Note: We can not guarantee the reliability of links to
outside sites due to the changes that Centers for Medicare & Medicaid
Services (CMS) and other organizations make. You may have to use their
Search functions when you access their sites.
2008 -
March |
February |
January
2007 -
December |
November |
October |
September |
August |
July |
June |
May |
April |
March |
February |
January
2006 -
December |
November |
October |
September |
August |
July |
June
March
28 March 2008
21 March 2008
18 March 2008
14 March 2008
7 March 2008
February
29 February 2008
22 February 2008
15 February 2008
8 February 2008
1 February 2008
January
25 January 2008
18 January 2008
11 January 2008
04 January 2008
December
28 December 2007
21 December 2007
14 December 2007
07 December 2007
November
30 November 2007
21 November 2007
16 November 2007
09 November 2007
02 November 2007
- December ACT Call Information Updated
-
How to Handle the National Provider Identifier (NPI) for Ordering/Referring and
Attending/Operating/Other/Service Facility for Medicare Claims
 (MM5674)
-
Special “Skilled Nursing Facility” (SNF) Definition Used in Determining Durable Medical Equipment
(DME) Coverage, and in Ending a Benefit Period or “Spell of Illness” (SE0745)
- New and Updated
Frequently Asked Questions (FAQs) are now available
- November is American Diabetes Month (CMS
Message 2007-11-01)
- Web-Based Training Course Now Available from
the Medicare Learning Network (MLN) (CMS Message 2007-10-31)
- Important Reminder about Study of Certain
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items (CMS Message
2007-10-26)
- NPI: Key Dates for Medicare, Clarification
Regarding NPI Requirement on Medicare Institutional Claims & More (CMS Message 2007-10-24)
-
CMS Medicare News
– Week
Ending October 26, 2007
- November Flu Shot Reminder
Flu season is here! Medicare patients give many reasons for not getting their annual flu shot,
including — "It causes the flu"; "I don’t need it"; "It has side effects"; "It’s not effective";
"I didn’t think about it"; "I don’t like needles!" The fact is that every year in the United
States, on average, about 36,000 people die from influenza. Greater than 90 percent of these
deaths occur in individuals 65 years of age and older. You can help your Medicare patients
overcome these odds and their personal barriers through patient education. Talk with your Medicare
patients about the importance of getting their annual flu shot--and don’t forget to immunize
yourself and your staff. Protect yourself, your patients, and your family and friends. Get Your
Flu Shot – Not the Flu. Remember - Influenza vaccination is a covered Part B benefit but the
influenza vaccine is NOT a Part D covered drug. For more information about Medicare’s coverage of
flu vaccine and its administration as well as related educational resources for health care
professions, please go to
http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdf on the CMS website.
October
26 October 2007
24 October 2007
19 October 2007
12 October 2007
5 October 2007
-
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (MM5721)
-
Reasonable Charge Update for 2008 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and
Certain Intraocular Lenses (MM5740)
- Preventive Services Brochures for Health Care
Professionals Now Available To Order (CMS Message 2007-10-04)
- Special National Provider Identifier (NPI)
Message to Clearinghouses and Billing Services (CMS Message 2007-10-04)
- Medicare Provider Feedback Town Hall Meeting -
October 16, 2007 (CMS Message 2007-10-01)
- October is National Breast Cancer Awareness
Month (CMS Message 2007-10-02)
- Remittance Advice Remark Code (RARC) and
Claim Adjustment Reason Code (CARC) Updates 10/01/2007
- The CMS Durable Medical Equipment, Prosthetics, Orthotics and Supplies
(DMEPOS) CBIC customer service center will provide new hours of operation beginning
Monday, October 1, 2007. The CBIC customer service center associates will be available
to assist you from 9:00 am EST to 5:30 pm EST, Monday through Friday. In
addition, you may e-mail your questions, comments or issues to cbic.admin@palmettogba.com at any time. (CMS Message
2007-10-01)
- Flu Shot Reminder - Flu Season is upon us! Begin now to take advantage
of each office visit as an opportunity to talk with your patients about the flu virus and their
risks for complications associated with the flu. Encourage them to get their flu shot. It’s their
best defense against combating the flu this season. (Medicare provides coverage of the flu
vaccine without any out-of-pocket costs to the Medicare patient. No deductible or
copayment/coinsurance applies.) And don’t forget, health care professionals need to protect
themselves also. Get Your Flu Shot. – Not the Flu. Remember - Influenza vaccination is a covered
Part B benefit. Note that influenza vaccine is NOT a Part D covered drug. For information about
Medicare’s coverage of flu vaccine and its administration as well as related educational
resources for health care professions, please go to
http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdf on the CMS website. (CMS
Message 2007-10-04)
- The following Fee Schedules have been added or
revised:
- October 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File
- July 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File -
Revised 10-01-2007
- April 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File -
Revised 10-01-2007
- January 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File -
Revised 10-01-2007
- 4th Quarter 2007 Update: Oral Anticancer Drug Fees
September
28 September 2007
26 September 2007
20 September 2007
13 September 2007
10 September 2007
7 September 2007
August
31 August 2007
24 August 2007
16 August 2007
August
15 August 2007
10 August 2007
- NHIC, Corp. DME MAC A would like to remind suppliers of the requirement for
use of a KX modifier when billing for a manual wheelchair base. This policy change went into
effect for dates of service on or after 05/01/2007.
Per the Manual Wheelchair Base Local Coverage Determination (LCD), suppliers must add a KX
modifier to the code for the manual wheelchair base only if all of the coverage criteria in the
"Indications and Limitations of Coverage" section of the policy have been met. If the coverage
criteria are not met, the KX modifier must not be used. Please refer to the Tricenturion Web site for the current Manual Wheelchair
Base LCD.
- Introducing the New DME MAC A
Ask-the-Contractor Teleconference (ACT) Web Page
NHIC, Corp. DME MAC A hosts a series of quarterly ACT calls. These calls are the latest
installment of educational efforts designed to support and inform the supplier community by
answering questions that are on your mind.
To supplement these calls, the DME MAC A has constructed a new Web page specific to the ACT
calls. This new Web page is designed to provide you with specific details regarding ACT
participation, including participation instructions, the schedule for the next quarterly call and
encore audio recordings of previous ACT calls. The recordings will be available within 10
business days following the scheduled ACT call.
- Processing Error for Q4093-Q4095 - DME MAC A has identified a
processing error for Albuterol codes Q4093-Q4095. These codes became effective July 1, 2007 and
some claims processed at the incorrect allowable.
This issue has been corrected and any new claims and claims still in process will be paid
appropriately. Claims paid at the incorrect allowable will be identified and reprocessed for the
correct allowable. Suppliers do not need to take any further action.
-
The 2007 Medicare Contractor Provider Satisfaction Survey (MCPSS) Shows Positive Results for
Medicare’s Fee-for-Service Contractors
(SE0733)
-
Medicare’s Implementation of the National Provider Identifier (NPI): The Second in the Series of
Special Edition MLN Matters Articles on NPI-Related Activities
(SE0555) has been revised
-
Claim Status Category Code and Claim Status Code Update
(MM5687)
- NPI: The Importance of Reporting Medicare Legacy Numbers in NPPES (CMS Message 2007-08-08)
- August is National Immunization Awareness Month (CMS Message 2007-08-08)
- Dissemination of Data from the National Plan and Provider Enumeration System (NPPES) to Begin September 4, 2007 (CMS Message 2007-08-06)
- CMS Increases Medicare Payments For Beneficiaries Using Skilled Nursing Facility Care For 2008; Accurate Payments Continue To Ensure Program Efficiency, Quality And Sustainability (CMS Message 2007-08-01)
- CMS Increases Payments To Inpatient Rehabilitation Facilities For Fiscal Year 2008; Accurate Payments Will Continue To Ensure Program Efficiency, Quality And Sustainability (CMS Message 2007-08-01)
- Reminder of the Reasonable Useful Lifetime Guidelines
3 August 2007
July
27 July 2007
20 July 2007
13 July 2007
5 July 2007
June
29 June 2007
22 June 2007
-
BREAKING NEWS: Termination of Old 1500
- Special Medicare Provider Enrollment Open
Door Forum (CMS Message 2007-06-15)
- The June 2007 CERT Newsletter is now
available
- DMEPOS Competitive Bidding Reminder (CMS
Message 2007-06-15)
- The article
Revised HCPCS Codes Relating to Immune Globulin
(MM5635) has been revised
- The article
July Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and
Supplies (DMEPOS) Fee Schedule
(MM5641) has been revised
-
July 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective
July 1, 2007, and Revisions to January 2007, April 2007, and October 2006 Quarterly ASP Medicare
Part B Drug Pricing Files
(MM5646)
-
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth
Revision, Clinical Modification (ICD-9-CM)
(MM5643)
-
CMS Medicare News
– Week Ending June 15, 2007
-
CMS Medicare News
– Week Ending June 08, 2007
15 June 2007
7 June 2007
1 June 2007
- CMS Announces Financial Measures for the
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive
Bidding Program (CMS Message 2007-05-25)
- CMS Requests Additional Public Comment on the
Revised Advance Beneficiary Notice (ABN) (CMS Message 2007-05-25)
-
CMS Medicare News
– Week Ending May 25, 2007
-
Revisions to the Medicare Claims Processing Manual, Chapter 17, Sections 40 and 100, Regarding
Discarded Drugs and Biologicals and Submission of Claims With the Modifier JW, “Drug Amount
Discarded/Not Administered to Any Patient
(MM5520)
-
Foot Care Coverage Guidelines
(SE0707)
-
Quarterly Update to Medically Unlikely Edits (MUEs), Version 1.2, Effective July 1, 2007
(MM5603)
-
Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process to the Coordination of
Benefits Contractor (COBC)
(MM5601)
May
24 May 2007
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