DME MAC Jurisdiction C News

 DME MAC Jurisdiction C News

Power Mobility Devices - Indicating Receipt Date of Documentation - The Power Mobility Devices local coverage determination and policy article stipulate that suppliers must receive clinical documentation and the 7-element order within 45 days of completion of the face-to-face evaluation. According to the LCD, "A date stamp or equivalent must be used to document receipt date." In a recent review of PMD claims two problems were identified.http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10812.html"> Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10812.html

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The 2009 4th Quarter Drug Fees, Pharmacy Dispensing Fees, and Pharmacy Supply Fees are now available along with revisions to the 2009 3rd quarter fees.
http://www.cignagovernmentservices.com/jc/coverage/fees/index.html

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Sent on behalf of the CEDI: Update to Common Electronic Data Interchange (CEDI) Front End Editing for Ordering/Referring Providers - CEDI errors C200, C201 and C202 are warning errors/edits that are firing as a Warning on the CEDI GENRPT until January 1, 2010. These errors/edits are in place due to CMS CR6421 and related MLN article MM6421 that was implemented with the October 2009 Release.http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10814.html"> Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10814.html

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Centers for Medicare & Medicaid Services - Special Open Door Forum: End Stage Renal Disease Prospective Payment System Proposed Rule Overview - The Centers for Medicare & Medicaid Services (CMS) will hold a Special Open Door Forum (ODF) to discuss the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) proposed rule that went on display at the Federal Register on September 15, 2009. The primary audiences for this Special ODF are ESRD facilities and provider, supplier, laboratory and beneficiary groups.http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10790b.html"> Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10790b.html

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Centers for Medicare & Medicaid Services - Town Hall Meeting: End Stage Renal Disease Prospective Payment System Proposed Rule - The Centers for Medicare and Medicaid Services (CMS) requests your participation in a Town Hall meeting on Friday, October 23, 2009, from 9:00 AM to 12:00 PM (Eastern Daylight Time). The meeting will be held in the auditorium at the Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, with the opportunity to listen via conference call.http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10790a.html"> Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10790a.html

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Revised October 2009 Average Sales Price (ASP) File Is Now Available
http://www.cignagovernmentservices.com/jc/pubs/news/2009/1009/cope10791.html

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