Highlights & Headlines

2009 DME MAC Jurisdiction A Symposiums - Unraveling the Mysteries of Medicare

The DME MAC Jurisdiction A Provider Outreach & Education Team is excited to announce that we will be hosting two Educational Symposiums offering a dynamic range of topics and speakers. In addition, attendees will have the opportunity to interact directly with various Medicare Contractors and State DMEPOS Associations in order to enhance their educational experience and get the most out of this excellent opportunity.

Changes in Payment for Oxygen and Oxygen Equipment

As a result of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), CMS has implemented new oxygen payment rules and supplier responsibilities in order to safeguard beneficiaries who rely on oxygen services.

Interactive CMS-1500 Form

The DME MAC A Outreach & Education Team has created an Interactive CMS-1500 Form. To use this form simply click on an item in the image of the CMS-1500 Form and you will be taken to information on how to properly complete that particular item.

Advance Beneficiary Notice of Noncoverage (ABN)

Effective March 1, 2009, providers (including independent laboratories), physicians, practitioners, and suppliers must use the revised ABN for all situations where Medicare payment is expected to be denied. The revised ABN has replaced the ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L), and NEMB (Form CMS-20007). As of March 1, 2009, the ABN-G and ABN-L are no longer valid.

DMEPOS Accreditation

All existing DMEPOS suppliers enrolled in the Medicare program are required to obtain and submit an approved accreditation to the NSC by September 30, 2009. The NSC shall revoke billing privileges if the DMEPOS supplier fails to obtain and submit supporting documentation of accreditation.

• DMEPOS Accreditation Fact Sheet
• Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier Accreditation Requirements (SE0903)

Medicare Contractor Provider Satisfaction Survey (MCPSS) CMS Overview

• MCPSS Home Study Page

• CMS Launches Fourth Annual Medicare Health Care Provider Satisfaction Survey (CMS Message 2008-12-19)

Competitive Bidding for DMEPOS

• Statement on the DMEPOS Competitive Bidding Program Centers for Medicare & Medicaid Services (CMS Message 200904-23)
• CMS has announced that an Interim Final Rule with Comment Period, which implements certain provisions of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) for the Round 1 Rebid of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Acquisition Program, is on display at the Federal Register. CMS has also announced the appointment of new members to serve on the Program Advisory and Oversight Committee (PAOC) for the DMEPOS competitive bidding program. Visit the CMS Web site at http://www.cms.hhs.gov/CompetitiveAcqforDMEPOS/ to view the list of PAOC members and for the latest information on the DMEPOS competitive bidding program. To view the Press Release, please click: http://www.cms.hhs.gov/apps/media/press_releases.asp (CMS Message 2009-01-16)
  
  
• (DMEPOS) Competitive Bidding Implementation Contractor (CBIC) website