| NHIC, Corp.DME MAC A ListServe | For Immediate Release |
| August 28, 2009 Weekly What's New The following publications have been posted to the DME MAC A What's New page:An Oxygen & Supplies CERT Physician Letter is now available Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Processed by Durable Medical Equipment Medicare Administrative Contractors (DME MACs) (MM6421) DME MAC Jurisdiction A Correspondence - P.O. Box Reminder A Message from Dr. David Blumenthal, National Coordinator for Health Information Technology (CMS Message 200908-26) Vice President Biden Announces Availability of Nearly $1.2 Billion in Grants to Help Hospitals and Doctors Use Electronic Health Records (CMS Message 200908-28) 5010: Taking EDI to the Next Level - Third National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010 (CMS Message 200908-31) Medicare Demonstrations Show Paying for Quality Health Care Pays Off (CMS Message 200908-27) Healthcare Provider Taxonomy Codes (HPTC) October 2009 Update (CR6598) Medicare Fee-for-Service Emergency Preparedness Questions and Answers - The Centers for Medicare & Medicaid Services (CMS) has updated the Medicare Fee-for-Service Emergency Preparedness Questions and Answers (Qs & As). The Emergency Qs & As are posted in a document at http://www.cms.hhs.gov/Emergency/10_PandemicFlu.asp. These Qs & As include a section applicable to the H1N1 flu virus. The document is dated to reflect the posting date. As additions and changes are made to the document, the download name will change to reflect the date. Please take note that these Qs & As do not address a Section 1135 waiver situation. (CMS Message 200908-35) Did you miss the Information Exchange with the Department of Health & Human Services (HHS) on H1N1 Healthcare System Preparedness and Response on August 20? Did you miss the Information Exchange with HHS on H1N1 Healthcare System Preparedness and Response on August 20? You can still listen to the exchange using the Encore feature - Dial 800-642-1687, conference identification is H1N1. Also - you can continue to send questions and comment to H1N1.listening@hhs.gov. While questions cannot be answered individually, these questions will help shape the content and subject matter of the next call, scheduled for September 14. (CMS Message 200908-37) Registration System and Help Desk Closed Labor Day Weekend - The CMS registration system for the DMEPOS Competitive Bidding Program will be unavailable due to routine maintenance from Friday, September 4, at 9 p.m. Eastern Time until Tuesday, September 8, at 9 a.m. Eastern Time. The Competitive Bidding Implementation Contractor (CBIC) toll-free help desk will close for the Labor Day holiday on Friday, September 4, at 9 p.m. Eastern Time and will reopen on Tuesday, September 8, at 9 a.m. Eastern Time. The CBIC website, http://www.DMECompetitiveBid.com, and the Interactive Voice Response (IVR) unit will be available for registration and bidding information. (CMS Message 200908-39) The revised publication titled ICD-10-CM/PCS: An Introduction Fact Sheet (August 2009), which was previously titled ICD-10-Clinical Modification/Procedure Coding System Fact Sheet, is now available in downloadable format from the Centers for Medicare & Medicaid Services Medicare Learning Network at http://www.cms.hhs.gov/MLNProducts/downloads/ICD-10factsheet2009.pdf. This fact sheet provides general information about the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) including benefits of adopting the new coding system, structural differences between ICD-9-CM and ICD-10-CM/PCS, and implementation planning recommendations. (CMS Message 200908-33) ICD-10-CM/PCS Bookmark - The revised ICD-10-CM/PCS Bookmark (August 2009), which provides information about the ICD-10-Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) including the benefits of adopting the coding system, recommended steps to be taken in order to plan and prepare for implementation of the coding system, and where additional information about the coding system can be found, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit http://www.cms.hhs.gov/MLNGenInfo/, scroll down to "Related Links Inside CMS" and select "MLN Product Ordering Page." (CMS Message 200908-40) For more information visit: http://www.medicarenhic.com/dme/dme_whats_new.shtml 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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