NAS DME Jurisdiction D E-mail List
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Oxygen
Oxygen Claims - Instructions on Resubmitting Subsequent Rental Months if Initial Month Paid With RA or RP Modifier
This article provides instructions for suppliers to resubmit oxygen rental claims for subsequent months if they have received payment for the initial replacement month (the claim with the RA or RP modifier).
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkukFkukAEEBeOfBSB&tmpl=dme_viewnews&style=part_ab_viewnews
General Announcements
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Beneficiary Request for Refill of Supplies, Accessories, and Drugs
This article provides information on beneficiary requests for refills of supplies, accessories, and drugs.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkukFpkyyVcwvkzZEe&tmpl=dme_viewnews&style=part_ab_viewnews
Ask the Contractor Teleconference for Small Suppliers on May 20, 2009
On Wednesday, May 20, 2009, at 3:00 pm CT, NAS will conduct the DME Ask the Contractor Teleconference to assist small suppliers.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkukFpkZlEctkSZNbL&tmpl=dme_viewnews&style=part_ab_viewnews
Reminder and New/Revised Materials for ICD-10-CM/PCS Conference Call
Providers may now register for the Centers for Medicare & Medicaid Services ICD-10-CM/PCS Implementation and General Equivalence Mappings (Crosswalks) National Provider Conference Call that will be conducted on May 19, 2009 from 1:00 p.m. - 2:30 p.m. Eastern Daylight Time.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkukFpklAlHwMKCKtd&tmpl=dme_viewnews&style=part_ab_viewnews
Training Medicare Patients on Use of Home Glucose Monitors and Related Billing Information SE0905
This Special Edition article is being provided to help clarify the physician's role in prescribing and/or providing blood glucose self-testing equipment and supplies and diabetes self-management training (DSMT) covered for Medicare Beneficiaries with diabetes. The article reminds providers and suppliers about who may bill for DSMT and gives an overview of this benefit.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/SE0905.pdf
Mandatory Claims Submission and its Enforcement SE0908
CMS is issuing this special edition article to remind physicians and suppliers of the Medicare requirements for mandatory electronic claims submission and its enforcement. The Social Security Act (Section 1848(g)(4)) requires that claims be submitted for all Medicare patients for services rendered on or after September 1, 1990. This requirement applies to all physicians and suppliers who provide covered services to Medicare beneficiaries, and the requirement to submit Medicare claims does not mean physicans or suppliers must accept assignment.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/SE0908.pdf
Clarification About the Medical Policy of Protected Health Information - Revised SE0726
The purpose of this Special Edition (SE) article, SE0726, is be sure that heath care providers are aware of the helpful guidance and technical assistance materials the U.S. Department of Health and Human Services (HHS) has published to clarify the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/SE0726 Revised.pdf
Modification of the Common Working File (CWF) Copybook to Transmit "WC" Qualifier Alpha Codes to Various Systems MLN Matters 6438
This article is based on CR 6438 and is informational only for providers. In order to prevent Medicare's paying primarily for future medical expenses that should be covered by workers' compensation Medicare set-aside arrangements (WCMSA), a prior instruction from Medicare, CR 5371, provided your Medicare contractors with instructions on the creation of a new Medicare Secondary Payer (MSP) code in Medicare's claims processing systems. With the creation of the new MSP code, CMS has the capability to discontinue conditional payments for diagnosis codes related to WCMSA settlements.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM6438.pdf
Diabetic Supplies Beneficiary Form
Two patient documentation forms for insulin and non-insulin using beneficiaries have been created to help suppliers obtain the appropriate documentation needed for diabetic patients.
Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkukFFpuVZKAIppXoU&tmpl=dme_viewnews&style=part_ab_viewnews
Other Topics
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New Reason Remark Resource
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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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May 18, 2009, from 8 a.m. - 12 p.m. CT for CMS-approved training (Contact Center only)
May 25, 2009 - NAS closed in observance of Memorial Day
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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