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Friday, September 11, 2009

NAS DME Update



NAS DME Jurisdiction D E-mail List
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Orthotics

Charcot Restraint Orthotic Walker - CROW Boot - Coding

The Charcot Restraint Orthotic Walker also referred to as CROW boot or walker, was developed for patients with severe deformity of the foot and ankle due to a sensory neuropathic arthropathy - most commonly caused by diabetes.
General Announcements
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PAP Supplier FAQ Revised - September 2009

Four new Questions and Answers have been added to the Positive Airway Pressure (PAP) Devices - Supplier Frequently Asked Questions published in July 2009 based on questions received from the provider community.
LCD and Policy Article Revisions - Summary for September 2009

Outlined below 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.
Enteral Workshop

Attention suppliers of Enteral Nutrition! Join NAS provider outreach and education staff for a 90-minute workshop on the Enteral policy. In this workshop we will be discussing the coverage criteria for enteral nutrition, nutrients administration, documentation requirements, coding guidelines and billing rules. New suppliers, as well as seasoned suppliers, will find this information helpful.
Glucose Monitor and Testing Supplies Workshop

Attention suppliers of glucose monitors and testing supplies! Join us for a 60-minute presentation on the Glucose Monitor Local Coverage Determination and Policy Article. This workshop will outline coverage and payment rules and emphasize documentation requirements. You will also receive instruction on the spanning of dates requirement as well as the appropriate modifiers to use when billing claims.
Customer Service Callback Authentication Requirements

Beginning Tuesday, September 8, 2009, CMS will require all DME MACs to authenticate suppliers when calling back regarding a previous inquiry. NAS DME customer service representatives will ask the supplier for specific information that will be required in order to continue with the callback.
Top Ten Reopenings

NAS is providing solutions to the top ten reopenings 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.
Addition/Deletion of HCPCS Codes - October 2009 Quarterly Update MLN Matters 6594

This article describes updates for specific HCPCS codes and the October 2009 update has only one new code payable for Medicare. Effective for claims with dates of service on or after October 1, 2009, HCPCS code Q2024 will be payable for Medicare.
Claim Status Category Code and Claim Status Code Update MLN Matters 6609

This article explains that the Claim Status Codes and Claim Status Category Codes for use by Medicare contractors with the Health Claim Status Request and Response ASC X12N 276/277 were updated during the June 2009 meeting of the national Code Maintenance Committee and code changes approved at that meeting were posted at http://www.wpc-edi.com/content/view/180/223/ on the Internet on or about June 30, 2009.
Other Topics
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Electronic Data Interchange

CEDI Change to Acceptable Diagnosis Code Pointers
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NAS DME Activities

Workshops, Teleconferences and More!
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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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    09/18/09 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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About this Blog

This blog shows most if not all of the announcements sent via the various email Mailservers.