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Friday, August 28, 2009

NAS DME Update



NAS DME Jurisdiction D E-mail List
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Subscribed Interests
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Oxygen

Oxygen CMN Reminder

NAS is seeing oxygen Certificates of Medical Necessity (CMNs) for replacement equipment with a testing date noted in Section B as after the initial date noted in Section A. The oxygen CMN states, "Enter the result of the most recent test taken on or before the certification date listed in Section A."
General Announcements
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CMS Special Open Door Forum: Medicare DMEPOS Competitive Bidding Program Bidders' Conference - Learn the Rules to Submit a Bid Successfully

Wednesday, September 2, 2009
2 p.m. - 3 p.m. ET
Conference Call Only
Compliance Standards for Consignment Closets and Stock Bill Arrangements

Recently CMS released Change Request (CR) 6528 outlining guidelines for DMEPOS that are maintained at a location owned by a physician or non-physician practitioner with a purpose to distribute products to Medicare beneficiaries. Suppliers involved in these arrangements, commonly referred to as consignment closets or stock/bill arrangements are required to meet current standards. CR 6528 also details additional guidelines for these arrangements that are included in the Program Integrity Manual (PIM), Chapter 10, Section 21.8.
Refractive Lenses Workshop

Join NAS for a Refractive Lenses Web-based workshop on September 10, 2009, at 11 a.m. CT.
Top Ten Redeterminations

NAS is providing solutions to the top ten redeterminations the Appeals staff received from January - May 2009. This includes denials for medical necessity, maximum amount paid, frequency, certificates of medical necessity, frequency, same/similar, noncovered charges, recertification, and duplicates.
Surety Bond FAQs

CMS announced on December 29, 2008, some DMEPOS suppliers will be subject to a surety bond requirement to obtain/maintain Medicare billing privileges. In an attempt to keep the supplier community informed, CMS has released a series of frequently asked questions regarding the bonding requirement. This list will be updated as additional information becomes available. See the list of surety bond FAQs on the National Supplier Clearinghouse Web site.
Other Topics
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Electronic Data Interchange

Final Implementation Dates on NCPDP 5.1 Transition
Healthcare Provider Taxonomy Codes Updates Effective October 2009
ICD-10-CM/PCS: An Introduction Fact Sheet
Third National Medicare FFS Education Call on HIPAA Version 5010
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View LCDs and Policy Articles!
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What's New
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View a complete listing of the most recent web site updates: https://www.noridianmedicare.com/dme/news/updates.html

Supplier Contact Center Closures
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    09/07/09 - Closed in observance of the Labor Day holiday
    09/18/09 8 am - 12 pm CT for CMS-approved training (Supplier Contact Center only)

Electronic Billing Questions?
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See the CEDI, National Government Services, Web site at http://www.ngscedi.com/ for resources, FAQs, manuals, and more!

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