| NHIC, Corp.DME MAC A ListServe | For Immediate Release |
| June 12, 2009 Weekly What's New The following publications have been posted to the DME MAC A What's New page:DME MAC Jurisdiction A Resource Number 12 - June 2009 is now available VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Part III, NCPDP 5.1 Implementation (CR6507) New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for July 2009 Update (MM6477) October Quarterly Update to 2009 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement (MM6503) July Quarterly Update for 2009 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (MM6511) Crossover Claims Impacted by Common Working File (CWF) Pacific Host Site Problem that occurred on May 04, 2009 (JSM 09321) Healthcare Common Procedure Coding System (HCPCS) Coding Decision and Preliminary Medicare Payment Decision for Negative Pressure Wound Therapy (NPWT) Devices (CMS Message 2009-06-10) National Cancer Survivors Day (CMS Message 2009-06-08) The written and audio transcripts of the ICD-10-CM/PCS Implementation and General Equivalence Mappings (Crosswalks) National Provider Conference Call, which was conducted by the Centers for Medicare & Medicaid Services on May 19, 2009, are now available in the Downloads Section at http://www.cms.hhs.gov/ICD10/06a_2009_CMS_Sponsored_Calls.asp (CMS Message 2009-06-12) For more information visit: http://www.medicarenhic.com/dme/dme_whats_new.shtml Healthcare Common Procedure Coding System (HCPCS) Coding Decision and Preliminary Medicare Payment Decision for Negative Pressure Wound Therapy (NPWT) Devices (CMS Message 2009-06-10)CMS' preliminary Healthcare Common Procedure Coding System (HCPCS) coding decision and preliminary Medicare Payment decision for negative pressure wound therapy (NPWT) devices is now published in the July 9, 2009 NPWT Public Meeting Agenda. This public meeting affords stakeholders an opportunity to provide input concerning the preliminary decision.The Medicare Improvements for Patients and Providers Act of 2008 required the Secretary to evaluate existing HCPCS codes for NPWT devices to ensure accurate reporting and billing for the items and services under such codes; use an existing process for the consideration of coding changes; and consider all relevant studies and information furnished through the process.CMS partnered with Agency of Healthcare Research and Quality (AHRQ) to commission a review of NPWT devices to ensure all relevant studies and information on NPWT were captured. ECRI Institute solicited information from stakeholders and searched literature in conducting this review. A draft report of their findings was published for comment in April 2009. After analysis of comments received, ECRI concluded that the available evidence does not support significant therapeutic distinction of a NPWT system or component of a system. The report informed CMS' HCPCS workgroup's decision. The final report will be publicly available no later than June 10, 2009 on AHRQ's homepage for the Technology Assessment Program at http://www.ahrq.gov/clinic/techix.htm National Cancer Survivors Day (CMS Message 2009-06-08)June 7th is National Cancer Survivors Day. In honor of the millions of Americans who are living with a history of cancer, the Centers for Medicare & Medicaid Services (CMS) reminds the Medicare provider community of the many cancer screenings that Medicare covers. Early detection and treatment of cancer can help Medicare patients live longer, healthier lives.What Can You Do?As a health care professional who provides care to seniors and others with Medicare, you can help protect the health of your Medicare patients who may be at risk for cancer by educating them about their risk factors and reminding them of the importance of getting the preventive cancer screenings covered by Medicare.For More InformationCMS has developed several educational products related to Medicare-covered preventive services, including screenings for various forms of cancer. Please visit the Medicare Learning Network for more information, including the following cancer-screening pages:The MLN Preventive Services Educational Products Web Page ~ provides descriptions and ordering information for Medicare Learning Network (MLN) preventive services educational products and resources for health care professionals and their staff. http://www.cms.hhs.gov/MLNProducts/35_PreventiveServices.asp Cancer Screenings Brochure ~ This tri-fold brochure provides health care professionals with an overview of Medicare's coverage of cancer screening tests, including screening mammographies, screening pap tests, screening pelvic exams, colorectal screenings, and prostate cancer screenings. http://www.cms.hhs.gov/MLNProducts/downloads/cancer_screening.pdf Quick Reference Information: Medicare Preventive Services ~ This double-sided chart provides coverage and coding information on Medicare-covered cancer screenings. http://www.cms.hhs.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdfThank you for helping CMS improve the health of Medicare beneficiaries who are at risk for cancer by joining in the effort to educate beneficiaries about cancer, and the importance of early detection by taking advantage of the cancer screenings covered by Medicare. GET READY FOR DMEPOS COMPETITIVE BIDDING! (CMS Message 2009-06-08)The Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program Round 1 Rebid is coming soon!Summer 2009CMS announces bidding schedule/schedule of education eventsCMS begins bidder education campaignBidder registration period to obtain user ID and passwords beginsFall 2009Bidding beginsIf you are a supplier interested in bidding, prepare now - don't wait!UPDATE YOUR NSC FILES: DMEPOS supplier standard # 2 requires ALL suppliers to notify the National Supplier Clearinghouse (NSC) of any change to the information provided on the Medicare enrollment application (CMS-855S) within 30 days of the change. DMEPOS suppliers should use the 3/09 version of the CMS-855S and should review and update:The list of products and services found in section 2.D;The Authorized Official(s) information in sections 6A and 15; andThe correspondence address in section 2A2 of the CMS-855S. This is especially important for suppliers who will be involved in the Medicare DMEPOS Competitive Bidding Program. These suppliers must ensure the information listed on their supplier files is accurate to enable participation in this program. Information and instructions on how to submit a change of information may be found on the NSC Web site (http://www.palmettogba.com/nsc) and by following this path: Supplier Enrollment/Change of Information/Change of Information Guide. GET LICENSED: Suppliers submitting a bid for a product category in a competitive bidding area (CBA) must meet all DMEPOS state licensure requirements and other applicable state licensure requirements, if any, for that product category for every state in that CBA. Prior to submitting a bid for a CBA and product category, the supplier must have a copy of the applicable state licenses on file with the NSC. As part of the bid evaluation we will verify with the NSC that the supplier has on file a copy of all applicable required state license(s). GET ACCREDITED: CMS would like to remind DMEPOS suppliers that time is running out to obtain accreditation by the September 30, 2009 deadline or risk having their Medicare Part B billing privileges revoked on October 1, 2009. Accreditation takes an average of 6 months to complete. DMEPOS suppliers should contact a CMS deemed accreditation organization to obtain information about the accreditation process and the application process. Suppliers must be accredited for a product category in order to submit a bid for that product category. CMS cannot contract with suppliers that are not accredited by a CMS-approved accreditation organization. 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/01_Overview.asp . GET BONDED: CMS would like to remind DMEPOS suppliers that certain suppliers will need to obtain and submit a surety bond by the October 2, 2009 deadline or risk having their Medicare Part B billing privileges revoked. Suppliers subject to the bonding requirement must be bonded in order to bid in the DMEPOS competitive bidding program. A list of sureties from which a bond can be secured is found at the Department of the Treasury's "List of Certified (Surety Bond) Companies;" the web site is located at: http://www.fms.treas.gov/c570/c570_a-z.html. Visit the CMS web site at http://www.cms.hhs.gov/DMEPOSCompetitiveBid/ for the latest information on the DMEPOS competitive bidding program. DMEPOS Supplier Accreditation - Time is Running Out - Deadline is September 30, 2009Time 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.pdfWhile 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 meet the 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/DMEPOS_DeemedAccreditationOrganizations.asp |
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