Daily CMS NEWS: November 2009

Monday, November 30, 2009

DME MAC Jurisdiction C News

DME MAC Jurisdiction C News

Revised: Therapy Cap Values for Calendar Year (CY) 2010
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6660.pdf

Registration is now available for the following Webinars:

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Jurisdiction B News: Small Supplier PECOS ACT Registration Available

National Government Services, the Jurisdiction B DME MAC will conduct a Small Supplier PECOS Ask-the-Contractor Teleconference (ACT) on Thursday, December 10, 2009. This is your opportunity to learn how you can be affected by the information in PECOS. The Small Supplier PECOS ACT is scheduled for Thursday, December 10, 2009, from 10:00 a.m. to 11:30 a.m. ET. This is a free teleconference, so sign up now!! The ACT will include information on:Provider Enrollment Chain and Ownership System (PECOS)Phase I Warnings effective October 5, 2009Phase II Rejections effective January 4, 2010 This call will include a brief presentation followed by a question and answer session.Registration for the ACT is available online only and must be completed no later than Tuesday, December 8, 2009. To register online, go to:http://www.ngsmedicare.com/ADC/EventList.aspx?fromdate=12/1/2009&todate=12/31/2009&display=Month&type=public&eventidn=823&view=
EventDetails&information_id=1101

Remember! National Government Services' Jurisdiction B DME MAC List Serve is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank you!

National Government Services encourages all Web site users to provide feedback regarding ways to improve our Web site. The ForeSee Results (pop-up) survey is an easy mechanism for providers to use to let us know how we can best serve you. Your comments play a large role in the enhancements that are made to the National Government Services Web site.

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Friday, November 27, 2009

NAS DME Update

NAS DME Jurisdiction D E-mail List

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Delay in Implementing Phase 2 of CRs 6417 and 6421

Phase 2 of CR 6421 has been delayed until April 5, 2010. The delay in implementation will give physicians and non-physician practitioners who order items or services for Medicare beneficiaries or who refer Medicare beneficiaries to other Medicare providers or suppliers sufficient time to enroll in Medicare or take the action necessary to establish a current enrollment record in Medicare prior to Phase 2 implementation.

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkVAEZEVFkQAKiUxYV&tmpl=dme_viewnews&style=part_ab_viewnews

Wednesday, November 25, 2009

Jurisdiction B News: National Government Services, Inc. Closed for Thanksgiving

National Government Services, Inc. Offices Closed in Observance of Thanksgiving In observance of Thanksgiving, National Government Services, Inc. offices will be closed Thursday, November 26, 2009 and Friday, November 27, 2009. The Contact Center (1-866-590-6727) will resume answering telephone inquires on Monday, November 30, 2009 for normal business hours. Suppliers will still be able to utilize the Interactive Voice Response system (1-877-299-7900) on Thursday, November 26, 2009 and Friday, November 27, 2009.

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Jurisdiction B News: Delay in Implementing Phase 2 of CRs 6417 and 6421

Delay in Implementing Phase 2 of CRs 6417 and 6421 (PE200911-35)

The Centers for Medicare & Medicaid Services (CMS) will delay, until April 5, 2010, the implementation of Phase 2 of Change Request (CR) 6417 (Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)) and CR 6421 (Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Claims Processed by Durable Medical Equipment Medicare Administrative Contractors (DME MACs)). CRs 6417 and 6421 are applicable to Part B claims only. The delay in implementing Phase 2 of these CRs will give physicians and non-physician practitioners who order items or services for Medicare beneficiaries or who refer Medicare beneficiaries to other Medicare providers or suppliers sufficient time to enroll in Medicare or take the action necessary to establish a current enrollment record in Medicare prior to Phase 2 implementation. Although enrolled in Medicare, many physicians and non-physician practitioners who are eligible to order items or services or refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in Medicare. A current enrollment record is one that is in the Medicare Provider Enrollment, Chain and Ownership System (PECOS) and also contains the physician/non-physician practitioner s National Provider Identifier (NPI). Under Phase 2 of the above referenced CRs, a physician or non-physician practitioner who orders or refers and who does not have a current enrollment record that contains the NPI will cause the claim submitted by the Part B provider/supplier who furnished the ordered or referred item or service to be rejected. CMS continues to urge physicians and non-physician practitioners who are enrolled in Medicare but who have not updated their Medicare enrollment record since November 2003 to update their enrollment record now. If these physicians and non-physician practitioners have no changes to their enrollment data, they need to submit an initial enrollment application which will establish a current enrollment record in PECOS. For physicians and non-physician practitioners who order or referâ€"
If you are not enrolled in the Medicare program, or if you enrolled more than 6 years ago and have not submitted any updates or changes to your enrollment information in more than 6 years, you do not have an enrollment record in PECOS. In order to continue to order or refer items or services for Medicare beneficiaries, you will have to submit an initial enrollment application. You may do so either by (1) using Internet-based PECOS (which transmits your enrollment application to the Medicare carrier or A/B MAC via the Internetâ€"be sure to mail the signed and dated Certification Statement to the carrier or A/B MAC immediately after submitting the application), or (2) filling out the appropriate paper Medicare provider enrollment application(s) (CMS-855I and CMS-855R, if appropriate) and mailing the application, along with any required additional supplemental documentation, to the local Medicare carrier or A/B MAC, who will enter your information into PECOS and process your enrollment application. Information on how to enroll in Medicare is found on the Medicare provider/supplier enrollment web site at www.cms.hhs.gov/MedicareProviderSupEnroll.If you are already enrolled in Medicare, make sure you have a current enrollment record. You can find out if you have an enrollment record in PECOS by calling your designated carrier or A/B MAC or by going on-line, using Internet-based PECOS, to view your enrollment record. We will be posting information to the Medicare provider/supplier enrollment web site that will guide you through this process. Information about Internet-based PECOS and a link to Internet-based PECOS can be found on the Medicare provider/supplier enrollment web site. Before using Internet-based PECOS, we recommend that you read the information that is posted there and that is available in the downloadable documents section.If you are a dentist or a physician with a specialty such as a pediatrics who is eligible to order or refer items or services for Medicare beneficiaries but have not enrolled in Medicare because the services you provide are not covered by Medicare or you treat few Medicare beneficiaries, you need to enroll in Medicare in order to continue to order or refer items or services for Medicare beneficiaries.If you are a physician who is employed by the Department of Veterans Affairs, the Public Health Service, or the Department of Defense Tricare program but have not enrolled in Medicare because you would not be paid by Medicare for your services, you need to enroll in Medicare in order to continue to order or refer items or services for Medicare beneficiaries.If you are a resident who has a medical license but have not enrolled in Medicare because you would not be paid by Medicare for your services, you do not need to enroll in Medicare in order to continue to order or refer items or services for Medicare beneficiaries. The teaching physicianâ€"not the residentâ€"should be identified in claims as the ordering/referring provider when a resident orders or refers items or services for Medicare beneficiaries. CMS actions to mitigate the number of informational messages: Since many Part B providers and suppliers are receiving a high volume of informational messages in their Remittances, CMS is taking the following actions to reduce the number of informational messages being generated:
Prior to the implementation of Phase 2, CMS will systematically add the NPIs to the PECOS enrollment records of all physicians and non-physician practitioners whose enrollment records are in PECOS but do not contain their NPIs. Because the NPI is one of the matching criteria used in implementing the two new edits on the Ordering/Referring Provider, it is essential that the NPI be in the PECOS enrollment record. Because the data file used to implement the two edits contains only the eligible physicians and non-physician practitioners who are in PECOS with NPIs in their enrollment records, this action will add many more physicians and non-physician practitioners to that data file. Prior to the implementation of Phase 2, CMS will make publicly available on the Internet the names and NPIs of the Medicare physicians and non-physician practitioners who are eligible to order or refer in the Medicare program. The name displayed will be that of the physician or non-physician practitioner as it appears in his or her PECOS enrollment record. This will allow Part B providers and suppliers who furnish and bill for items or services based on orders or referrals to determine if the Ordering/Referring Provider being identified in their claims will pass the two new edits prior to submitting the claims to Medicare. Prior to the implementation of Phase 2, CMS will issue instructions to carriers and A/B MACs that will assist them in processing enrollment applications from physicians who are employed by the Department of Veterans Affairs, the Public Health Service, and the Department of Defense Tricare program. The instructions will also state that the teaching physician should be reported as the Ordering/Referring Physician in situations where a resident orders or refers items or services for Medicare beneficiaries. The instructions will also note that dentists and pediatricians, who sometimes order or refer items or services for Medicare beneficiaries, may be enrolling in Medicare in order to continue to order and refer. CMS will be preparing a Special Edition Medicare Learning Network (MLN) Matters Article on the implementation of these two new edits. This MLN Matters Article will expand upon the information currently available in MLN Matters Articles MM 6417 and MM 6421. Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

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Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors: Editing the Ordering/Referring Provider in DMEPOS Claims Delayed

Editing the Ordering/Referring Provider in DMEPOS Claims Delayed

The Centers for Medicare & Medicaid Services (CMS) will delay, until April 5, 2010, the implementation of Phase 2 of Change Request (CR) 6417 (Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)) and CR 6421 (Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Claims Processed by Durable Medical Equipment Medicare Administrative Contractors (DME MACs)). CRs 6417 and 6421 are applicable to Part B claims only.

The delay in implementing Phase 2 of these CRs will give physicians and nonphysician practitioners who order items or services for Medicare beneficiaries or who refer Medicare beneficiaries to other Medicare providers or suppliers sufficient time to enroll in Medicare or take the action necessary to establish a current enrollment record in Medicare prior to Phase 2 implementation.

Although enrolled in Medicare, many physicians and nonphysician practitioners who are eligible to order items or services or refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in Medicare. A current enrollment record is one that is in the Medicare Provider Enrollment, Chain and Ownership System (PECOS) and also contains the physician/nonphysician practitioner's National Provider Identifier (NPI). Under Phase 2 of the above referenced CRs, a physician or nonphysician practitioner who orders or refers and who does not have a current enrollment record that contains the NPI will cause the claim submitted by the Part B provider/supplier who furnished the ordered or referred item or service to be rejected.

CMS continues to urge physicians and nonphysician practitioners who are enrolled in Medicare but who have not updated their Medicare enrollment record since November 2003 to update their enrollment record now. If these physicians and nonphysician practitioners have no changes to their enrollment data, they need to submit an initial enrollment application which will establish a current enrollment record in PECOS.

For physicians and nonphysician practitioners who order or refer:

§ If you are not enrolled in the Medicare program, or if you enrolled more than six years ago and have not submitted any updates or changes to your enrollment information in more than six years, you do not have an enrollment record in PECOS. In order to continue to order or refer items or services for Medicare beneficiaries, you will have to submit an initial enrollment application. You may do so either by (1) using Internet-based PECOS (which transmits your enrollment application to the Medicare carrier or A/B MAC via the Internet—be sure to mail the signed and dated Certification Statement to the carrier or A/B MAC immediately after submitting the application), or (2) filling out the appropriate paper Medicare provider enrollment application(s) (CMS-855I and CMS-855R, if appropriate) and mailing the application, along with any required additional supplemental documentation, to the local Medicare carrier or A/B MAC, who will enter your information into PECOS and process your enrollment application. Information on how to enroll in Medicare is found on the Medicare provider/supplier enrollment Web site at www.cms.hhs.gov/MedicareProviderSupEnroll.

§ If you are already enrolled in Medicare, make sure you have a current enrollment record. You can find out if you have an enrollment record in PECOS by calling your designated carrier or A/B MAC or by going on-line, using Internet-based PECOS, to view your enrollment record. We will be posting information to the Medicare provider/supplier enrollment Web site that will guide you through this process. Information about Internet-based PECOS and a link to Internet-based PECOS can be found on the Medicare provider/supplier enrollment web site. Before using Internet-based PECOS, we recommend that you read the information that is posted there and that is available in the downloadable documents section.

§ If you are a dentist or a physician with a specialty such as a pediatrics who is eligible to order or refer items or services for Medicare beneficiaries but have not enrolled in Medicare because the services you provide are not covered by Medicare or you treat few Medicare beneficiaries, you need to enroll in Medicare in order to continue to order or refer items or services for Medicare beneficiaries.

§ If you are a physician who is employed by the Department of Veterans Affairs, the Public Health Service, or the Department of Defense Tricare program but have not enrolled in Medicare because you would not be paid by Medicare for your services, you need to enroll in Medicare in order to continue to order or refer items or services for Medicare beneficiaries.

If you are a resident who has a medical license but have not enrolled in Medicare because you would not be paid by Medicare for your services, you do not need to enroll in Medicare in order to continue to order or refer items or services for Medicare beneficiaries. The teaching physician—not the resident—should be identified in claims as the ordering/referring provider when a resident orders or refers items or services for Medicare beneficiaries.

CMS actions to mitigate the number of informational messages:

Since many Part B providers and suppliers are receiving a high volume of informational messages in their Remittances, CMS is taking the following actions to reduce the number of informational messages being generated:

1. Prior to the implementation of Phase 2, CMS will systematically add the NPIs to the PECOS enrollment records of all physicians and nonphysician practitioners whose enrollment records are in PECOS but do not contain their NPIs. Because the NPI is one of the matching criteria used in implementing the two new edits on the Ordering/Referring Provider, it is essential that the NPI be in the PECOS enrollment record. Because the data file used to implement the two edits contains only the eligible physicians and nonphysician practitioners who are in PECOS with NPIs in their enrollment records, this action will add many more physicians and nonphysician practitioners to that data file.

2. Prior to the implementation of Phase 2, CMS will make publicly available on the Internet the names and NPIs of the Medicare physicians and nonphysician practitioners who are eligible to order or refer in the Medicare program. The name displayed will be that of the physician or nonphysician practitioner as it appears in his or her PECOS enrollment record. This will allow Part B providers and suppliers who furnish and bill for items or services based on orders or referrals to determine if the Ordering/Referring Provider being identified in their claims will pass the two new edits prior to submitting the claims to Medicare.

3. Prior to the implementation of Phase 2, CMS will issue instructions to carriers and A/B MACs that will assist them in processing enrollment applications from physicians who are employed by the Department of Veterans Affairs, the Public Health Service, and the Department of Defense Tricare program. The instructions will also state that the teaching physician should be reported as the Ordering/Referring Physician in situations where a resident orders or refers items or services for Medicare beneficiaries. The instructions will also note that dentists and pediatricians, who sometimes order or refer items or services for Medicare beneficiaries, may be enrolling in Medicare in order to continue to order and refer.

4. CMS will be preparing a Special Edition Medicare Learning Network (MLN) Matters article on the implementation of these two new edits. This MLN Matters article will expand upon the information currently available in MLN Matters articles MM 6417 and MM 6421.

Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

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Jurisdiction B News: Negative Pressure Wound Therapy Lunch & Learn

The Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Provider Outreach and Clinical Education Department is offering a variety of free one-hour teleconferences titled "Lunch and Learn" that will provide an overview of a specific DME medical policy. These teleconferences typically last about one hour. Once the presenter has completed their presentation, ample time is allowed for the attendees to ask questions and provide comments. Suppliers will need to print a copy of the PowerPoint presentation that will be posted to the calendar of events two days prior the scheduled event. A "Lunch and Learn" teleconference on Negative Pressure Wound Therapy (NPWT) will be held Monday, November 30, 2009 from 12:00-1:00 EST. All suppliers are encouraged to participate in this free teleconference. To sign up for this educational opportunity click on the link below:http://www.ngsmedicare.com/ADC/EventList.aspx?fromdate=11/1/2009&todate=11/30/2009&display=Month&type=public&eventidn=809&view=EventDetails&information_id=1073

Remember! National Government Services' Jurisdiction B DME MAC List Serve is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank you!

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Tuesday, November 24, 2009

DME MAC Jurisdiction C News

DME MAC Jurisdiction C News

Delay in Implementing Phase 2 of CRs 6417 and 6421: The Centers for Medicare & Medicaid Services (CMS) will delay, until April 5, 2010, the implementation of Phase 2 of Change Request (CR) 6417 (Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)) and CR 6421 (Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Claims Processed by Durable Medical Equipment Medicare Administrative Contractors (DME MACs)). CRs 6417 and 6421 are applicable to Part B claims only. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/1109/cope11090.html

Ask the Contractor Teleconference: Attention Jurisdiction C DME MAC suppliers! Mark your calendars and attend the next CIGNA Government Services Jurisdiction C "Ask the Contractor Teleconference" (ACT) on December 8, 2009. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/1109/cope11044.html

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Jurisdiction B News: NPPES Update Announcement for Physicians

NPPES Update Announcement for Physicians (200908-05) PHYSICIANS!
Did an academic medical institution or university obtain your NPI for you? If so, is your NPPES record up to date? Health care providers, including physicians, began applying for national provider identifiers (NPIs) on May 23, 2005. Since then, the National Plan and Provider Enumeration System (NPPES) has assigned nearly three million NPIs. More than 700,000 NPIs have been assigned to physicians. Many physicians were assigned their NPIs upon their graduation from medical school. Often, the administrative staff at the physicians academic medical centers or universities applied for the physicians NPIs. The administrative staff handled similar actions for their new physicians and had, in their records, all the information that needed to be furnished on the application for an NPI. Some of these NPIs may have been assigned as long as four years ago. The Centers for Medicare & Medicaid Services (CMS) is required by regulation to make available to the public certain information about health care providers that is contained in their NPPES records. This information includes the name, provider type (e.g., physician), business practice location address, business mailing address, and business practice location telephone number. Publicly available NPPES information can be found in the NPI Registry, a query-only database which anyone can access on the Internet https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do, and in a monthly downloadable file that individuals with the necessary technical expertise can download from the Internet on the CMS NPI Data Dissemination Page at http://www.cms.hhs.gov/NationalProvIdentStand/06a_DataDissemination.asp#TopOfPage. Health plans, health care clearinghouses, health care providers, and others with a need to know can easily use the NPI Registry to view data for a particular health care provider simply by entering the health care provider s name or NPI. The downloadable file is used primarily by health plans and other large health industry organizations that need information for all or most of the health care providers who have NPIs and who may need to sort or otherwise manipulate the data in the file to suit their business needs. Now, months or years later, many of the physicians whose academic medical centers or universities obtain their NPIs for them have moved on in their careers to new locations. Many have not updated their NPPES information to show new business practice location addresses, business mailing addresses, or business practice location telephone numbers. As a result, the information in the NPI Registry and in the downloadable file is out of date. Academic medical centers and universities whose addresses and telephone numbers were entered into NPPES as the business practice locations, business mailing addresses, and business practice location telephone numbers for the physicians who they formerly employed are now being burdened with the receipt of mail and telephone calls for physicians who are no longer there. It is not the responsibility of the academic medical centers or the universities to continue to update the NPPES records of physicians who are no longer working for them. In most cases, the academic medical centers and universities do not have the updated information and, therefore, are unable to contact the physicians to ask that they update their NPPES information. Unless physicians have agreements in place for others to keep their NPPES information up to date, the physicians themselves are responsible for ensuring that their NPPES records contain accurate and current information. Some of these physicians may have enrolled in health plans and may be sending claims electronically to health plans or conducting other electronic health transactions with health plans. These physicians are covered entities under the Health Insurance Portability and Accountability Act (HIPAA). As covered entities, they are required by regulation to update their NPPES records within 30 days of any change. Those who have NPIs but who do not conduct electronic health transactions with health plans, and, thus, are not covered entities, are encouraged to keep their NPPES information up to date. We remind all health care providers who have NPIs, not just the physicians specially noted above, to view their NPPES records and, if corrections are necessary, to furnish the updates. Health care providers who established User IDs and passwords in NPPES can easily access their NPPES records to make updates. Those who did not establish User IDs and passwords may do so at any time. For assistance in setting up User IDs and passwords, or in situations where the User ID or password has been forgotten, health care providers should contact the NPI Enumerator at 1-800-465-3203. If they prefer, health care providers may furnish their updates by filling out the paper NPI application (Form CMS-10114) and mailing the completed form to the NPI Enumerator. The instructions are on the form, along with the mailing address of the NPI Enumerator. The form may be downloaded from the CMS forms Web page (www.cms.hhs.gov/cmsforms ) or one may be obtained by contacting the NPI Enumerator at the number above.

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NAS DME Additional Update

NAS DME Jurisdiction D E-mail List

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General Updates

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Delay in Implementing Phase 2 of CRs 6417 and 6421

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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 26 and 27, 2009, in observance of the Thanksgiving holiday.

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

Schedule of Events: https://www.noridianmedicare.com/dme/train/schedule.html

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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Jurisdiction B News: Medicare DMEPOS 101 Webinars Registration Now Available

The Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Provider Outreach and Education (POE) Department will be hosting two quarterly Medicare 101 webinars: Intake Process and Billing Process. These webinars are beneficial for new staff or those individuals wishing to refresh their basic DMEPOS knowledge. Both webinars will include a presentation followed by a question and answer period. The first webinar, Intake Process, will take place on Wednesday December 9th, from 10:00 a.m. – 11:30 a.m. Eastern Time (ET). The objective of the webinar is to provide suppliers with information to effectively complete the intake process prior to Medicare claim submission. The following topics will be reviewed during the Intake Process webinar:Overview of the Medicare programIntake process for Medicare beneficiariesOrdersDocumentationUnderstanding local coverage determinationsAdvance Determination of Medicare Coverage (ADMC)ResourcesTo register for the "DMEPOS Medicare 101 Intake Process webinar, please click on or paste the following link into your Internet Browser:http://www.ngsmedicare.com/ADC/EventList.aspx?fromdate=12/1/2009&todate=12/31/2009&display=Month&type=public&eventidn=824&view=
EventDetails&information_id=1103 The second webinar, Billing Process, will take place on Thursday, December 17th, from 10:00 a.m. – 11:30 p.m. Eastern Time (ET). The objective of this webinar is to identify the processes and resources necessary for DMEPOS suppliers to successfully submit claims and obtain payment from Medicare. The following topics will be reviewed during the Billing Process webinar:Claim submissionHow to become an electronic claim submitterAdditional Documentation Requests (ADRs)Steps to correct a denied claimThe appeals processThe overpayment and recovery processResourcesWeb-based training saves your office time and travel expenses by providing you with the latest information without having to leave the office. We encourage you to join us, and appreciate the opportunity to serve you better! To register for the "DMEPOS Medicare 101 Billing Process webinar, please click on or paste the following link into your Internet Browser:http://www.ngsmedicare.com/ADC/EventList.aspx?fromdate=12/1/2009&todate=12/31/2009&display=Month&type=public&eventidn=825&view=
EventDetails&information_id=1105 Both trainings are offered free of charge and space is limited so sign up today! Note: Once you are on the Events Calendar page, click the link for the event for which you wish to register and follow these instructions:On the Events Details page , click the icon above the dark blue line on the page that says Register . A new screen will pop up entitled, Event Registration Form , please fill out all required information and click <Submit>.The Event Registration Form-Confirmation screen will appear.Verify your entries and click <Submit> at the bottom of the registration screen.A new screen will appear, Event Registration – Thank you! to very successful registration.An email confirmation will immediately be sent to the email address you provided.Review and print the email confirmation – Do not delete the confirmation as it contains the dial in instructions.

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Jurisdiction B News: Small Supplier PECOS ACT Registration Available

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Jurisdiction B News: Small Supplier PECOS ACT Registration Available

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Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors: Common Electronic Data Interchange (CEDI) Observance of Thanksgiving

Common Electronic Data Interchange (CEDI) Observance of Thanksgiving

In observance of Thanksgiving, National Government Services, Inc. offices will be closed on Thursday, November 26, 2009 and Friday, November 27, 2009.

The CEDI Help Desk will reopen on Monday, November 30, 2009 at 9:00 a.m. eastern time (ET) for normal business hours.

The CEDI Gateway will be open for trading partners to exchange transactions on Thursday, November 26, 2009 and Friday, November 27, 2009.

Claims for all DME MAC Jurisdictions received by CEDI after 5:00 p.m. ET on Wednesday, November 26, 2009 through 5:00 p.m. ET on Friday, November 27, 2009 will be delivered to all DME MAC Jurisdictions on Friday, November 27, 2009 with a receipt date of Friday, November 27, 2009.

DME MAC Jurisdiction A, B, and D

DME MAC Jurisdictions A, B, and D will observe Thursday, November 26, 2009 and Friday, November 27, 2009 as a holiday and claim cycles will not run.

Reports produced by DME MAC Jurisdictions A, B, and D for all claims received between 5:00 p.m. ET on Wednesday, November 26, 2009 through 5:00 p.m. ET on Monday, November 30, 2009 will available for download on Tuesday, December 1, 2009.

Electronic Remittance Advices produced by Jurisdictions A, B and D with the Wednesday, November 25, 2009 cycle will be available Friday, November 27, 2009. The next ERAs produced by Jurisdictions A, B, and D will be available on Tuesday December 1, 2009.

DME MAC Jurisdiction C

DME MAC Jurisdiction C will observe Thursday, November 26, 2009 as a holiday but will run claim cycles on Friday, November 27, 2009.

Reports produced by DME MAC Jurisdiction C for all claims received on Friday, November 27, 2009 will be available for download on Monday, November 30, 2009.

Reports produced by DME MAC Jurisdiction C for all claims received from 5:00 p.m. ET on Friday, November 27, 2009 through 5:00 p.m. ET on Monday, November 30, 2009 will be available for download on Tuesday, December 1, 2009.

Electronic Remittance Advices produced by Jurisdiction C with the Wednesday, November 25, 2009 cycle will be available Friday, November 27, 2009.

Electronic Remittance Advices produced by Jurisdiction C with the Friday, November 27, 2009 cycle will be available Monday, November 30, 2009.

Thank you,
National Government Services, Inc.
Corporate Communications

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