Daily CMS NEWS: April 2009

Thursday, April 30, 2009

DME MAC Jurisdiction C News

Information on Swine Flu
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0409/cope9802.html

The DME MAC Jurisdiction C Frequently Asked Questions have been updated, including:

Is the K0738 subject to the 36-month rental limit for oxygen?
When do I use the KE modifier?
Where can I find information on repair and replacement guidelines for DME?

http://www.cignagovernmentservices.com/jc/help/faqs/current/general.html">And more...
http://www.cignagovernmentservices.com/jc/help/faqs/current/general.html

The Medical Review Frequently Asked Questions (FAQs) - Spring 2009 are now available, including:

What is the most common error that has been identified in regards to claims for home blood glucose monitoring (BGM)?
When do I append modifier KX versus modifier KS to the HCPCS codes for BGM supplies?
Where can I find additional educational resources to help me understand and comply with the Blood Glucose Monitors policy?

http://www.cignagovernmentservices.com/jc/help/faqs/current/MR.html">And more...
http://www.cignagovernmentservices.com/jc/help/faqs/current/MR.html

Time is Running Out! Registration almost closed for Atlanta and Richmond Medicare Survival Guide Workshops.

These full-day workshops will focus specifically on Durable Medical Equipment policy and billing instructions. Your Medicare Survival Experts will field test your knowledge of Medicare issues and provide you with the skills to survive every day billing challenges. Whether you are a new or seasoned DME Medicare Survivalist, you will gain valuable knowledge from this straightforward and easy to follow Medicare Survival Guide.

Note: If you have previously tried to register for the Atlanta workshop and were notified that it was full, try again. Additional spots have been opened. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9322.html

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Jurisdiction B News: Don't Wait - Register for the Spring 201 Seminars Today!

Time is Running Out to Register for the Spring Seminars The Medicare 201 Spring Seminars are right around the corner. Don't miss your opportunity to interact with the staff from the Jurisdiction B Provider Outreach and Education Department. REGISTER NOW! The Straight Talk with Medicare seminars will be half day sessions and will be held in each of the seven states within the Jurisdiction B geographical area from May 12, 2009 through May 21, 2009. The seminars have been developed as advanced billing sessions and are designed for seasoned Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers and billing staff. Registration for these seminars will be available online only and you must register separately for the A.M. and P.M. sessions. Cost for the A.M. session is $40.00 and includes breakfast and materials. Cost for the P.M. session is $25.00 and includes an afternoon snack and materials. Topics covered in the Advanced Billing A.M. Session include: Complex Medicare Payment Category IssuesProper Use of ModifiersIn-Depth look at the Reopenings and Appeals processSupplier Documentation RequirementsProper Use of Advance Beneficiary Notice of Noncoverage Topics covered in the Oxygen and Oxygen Equipment P.M. Session include: Proper Billing of Oxygen and Oxygen Equipment ClaimsOxygen Coverage CriteriaOxygen and Oxygen Equipment Coding and Documentation RequirementsQuestion and Answer Session Pay online is available and can be utilized at the time of registration. You can pay for your seminar(s) with either a Visa, MasterCard or via an Electronic Check (ACH). To obtain specific dates, times, locations and the online registration form for these seminars, click on or paste the following link into an Internet browser:http://www.ngsmedicare.com/NGSMedicare/DMEMAC/EducationandSupport/CalendarofEvents/RegistrationDMEMAC.aspx

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Jurisdiction B News:Information Regarding the CMS National Claims Crossover

MLN Matters Number: SE0909Related Changed Request (CR) #: NARelated CR Release Date: NAEffective Date: NARelated CR Transmittal #: NAImplementation Date: NA
Important Information Regarding the Centers for Medicare & Medicaid Services (CMS) National Claims Crossover Process To view this MLN Matters article, you may click on the link below or paste the following into your Internet browser:http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0909.pdf This article will also be available on the National Government Services Web site within two business days. http://www.NGSMedicare.com

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Wednesday, April 29, 2009

Palmetto GBA E-mail Update

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If a link is not working, make sure the entire link is blue. Place your

cursor at the start of the broken line where the text is no longer blue.

Then, backspace once. It will join the line to the line above it, making

both lines blue. You may need to do this for more than one line. Then,

click on the link and you should connect to the corresponding page on

PalmettoGBA.com.

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Surety Bonds for Suppliers of Durable Medical Equipment, Prosthetics,

Orthotics and Supplies

http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~National%20Supplier%20Clearinghouse~Articles~General~Surety%20Bonds%20for%20Suppliers%20of%20Durable%20Medical%20Equipment%20Prosthetics%20Orthotics%20and%20Supplies?opendocument

If the above link does not work in your e-mail program, please use the

temporary alternate link provided below.

http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575A7005D654F?opendocument

Recently, the Centers for Medicare & Medicaid Services (CMS) announced

regulations requiring suppliers of certain durable medical equipment,

prosthetics, orthotics, and supplies (DMEPOS) to post a surety bond as a

condition of new or continued Medicare enrollment. The regulation states

that beginning May 4, 2009 suppliers seeking to enroll as a new applicant,

adding an additional practice location, or changing the ownership of a

DMEPOS supplier must submit a $50,000 surety bond to obtain Medicare

billing privileges. Existing DMEPOS suppliers must submit to the NSC a

$50,000 surety bond for each assigned NPI beginning on October 2, 2009 to

maintain Medicare billing privileges.

Updated questions and answers are posted in the Surety Bond FAQs on the

NSC web site and will continue to be updated as additional information

becomes available.

Applies to:

National Supplier Clearinghouse (NSC)//General - NSC

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Palmetto GBA sent this e-mail to you because your Member Profile indicates

that you want to receive information from us for these listserv(s):

DMERC Region C//Electronic Data Interchange (EDI)

DMERC Region C//FAQs

DMERC Region C//General - DMEPOS

DMERC Region C//Home Care Equipment Supplies

DMERC Region C//Orthotics and Prosthetics

DMERC Region C//Oxygen

DMERC Region C//Pharmacies

DMERC Region C//Power Mobility

DMERC Region C//Respiratory

General//Statistical Analysis DME (SADMERC)

General//Vendors Clearinghouses and Billing Services

General//Web Site Announcements

National Supplier Clearinghouse (NSC)//General - NSC

Jurisdiction C EDI//JCEDI

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DME MAC Jurisdiction C News

New Appeals Fax Line for Submitting DME MAC Redetermination Requests to CIGNA Government Services: CIGNA Government Services will have the capability to begin receiving DME MAC Redetermination requests by fax effective Monday, May 4, 2009. Previously, we implemented a process to allow submission of requests for reopenings by fax. Now, we're expanding this service to include first level appeals. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0409/cope9805.html

CMN Rejections for Replacement Items: CIGNA Government Services has received multiple inquiries regarding CMN's rejecting with edit 3031, INIT DATE<PREV END DATE. This may occur when billing for replacement items.

The CMN submitted overlaps a previous CMN on file. There are internal controls in place to manually set up the CMN when the RA modifier is appended to the procedure code and a narrative is submitted.

Important Information Regarding the Centers for Medicare & Medicaid Services (CMS) National Claims Crossover Process
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0909.pdf

CIGNA Government Services is conducting Medicare 101 and 102 Webinars in May
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0409/cope9768.html

Thank you for visiting www.cignagovernmentservices.com!

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Jurisdiction B News: New Mailing Address for ADMC Requests

New Mailing Address for ADMC Requests Effective immediately, Advance Determination of Medicare Coverage (ADMC) requests need to be mailed to a new address. The new mailing address is: National Government Services, Inc.Attn: Medical Review – ADMCPO Box 7018Indianapolis, IN 46207-7018 ADMC requests may also be sent via fax. The fax number to submit an ADMC request is 317-595-4759. ADMC requests cannot be submitted electronically. When submitting an ADMC request either by mail or fax, please include the Jurisdiction B DME MAC Advance Determination of Medicare Coverage Request Form (effective for use on or after February 18, 2008) with each request. Just as a reminder, upon receipt of an ADMC request, the DME MAC Medical Review Department will make a determination within 30-calendar days. Please do not submit duplicate request during this time. This will help reduce the time, cost and number of duplicate rejections we are processing. The Jurisdiction B DME MAC Supplier Manual, Chapter 9, will be updated with the new mailing address in June with the release of our June supplier manual revisions. To view the supplier manual, please visit our Web site at www.NGSMedicare.com.

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DME MAC A News for April 29, 2009 - April 2009 Quarterly Average Sales Price Medicare Part B Drug Pricing File Error

NHIC, Corp.DME MAC A ListServe

For Immediate Release

April 29, 2009
April 2009 Quarterly Average Sales Price Medicare Part B Drug Pricing File ErrorNote: The April 2009 Quarterly Average Sales Price Medicare Part B Drug Pricing File posted to our web site on April 14, 2009 contained incorrect information. This file has been corrected and was re-posted to our Web site today, April 29, 2009. This error had no effect on claims processing.The updated file can be found on our web site at:
http://www.medicarenhic.com/dme/fees/Apr09_asp_rev_CR6380.shtml

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NAS DME Additional Update

NAS DME Jurisdiction D E-mail List

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General Updates

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Face-to-Face Workshops in California May 12 and 14 - Sign Up Today!

Register to attend either the Medicare basic workshop, Unlock the Mysteries of DME, or the topic-specific workshop on oxygen and positive airway pressure (PAP) devices, A Breath of Fresh Air, or both! The in-person workshops are May 12th in Pasadena and May 14th in Torrance; however, the registration deadline for Pasadena is May 5th and May 7th for Torrance. Attending the workshops may help you/your staff to submit claims correctly the first time as well as to understand the coverage and documentation guidelines for oxygen and PAP.

May 12, 2009: Pasadena

Sheraton Pasadena Hotel

303 East Cordova St.

Pasadena CA

May 14, 2009: Torrance

Holiday Inn

19800 South Vermont

Torrance CA

Unlock the Mysteries of DME (Basics)

Workshop Check-in: 7:30 - 8 a.m.

Workshop: 8 - 11 a.m.

-General Coverage

-Benefit Categories

-Fee Schedule Payment Categories

-Consolidated Billing

-Medical Policies

-Documentation Requirements

-Modifiers

-Appeals

-Common Denials

A Breath of Fresh Air (Oxygen and PAP)

Workshop Check-in: 12 - 12:30 p.m.

Workshop: 12:30 - 3:30 p.m.

-Oxygen

-Payment for Oxygen and Oxygen Equipment

-Coverage Criteria

-Testing Requirements

-Documentation

-Certification Requirements

-Positive Airway Pressure (PAP) Devices

-Changes in the PAP Policy

-Coverage Criteria

-Trial Period

-Continued Coverage

-Testing Requirements

-Evidence of Adherence

Complete the Registration Form https://www.noridianmedicare.com/dme/train/workshops/docs/registration_form.pdf and mail it to NAS with a check to:

Noridian Administrative Services

Attn: DME Workshops

PO Box 6055

Fargo ND 58108-6055

Sessions are $20 per attendee per session.

Registrations must be received at NAS no later than:

-Pasadena: May 5th

-Torrance: May 7th

Important Registration Information:

-You are not registered for the workshop until we have received payment.

-Please ensure your email address is valid and legible on your registration form (preferably typed) in order to receive confirmation of registration needed for entry.

-Without the signed email confirmation, you will not be admitted into the workshop

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New Reason Remark Resource

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What's New

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View a complete listing of the most recent web site updates: https://www.noridianmedicare.com/dme/news/updates.html

Supplier Contact Center Closures

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May 18, 2009, from 8 a.m. - 12 p.m. CT for CMS-approved training (Contact Center only)

Electronic Billing Questions?

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See the CEDI, National Government Services, Web site at http://www.ngscedi.com/ for resources, FAQs, manuals, and more!

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Phone 1-866-243-7272

DME MAC Jurisdiction D States: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, WY, American Samoa, Guam, N. Mariana Islands

www.noridianmedicare.com

Jurisdiction B News: An Introductory Overview of the HIPAA 5010

MLN Matters Number: SE0904Related Changed Request (CR) #: NA Related CR Release Date: NAEffective Date: NARelated CR Transmittal #: NAImplementation Date: NA An Introductory Overview of the HIPAA 5010 To view this MLN Matters article, you may click on the link below or paste the following into your Internet browser:http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0904.pdf This article will also be available on the National Government Services Web site within two business days. http://www.NGSMedicare.com

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Information on Swine Flu

For the most current information about swine flu, visit the Centers for Disease Control and Prevention (CDC) website at: http://www.cdc.gov/swineflu. You will find consumer and provider fact sheets, current information, and steps you can take to protect yourself against infection.

At the CDC site, you will also be able to download a widget that you can post to your own website to help your patients get the most current and accurate information.

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Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

If you received this message as part of the All FFS Providers listserv, you are currently subscribed to one of eighteen Medicare Fee-For-Service provider listservs. If you would like to be removed from all NIH listservs, please go to (https://list.nih.gov/LISTSERV_WEB/signoff.htm) to unsubscribe. If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/show_list_archives) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.hhs.gov/ContactCMS). Thank you.

Jurisdiction B News: Clarification of the Overpayment Process

Clarification of the Overpayment Process National Government Services, the Jurisdiction B durable medical equipment Medicare administrative contractor (DME MAC) would like to provide clarification on the Overpayment process. Two articles have been developed to provide guidance on the Overpayment process. The purpose of these articles is to address the correct forms that are used and common errors that are seen by the Overpayment Recovery Unit. Understanding the Supplier Initiated Overpayment Process is now available on the What s New page of www.NGSMedicare.com. A supplier initiated overpayment occurs when the supplier has identified an overpayment in their records and voluntarily refunds the overpayment to Medicare. To review this article, please click on or paste the following link into an Internet browser: http://www.ngsmedicare.com/NGSMedicare/DMEMAC/Newsand Publications/WhatsNew/DMEMACNews08/ngs_042709_understanding.aspx Understanding the Medicare Initiated Overpayment Process is now available on the What s New page of www.NGSMedicare.com . A Medicare initiated overpayment occurs when Medicare has identified an overpayment via the claims processing system, an appeal, or a post pay audit. To review this article, please click on or paste the following link into an Internet browser: http://www.ngsmedicare.com/NGSMedicare/DMEMAC/Newsand Publications/WhatsNew/DMEMACNews08/ngs_042709_medicare.aspx

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Tuesday, April 28, 2009

DME MAC Jurisdiction C News

DMEPOS Supplier Accreditation – Time is Running Out - Deadline is September 30, 2009: Time is running out for suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) who bill Medicare under Part B to obtain accreditation by the September 30, 2009 deadline or risk having their Medicare Part B billing privileges revoked on October 1, 2009. While the accreditation process takes on average 6-7 months to complete, the process could take as long as 9 months to complete. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0409/cope9784.html

Thank you for visiting www.cignagovernmentservices.com!

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Jurisdiction B News: Attention Oxygen Suppliers

Attention: Oxygen Suppliers This is a reminder for suppliers receiving a CO - 176 denial (Prescription is not current) or CO - 173 (Service was not prescribed by a physician) that these claims should be resubmitted with the correct information instead of requesting an appeal. The appeal process is timely and costly to both you as a supplier and to National Government Services as a contractor. If the recertification Certificate of Medical Necessity (CMN) or original CMN was omitted from the original claim submission, suppliers are encouraged to simply resubmit the claim with the CMN or recertification CMN to expedite processing of the claim. Suppliers are also encouraged to obtain CMN status information by contacting the Interactive Voice Response (IVR) system at 1-877-299-7900. For those individuals using the Express Plus software, instructions on how to enter initial and/or recertification CMNs can be found in the Express Plus manual on the CEDI Web site: http://www.ngscedi.com/downloads/CEDIExpressPlusManual.pdf As a reminder to suppliers, the documentation requirements for Oxygen CMNs can be found in the Local Coverage Determination (LCD) and Policy Article located on the National Government Services Web site at: www.NGSMedicare.com, click on Coverage, then click on Local Coverage Determination.

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DME MAC A News for April 28, 2009 - Mid-Week Updates

NHIC, Corp.DME MAC A ListServe

For Immediate Release

April 28, 2009

Mid-Week What's New

The following have been posted to the DME MAC A What's New page:New and Updated Frequently Asked Questions (FAQs) are now available

For more information visit:

http://www.medicarenhic.com/dme/dme_whats_new.shtml

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Jurisdiction B News: Time is Running Out to Register for the Spring Seminars

Don't Wait - Register Today! The Medicare 201 Spring Seminars are right around the corner. Don't miss your opportunity to interact with the staff from the Jurisdiction B Provider Outreach and Education Department. REGISTER NOW! The Straight Talk with Medicare seminars will be half day sessions and will be held in each of the seven states within the Jurisdiction B geographical area from May 12, 2009 through May 21, 2009. The seminars have been developed as advanced billing sessions and are designed for seasoned Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers and billing staff. Registration for these seminars will be available online only and you must register separately for the A.M. and P.M. sessions. Cost for the A.M. session is $40.00 and includes breakfast and materials. Cost for the P.M. session is $25.00 and includes an afternoon snack and materials. Topics covered in the Advanced Billing A.M. Session include:Complex Medicare Payment Category IssuesProper Use of ModifiersIn-Depth look at the Reopenings and Appeals processSupplier Documentation RequirementsProper Use of Advance Beneficiary Notice of NoncoverageTopics covered in the Oxygen and Oxygen Equipment P.M. Session include:Proper Billing of Oxygen and Oxygen Equipment ClaimsOxygen Coverage CriteriaOxygen and Oxygen Equipment Coding and Documentation RequirementsQuestion and Answer Session Pay online is available and can be utilized at the time of registration. You can pay for your seminar(s) with either a Visa, MasterCard or via an Electronic Check (ACH). To obtain specific dates, times, locations and the online registration form for these seminars, click on or paste the following link into an Internet browser: http://www.ngsmedicare.com/NGSMedicare/DMEMAC/Educationand Support/CalendarofEvents/RegistrationDMEMAC.aspx

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Jurisdiction B News: New Online Claim Status Inquiry Form

New Online Claim Status Inquiry Form Beginning May 1, 2009, National Government Services will have a new online Claim Status Inquiry (CSI) enrollment form for Durable Medical Equipment Medicare Administrative Contractor (DME MAC) suppliers. The CSI form will still be accessed from the National Government Services Web site at www.NGSMedicare.com. However, it will be completed online and submitted electronically. This enhancement to an online form will allow for more accurate submissions by our Trading Partners as critical fields on the forms, such as the NPI number and demographic information, will be required. After completing online, all CSI forms must be signed and faxed to National Government Services to meet the Centers for Medicare & Medicaid (CMS) and Electronic Data Interchange (EDI) verification and audit requirements. By submitting the form online, EDI will be able to more accurately track the status of enrollment requests and prevent forms from being returned for missing or invalid information. Note: The CSI enrollment form will no longer request the name of the Network Service Vendor the supplier will use, but having a Network Service Vendor to access CSI is still required.

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NAS DME Update

NAS DME Jurisdiction D E-mail List

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Subscribed Interests

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Oxygen

New Rental Periods for Oxygen Equipment - Billing Reminders

NAS is seeing claims billed incorrectly when starting a new rental period for oxygen equipment. Claims for the replacement of oxygen equipment for the first month of use only are billed using the HCPCS code for the new equipment and either the RA or RP modifier depending on the date that the equipment is furnished. The RA modifier is used when replacing equipment on/after January 1, 2009, whereas the RP modifier is used for equipment replaced before January 1, 2009.

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuplFAFyAUtoKFdPG&tmpl=dme_viewnews&style=part_ab_viewnews

General Announcements

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DMEPOS Supplier Accreditation - Time is Running Out

Time is running out for suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) who bill Medicare under Part B to obtain accreditation by the September 30, 2009 deadline or risk having their Medicare Part B billing privileges revoked on October 1, 2009. 

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuplFllkyRKzGTgMM&tmpl=dme_viewnews&style=part_ab_viewnews

CSI Medicare System Security Quarterly Review

In accordance with CMS, NAS is required to perform a periodic review of system access for all Claims Status Inquiry (CSI) users. During the month of April and October each provider will be faxed a listing of their active users. It is the responsibility of the facility contact person to respond to the user CSI listing. Failure to respond within the allotted timeframe will result in removal of access for all users.

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuplFlAlkfZiLdaEd&tmpl=dme_viewnews&style=part_ab_viewnews

Statement on DMEPOS Competitive Bidding Program

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), enacted on July 15, 2008, made limited changes to the competitive bidding program for DMEPOS, including a requirement that the Secretary conduct a second competition to select suppliers for Round 1 in 2009. CMS issued an interim final rule with comment period (IFC) on January 16, 2009. The rule incorporates into existing regulations specific statutory requirements contained in MIPPA related to the competitive bidding program.

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuplFApylmzZmlfPd&tmpl=dme_viewnews&style=part_ab_viewnews

Informational Sessions Scheduled May 4, 5 & 11, 2009 Regarding CMS' RAC Program

CMS will be offering several informational sessions on the Recovery Audit Contractor (RAC) Program. Presenting with CMS will be the RAC for California, HealthDataInsights, Inc. These sessions will take place at the CMS San Francisco Regional Office located at 90 7th Street in San Francisco, California.

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuplFAklpnaOgusMk&tmpl=dme_viewnews&style=part_ab_viewnews

Web Site Tour - Coverage, Fees, and More

Join Education for a tour of the NAS DME Web site. This tour will include how to sign up for email updates, navigation tips for locating important information, including medical policies, a review of the search feature, and will highlight useful sections on this Web site.

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuplFAuVyxqzsZYEK&tmpl=dme_viewnews&style=part_ab_viewnews

Monday, April 27, 2009

Jurisdiction B News: Last Chance to Register for the Medicare 101 Webinars

Registration Now Available for the Medicare 101 Webinars The Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Provider Outreach and Education (POE) Department is pleased to announce that we will be hosting two Medicare 101 webinars on Thursday, April 30th, 2009. These sessions are beneficial for new billing staff or those individuals wishing to refresh their basic DME MAC knowledge. The first session Intake Process will take place from 10:00 a.m. – 11:30 a.m. Eastern Time (ET). The objective of the webinar is to provide suppliers with information to effectively complete the intake process prior to Medicare claim submission. The following topics will be covered: Overview of the Medicare programIntake process for Medicare beneficiariesMedicare Secondary PayerOrders and documentationResources The second session Billing Process will take place from 2:00 p.m. – 3:30 p.m. Eastern Time (ET). The objective of this webinar is to identify the processes and resources necessary for DMEPOS suppliers to successfully bill claims and obtain payment from Medicare. The following topics will be covered: Understanding Local Coverage DeterminationsClaim submission to MedicareThe Appeals processThe overpayment and recovery process The webinars will be live and interactive. Web-based training saves your office time and travel expenses by providing you with the latest information without having to leave the office. We encourage you to join us, and appreciate the opportunity to serve you better! This training is offered free of charge and space is limited so sign up today! To register for the "DMEPOS Medicare 101 webinars, please click on or paste the following link into your Internet Browser:http://www.ngsmedicare.com/NGSMedicare/ADC/EventList.aspx?fromdate=4/1/2009&todate=4/30/2009&display=Month&view=DateTime

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Jurisdiction B News: Updated Quick Reference Immunization Billing Chart

Updated Quick Reference Immunization Billing Chart (200904-28) The revised Medicare Preventive Services Quick Reference Information: Medicare Part B Immunization Billing Chart (revised March 2009), which provides billing and coding information related to adult immunizations, is now available in downloadable format from the Centers for Medicare & Medicaid Services Medicare Learning Network at: http://www.cms.hhs.gov/MLNProducts/downloads/qr_immun_bill.pdf. Printed copies will be available at a later date.

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REMINDER - Special Open Door Forum: Medicare Provider & Supplier Enrollment

Centers for Medicare & Medicaid Services

Special Open Door Forum:

Medicare Provider & Supplier Enrollment

April 30, 2009

2:00PM - 3:30PM ET

The Centers for Medicare & Medicaid Services (CMS) will hold a Special Open Door Forum (ODF) to discuss the availability of Internet-based Provider Enrollment, Chain and Ownership System (PECOS) and the implementation of regulatory provisions. During this call CMS staff will discuss the:

� Internet-based PECOS for physicians, non-physician practitioners and provider and supplier organizations

� Provider and supplier reporting responsibilities

� Final Adverse Actions

� Change of Practice Locations

� Change of Ownership

� Other Reportable Events

� Effective date of Medicare billing privileges and retrospective billing for physicians, certain non-physician practitioners, and physician and non-physician practitioner organizations

� Revalidation Efforts

Afterwards, there will be an opportunity for the public to ask questions.

We look forward to your participation.

Open Door Forum Instructions:

**Capacity is limited so dial in early. You may begin dialing into this forum as early as 1:45 PM ET.**

Dial: 1-800-837-1935

Reference Conference ID 94109369

Note: TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880 and for Internet Relay services click here http://www.consumer.att.com/relay/which/index.html . A Relay Communications Assistant will help.

An audio recording of this Special Forum will be posted to the Special ODF website at http://www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp and will be accessible for downloading beginning Monday May 11, 2009 and available for 30 days.

For automatic emails of Open Door Forum schedule updates (E-Mailing list subscriptions) and to view Frequently Asked Questions please visit our website at: http://www.cms.hhs.gov/OpenDoorForums/

Thank you.

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Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

Jurisdiction B News: DMEPOS Supplier Accreditation – Time is Running Out

DMEPOS Supplier Accreditation - Time is Running OutDeadline is September 30, 2009 Time is running out for suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) who bill Medicare under Part B to obtain accreditation by the September 30, 2009 deadline or risk having their Medicare Part B billing privileges revoked on October 1, 2009. A new MLN Matters Special Edition article on this subject is now available. This article outlines what you need to do if you have not yet complied with the Medicare Program's supplier and quality standards to become accredited. To view the article on the CMS website, go to: http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0903.pdf. While the accreditation process takes on average 6-7 months to complete, the process could take as long as 9 months to complete. Accordingly, DMEPOS suppliers should contact an accreditation organization right away to obtain information about the accreditation process and submit an application. In order to retain or obtain a Medicare Part B billing number, all DMEPOS suppliers (except for exempted professionals and other persons as specified by the Secretary) must comply with the Medicare program's supplier standards and quality standards to become accredited. The accreditation requirement applies to suppliers of durable medical equipment, medical supplies, home dialysis supplies and equipment, therapeutic shoes, parenteral/enteral nutrition, transfusion medicine and prosthetic devices, and prosthetics and orthotics. Pharmacies, pedorthists, mastectomy fitters, orthopedic fitters/technicians and athletic trainers must also meetthe September 30, 2009 deadline for DMEPOS accreditation. Certain eligible professionals and other persons as specified by the Secretary are exempt from the accreditation requirement. Further information on the DMEPOS accreditation requirements along with a list of the accreditation organizations and those professionals and other persons exempted from accreditation may be found at the CMS website: http://www.cms.hhs.gov/MedicareProviderSupEnroll/03_DeemedAccreditationOrganizations.asp.

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