcing Webinar for Comparative Billing Report on Diabetic Testing Supplies – 04.28.14
• Click to view the complete issue of the MLN Connects™ Provider eNews for April 24, 2014– 04.25.14
• Interruption in myCGS Eligibility Information – April 26, 2014 – 04.25.14
• Medical Grade Honey as a Surgical Dressing Component – Request for Information – 04.24.14
• Dear Physician - Home Oxygen Initial Qualification Testing– 04.24.14
• Retired: Dear Physician - CERT/Therapeutic Shoes for Persons with Diabetes– 04.24.14
• CGS 2014 Orthotics and Prosthetics Ask the Contractor Teleconference – 04.23.14
• DME MAC Jurisdiction C Provider Contact Center Unavailable on May 16, 2014, 12:15–2:15 pm Central Time – 04.22.14
• Revised: Notice of Service-Specific Pre-payment Review: HCPCS Codes E0250, E0255, E0607, E0730, E0748, E2402, E2510, K0001, K0002, and K0003 – 04.22.14
• Chapter 29 Appeals Update (Includes Post-DOMA Guidance and Signature Requirement for Appointment of Representatives and Assignment of Appeal Rights)[MLN Matters MM8588] – 04.18.14
• Revised: Aprepitant for Chemotherapy-Induced Emesis[MLN Matters MM8418] – 04.17.14
• Click to view the complete issue of the MLN Connects™ Provider eNews for April 17, 2014– 04.17.14
• Revised:Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program– 04.17.14
• Change to DME MAC Jurisdiction C Provider Contact Center Schedule – May 1, 2014 – 04.16.14
• Rescinded - Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program Integrity Manual – 04.15.14 (Rescinded 04.17.14)
• Revised: Implementation of National Automated Clearinghouse Association (NACHA) Operating Rules for Health Care Electronic Funds Transfers (EFT)[MLN Matters MM8629] – 04.15.14
• Implementation of Fingerprint-Based Background Checks[MLN Matters SE1417] – 04.15.14
• Revised:Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - February 1, 2014 version 3.0.4[MLN Matters MM8651] – 04.15.14
• myCGS Version 2.05 Now Available – 04.14.14
• Get the latest information on the public release of physician data, update on 2-midnight hospital admission reviews, and more in this week's eNews. MLN Connects™ Provider eNews for April 10, 2014– 04.10.14
• ICD-10 Updates to Local Coverage Determinations (LCDs) and Policy Articles (PAs) – 04.10.14
• Revised: Rescind/Replace Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category[MLN Matters MM8566] – 04.09.14
• Remittance Advice Remark Code (RARC) and Claims Adjustment Reason Code (CARC) and Medicare Remit Easy Print (MREP) and PC Print Update[MLN Matters MM8703] – 04.08.14
• Updating Beneficiary Information with the Benefits Coordination & Recovery Center (formerly known as the Coordination of Benefits Contractor)[MLN Matters SE1416] – 04.08.14
• Rescinded: Updating Beneficiary Information with the Coordination of Benefits Contractor[MLN Matters SE1205] – 04.08.14
• ICD-10 Page on the CMS Website – 04.07.14
• Revised: Rescind/Replace Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category[MLN Matters MM8566] – 04.04.14
• Retired 04.14.16: Correct Coding and Coverage of Ventilators – 04.03.14
• MyoPro™ – Coding Reminder – 04.03.14
• The PECOS - Dear Physician Letter has been revised– 04.03.14
• President Obama Signs the Protecting Access to Medicare Act of 2014 – 04.03.14
• MLN Connects™ Provider eNews for April 3, 2014: It has come to our attention that some subscribers were unable to open the March 27edition of the eNews. We apologize for the inconvenience. – 04.03.14
• Sequestration Q & A – 04.02.14
• Appeals for Cancelled Claims Related to Medicare Beneficiaries Classified as "Unlawfully Present" in the U.S. – 04.02.14
• Mandatory Payment Reduction of 2% Continues through March 31, 2015, for the Medicare FFS Program – "Sequestration" – 04.02.14
• Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - February 1, 2014 version 3.0.4[MLN Matters MM8651] – 04.02.14
• The Spring 2014 DME MAC Insider is now available – 04.01.14
• The Spring 2014 DME Jurisdiction C Supplier Manual is now available – 04.01.14
• The 2nd Quarter 2014 Drug Fees, Pharmacy Dispensing Fees, and Pharmacy Supply Fees are now available – 04.01.14
• Registration is now open for our April Webinar series – 04.01.14

March 2014

• MLN Connects™ Provider eNews Special Edition for March 28, 2014: Information Regarding the Holding of April 2014 Claims for Services Paid Under the 2014 Medicare Physician Fee Schedule – 03.31.14
• Spring 2014 Medical Review Frequently Asked Questions are now available – 03.31.14
• The 2nd Quarter 2014 Jurisdiction C DMEPOS/PEN Fee Schedule is now available – 03.31.14
• Get the latest information on registration for the PQRS Group Reporting Option, EHR Incentive Program deadlines and more in this week's eNews. Click to view the complete issue of the MLN Connects™ Provider eNews for March 27, 2014– 03.28.14
• Revised: Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - October 1, 2013 version 3.0.3[MLN Matters MM8518] – 03.28.14
• Retired: Correct Coding – Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Revised – 03.27.14
• LCD and Policy Article Revisions Summary for March 27, 2014 – 03.27.14
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance – April 4–6, 2014 – 03.25.14
• The CMS 1500 Claim Form Instructions Tool has been revised – 03.24.14
• Sent Behalf of CEDI: Implementation of CMS Change Request 8182 "Standardizing the Standard - Operating Rules for Code Usage in Remittance Advice" – 03.24.14
• The 1st Quarter 2014 Drug Fees, Phramacy Dispensing Fees and Phramacy Supply Fees schedule has been revised – 03.21.14
• MLN Connects™ Provider e-News Edition for Thursday, March 20, 2014 – 03.20.14
• myCGS Users: Annual IACS Certification – 03.20.14
• Changes to Local Coverage Determinations – ICD-10 Updates – 03.20.14)
• Correct Coding –Billing of Powered L-Coded Items – 03.20.14
• Billing Reminder: Modifier Usage for Urological Supplies – 03.20.14
• LCD and Policy Article Revisions Summary for March 20, 2014 – 03.20.14
• CGS Provider Contact Center is Experiencing High Volume of Inquiries on Refill Requirements – 03.19.14
• Sent Behalf of CEDI: Friday, April 4, 2014 - CEDI Outage for April 2014 Quarterly Release Implementation – 03.14.14
• April Quarterly Update for 2014 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule[MLN Matters MM8645] – 03.14.14
• MLN Connects™ Provider e-News Edition for Thursday, March 13, 2014 – 03.13.14
• LCD and Policy Article Revisions Summary for March 13, 2014 – 03.13.14
• Revised:International Classification of Diseases, 10th Revision (ICD-10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI)[MLN Matters MM8465] – 03.12.14
• Indirect Payment Procedure (IPP) - Payment to Entities that Provide Coverage Complementary to Medicare Part B[MLN Matters MM8638] – 03.11.14
• Revised: Calendar Year (CY) 2014 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule[MLN Matters MM8531] – 03.10.14
• Revised: Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions[MLN Matters MM8456] – 03.10.14
• Rescinded - International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters – 03.10.14 (Rescinded 05.09.14)
• Sent Behalf of CEDI: Limited ICD-10 End-to-End Testing - Volunteer by March 24, 2014 – 03.10.14
• Healthcare Provider Taxonomy Codes (HPTC) Update, April 2014[MLN Matters MM8611] – 03.07.14
• MLN Connects™ Provider e-News Edition for Thursday, March 6, 2014 - 03.07.14
• LCD and Policy Article Revisions Summary for March 6, 2014 – 03.06.14
• Aprepitant for Chemotherapy Induced Emesis[MLN Matters MM8418] – 03.05.14
• When is a Reopenings or Redeterminations Necessary? – 03.04.14
• Revised: Medicare Fee-For-Service (FFS) International Classification of Diseases, 10th Edition (ICD-10) Testing Approach[MLN Matters SE1409] – 03.04.14
• Revised: International Classification of Diseases, 10th Revision (ICD-10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI)[MLN Matters MM8465] – 03.04.14
• Revised: Claim Status Category and Claim Status Codes Update[MLN Matters MM8582] – 03.04.14
• Registration is now open for our March Webinar series – 03.04.14
• Jurisdiction C Provider Contact Center and Telephone Reopenings CLOSED Due to Inclement Weather on Monday, March 3, 2014 – 03.03.14
• myCGS Version 2.03 Now Available – 03.03.14

February 2014

• Status Report for Quarter 4 - 2013 - HCPCS Code A5500 Service-Specific Prepayment Review – 02.28.14
• Status Report for Quarter 4 - 2013 - HCPCS Codes J7605, J7606, J7613, J7620 & J7626 - Service-Specific Prepayment Review – 02.28.14
• Status Report for Quarter 4 - 2013 - HCPCS Code K0823 Service-Specific Prepayment Review – 02.28.14
• Status Report for Quarter 4 – 2013 - HCPCS Code J7507 Service-Specific Prepayment Review – 02.28.14
• Status Report for Quarter 4 - 2013 - HCPCS Code E1390 Service-Specific Prepayment Review – 02.28.14
• Status Report for Quarter 4 – 2013 - HCPCS Code E0601 Service-Specific Prepayment Review – 02.28.14
• Implementation of Health Insurance Portability & Accountability Act (HIPAA) Standards and Operating Rules for Health Care Electronic Funds Transfer[MLN Matters MM8619] – 02.28.14
• Status Report for Quarter 4 - 2013 - HCPCS Code E0277 – 02.27.14
• Status Report for Quarter 4 - 2013 - HCPCS Code E0260 Service-Specific DCR Prepayment Review – 02.27.14
• Status Report for Quarter 4 - 2013 - HCPCS Code A4253 Service-Specific Prepayment Review – 02.27.14
• Definitions Used for Off-the-Shelf, Custom Fitted and Custom Fabricated Orthotics (Braces) – 02.27.14 - Retracted
• MLN Connects™ Provider e-News Edition for Thursday, February 27, 2014 – 02.27.14
• LCD and Policy Article Revisions Summary for February 27, 2014 – 02.27.14
• Documentation Reminder – Therapeutic Shoes – 02.27.14
• Implementation of National Automated Clearinghouse Association (NACHA) Operating Rules for Health Care Electronic Funds Transfers (EFT)[MLN Matters MM8629] – 02.26.14
• Reopenings and Redeterminations: An Overview – 02.25.14
• Sent Behalf of CEDI: Crosswalk Verification Added to Online CEDI Enrollment Forms – 02.24.14
• Implementing Operating Rule (OR)-Phase III ERA Or Dual Delivery of ERA and Paper Remittance[MLN Matters MM8570] – 02.21.14
• Medicare Fee-For-Service (FFS) International Classification of Diseases, 10th Edition (ICD-10) Testing Approach[MLN Matters SE1409] – 02.20.14
• MLN Connects™ Provider e-News Edition for Thursday, February 20, 2014 – 02.20.14
• Dear Physician – Face-to-Face and Written Order Requirements for High Cost DME– 02.20.14
• Retired: Face-to-Face Examination and Prescription Requirements Prior to the Delivery of Certain DME Items Specified in the Affordable Care Act – 02.20.14
• Correction CR - Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131[MLN Matters MM8597] – 02.19.14
• Notice of Service-Specific Pre-payment Review: HCPCS Codes A4351, A4352, and A4353 – 02.18.14
• Notice of Service-Specific Pre-payment Review: HCPCS Code K0004 – 02.18.14
• Notice of Service-Specific Pre-payment Review: HCPCS Codes E0607, K0001, K0002, K0003, E0748, E2510 and E2402 – 02.18.14
• REMINDER: Jurisdiction C Provider Contact Center First Thursday Training Closures – 02.17.14
• PWK Reminder – Do Not Use PWK for Reopenings or Redeterminations - 02.14.14
• Join the DME MACs and the Competitive Bidding Implementation Contractor (CBIC) at the 2014 National Home Infusion Association (NHIA) Annual Conference & Exposition - 02.14.14
• MLN Connects™ Provider e-News Edition for Thursday, February 13, 2014 - 02.14.14
• Completion of Certificates of Medical Necessity – Annual Reminder– 02.14.14
• Retired: From the PDAC - Manual Wheelchair Bases – 02.13.14
• From the PDAC - HCPCS Code Update – (2014) – 02.13.14
• From the PDAC - Correct Coding – Liners Used With Positive Airway pressure (PAP) Mask – 02.13.14
• Correct Coding - ApniCure Winx® Sleep Therapy System – 02.13.14
• LCD and Policy Article Revisions Summary for February 13, 2014 – 02.13.14
• Revised: HIPAA Eligibility Transaction System (HETS) to Replace Common Working File (CWF) Medicare Beneficiary Health Insurance Eligibility Queries[MLN Matters SE1249] – 02.12.14
• Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions[MLN Matters MM8456] – 02.12.14
• Pub 100-03, Chapter 1, Language-only Update[MLN Matters MM8506] – 02.12.14
• Updated Mobile Applications (Apps) for Open Payments[MLN Matters SE1402] – 02.12.14
• Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – 02.12.14
• Revised:Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims (Change Requests 6417, 6421, 6696, and 6856)[MLN Matters SE1305] – 02.07.14
• Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) - A Re-Issue of MM7492[MLN Matters SE1408] – 02.07.14
• MLN Connects™ Provider e-News Edition for Thursday, February 6, 2014 – 02.06.14
• Announcing Webinar for Comparative Billing Report on Upper Limb Orthotics – 02.03.14
• MLN Connects™ Provider e-News Edition for Thursday, January 30, 2014 – 02.03.14

January 2014

• Join the DME MAC CERT Task Force at the 2014 Spring Medtrade Exposition! – 01.31.14
• 2014 Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List[MLN Matters MM8565] – 01.31.14
• Interruption in myCGS Eligibility Information – February 1, 2014 – 01.31.14
• Policy Article Revision Summary for January 30, 2014 – 01.30.14
• April 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files[MLN Matters MM8607] – 01.30.14
• Registration of Entities Using the Indirect Payment Procedure (IPP)[MLN Matters SE1406] – 01.28.14
• Special Open Door Forum: Final Rule CMS-1599-F – 01.28.14
• Revised: Medicare Remit Easy Print (MREP) Enhancements – 01.28.14
• Correction to article - Payment Rules - Continuous Passive Motion Machines – 01.28.14
• myCGS – Remittance Advice (RA) Details Now Available Online! – 01.28.14
• 2014 Jurisdiction List for DMEPOS HCPCS Codes– 01.28.14
• CGS Offers New Online Tool to Improve Access to Local Coverage Determinations (LCDs) and HCPCS Information – 01.24.14
• Ordering/Referring Physician Data Issues – Corrected – 01.24.14
• CMS 1500 Claim Form Instructions: Revised for Form Version 02/12[MLN Matters MM8509] – 01.24.14
• Claim Status Category and Claim Status Codes Update[MLN Matters MM8582] – 01.24.14
• Part B Claims Submission under the Indirect Payment Procedure (IPP)[MLN Matters MM8266] – 01.24.14
• MLN Connects™ Provider e-News Edition for Thursday, January 23, 2014 – 01.23.14
• Coding Guideline – K0900 (CUSTOM DURABLE MEDICAL EQUIPMENT, OTHER THAN WHEELCHAIRS) – 01.23.14
• Payment Rules - Continuous Passive Motion Machines DME MAC Joint Publication – 01.23.14
• Changes to DME MAC Jurisdiction C Provider Contact Center and Telephone Reopenings Schedule – February 2014 – 01.22.14
• myCGS Version 2.01 Now Available – 01.21.14
• "Manual Updates to Clarify Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Home Health (HH), and Outpatient (OPT) Coverage Pursuant to Jimmo vs. Sebelius" MLN Matters® Article – Released – 01.21.14
• Breathe NIOV™ – Coding Reminder – Revised January 2014 – 01.17.14
• Revised:Revised Beneficiary Liability and Messages Associated with Denials for Claims for Services Furnished to Incarcerated Beneficiaries[MLN Matters MM8488] – 01.17.14
• MLN Connects™ Provider e-News for Thursday, January 16, 2014 – 01.16.14
• Remittance Advice Remark Code (RARC) and Claims Adjustment Reason Code (CARC) and Medicare Remit Easy Print (MREP) and PC Print Update[MLN Matters MM8561] – 01.16.14
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2014[MLN Matters MM8568] – 01.16.14
• Ordering/Referring Physician Data Issues – 01.15.14
• HCPCS Codes E2603 and E2622: Service-Specific Prepayment Review – 01.14.14
• Sent on Behalf of CEDI: PC-ACE Pro32 Version 2.50 Upgrade Available – 01.13.14
• MLN Connects™ Provider e-News for Thursday, January 9, 2014 – 01.09.14
• Revised: Payment Rules Reminder – Home Oxygen Initial Qualification Testing – 01.09.14
• Rescind/Replace Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category[MLN Matters MM8566] – 01.08.14
• Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims – 01.07.14
• Medicare Remit Easy Print (MREP) Enhancements – 01.06.14
• Ordering/Referring Provider Denial Job Aid – 01.06.14
• myCGS Version 2 – 01.06.14
• Medicare System Project for Electronic Submission of Medical Documentation (esMD)[MLN Matters SE1343] – 01.03.14
• Further Information on Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims[MLN Matters SE1344] – 01.03.14
• The acceptance of a voluntary refund as repayment for the claim specified in no way affects or limits the rights of the Federal Government, or any of its agencies or agents, to pursue any appropriate criminal, civil, or administrative remedies arising from or relating to these or any other claims. – 01.02.14
• Registration is now open for our January Webinar series – 01.02.14
• The Winter 2014 update to the DME MAC Jurisdiction C Supplier Manual is now available – 01.02.14
• The Winter 2014 edition of the DME MAC Insider is now available– 01.02.14

Older Archives

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