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General Announcements
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Additional LCD and Policy Article Revisions Summary for March 26, 2009
Additional LCD and Policy Article Revisions Summary for March 26, 2009
Outlined in this article is a summary of the principal changes to several DME Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. Please review the entire LCD and each related Policy Article for complete information.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFlylFZuETBZXhVeO&tmpl=dme_viewnews&style=part_ab_viewnews
Reason Remark Resource
A Reason Remark Resource has been created to assist the supplier community with better understanding why claims are being denied and how to prevent those denials on future claims submissions.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFlyluyEEpcZjoNJi&tmpl=dme_viewnews&style=part_ab_viewnews
Notifying CEDI for Registering New PTAN/NSC Numbers
If you are a DME Supplier who has received a new Provider Transaction Authentication Number (PTAN)/National Supplier Clearinghouse (NSC) number, you must notify Common Electronic Data Interchange (CEDI) Enrollment of the new PTAN/NSC number and its associated National Provider Identifier (NPI). The new PTAN/NSC number must also be linked to the NPI in the National Plan and Provider Enumeration System (NPPES).
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFlyluZZpGOZAXcuY&tmpl=dme_viewnews&style=part_ab_viewnews
Ask the Contractor Q&A - February 18, 2009
The questions and answers from the February 18, 2009, Ask the Contractor Teleconference call are now available.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFlylVyuVHWTqBoDJ&tmpl=dme_viewnews&style=part_ab_viewnews
Instructions for Utilizing 837 Professional Claim Adjustment Segments (CAS) for Medicare Secondary Payer (MSP) Part B Claims (This CR rescinds and fully replaces CR6211) MLN Matters 6427
This article is based on Change Request (CR) 6427 which informs Medicare contractors about the changes necessary to derive Medicare Secondary Payer (MSP) payment calculations from incoming 837 4010-A1 claims transactions.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM6427.pdf
Instructions for Utilizing 837 Professional Claim Adjustment (CAS) Segments for Medicare Secondary Payer (MSP) Part B Claims MLN Matters 6211 - Revised
This article was rescinded on March 27, 2009, when the related CR 6211 was rescinded. CR 6211 was replaced by CR 6427, which may be found at http://www.cms.hhs.gov/transmittals/downloads/R67MSP.pdf on the CMS Web site. The related MLN matters article may be found at http://www.cms.hhs.gov/MLNMattersArticles/downloads/mm6427.pdf on the CMS Web site.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM6211.pdf
Interactive Voice Response Tas Identification Number Implementation on April 6, 2009
In accordance with CR 6139, on April 6, 2009, suppliers will be required to provide the last 5-digits of their Tax Identification Number (TIN) along with their National Provider Identifier (NPI) and Provider Transaction Access Number (PTAN) when accessing the Interactive Voice Response (IVR) line. To implement the TIN requirement, the IVR will be unavailable for a short time on the morning of April 6, 2009. The interruption will occur from 6:30 a.m. to 7:00 a.m. Central Time.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFlyAkZlVuKlctPHV&tmpl=dme_viewnews&style=part_ab_viewnews
Modifier CR for Catastrophe Related Claims - Floods
In light of recent flooding in North Dakota, suppliers are reminded that the modifier CR signifies that a claim is due to a catastrophe or is related to a disaster. Reporting this modifier will indicate emergency health care needs and facilitate Medicare claims processing for victims of a disaster.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkFlyAFkpyRvypkNxF&tmpl=dme_viewnews&style=part_ab_viewnews
Other Topics
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CMN and DIF Appeals Cost $1.4 million.
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Tips to Reduce Denials Read More: https://www.noridianmedicare.com/dme/news/docs/2008/10-oct/cmn_dif_denials_cost_suppliers.html
Supplier Manual Chapter 4; CMN and DIF Forms Read More: https://www.noridianmedicare.com/dme/news/manual/chapter4.html
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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April 10, 2009, in observance of the Good Friday holiday
April 17, 2009, from 8 a.m. - 12 p.m. CT for CMS-approved training (Contact Center only)
Electronic Billing Questions?
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See the CEDI, National Government Services, Web site at http://www.ngscedi.com/ for resources, FAQs, manuals, and more!
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