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Below you will find a listing of current Medicare changes and updates to the DME MAC A Web site. Please join the DME MAC A ListServe to ensure that you receive notification of updates.
March |
February |
January
March
12 March 2010
- DME MAC Jurisdiction A Resource Number 15
- March 2010 is now available
- Attention All Express Plus Users: Reminder - Express Plus Transitioning to PC-ACE Pro32
- Requests to Change Liability (Addition of GA Modifier)
- Basic Introduction to ICD-10-CM National Provider Conference Call
(CMS Message 201003-11)
- Medicare Preventive Services Quick Reference Information Charts
(CMS Message 201003-14)
- March is National Nutrition Month®
(CMS Message 201003-14)
- LCD and Policy Article Revisions Summary for March 11, 2010
- The article HCPCS Code Update - 2010
has been revised.
- The following Local Coverage Determinations (LCDs) / Medical Policies have been revised:
- External Breast Prostheses (L5043)
- Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (L11528)
- Spinal Orthosis: TLSO and LSO (L11470)
- DMEPOS Fact Sheet - A new fact sheet entitled “The Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program - A Better Way for Medicare to Pay for Medical Equipment” (February 2010), is now available in downloadable format on the DMEPOS Competitive Bidding website. This fact sheet gives providers and suppliers an overview of the DMEPOS Competitive Bidding program as well as useful information regarding the benefits and inherit qualities of the program. The fact sheet may be downloaded from the following web page: http://www.cms.hhs.gov/DMEPOSCompetitiveBid/04_Educational_Resources.asp (CMS Message 201003-14)
- Reminder: Comment Period Closing on Proposed Rule for Medicare and Medicaid Electronic Health Record (EHR) Incentive Program/Meaningful Use - As part of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, the Centers for Medicare & Medicaid Services (CMS) administers the Electronic Health Record (EHR) incentive programs under Medicare and Medicaid. CMS prepared a proposed rule on the EHR incentive programs for public comment. This proposed rule includes the definition of meaningful use and other requirements to qualify for incentive payments. The comment period for this proposed rule closes on March 15, 2010. CMS welcomes your comments which may be submitted through http://www.regulations.gov. For additional information on the proposed rule, visit http://www.cms.hhs.gov/Recovery/11_HealthIT.asp on the web. Here you will find fact sheets, presentation materials summarizing the proposed rule, and links to the proposed rule itself. (CMS Message 201003-10)
- March 2010 National Supplier Clearinghouse (NSC) Newsletter Now Available - The NSC recently announced the availability of the March 2010 NSC Newsletter. This edition features information on Competitive Bidding, reporting changes in ownership, submitting corrective action plans, an excerpt from MLN Matters 6566 providing guidance on implementing system edits for certain DMEPOS, and much more. To access the details, click on the following link: http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/837RJ96652?opendocument
- July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
(MM6805)
- Test Your Knowledge - The Repairs of DME Quiz is Now Available.
5 March 2010
February
26 February 2010
25 February 2010
19 February 2010
12 February 2010
08 February 2010
05 February 2010
04 February 2010
January
29 January 2010
28 January 2010
22 January 2010
- The article Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 276/277 Claim Status Second Phase
(MM6721) has been revised.
- UPDATE: Ordering/Referring Provider Front-End PECOS Warning Edits at the Common Electronic Data Interchange (CEDI)
(CEDI Message)
- LCD and Policy Article Revisions - Summary for January 2010

- Automatic External Defibrillators - Coverage Reminder

- The following Local Coverage Determinations (LCDs) / Medical Policies have been revised:
- Ankle-Foot/Knee-Ankle-Foot Orthosis (L11527)
- Ostomy Supplies (L11502)
- Surgical Dressings (L11471)
- Respiratory Assist Devices (L11504)
- HOLD THE DATE - Program Advisory and Oversight Committee (PAOC) Update Meeting on Competitive Acquisition for DMEPOS
(CMS Message 201001-19)
- From the Medicare Learning Network - Did You Resolve To Learn Something New This Year?
(CMS Message 201001-20)
- New QUICK REFERENCE charts now available from the Medicare Learning Network (MLN)
(CMS Message 201001-17)
- The latest Claim Adjustment Reason Codes and Remittance Advice Remark Codes are available in the Codes.ini file for the MREP software. You can access this file in the Zipped folder for “Medicare Remit Easy Print - Version 2.7” at http://www.cms.hhs.gov/AccesstoDataApplication/02_MedicareRemitEasyPrint.asp on the CMS website. (CMS Message 201001-21)
- World of Medicare NEW WBT course from the Medicare Learning Network (MLN) - Looking for help with the fundamentals of the Medicare Program? This NEW web-based training (WBT) course from the Medicare Learning Network (MLN) can help! The World of Medicare WBT is designed for health care professionals who want to understand the fundamentals of the Medicare Program. After completing this course, participants should be able to differentiate between Medicare Part A, Part B, Part C, and Part D, identify Medicare beneficiary health insurance options, eligibility, and enrollment, as well as recognizing how Medigap and Medicaid work with the Medicare Program. This WBT course offers continuing education credits, please see the course description for details. This training can be accessed by visiting http://www.cms.hhs.gov/MLNgeninfo/ and scrolling to the “Related Links Inside CMS” page section. Within these links, select Web Based Training (WBT) Modules and then World of Medicare (January 2010) from the list of trainings provided. (CMS Message 201001-18)
- DME MAC CERT Education Task Force Survey: Your Feedback is Important! The DME MAC CERT Education Task Force conducted a national Ask-the-Contractor Teleconference (ACT) on January 13, 2010. As a result, the CERT Education Task Force is interested in the invaluable feedback from all attendees that participated in this national call. Please access the link below to complete a brief survey that will assist the CERT Education Task Force in making future improvements to CERT education initiatives. All comments will be reviewed by representatives from each DME MAC Jurisdiction. Survey link: http://www.surveymonkey.com/s/VH8CCSL
Note: Questions and answers as well as the encore presentation from the January 13, 2010 Ask-the-Contractor Teleconference (ACT) will be available on all DME MAC Jurisdiction Websites in the near future.
15 January 2010
- Medically Unlikely Edits (MUEs)
(CR6712)
-
The Medicare Learning Network Celebrates its 10th Anniversary
(CMS Message 201001-11)
-
National Influenza Vaccination Week
(CMS Message 201001-06)
- The Q&A document for the
December 16, 2009 Ask-the-Contractor Teleconference (ACT) has been posted.
- The revised Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals (Oct 2009), which offers general information about the Medicare Program, how to become a Medicare provider or supplier, Medicare payment policies, Medicare reimbursement, evaluation and management services, protecting the Medicare Trust Fund, inquiries, overpayments, and fee-for-service appeals, is now available in CD-ROM format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit http://www.cms.hhs.gov/MLNGenInfo/ scroll down to “Related Links Inside CMS” and select “MLN Product Ordering Page.” (CMS Message 201001-10)
- The Adult Immunizations brochure, which provides an overview of Medicare's coverage of seasonal influenza, Pneumococcal, and Hepatitis B vaccines and their administration, is now available in print format. To place your order for the print version, select "MLN Product Ordering Page" in the "Related Links Inside CMS" Section on the Medicare Learning Network homepage at http://www.cms.hhs.gov/MLNGenInfo/01_Overview.asp . You can also view the downloadable version at the following address: http://www.cms.hhs.gov/MLNProducts/downloads/adult_immunization.pdf (CMS Message 201001-06)
- CMS Launches Fifth Annual Medicare Contractor Provider Satisfaction Survey - The Centers for Medicare & Medicaid Services (CMS) is listening and wants to hear from you about your satisfaction with the services provided by Medicare fee-for-service (FFS) contractors that process and pay Medicare claims. CMS has launched the fifth annual Medicare Contractor Provider Satisfaction Survey (MCPSS). This survey offers Medicare FFS providers and suppliers an opportunity to give CMS feedback on their interactions with Medicare FFS contractors. Approximately 30,000 randomly selected providers will be notified in January that they have been selected to participate in the survey. CMS urges all health care providers selected to participate in the 2010 survey to take a few minutes to complete and return this important survey. To read the CMS press release announcing the launch of the 2010 MCPSS, please go to http://www.cms.hhs.gov/MCPSS/Downloads/2010_MCPSS_contractor_survey.pdf. CMS is listening and wants to hear from you. (CMS Messages 201001-04 and 201001-05)
- Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
(MM6566)
-
Test Your Knowledge - The Orthotics & Prosthetics Quiz is Now Available
11 January 2010
7 January 2010
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03/12/2010 |