NAS DME Jurisdiction D E-mail List
====================================================================
Subscribed Interests
--------------------------------------------------------------------
Oxygen
Oxygen Ask The Contractor Teleconference - June 30, 2009
On Tuesday, June 30, 2009, at 1:30 p.m. CT, NAS will conduct an Oxygen Ask the Contractor Teleconference (ACT). During this teleconference, knowledgeable NAS staff representing a variety of functions will be available to answer your questions regarding oxygen. If we cannot answer your question during the teleconference, we will research the issue and then call you with the answer.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuyklFpyyJeNrTWpm&tmpl=dme_viewnews&style=part_ab_viewnews
General Announcements
--------------------------------------------------------------------
PAP and RAD Devices LCDs Revised
The Positive Airway Pressure (PAP) Devices and the Respiratory Assist Devices (RAD) local coverage determinations (LCD) have been revised effective for dates of service on or after September 1, 2009. The revised information is in the Documentation Section and outlines the use of additional modifiers to indicate that an item is not medically necessary and whether or not a waiver of liability statement (i.e., Advance Beneficiary Notice or ABN) is on file.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuyklpuFkwxSfgtaz&tmpl=dme_viewnews&style=part_ab_viewnews
LCD and Policy Article Revisions Summary for June 25, 2009
Outlined in this article are the principal changes to several DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. Please review the entire LCD and each related Policy Article for complete information.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuyklpVAlaHOWSQzz&tmpl=dme_viewnews&style=part_ab_viewnews
Crossover Claims Impacted by Common Working File Southeast Host Site Problem
The Centers for Medicare & Medicaid Services (CMS) is alerting all providers, physicians, and suppliers to a problem that occurred during the timeframe of May 26-28, 2009, and would have negatively impacted their patients' crossover claims.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuyklpZElZTRXMcMj&tmpl=dme_viewnews&style=part_ab_viewnews
CMS Open Door Forum - June 30, 2009
The next CMS Home Health, Hospice & DME Open Door Forum is scheduled for Tuesday, June 30, 2009, 2 p.m. ET. Please dial-in at least 15 minutes prior to call start time.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkuyklpAVZdcoLwZJq&tmpl=dme_viewnews&style=part_ab_viewnews
Expiration of Medicare Processing of Certain Indian Health Service (IHS) Part B Claims - Sunset of Section 630 of the Medicare Modernization Act (MMA) of 2003 for Payment of Indian Health Services (IHS) SE0912
This special edition article is being issued by the Centers for Medicare & Medicaid Services (CMS) to notify affected Indian Health Service (IHS) physicians, IHS providers, and IHS suppliers that beginning January 1, 2010, IHS facilities can no longer bill Medicare for 'other' Part B services, including Durable Medical Equipment (DME), prosthetics, orthotics, therapeutic shoes, clinical laboratory services, surgical dressing, splints and casts, drugs (those processed by the DME/MACs and those processed by the A/B MACs and the Part B carrier) and ambulance services. As a result of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003, coverage of these 'other' Part B items and services started January 1, 2005 for a five-year period which ends January 1, 2010. This article alerts affected providers that the five-year period expires as of January 1, 2010.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/SE0912.pdf
Review of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) MLN Matters 6468
CR 6468, from which this article is taken, adds material in Chapter 5 (Items and Services Having Special DME Review Considerations) of the Program Integrity Manual that these review contractors will use when reviewing serial DMEPOS claims submitted on or after June 1, 2009. Serial claims are ones in which a series of claims is submitted, usually monthly or quarterly, for the same item (e.g., a rented wheelchair, parenteral nutrition, or lancets).
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM6468.pdf
Other Topics
--------------------------------------------------------------------
====================================================================
Understanding Denial CO-109: Claim Not Covered By This Payer/Contractor
-------------------------------------------------------------------------------
What's New
----------
View a complete listing of the most recent web site updates: https://www.noridianmedicare.com/dme/news/updates.html
Supplier Contact Center Closures
--------------------------------
July 2, 2009, closing at 5 p.m. CT due to system maintenance
July 3, 2009, in observance of the Independence Day holiday
July 17 from 8 a.m. - 12 p.m. CT for CMS-approved training (Supplier Contact Center)
Electronic Billing Questions?
-----------------------------
See the CEDI, National Government Services, Web site at http://www.ngscedi.com/ for resources, FAQs, manuals, and more!
To edit your e-mail preferences or unsubscribe, go to
To view the NoridianMedicare.com Privacy Policy, go to
====================================================================
(c) Noridian Administrative Services, LLC
901 40th Street South, Suite 1, Fargo ND 58103-2146
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
Posts
