DME MAC Jurisdiction C News

 DME MAC Jurisdiction C News

Crossover Claims Impacted by Common Working File (CWF) Pacific Host Site Problem: The Centers for Medicare & Medicaid Services (CMS) is alerting all providers, physicians, and suppliers to a problem that occurred on May 4, 2009, and would have negatively impacted their patients' crossover claims. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0609/cope10049.html

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Get Ready for DMEPOS Competitive Bidding! The Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program Round 1 Rebid is coming soon. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0609/cope10050.html

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 CIGNA Government Services to End Corrections for Incorrectly Billed Capped Rental Modifiers (KH, KI, and KJ): CIGNA Government Services has identified an increase in billing errors related to the inappropriate use of the capped rental K modifiers. During our review of K modifier usage, it was determined that many suppliers use the same modifier on each monthly billing and rely on CIGNA Government Services to correct billing errors. Effective with claims received on or after August 10, 2009, we will no longer provide corrections and will deny claims that are not billed with the appropriate K modifier with ANSI reason code 182, remark code N56. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0609/cope10053.html

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 Helpful Hints for Nebulizer Drug Claims: At CIGNA Government Services, we are committed to providing the most proficient and timely service possible. To improve our level of service and exceed customer expectations, we continuously evaluate data to identify opportunities for improvement. One issue we have identified is an increase in the number of appeal requests received for nebulizer drugs. Therefore, we would like to share some pointers to help ensure your nebulizer drug claims are processed timely, accurately, and without the need for an appeal. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0609/cope10055.html

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July Quarterly Update for 2009 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6511.pdf

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October Quarterly Update to 2009 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6503.pdf

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New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for July 2009 Update
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6477.pdf

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