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Wednesday, July 22, 2009

DME MAC Jurisdiction C News

 DME MAC Jurisdiction C News
Sent on behalf of CEDI: NCPDP 5.1 Implementation Reminder: Currently, all durable medical equipment Medicare administrative contractors' (DME MAC) National Council for Prescription Drug Programs (NCPDP) claims are received by CEDI, but are not edited or translated within CEDI. Instead, CEDI passes the NCPDP claims to the DME MACs based on the contractor code in the file and the editing and translation are performed at the DME MACs. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0709/cope10331.html
The DME MAC Jurisdiction C Provider Outreach and Education team is please to present the following Webinars:
  • Advance Beneficiary Notice (ABN) Webinars: Is your financial shelter secure from a Contractual Obligation (CO) claim denial? Have you heard that an Advance Beneficiary Notice (ABN) can help protect you from a CO denial? If so, are you securing your ABN correctly and are you using the correct materials issued by CMS? Do you know the consequences of not following the correct ABN procedures? Learn this and much more by attending an ABN Webinar. Read more...
    http://www.cignagovernmentservices.com/jc/pubs/news/2009/0709/cope10295a.html
  • Medical Review Webinar: Medical Review Department is an often misunderstood function, and is not a part of the appeals process, as most people think. Led by our Medical Director, Dr. Robert Hoover, they help develop medical policy, perform pre and post payment audits, perform data mining to identify error trends, and ultimately decide where CGS should put its audit focus. During the Webinar session, we'll talk about the current focus areas, give plenty of tips to make sure your intake process is comprehensive, and help with some tools to make sure your audit strategy is in place. Read more...
    http://www.cignagovernmentservices.com/jc/pubs/news/2009/0709/cope10295c.html
  • CERT Webinar: CERT Contractor claim audits, are you ready? Would you like to avoid an overpayment request, improve your ability to respond to potential audits, and lessen the chances of additional audits? If you answered "Yes!" to these questions then we have the Webinar for you! The DME MAC Jurisdiction C Provider Outreach and Education team is pleased to offer a CERT Webinar covering CERT audits and how to survive them. Read more...
    http://www.cignagovernmentservices.com/jc/pubs/news/2009/0709/cope10295e.html
  • Documentation Requirements Webinar: Could your documentation intake process be costing your business? Do you want to make sure you are meeting the documentation requirements for Medicare patients? Then make plans to register for our Documentation Requirements Webinar! Read more...
    http://www.cignagovernmentservices.com/jc/pubs/news/2009/0709/cope10295g.html
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