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Listed below are links to DMEPOS related web sites that may be useful to suppliers and providers of DMEPOS. 'These links have been seperated into the following categories:
The Centers for Medicare & Medicaid Services (CMS) |
DME MACs |
Associations and Organizations |
Electronic Data Interchange (EDI) |
Other DME Related Sites
The Centers for Medicare & Medicaid Services (CMS)
- The Centers for Medicare & Medicaid Services (CMS) - CMS is the federal agency that administers the Medicare and Medicaid programs. From the CMS home page, you can access information regarding Medicare, Medicaid, SCHIP, HIPAA, CLIA, and more.
- Competitive Acquisition for DMEPOS - Competitive Bidding provides economic incentives for suppliers to provide quality items and services in an efficient manner and at a reasonable cost. The program changes the way that Medicare pays for these items under Part B of the Medicare program by utilizing bids submitted by DMEPOS suppliers to establish payment amounts. (CR5574 / JSM07364)
- Competitive Acquisition for Part B Drugs & Biologicals - Section 303(d) of the Medicare Modernization Act requires the implementation of a competitive acquisition program (CAP) for Medicare Part B drugs and biologicals not paid on a cost or prospective payment system basis. The CAP is an alternative to the ASP (buy and bill) methodology for acquiring certain Part B drugs which are administered incident to a physician's services.
- Emergency Information - CMS plays an important role in ensuring continuity of health care services for those affected by natural disasters, extreme weather and emergencies.
- Frequently Asked Questions - frequently asked questions compiled by CMS
- Glossary - This glossary explains terms found on the cms.hhs.gov web site, but it is not a legal document.
- HIPAA - General Information - The latest news about the Health Insurance Portability and Accountability Act (HIPAA), and links to general HIPAA information, HIPAA regulations and standards, educational materials, and more.
- Medicare Contractor Provider Satisfaction Survey (MCPSS) - The Medicare Contractor Provider Satisfaction Survey (MCPSS) is designed to garner quantifiable data on provider satisfaction with the performance of Medicare Fee-for-Service (FFS) Contractors.
- The Medicare Learning Network (MLN) - Access CMS articles/publications, computer based training modules, electronic ListServes, quick reference guides, and more.
- The Medicare Learning Network (MLN) Products - From this page you have several options that you can use to view the products made available by the Medicare Learning Network.
- Medicare Prescription Drug Coverage Web Site - Information for Providers on the Medicare Prescription Drug Coverage Program, including resources for health care professionals and beneficiary-focused information and resources.
- Medicare Remit Easy Print (MREP) - Download CMS Medicare Remit Easy Print (MREP) software and user guide. This software will enable providers to read and print the Health Insurance Portability and Accountability Act (HIPAA) compliant electronic remittance advice (ERA).
- Medigap Claim-based COBA IDs for Billing Purpose
 - This form should be used to track Medigap Claim-based COBA IDs for Billing Purposes. (CR5662)
- National Provider Identifier Standard (NPI) - NPI news, resources, and implementation information from CMS
- Online Manual System - The CMS Online Manual System offers day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives. (Formerly the CMS Program Manuals)
- Provider Audience Web Pages and Supplier Audience Web Pages - Aids in more effective navigation of the CMS Web Site by focusing on information needs and interests of Medicare providers, suppliers, physicians, and other health care practitioners.
- Quarterly Provider Update - A comprehensive resource for Medicare regulations and program instructions, published on a quarterly basis.
- Transmittals - Program transmittals are used to communicate new or changed policies, and/or procedures that are being incorporated into a specific Centers for Medicare & Medicaid Services (CMS) program manual.
DME MACs
Associations and Organizations
Electronic Data Interchange (EDI)
The information in this section is maintained by the Washington Publishing Company (WPC). Implementation guides can be obtained from the following links through the WPC website for an additional fee.
Other DME Related Sites
- Common Electronic Data Interchange (CEDI) - National Government Services (NGS) - CEDI provides a single electronic front end solution for all DME MAC suppliers. CEDI will work closely with DME MAC software vendors, billing services, clearinghouses, and trading partners (electronic submitters) on all electronic front end needs. Once implemented, all DME MAC electronic claims (ANSI and NCPDP) and 276 transactions will be collected by CEDI. CEDI will also return all DME MAC electronic front end reports, remittance advices and the 277 response transaction.
- DMEPOS Competitive Bidding Implementation Contractor (CBIC) - Palmetto GBA - The CBIC conducts certain functions relating to the administration of the DMEPOS Competitive Bidding Program. These functions include: preparing the request for bids (RFB), performing bid evaluations, and ensuring that suppliers meet all applicable financial and quality standards.
- National Plan and Provider Enumeration System (NPPES) - HIPAA mandated the adoption of standard unique identifiers for health care providers, as well as the adoption of standard unique identifiers for health plans. The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. CMS has developed NPPES to assign these unique identifiers.
- National Supplier Clearinghouse - Palmetto GBA - The National Supplier Clearinghouse is the entity that issues Medicare Durable Medical Equipment, Prosthesis, Orthotics and Supplies (DMEPOS) supplier authorization numbers nationwide for the Centers for Medicare & Medicaid Services (CMS).
- Program Safeguard Contractor (PSC) - TriCenturion - is the PSC for Jurisdiction A DME MAC.
- Qualified Independent Contractor (QIC) - RiverTrust Solutions - As a QIC for CMS, RiverTrust will serve as an independent reviewer of appeals for Medicare claims issued by the Durable Medical Equipment Medicare Administrative Contractors(DME MACs).
- Statistical Analysis Durable Medical Equipment Regional Carrier (SADMERC) - Palmetto GBA - The SADMERC's primary function is data analysis. The Reports and Analysis Unit compiles, analyzes and reports national Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) claims history data. The SADMERC guides the DME MACs in focused medical review, and helps identify instances of potential Medicare fraud and abuse.
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04/11/2008 |
