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

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DME MAC Jurisdiction C 2015 News Archive

December 2015

• 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. – 12.31.15
• Voluntary Refunds - Calendar Year 2015 – 12.31.15
• Expanding Education Through Collaboration –12.30.15
• Temporary Interruption in IVR and myCGS Availability Due to Quarterly System Maintenance: December 31, 2015–January 3, 2016 –12.29.15
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2016 [MLN Matters MM9477] – 12.29.15
• The 1st Quarter 2016 Jurisdiction C DMEPOS/PEN Fee Schedule is now available in PDF, CSV, and searchable formats – 12.18.15
• December 9, 2015, DME CERT Outreach and Education Task Force Diabetic Shoes Webinar Presentation Now Available! – 12.18.15
• Revised: New Oral Antiemetic Drug Akynzeo® – Coverage and Coding – 12.17.15
• LCD and Policy Article Revisions Summary for December 17, 2015 – 12.17.15
• MLN Connects® for December 17, 2015 – 12.17.15
• September 17, 2015, DME MAC POE Collaborative Power Mobility Device Bases Webinar Presentation Now Available! – 12.17.15
• Intravenous Immune Globulin (IVIG) Demonstration: Payment Update for 2016 [MLN Matters MM9254] – 12.11.15
• Revised: New and Revised Place of Service Codes (POS) for Outpatient Hospitals [MLN Matters MM9231] – 12.11.15
• MLN Connects® for December 10, 2015 – 12.10.15
• Retired: Ankle Orthoses, With or Without Joints, Prefabricated or Custom Fabricated Coding Verification Review - Correct Coding – 12.03.15
• MLN Connects® for December 02, 2015 – 12.03.15
• Retired 04.14.16: Correct Coding and Coverage of Ventilators – Revised Effective January 1, 2016 – 12.03.15
• LCD and Policy Article Revisions Summary for December 3, 2015 – 12.03.15
• 2016 HCPCS Code Annual Update - Correct Coding – 12.03.15
• Documentation Identification Tool – 12.02.15
• Update to Medicare Deductible, Coinsurance and Premium Rates for 2016 [MLN Matters MM9410] – 12.02.15
• Claim Status Category and Claim Status Code Update [MLN Matters MM9427] – 12.02.15
• Implementation of Adjusted Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Amounts Using Information from the National Competitive Bidding Program (CBP) [MLN Matters MM9239] – 12.01.15
• Remittance Advice Remark and Claim Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update [MLN Matters MM9374] – 12.01.15
• Calendar Year (CY) 2016 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM9431] – 12.01.15
• 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 MM9350] – 12.01.15
• Medicare Secondary Payer Information and Filing Claims: Getting It Right the First Time – 12.01.15

November 2015

• MLN Connects® for November 25, 2015 – 11.25.15
• Release of the 2016 DMEPOS Fee Schedules – 11.24.15
• Update to the List of Compendia as Authoritative Sources for Use in the Determination of a "Medically-Accepted Indication" of Drugs and Biologicals Used Off-label in an Anti-Cancer Chemotherapeutic Regimen [MLN Matters MM9386] – 11.23.15
• CSI Users: Action Required Regarding New Password Policy—Now Accepting Email Responses – 11.20.15
• Retired 06.30.16: New Oral Antiemetic Drug Varubi™ – Coverage and Coding – 11.19.15
• MLN Connects® for November 19, 2015 – 11.19.15
• The 2016 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes – 11.17.15
• MLN Connects® for November 12, 2015 – 12.13.15
• Status Report for Quarter 3 – 2015: HCPCS Code E0260 Service-Specific DCR Prepayment Review – 11.12.15
• Status Report for Quarter 2 – 2015: Written Order Prior to Delivery (WOPD) Service-Specific DCR Prepayment Review – 11.12.15
• Attention CSI Users: Important Information Regarding Password Policies and Requirements—Action Required – 11.12.15
• Tracheostomy Tubes - Correct Coding – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code A5500 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code E0601 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code E0277 – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Codes A4351, A4352 and A4353 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code A4253 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code K0823 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Codes B4150 and B4154 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code K0004 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code J7507 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Codes E2603 and E2622 Service-Specific Prepayment Review – 11.12.15
• Status Report for Quarter 3 – 2015: HCPCS Code E1390 Service-Specific Prepayment Review – 11.12.15
• Medicare Remit Easy Print (MREP) Upgrade [MLN Matters MM9291] – 11.11.15
• Centers for Medicare & Medicaid Services Special Open Door Forum: Prior Authorization of Repetitive Scheduled Non-Emergent Ambulance Transport Expansion – 11.09.15
• Ambulance Expansion Prior Authorization Introductory Beneficiary Letter – 11.09.15
• MLN Connects® for November 5, 2015 – 11.05.15
• Lower Limb Prostheses – Draft Policy DL33787 – 11.05.15
• Retired 04.28.16: Revised: Standard Documentation Language for Local Coverage Determinations and Related Policy Articles – 11.05.15
• Speech Generating Devices – Coding Verification Review Requirement – 11.05.15
• CORRECT CODING – BUZZY® – 11.05.15
• Revised: 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] – 11.03.15

October 2015

• TOBI® Podhaler™ - Correct Coding – 10.29.15
• MLN Connects® for October 29, 2015 – 10.29.15
• 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] – 10.27.15
• Revised: MLN Connects® Special Edition for October 22, 2015 – 10.23.15
• P-stim® Device - Correct Coding – 10.22.15
• Diathermy and Biofeedback Devices - Correct Coding – 10.22.15
• LCD and Policy Article Revisions Summary for October 22, 2015 – 10.22.15
• MLN Connects® for October 22, 2015 – 10.22.15
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2016 [MLN Matters MM9383] – 10.21.15
• Bidding Now Open for Round 1 2017 of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – 10.16.15
• LCD and Policy Article Summary for October 15, 2015 – Draft Released to Final – 10.15.15
• Revised: Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update [MLN Matters MM9278] – 10.15.15
• Updated External Infusion Pump Policy - Parenteral Inotropic Therapy Frequently Asked Questions – 10.15.15
• Pneumatic Compression Devices (PCD) – Response to Comment Summary – 10.15.15
• Completing an External Infusion Pump LCD DME Information Form (DIF) for Levodopa-Carbidopa Enteral Suspension - Billing Instructions – 10.15.15
• MLN Connects® for October 15, 2015 – 10.15.15
• Osteogenesis Stimulator Policy Revision Frequently Asked Questions – 10.08.15
• MLN Connects® for October 8, 2015 – 10.08.15
• LCD Revisions Summary for October 8, 2015 – 10.08.15
• MLN Connects® - Special Edition for October 5, 2015 – 10.06.15
• Revised: Dear Physician – Face-to-Face and Written Order Requirements for High Cost DME (No Longer Available) – 10.05.15
• Bowel Management Devices (BMD) - Response to Comment Summary – 10.01.15
• MLN Connects® for October 1, 2015 – 10.01.15
• External Infusion Pump (EIP) – Response to Comment Summary – 10.01.15
• The Fall 2015 DME MAC Insider is now available – 10.01.15
• The Fall 2015 DME Jurisdiction C Supplier Manual is now available – 10.01.15
• Retired: Face-to-Face Examination and Prescription Requirements Prior to the Delivery of Certain DME Items Specified in the Affordable Care Act – 10.01.15
• LCD and Policy Article Summary for October 01, 2015 – Drafts Released to Final – 10.01.15

September 2015

• CMS recently released FAQs related to ICD-10 transition activities. Some of the questions concern claim denials when a wrong ICD-10 code is used. The FAQs can be found at https://www.cms.gov/Medicare/Coding/ICD10/Frequently-Asked-Questions.html. – 09.30.15
• 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] – 09.30.15
• Denial for Power Mobility Device (PMD) Claim from a Supplier of Durable Medical, Orthotics, Prosthetics, and Supplies (DMEPOS) When Ordered By a Non-Authorized Provider [MLN Matters MM8239] – 09.30.15
• Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM) [MLN Matters MM8984] – 09.30.15
• The 4th Quarter 2015 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available – 09.30.15
• Changes to DME MAC Jurisdiction C Provider Contact Center and Telephone Reopenings Schedule—October 2015 – 09.28.15
• Temporary Interruption in IVR and myCGS Availability Due to Quarterly System Maintenance—October 2–4, 2015 – 09.28.15
• January 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM9351] – 09.25.15
• New Fax Line and Address for Overpayment Appeals – 09.25.15
• Implementation of ICD – 10 CM/PCS – 09.24.15
• MLN Connects® for September 24, 2015 – 09.24.15
• Oxygen Certificate of Medical Necessity (CMN) Form Revision – 09.18.15
• MLN Connects® for September 17, 2015 – 09.17.15
• Register Today for the DME MAC Collaborative ICD-10 Webinar: Are You Ready? – 09.17.15
• Claims Submission Alternatives for Providers Who Have Difficulties Submitting ICD-10 Claims [MLN Matters SE1522] – 09.17.15
• Revised: Skilled Nursing Facility Consolidated Billing and Erythropoietin (EPO, Epoetin Alfa) [MLN Matters SE0434] – 09.16.15
• 2016 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update [MLN Matters MM9340] – 09.16.15
• MLN Connects® for September 10, 2015 – 09.10.15
• ICD-10 Ask the Contractor Teleconference (ACT) Scheduled for September 28! – 09.08.15
• Dear Physician - Glucose Monitors and Supplies - Revised – 09.03.15
• The 4th Quarter 2015 Jurisdiction C DMEPOS/PEN Fee Schedule is now available in PDF, CSV, and searchable formats – 09.03.15
• MLN Connects® for Thursday, September 3, 2015 – 09.03.15
• PROSE® Device – Correct Coding – 09.03.15
• Update to Pub. 100-03, National Coverage Determination Manual, Chapter 1, Part 1, Section 50.1 Speech Generating Device [MLN Matters MM9281] – 09.01.15
• 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 MM9270] – 09.01.15
• Claim Status Category and Claim Status Codes Update [MLN Matters MM9276] – 09.01.15

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August 2015

• Fall Registration STEP Class – 08.28.15
• MLN Connects® - Special Edition for August 27, 2015 – 08.27.15
• Healthcare Provider Taxonomy Codes (HPTCs) October 2015 Code Set Update [MLN Matters MM9260] – 08.27.15
• MLN Connects® for August 27, 2015 – 08.27.15
• myCGS Registration Tips – 08.26.15
• Registration Now Open for Round 1 2017 DMEPOS Competitive Bidding – 08.26.15
• Limiting the Scope of Review on Redeterminations and Reconsiderations of Certain Claims [MLN Matters SE1521] – 08.25.15
• Reporting Problems with Faxes – 08.21.15
• Clarification of the Policy for Competitively-Bid Wheelchair Accessories Furnished with Non-Competitively Bid Wheelchair Base Equipment [MLN Matters MM9272] – 08.21.15
• October 2015 Code Set Update October Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM9279] – 08.21.15
• LCD Open Meeting Notice – 08.21.15
• CGS Connect™ – 08.21.15
• LCD and Policy Article Revisions Summary for August 20, 2015 – 08.20.15
• MLN Connects® for August 20, 2015 – 08.20.15
• Limiting the Scope of Review on Redeterminations and Reconsiderations of Certain Claims [MLN Matters SE1521] – 08.18.15
• Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update [MLN Matters MM9278] – 08.18.15
• MLN Connects® for August 13, 2015 – 08.13.15
• National Site Visit Verification (NSV) Initiative [MLN Matters SE1520] – 08.13.15
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2015 Update [MLN Matters MM9273] – 08.13.15
• Surgical Dressings Containing Unclassified Materials - Correct Coding – 08.13.15
• New and Revised Place of Service Codes (POS) for Outpatient Hospitals [MLN Matters MM9231] – 08.13.15
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2015 [MLN Matters MM9244] – 08.13.15
• Medicare Remit Easy Print (MREP) Upgrade [MLN Matters MM9203] – 08.13.15
• Classification of Speech Generating Devices (SGD) and Accessories under the Payment Category for Inexpensive or Routinely Purchased Durable Medical Equipment [MLN Matters MM9179] – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Code B4150 and B4154 Service-Specific DCR Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015: HCPCS Code E1390 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015: HCPCS Codes E2603 and E2622 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015: HCPCS Code J7507 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015: HCPCS Code K0004 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Code E0260 Service-Specific DCR Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015 Written Order Prior to Delivery (WOPD) Service-Specific DCR Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Code K0823 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Code E0601 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Code E0277 – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Code A5500 Service-Specific Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Codes A4351, A4352 and A4353 Service-Specific DCR Prepayment Review – 08.13.15
• Status Report for Quarter 2 – 2015 HCPCS Code A4253 Service-Specific Prepayment Review – 08.13.15
• DMEPOS Competitive Bidding: Timeline for Round 1 2017 – 08.12.15
• DME MAC Collaborative ICD-10 Webinar: Are You Ready? – 08.10.15
• Surgical Dressings - Draft Policy Released for Comment – 08.06.15
• Parenteral Nutrition CERT Errors – Documentation Reminder – 08.06.15
• MLN Connects® for August 6, 2015 – 08.06.15
• Lower Limb Prosthesis Draft (July 2015) – Bibliography Joint DME MAC Publication – 08.03.15

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July 2015

• MLN Connects® for July 30, 2015 – 07.30.15
• E0740 Non-Implantable Pelvic Floor Electrical Stimulator – Correct Coding and Coverage – 07.30.15
• HYQVIA (Immune Globulin Infusion (Human) 10%, with Recombinant Human Hyaluronidase) - Coverage and Correct Coding - Revised – 07.30.15
• Retired: Affordable Care Act (ACA) 6407 - Supplier Frequently Asked Questions – 07.27.15
• Revised: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2015 Update [MLN Matters MM9167] – 07.27.15
• EIDM Outage this Weekend to Affect myCGS Availability – 07.24.15
• MLN Connects® for July 23, 2015 – 07.23.15
• LCD and Policy Article Revisions Summary for June 23, 2015 – 07.23.15
• Revised: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2015 Update [MLN Matters MM9167] – 07.21.15
• Physicians! Are You Ordering Oxygen For Your Patient? – 07.20.15
• MLN Connects® for July 16, 2015 – 07.16.15
• Draft Policies Release for Comment – 07.16.15
• October 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM9248] – 07.15.15
• MLN Connects® for July 9, 2015 – 07.09.15
• CMS Begins Implementation of Key Payment Legislation – 07.09.15
• MLN Connects® for July 2, 2015 – 07.02.15
• CGS GO Mobile Update – 07.02.15
• Retired: Correct Coding – Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correction – 07.02.15
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: New Medicare Intravenous Immune Globulin (IVIG) Demonstration Supplier Frequently Asked Question – 07.01.15
• The Summer 2015 DME Jurisdiction C Supplier Manual is now available – 07.01.15
• The Summer 2015 DME MAC Insider is now available – 07.01.15

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June 2015

• The 3rd Quarter 2015 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available – 06.30.15
• Revised: 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] – 06.30.15
• Notification of Certificate of Medical Necessity (CMN) Form Revisions – 06.30.15
• LCD and Policy Article Revisions Summary for June 25, 2015 – 06.25.15
• Temporary Interruption in IVR and myCGS Availability Due to Quarterly System Maintenance — July 2–5, 2015 CORRECTION – 06.25.15
• LCD and Policy Article Revisions Summary for June 11, 2015 - Revised – 06.25.15
• MLN Connects® for June 25, 2015 – 06.25.15
• Revised: Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims [MLN Matters SE1138] – 06.24.15
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: New Medicare Intravenous Immune Globulin (IVIG) Demonstration Beneficiary Frequently Asked Question – 06.24.15
• Temporary Interruption in IVR and myCGS Availability Due to Quarterly System Maintenance — July 2–5, 2015 – 06.23.15
• MLN Connects® for June 18, 2015 – 06.18.15
• Your feedback matters! Please participate in the 2015 MAC Satisfaction Indicator (MSI) survey – 06.15.15
• Revised: Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims [MLN Matters SE1138] – 06.12.15
• Information and Resources for Submitting Correct ICD-10 Codes to Medicare [MLN Matters SE1518] – 06.12.15
• DME Information Forms (DIFs) Usage for Enteral and Parenteral Nutrition and External Infusion Pumps - Revised – 06.11.15
• Correct Coding - Modifiers – AU, AV, and AW – 06.11.15
• LCD and Policy Article Revisions Summary for June 11, 2015 – 06.11.15
• MLN Connects® for June 11, 2015 – 06.11.15
• International Classification of Diseases, 10th Edition (ICD-10) End-to-End Testing [MLN Matters SE1435] – 06.11.15
• Reminder to Billing Procedures Related to the Department of Veterans Affairs (VA) - Companion Information to MM8198: "Updating the Shared Systems and Common Working File (CWF) to no Longer Create Veteran Affairs (VA) "I" records in the Medicare Secondary Payer (MSP) Auxiliary File" [MLN Matters SE1517] – 06.09.15
• Sent on behalf of the IVIG Demonstration Implementation Support Contractor: Intravenous Immune Globulin (IVIG) Demonstration Q2052 Billing Reminder – 06.09.15
• DMEPOS Competitive Bidding Announcement: Non-invasive Pressure Support Ventilators Removed from Round 1 2017 – 06.05.15
• MLN Connects® for June 4, 2015 – 06.04.15
• Claim Status Category and Claim Status Codes Update [MLN Matters MM9141] – 06.04.15
• Revised: July Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM9177] – 06.04.15
• Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement [MLN Matters MM9192] – 06.04.15
• 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 MM9138] – 06.04.15
• Medicare Fee-For-Service (FFS) International Classification of Diseases, 10th Edition (ICD-10) Testing Approach [MLN Matters SE1409] – 06.03.15
• 2015 MAC Satisfaction Indicator (MSI) Survey – 06.01.15
• Revised: Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters MM9059] – 06.01.15
• Manual Update to Pub. 100-04, Chapter 1, to include Claims Submitted by Multiple DMEPOS Suppliers [MLN Matters MM9079] – 06.01.15

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May 2015

• The 3rd Quarter 2015 Jurisdiction C DMEPOS/PEN Fee Schedule is now available in PDF, CSV, and searchable formats – 05.29.15
• The 3rd Quarter 2015 Jurisdiction C DMEPOS/PEN Fee Schedule is now available in PDF and CSV formats – 05.29.15
• New Oral Antiemetic Drug Akynzeo® – Coverage and Coding – Revised – 05.28.15
• MLN Connects® for May 28, 2015 – 05.28.15
• July Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM9177] – 05.26.15
• July 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM9159] – 05.26.15
• Status Report for Quarter 1 - 2015 HCPCS Code E0601 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Codes B4150 and B4154 Service-Specific DCR Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: Written Order Prior to Delivery (WOPD) Service-Specific DCR Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code J7507 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Codes E2603 and E2622 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Codes A4351, A4352 and A4353 Service-Specific DCR Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code E1390 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code A4253 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code K0004 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code E0277 – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code A5500 Service-Specific Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code E0260 Service-Specific DCR Prepayment Review – 05.22.15
• Status Report for Quarter 1 - 2015: HCPCS Code K0823 Service-Specific Prepayment Review – 05.22.15
• MLN Connects® for May 21, 2015 – 05.21.15
• Vacuum Erection Devices – Non-Covered by Medicare – 05.21.15
• Retired: Urinary "No-Touch" Catheters - Correct Coding – 05.21.15
• LCD and Policy Article Revisions Summary for May 21, 2015 – 05.21.15
• Retired: LIM innovations Infinite Socket™ - Correct Coding – 05.21.15
• Sent of behalf of CEDI: Participate in the Final ICD-10 Front End Acknowledgement Testing Week: June 1 through 5 – 05.19.15
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2015 [MLN Matters MM9140] – 05.18.15
• Section 504: Implement National Medicare Summary Notices (MSNs) in Alternate Formats [MLN Matters MM9153] – 05.15.15
• Weightless Walker - Correct Coding – 05.14.15
• LCD and Policy Article Revisions Summary for May 14, 2015 – 05.14.15
• MLN Connects® for May 14, 2015 – 05.14.15
• Retired: WHILL Model A Powered Personal Mobility Device - Correct Coding – 05.14.15
• BEMER Physical Vascular Therapy Devices - Correct Coding – 05.14.15
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2015 Update [MLN Matters MM9167] – 05.13.15
• Final Opportunity to Volunteer for ICD-10 End-to-End Testing in July — Forms Accepted May 11 through 22 – 05.11.15
• MLN Connects® for May 7, 2015 – 05.07.15
• LCD and Policy Article Revisions Summary for May 7, 2015 – 05.07.15
• Revised: Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update [MLN Matters MM9125] – 05.04.15

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April 2015

• Retired: Correct Coding – Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Revised – 04.30.15
• MLN Connects® for April 30, 2015 – 04.30.15
• LCD and Policy Article Revisions Summary for April 30, 2015 – 04.30.15
• HCPCS Codes E1002 and E1007: Service-Specific Prepayment Review – 04.28.15
• Accreditation for Ventilators [MLN Matters SE1513] – 04.24.15
• LCD and Policy Article Revisions Summary for April 23, 2015 – 04.23.15
• MLN Connects® for April 23, 2015 – 04.22.15
• Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update [MLN Matters MM9125] – 04.21.15
• MLN Connects® for April 16, 2015 – 04.16.15
• LCD and Policy Article Revisions Summary for April 16, 2015 – 04.16.15
• Attention Health Professionals: Information Regarding the Medicare Access and CHIP Reauthorization Act of 2015 – 04.15.15
• Attention Health Professionals: Information Regarding the 2015 Medicare Physician Fee Schedule – 04.13.15
• LCD and Policy Article Revisions Summary for April 9, 2015 – 04.09.15
• MLN Connects® for April 9, 2015 – 04.09.15
• The 2nd Quarter 2015 Drug Fees are now available. Additionally, the 2nd, 3rd, and 4th Quarter 2014 fees have been revised, and the 1st Quarter 2015 fees have been revised. – 4.03.15
• MLN Connects® for April 2, 2015 – 04.02.15
• LCD and Policy Article Revisions Summary for April 2, 2015 – 04.02.15
• Update on the Status of Provisions Expiring on April 1 – 04.01.15
• Medicare Documentation Requirements and Common Errors Workshop at the MESA Mid-Year Conference in Dallas – 04.01.15
• Discontinued Coverage of Vacuum Erection Systems (VES) Prosthetic Devices in Accordance with the Achieving a Better Life Experience Act of 2014 [MLN Matters SE1511] – 04.01.15
• The Spring 2015 DME Jurisdiction C Supplier Manual is now available – 04.01.15
• The Spring 2015 DME MAC Insider is now available – 04.01.15

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March 2015

• LCD and Policy Article Revisions Summary for March 26, 2015 – 03.26.15
• MLN Connects® for March 26, 2015 – 03.26.15
• Blinatumomab (Blincyto™) - Billing Instruction – 03.26.15
• Attention Health Professionals: Information Regarding the 2015 Medicare Physician Fee Schedule – 03.25.15
• Temporary Interruption in IVR and myCGS Availability Due to Quarterly System Maintenance—April 3–5, 2015 – 03.24.15
• Sent on behalf of CEDI: July 2015 Limited ICD-10 End-to-End Testing - Volunteer by April 17, 2015 – 03.19.15
• MLN Connects™ Provider eNews for March 19, 2015 – 03.19.15
• LCD and Policy Article Revisions Summary for March 19, 2015 – 03.19.15
• myCGS Users: What to Do with Your IACS Account – 03.17.15
• MLN Connects® for March 12, 2015 – 03.12.15
• LCD and Policy Article Revisions Summary for March 12, 2015 – 03.12.15
• Repair Claims for Clinitron® Capped Rental Beds Furnished by Hill-Rom – 03.09.15
• LCD and Policy Article Revisions Summary for March 5, 2015 – 03.05.15
• MLN Connects™ Provider eNews for March 5, 2015 – 03.05.15
• Revised: International Classification of Diseases, 10th Revision (ICD-10) Testing - Acknowledgement Testing with Providers [MLN Matters MM8858] – 03.05.15

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February 2015

• Healthcare Provider Taxonomy Codes (HPTCs) April 2015 Code Set Update [MLN Matters MM8993] – 02.27.15
• MLN Connects™ Provider eNews for February 26, 2015 – 02.26.15
• Revised: Calendar Year (CY) 2015 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM8999] – 02.26.15
• LCD and Policy Article Revisions Summary for February 26, 2015 – 02.26.15
• MLN Connects™ Provider eNews - Special Edition, Wednesday, February 25, 2015: CMS Conducts Successful Medicare FFS ICD-10 End-to-End Testing Week – 02.25.15
• Revised: 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] – 02.24.15
• Payment Repairs to Capped Rental Equipment Prior to the End of the 13- Month Cap [MLN Matters MM9062] – 02.20.15
• Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for Grandfathered Items Subject to CBP [MLN Matters MM9060] – 02.20.15
• Use of Modifiers KK, KG, KU and KW under the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program [MLN Matters MM9059] – 02.20.15
• Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary 837 Claim Transactions [MLN Matters MM9050] – 02.20.15
• Documentation Tips: Blood Glucose Monitors and Supplies – 02.19.15
• Revised: Duopa® (Levodopa-Carbidopa Enteral Suspension) - Coverage and Correct Coding – 02.19.15
• Blincyto™ - Coverage and Correct Coding – 02.19.15
• LCD and Policy Article Revisions Summary for February 20, 2015 – 02.19.15
• Correct Usage of Competitive Bid Modifiers KG and KK – 02.19.15
• MLN Connects™ Provider eNews for February 19, 2015 – 02.19.15
• MLN Connects™ Provider eNews - Special Edition: DMEPOS Competitive Bidding: Covered Document Review Date is This Monday – 02.19.15
• Status Report for Quarter 4 - 2014: HCPCS Code E0260 Service-Specific DCR Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Code J7507 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Code K0004 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Code K0823 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Codes B4150 and B4154 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Codes J7605, J7606, J7613, J7620 & J7626 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: Written Order Prior to Delivery (WOPD) Service-Specific DCR Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Codes E2603 and E2622 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Code E1390 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Code E0601 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Code E0277 – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Codes A5500 Service-Specific Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Codes A4351, A4352 and A4353 Service-Specific DCR Prepayment Review – 02.17.15
• Status Report for Quarter 4 - 2014: HCPCS Code A4253 Service-Specific Prepayment Review – 02.17.15
• DMEPOS Competitive Bidding: Register Today in Order to Bid – 02.17.15
• DMEPOS Competitive Bidding: Register by Tuesday in Order to Bid – 02.13.15
• myCGS Users: Complete Your EIDM Account Setup – 02.13.15
• Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – 02.12.15
• Revised: New Timeframe for Response to Additional Documentation Requests [MLN Matters MM8583] – 02.12.15
• Modifier Requirements Due To Lack of a Physician's Order (Modifier EY) – 02.12.15
• Osteogenesis Stimulators - Coverage Reminder – 02.12.15
• Retired: Proof of Delivery Reminder – 02.12.15
• MLN Connects™ Provider eNews for February 12, 2015 – 02.12.15
• Modifiers KE and KY on Reopenings for Wheelchair Accessories – 02.12.15
• Peristeen® Transanal Irrigation System - Correct Coding and Coverage – 02.12.15
• Non-Invasive Interfaces Used in Conjunction with HCPCS Code E0472 - Correct Billing – 02.12.15
• Durable Medical Equipment - Documentation of Continued Medical Necessity – 02.12.15
• myCGS Issue — Switching NPI/PTANs – 02.10.15
• April 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM9084] – 02.10.15
• Sent on behalf of CEDI: Medicare Remit Easy Print Upgrade to Version 4.3 – 02.10.15
• Sent on behalf of CEDI: PC-ACE Pro32 Version 2.58 Upgrade Available – 02.10.15
• Retired: Utilization Reminder: Intermittent Catheters and Sterile Lubricant Packets – 02.10.15
• EIDM is Here! – 02.09.15
• The myCGS EIDM Migration Begins Today – 02.06.15
• Unique Tracking Number (UTN) Field Requirements for Power Mobility Device (PMD) Claims – 02.06.15
• MLN Connects™ Provider eNews for February 5, 2015 – 02.05.15
• EIDM is Only a Few Days Away! – 02.05.15
• Getting Ready for EIDM – 02.04.15
• Temporary Interruption in myCGS Availability Due to EIDM Migration Beginning Friday, February 6, 2015 – 02.03.15
• Join the DME MACs and the Competitive Bidding Implementation Contractor (CBIC) at the 2015 National Home Infusion Association (NHIA) Annual Conference & Exposition – 02.02.15
• EIDM Account Registration Emails – 02.02.15
• MLN Connects Provider eNews - Special Edition Friday January 30, 2015: Extension of Temporary Moratoria on Enrollment of New HHAs, HHA Sub-units and Part B Ambulance Suppliers – 02.02.15
• myCGS Users: EIDM is Almost Here! – 02.02.15
• Changes to DME MAC Jurisdiction C Provider Contact Center and Telephone Reopenings Schedule—February 2015 – 02.02.15

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January 2015

• Temporary Interruption in myCGS Availability Due to EIDM Migration Beginning Friday, February 6, 2015 – 01.30.15
• myCGS Registration Temporarily Unavailable – 01.29.15
• MLN Connects™ Provider eNews for January 29, 2015 – 01.29.15
• myCGS Registration Changes—EIDM is Replacing IACS – 01.28.15
• myCGS Users: Get Ready for EIDM! – 01.27.15
• myCGS Users: Change Your IACS Password Today! – 01.26.15
• International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters for 2015 [MLN Matters MM8867] – 01.23.15
• myCGS Users: EIDM is Coming—Get Ready – 01.23.15
• Entries in Medical Records: Amendments, Corrections, and Addenda – 01.22.15
• MLN Connects™ Provider eNews for January 22, 2015 – 01.22.15
• myCGS Users: Important Information Regarding the IACS to EIDM Conversion—Action Required – 01.22.15
• Surgical Dressings Containing Non-Covered Components - Correct Coding – 01.22.15
• Revised: ICD-10 End-to-End Testing Frequently Asked Questions – 01.16.15
• Sent on behalf of CEDI: Deadline to Volunteer for the April End-to-End ICD-10 Testing Extended to January 21, 2015 – 01.16.15
• MLN Connects™ Provider eNews for Thursday, January 15, 2015 – 01.15.15
• Retired: DME Information Forms (DIFs) Usage for Enteral and Parenteral Nutrition and External Infusion Pumps – 01.15.15
• Cast Covers – Correct Coding – 01.15.15
• New Oral Antiemetic Drug Akynzeo® - Coverage and Coding – 01.15.15
• Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update [MLN Matters MM9004] – 01.14.15
• Retired: Correct Coding – Lithium Batteries - Updated – 01.13.15
• New Timeframe for Response to Additional Documentation Requests [MLN Matters MM8583] – 01.12.15
• Sent on behalf of CEDI: Deadline to Volunteer for the April End-to-End ICD-10 Testing Extended to January 21, 2015 – 01.09.15
• International Classification of Diseases, 10th Edition (ICD-10) Acknowledgement Testing and End-to-End Testing [MLN Matters SE1501] – 01.08.15
• Sent on behalf of CEDI: April 2015 Limited ICD-10 End-to-End Testing - Volunteer by January 9th, 2015 – 01.08.15
• MLN Connects™ Provider eNews for Thursday, January 8, 2015 – 01.08.15
• The 1st Quarter 2015 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees are now available – 01.02.15
• The 3rd Quarter 2014 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees have been updated – 01.02.15
• The 2nd Quarter 2014 Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees have been updated – 01.02.15
• The Winter 2015 DME Jurisdiction C Supplier Manual is now available – 01.02.15
• The Winter 2015 DME MAC Insider is now available – 01.02.15
• 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. – 01.02.15

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