| NHIC, Corp.DME MAC A ListServe | For Immediate Release |
| June 19, 2009 Weekly What's New The following publications have been posted to the DME MAC A What's New page:CMS Change Request 6507 - VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Part III, NCPDP 5.1 Implementation (CEDI Message regarding CR6507) FDA Consumer Alert: Warning Consumers of a Tainted Skin Sanitizer (CMS Message 2009-06-15) Revised Certificate of Medical Necessity (CMN) Web-Based Training Course (CMS Message 2009-06-17) June 15th - 21st is National Men's Health Week and June 21st is Father's Day! (CMS Message 2009-06-16) The Centers for Medicare & Medicaid Services (CMS) has posted the July 2009 ASP pricing files and crosswalks, which are available for download at: http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01a1_2009aspfiles.asp (CMS Message 2009-06-15) New and Updated Frequently Asked Questions (FAQs) are now available Scam Alert - The Centers for Medicare & Medicaid Services (CMS) has posted the The Centers for Medicare & Medicaid Services (CMS) has become aware of a scam where perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (MAC). The fax instructs physician staff to respond to a questionnaire to provide an account information update within 48 hours in order to prevent a gap in Medicare payments. The fax may have the CMS logo and/or the contractor logo to enhance the appearance of authenticity. Medicare FFS providers, including physicians, non-physician practitioners, should be wary of this type of request. If you receive a request for information in the manner described above, please check with your contractor before submitting any information. Medicare providers should only send information to a Medicare contractor using the address found in the download section of the CMS.gov website found at http://www.cms.hhs.gov/MLNGenInfo/ or http://www.cms.hhs.gov/MedicareProviderSupEnroll For more information visit: http://www.medicarenhic.com/dme/dme_whats_new.shtml FDA Consumer Alert: Warning Consumers of a Tainted Skin Sanitizer (CMS Message 2009-06-15)Following an announcement by the U. S. Food and Drug Administration (FDA) warning consumers of a tainted skin sanitizer, the Centers for Medicare & Medicaid Services (CMS) is advising health care providers and consumers not to use skin products made by Clarcon Biological Chemistry Laboratory. Clarcon is voluntarily recalling some skin sanitizers and skin protectants marketed under several different brand names because of high levels of disease-causing bacteria found in the product during a recent inspection.Consumers and providers are being warned to not use any Clarcon products and to throw these products away in household refuse.FDA analyses of several samples of Clarcon products revealed high levels of various bacteria, including some associated with unsanitary conditions. Some of these bacteria can cause opportunistic infections of the skin and underlying tissues. Such infections may need medical or surgical attention, and may result in permanent damage. Examples of products that should be discarded include:Citrushield LotionDermasentials DermaBarrierDermassentials by Clarcon Antimicrobial Hand SanitizerIron Fist Barrier Hand TreatmentSkin Shield RestaurantSkin Shield IndustrialSkin Shield Beauty Salon LotionTotal Skin Care BeautyTotal Skin Care WorkHealth care professionals and consumers may report serious adverse events (side effects) or product quality problems with the use of this product to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail, fax or phone.OnlineRegular Mail: use postage-paid FDA form 3500 and mail to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787Fax: 800-FDA-0178Phone: 800-FDA-1088For more information: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm164845.htm Revised Certificate of Medical Necessity (CMN) Web-Based Training Course (CMS Message 2009-06-17)Revised in June 2009 - The Certificate of Medical Necessity (CMN) Web-Based Training (WBT), which is made available by the Centers for Medicare & Medicaid Services (CMS) Medicare Learning Network (MLN), contains information about the Certificate of Medical Necessity, commonly known as a CMN.This course will be helpful to physicians, health care professional, and medical administrative staff in the completion, submission and maintenance of the documentation required to verify the CMN. It can be accessed by going to http://www.cms.hhs.gov/MLNGenInfo. Scroll to the "Related Links Inside CMS" section at the bottom of the page, and select Web Based Training (WBT) Modules. You will find the "Certificate of Medical Necessity WBT" from the list provided.Upon completion of this course you should be able to:List the items that require a Certificate of Medical Necessity (CMN)Identify the responsibilities of Physicians, Physician Assistants, Nurse Practitioners, or Clinical Nurse Specialists as they relate to the CMNDefine medical record documentationIdentify the sections of a CMNList CMN common ErrorsIdentify CMN completion resourcesSuccessful completion of this course requires completion of all course lessons, pre-test, course evaluation and a score of 70 percent of higher on the post-test.The Centers for Medicare & Medicaid Services (CMS) is authorized by IACET to offer 0.1 continuing education units (CEUs) for this program.The Centers for Medicare & Medicaid Services designates this educational Activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.Credit for this course expires May 4, 2012.This course and its post test score of 70% or higher, is approved for 1 CEU by the American Academy of Professional Coders (AAPC). Index # CMS06140728AWhen submitting a CMS completed web-based training course to AAPC as part of your recertification, please retain a copy of your CMS certificate and a copy of the course description that contains the AAPC index number and number of AAPC CEUs. The AAPC will request copies of these if you are selected for verification of the CEUs listed on your renewal form.The author has no conflicts of interest to disclose.This course was developed without any commercial support.Click here to view the biographical information of the course developers. http://www.cms.hhs.gov/MLNEdWebGuide/Downloads/2009_May_Biographical_Data_CMN_WBT.pdf June 15th - 21st is National Men's Health Week and June 21st is Father's Day! (CMS Message 2009-06-16)The Centers for Medicare & Medicaid Services (CMS) is asking the provider community to keep men with Medicare healthy by ensuring that they take advantage of Medicare-covered preventive services. Medicare covers colorectal and prostate cancer screenings, among other preventive services.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. Early detection and treatment of cancer can help men with Medicare live longer, fuller, healthier lives.For More Information CMS 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 colorectal 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.pdf Thank you for helping CMS improve the health of men with Medicare 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. 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 web site: http://www.cms.hhs.gov/MedicareProviderSupEnroll/DMEPOS_DeemedAccreditationOrganizations.asp#TopOfPage |
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