NAS DME Jurisdiction D E-mail List
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General Announcements
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New Repair and Replacement Modifiers
Effective for claims with dates of service on/after January 1, 2009, the RP modifier will no longer be accepted for the use of repair and replacement.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFpZulVuAYisDLHFA&tmpl=dme_viewnews&style=part_ab_viewnews
2009 DMEPOS Fee Schedule Changes Overview
NAS provides additional clarification on the changes in Medlearn Matters 6270, including new modifiers and guidelines on when to use the KE modifier.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/2009 DMEPOS Fee Schedule Changes Overview.pdf
HCPCS Codes Selected for Competitive Bidding in 2008 Receiving 9.5% Reduction in 2009
The items listed are those that were included in Round 1 of the DMEPOS Competitive Bidding Program. A 9.5% reduction applies to these items furnished on/after January 1, 2009, in any geographical area.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/HCPCS Codes Selected for Competitive Bidding in 2008 Receiving 9.5 Reduction in 2009.pdf
New OCR Guidance on the HIPAA Privacy Rule and the Electronic Exchange of Health Information
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has published new HIPAA Privacy Rule guidance as part of the Department's Privacy and Security Toolkit to implement The Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information (Privacy and Security Framework).
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFpyVllluNismtxQl&tmpl=dme_viewnews&style=part_ab_viewnews
CMS Announces Accreditation Clarification
CMS recently released a Technical Direction Letter (TDL) providing clarification to the accreditation requirements for suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies. Suppliers enrolled with the National Supplier Clearinghouse (NSC) prior to March 1, 2008, must submit accreditation documentation to the NSC no later than October 1, 2009. Also detailed in the TDL are additional supplier types that require accreditation.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFpyVAppZHsNToBJN&tmpl=dme_viewnews&style=part_ab_viewnews
Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals
The revised Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals (October 2008), which offers general information about the Medicare Program, becoming a Medicare provider or supplier, Medicare reimbursement, Medicare payment policies, evaluation and management services, protecting the Medicare Trust Fund, inquiries, overpayments, and appeals, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFpyVApZVtFIUaIxA&tmpl=dme_viewnews&style=part_ab_viewnews
Changes in Payment for Oxygen Equipment and Additional Instructions Regarding Payment for DMEPOS MLN Matters 6297
CMS alerts providers that all awarded supplier contracts for the DMEPOS Competitive Bidding Program are terminated, provides guidance on changes in the payment of oxygen and oxygen equipment, and introduces the RA and RB modifiers, which replace the RP modifier, effective January 1, 2009.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM6297.pdf
January 2009 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files MLN Matters 6288
Medicare contractors are instructed to download and implement the January 2009 Average Sales Price (ASP) drug pricing file for Medicare Part B drugs; and if released by CMS, also the revised October 2008, July 2008, April 2008, and January 2008 files.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM6288.pdf
Other Topics
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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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January 1 in observance of New Years Day
January 9 for CMS-approved training from 8 a.m. - 12 p.m. (Supplier Contact Center only)
January 19 for CMS-approved training from 8 a.m. - 12 p.m. (Supplier Contact Center only)
Electronic Billing Questions?
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