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Friday, November 20, 2009

NAS DME Update



NAS DME Jurisdiction D E-mail List
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Subscribed Interests
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Healthcare Common Procedure Coding System (HCPCS) Code Q2024 for Small Dose Bevacizumab (Avastin)

Effective immediately, the Centers for Medicare & Medicaid Services (CMS) no longer recognizes Healthcare Common Procedure Coding System (HCPCS) Code Q2024 Bevacizumab (Avastin®) for payment of nonoutpatient hospital claims.
Calendar Year (CY) 2010 Fee Schedule Update for DMEPOS MLN Matters 6720

This article, based on CR 6720, advises you of the CY 2010 annual update for the Medicare DMEPOS fee schedule. The instructions include information on the data files, update factors, and other information related to the update of the DMEPOS fee schedule.
Update to Medicare Deductible, Coinsurance, and Premium Rates for 2010 MLN Matters 6690

This article is based on Change Request (CR) 6690, which provides the Medicare rates for deductible, coinsurance, and premium payment amounts for calendar year (CY) 2010.
Therapy Cap Values for Calendar Year (CY) 2010 MLN Matters 6660

This article is based on Change Request (CR) 6660 which describes the policy for outpatient therapy caps for 2010 and announces that therapy caps for 2010 will be $1860. Billing staff should be aware of these revised caps.
January 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files MLN Matters 6708

This article is based on Change Request (CR) 6708, which instructs Medicare contractors to download and implement the January 2010 ASP drug pricing file for Medicare Part B drugs; and if released by the Centers for Medicare & Medicaid Services (CMS), also the revised October 2009, July 2009, April 2009, and January 2009 files.
Covered Document Review Date for the Round 1 Rebid of the DMEPOS Competitive Bidding Program is Coming Soon

If you are a supplier bidding in the Round 1 Rebid of the Medicare DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) Competitive Bidding Program, you must submit your hardcopy financial documentation by November 21, 2009, in order to be eligible to be notified if you have any missing documents.
Message to Providers on H1N1 Outreach

The Department of Health and Human Services thanks you for your work in communities across the country.  As this year's flu season continues, we want to provide you with up-to-date information about the new 2009 H1N1 virus, and also give you some easy-to-read information with the hope that it will reach people who need it the most.  
Other Topics
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Electronic Data Interchange

Claim Status Category Code and Claim Status Code Update MLN Matters 6723
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Common Abbreviations to Use as Narratives
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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)
    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

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