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Friday, July 24, 2009

DME MAC A News for July 24, 2009 - Weekly Updates

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
July 24, 2009

Weekly What's New

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

IMPORTANT CHANGE - KX, GA, GZ and GY Modifiers - New Uses

Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (MM6520)

CMS' Dedicated Website for Information & Education on Versions 5010, D.0 and 3.0 Now Available! (CMS Message 200907-26)

A new video explaining the MLN and its benefits to Fee-For-Service healthcare providers, is now available for download on the CMS website. This video, approximately seven minutes in length, is suitable for self instruction or for use during provider education events. National associations and organizations may want to consider posting this video to their websites to educate their membership on the products and services of the MLN. To access the video, click on this hyperlink MLN Video - Quick and Basic Information about the MLN and its Benefits to Providers [ZIP, 44.1MB] Please note the large file size; download speeds will vary based on your Internet connection. (CMS Message 200907-27)
For more information visit:

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



Implementation of New Provider Contact Center TechnologyTo better serve our customers, NHIC, Corp. DME MAC Jurisdiction A is implementing a new technology within the Provider Contact Center. This new technology will help reduce the time a caller spends on the phone by gathering the provider authentication elements at the beginning of the call via an automated phone system and transferring the information to the Customer Service Representative (CSR). This will allow the CSR to already have the information available when they receive the call, thus allowing them to address the caller's question more quickly. Implementation of this new technology is scheduled for July 27, 2009.The phone number for the Provider Contact Center is 866-590-6731. To utilize the Interactive Voice Response (IVR) unit, please call 866-419-9458. As a reminder, if you call the Provider Contact Center with an issue that should be addressed via the IVR, you will be referred back to the IVR line. Customer Service Representatives cannot address information that is provided via the IVR.



Get Ready for DMEPOS Competitive Bidding!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.htmlVisit the CMS website at http://www.cms.hhs.gov/DMEPOSCompetitiveBid/ for the latest information on the DMEPOS competitive bidding program.



DMEPOS Supplier Accreditation and Surety Bond Requirement Deadlines Coming In OctoberSuppliers May Choose to Voluntarily Terminate Enrollment If They Do Not Plan To ComplyMedicare suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), unless exempt, must be accredited and obtain a surety bond by October 1, 2009 and October 2, 2009, respectively.If you have made the decision not to obtain accreditation or a surety bond when required, you may want to voluntarily terminate your enrollment in the Medicare program before the implementation dates above. You can voluntary terminate your enrollment with the Medicare program by completing the sections associated with voluntary termination on page 4 of the Medicare enrollment application (CMS-855S). Once complete, you should sign, date and send the completed application to the National Supplier Clearinghouse (NSC). By voluntarily terminating your Medicare enrollment, you will preserve your right to re-enroll in Medicare once you meet the requirements to participate in the Medicare program.If you do not comply with the accreditation and surety bond requirements and do not submit a voluntary termination, your Medicare billing privileges will be revoked. A revocation will bar you from re-enrolling in Medicare for at least one year after the date of revocation.Suppliers who do not plan to stay enrolled in Medicare are strongly encouraged to notify their beneficiaries as soon as possible so the beneficiary can find another supplier.For additional information regarding DMEPOS accreditation or the provisions associated with a surety bond, go to http://www.cms.hhs.gov/MedicareProviderSupEnroll. Frequently Asked Questions (FAQs) on the surety bond requirement can be found on the NSC's FAQ page at http://www.palmettogba.com/nsc.
 
  
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