DME MAC Jurisdiction C News

 DME MAC Jurisdiction C News

CMS' Dedicated Website for Information & Education on Versions 5010, D.0 and 3.0 Now Available!

 5010: Taking EDI to the Next Level: CMS has launched its website for agency-wide information and education on Versions 5010, D.0 and 3.0. As you may already know, Version 5010 is the new version of the X12 standards for HIPAA transactions; version D.0 is the new version of the National Council for Prescription Drug Program (NCPDP) standards for pharmacy and supplier transactions; and version 3.0 is a new NCPDP standard for Medicaid pharmacy subrogation. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0709/cope10318.html

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HCPCS Code K0823 - Service Specific Pre-Pay Review: CIGNA Government Services, the Jurisdiction C DME MAC, will be implementing a service-specific prepayment edit for Healthcare Common Procedure Coding System (HCPCS) code K0823 (Power wheelchair, Group 2 standard, captains chair, patient weight capacity up to and including 300 pounds). This edit is the result of data demonstrating a high claims payment error rate for this power wheelchair product category. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0709/cope10319.html

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