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Tuesday, October 27, 2009

NAS DME Update



NAS DME Jurisdiction D E-mail List
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Subscribed Interests
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General Announcements
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New Medicare Requirements Take Effect for Suppliers of Medical Equipment and Supplies

New Standards Prevent Fraud and Promote Quality Care
CMS issued a final reminder about new requirements for most suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) to meet new quality standards by October 1 and obtain a surety bond by October 2 as required under Federal law. These new supplier enrollment requirements will help to prevent fraud in Medicare and ensure that people with Medicare get high-quality medical items and services from qualified suppliers.
Revised October 2009 ASP File Now Available

CMS has posted the revised October 2009 Average Sales Price (ASP) and Not Otherwise Classified (NOC) pricing files, which are available for download at: http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01a1_2009aspfiles.asp.
New Form for DME RAC Overpayment Redeterminations

In order to improve our customer service for suppliers requesting a review of a Recovery Audit Contractor (RAC) overpayment, NAS has created a new DME RAC Overpayment Redetermination Form. NAS encourages suppliers to complete the new form and mail it to the address below with a copy of the overpayment letter.
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.
Advance Beneficiary Notice of Noncoverage Workshop

Do you have questions about when to use an Advance Beneficiary Notice of Noncoverage (ABN)? Join us for a 75-minute workshop as we discuss the proper use of an ABN and give step-by-step instructions on completing the ABN.
Other Topics
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Electronic Data Interchange

Update to MREP
New CEDI NCPDP Front-End Manual Now Available
Update to CEDI Front End Editing for Ordering/Referring Providers
Express Plus Transitioning to PC-ACE Pro32
CEDI Supplier/Provider Authorized Signatures
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Why is CERT Important?
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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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    November 20, 2009, from 8 a.m. - 12 p.m. CT for CMS-approved training (Supplier Contact Center only)

Workshops
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Tell NAS where, how, and what topics you want workshops on: http://www.surveymonkey.com/s.aspx?sm=HtqIIW7uv6fE52pDD9bb3w_3d_3d

Medicare Partners
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CBIC: Competitive Bidding Implementation Contractor (Competitive Bidding): http://www.dmecompetitivebid.com/palmetto/cbic.nsf/DocsCat/Home

CEDI: Common Electronic Data Interchange (Electronic Billing): http://www.ngscedi.com/

CERT: Comprehensive Error Rate Testing (Claim Payment Review): http://www.certcdc.com/certproviderportal/pages/

NSC: National Supplier Clearinghouse (Supplier Enrollment): http://www.palmettogba.com/nsc

PDAC: Pricing, Data Analysis and Coding (HCPCS Coding Assistance): https://www.dmepdac.com/

QIC: Qualified Independent Contractor (Reconsiderations): http://www.rivertrustsolutions.com/

RAC: Recovery Audit Contractor (Claim Processing Review): http://www.healthdatainsights.com/

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www.noridianmedicare.com

About this Blog

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