DME MAC Jurisdiction C NewsRevised - Medicare Fraud and Abuse Fact Sheet: REVISED January 2009 the Medicare Fraud & Abuse Fact Sheet is now available at http://www.cms.hhs.gov/MLNProducts/downloads/Fraud_and_Abuse.pdf on the Medicare Learning Network (MLN). Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9407.html
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9407.html
Oxygen – Certificates of Medical Necessity – Replacement Equipment: On January 1, 2009 CMS implemented statutory provisions defining a new payment policy for home oxygen. Payment for oxygen equipment is now made for a 36-month rental period. The supplier retains title to the equipment at the end of this rental period but is required to continue to provide the oxygen equipment and contents (when applicable) for the duration of the 5 year reasonable useful lifetime (RUL) of the oxygen equipment. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9427_1.html
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9427_1.html
Supplies and Accessories Used With Beneficiary Owned Equipment: Effective for claims submitted on or after April 1, 2009, for supplies and accessories used with beneficiary-owned equipment, all of the following information must be submitted in Item 19 on the CMS-1500 claim form or in the NTE segment for electronic claims:
- HCPCS code of base equipment; and,
- A notation that this equipment is beneficiary-owned; and,
- Date the patient obtained the equipment.
Repair Labor Billing and Payment Policy: Effective for dates of service on or after April 1, 2009, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) are instituting a billing and payment policy for common repairs based on standardized labor times. This applies to non-rented and out-of-warranty items. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9427_3.html
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9427_3.html
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