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Friday, November 21, 2008

NAS DME Update



NAS DME Jurisdiction D E-mail List
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Subscribed Interests
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Oxygen

Oxygen Policy Reminders

The following article gives reminders when billing for oxygen and oxygen equipment to Jurisdiction D.
General Announcements
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Diagnosis Edits on LCDs

NAS has implemented diagnosis requirements from the LCDs and PAs and will continue to do so. This will ensure that DME items are edited for diagnosis as listed in the policy, paid only when appropriate based on the diagnosis and that diagnosis codes are edited to the highest level of specificity.
Fee Schedule Update for 2009 for DMEPOS MLN Matters 6270

This article is based on Change Request (CR) 6270 and alerts providers that the Centers for Medicare & Medicaid Services (CMS) has issued instructions for implementing and/or updating the DMEPOS fee schedule payment amounts on a semiannual basis (January and July), with quarterly updates as necessary (April and October). Be sure your billing staffs are aware of these changes.
Update to Medicare Deductible, Coinsurance and Premium Rates for 2009 MLN Matters 6258

This article is based on Change Request (CR) 6258, which provides the Medicare rate for deductible, coinsurance and premium payment amounts for calendar year (CY) 2009.
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement MLN Matters 6262

The Centers for Medicare & Medicaid Services (CMS) periodically updates the lists of Healthcare Common Procedure Codes System (HCPCS) codes subject to the consolidated billing provision of the Home Health Prospective Payment System (HH PPS).
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 6191

This article is based on Change Request (CR) 6191 which updates the list of compendia recognized as authoritative sources of information for the determination of drugs and biologicals used off-label in anti-cancer chemotherapeutic regimens.
Jurisdiction D Happenings, Issue 17, Now Available

Jurisdiction D Happenings, Issue 17, is now available on our DME Web site.
Other Topics
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Electronic Data Interchange

CEDI News: Electronic Front-End Reports and Top Rejections Document
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What's New
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Supplier Contact Center Closures
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   November 27 and 28 in observance of the Thanksgiving holiday
   December 24 beginning at 12 pm CT
   December 25 in observance of the Christmas holiday

Electronic Billing Questions?
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This blog shows most if not all of the announcements sent via the various email Mailservers.