Wednesday, September 30, 2009

DME MAC Jurisdiction C News

Revised ICD-10-CM/PCS: An Introduction Fact Sheet The revised publication titled ICD-10-CM/PCS: An Introduction Fact Sheet (August 2009) is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0909/cope10758.html

New Webinars!

Documentation Requirements Webinar
Medicare 101 Webinar
Medicare 102 Webinar
Medical Review Webinar
CERT Webinar
Webinars de Medicare 101 y Medicare 102 (en Español)
Webinar de Revisión Médica (en Español)

http://www.cignagovernmentservices.com/jc/education/webinars.html
http://www.cignagovernmentservices.com/jc/education/webinars_sp.html

Important Revision to MLN Matters Special Edition Article SE0925 - A revised MLN Matters Special Edition article (SE0925) containing Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program is now available. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0909/cope10765.html

Sent on Behalf of CEDI: Wednesday, September 30, 2009 - CEDI Outage for October 2009 Quarterly Release Implementation - On Wednesday, September 30, 2009, CEDI will bring down the CEDI Gateway at 5:00 p.m. until no later than 11:59 p.m. (ET) to install updates for the October 2009 quarterly release. During this time Trading Partners will be unable to connect and exchange transactions with CEDI.. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0909/cope10754.html

REVISED: Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0925.pdf

Special Open Door Forum: Medicare DMEPOS Competitive Bidding Program Bidders' Conference — How a Bid is Evaluated - The fifth in a series of Special Open Door Forums (ODF), which serve as bidders' conferences, to provide information on the durable medical equipment, prosthetics, orthotics, and supplies competitive bidding program will be held on September 29, 2009, from 2:00 pm – 3:00 pm EDT. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0909/cope10753.html

Medicare Provider Feedback Town Hall Meeting Medicare Provider Feedback Town Hall Meeting - The Centers for Medicare & Medicaid Services (CMS) requests your participation in a Town Hall meeting on October 29, 2009, from 2:00 PM to 4:00 PM (Eastern Time). Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0909/cope10752.html

Important Appeals Links - A new section providing a list of important appeals links has been added to the DME MAC Jurisdiction C Appeals Page.
http://www.cignagovernmentservices.com/jc/claims/appeals.html#IAL

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Jurisdiction B News: Activation of New COBA Trading Partner Dispute Error Code

MLN Matters Number: MM6640Related Changed Request (CR) #: 6640Related CR Release Date: September 25, 2009Effective Date: October 26, 2009Related CR Transmittal #: R562OTNImplementation Date: October 26,2009 Activation of New Coordination of Benefits Agreement (COBA) Trading Partner Dispute Error Code Within the National Crossover Process
To view this MLN Matters article, you may click on the link below or paste the following into your Internet browser:
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6640.pdf
This article will also be available on the National Government Services Web site within two business days. http://www.NGSMedicare.com

Remember! National Government Services' Jurisdiction B DME MAC List Serve is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank you!

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Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Wednesday, September 30, 2009 - CEDI Outage for October 2009 Quarterly Release Implementation

On Wednesday, September 30, 2009, CEDI will bring down the CEDI Gateway at 5:00 p.m. until no later than 11:59 p.m. (ET) to install updates for the October 2009 quarterly release. During this time Trading Partners will be unable to connect and exchange transactions with CEDI.

Please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at 866-311-9184 for more information.

Thank you,
National Government Services, Inc.
Corporate Communications

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Jurisdiction B News: Revised ICD-10-CM/PCS: An Introduction Fact Sheet

Revised ICD-10-CM/PCS: An Introduction Fact Sheet
(200909-35)

The revised publication titled ICD-10-CM/PCS: An Introduction Fact Sheet (August 2009), which provides general information about the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) including benefits of adopting the new coding system, structural differences between ICD-9-CM and ICD-10-CM/PCS, and implementation planning recommendations, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit http://www.cms.hhs.gov/MLNGenInfo/, scroll down to Related Links Inside CMS and select MLN Product Ordering Page. If you are unable to access the hyperlink in this message, please copy and paste the url into your Internet browser.

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Jurisdiction B News: Important Revision to MLN Matters Article SE0925

Subject: Important Revision to MLN Matters Special Edition Article SE0925 A revised MLN Matters Special Edition article (SE0925) containing Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program is now available. This article has been revised to include and emphasize important information regarding voluntary and non-voluntary enrollments/terminations. Please see the article located at: http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0925.pdf on the CMS website.

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Revised ICD-10-CM/PCS: An Introduction Fact Sheet Available in Print

The revised publication titled ICD-10-CM/PCS: An Introduction Fact Sheet (August 2009), which provides general information about the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) including benefits of adopting the new coding system, structural differences between ICD-9-CM and ICD-10-CM/PCS, and implementation planning recommendations, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit http://www.cms.hhs.gov/MLNGenInfo/ , scroll down to "Related Links Inside CMS" and select "MLN Product Ordering Page." If you are unable to access the hyperlink in this message, please copy and paste the URL into your Internet browser.

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If you received this message as part of the All FFS Providers listserv, you are currently subscribed to one of eighteen Medicare Fee-For-Service provider listservs. If you would like to be removed from all NIH listservs, please go to (https://list.nih.gov/LISTSERV_WEB/signoff.htm) to unsubscribe. If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/show_list_archives) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.hhs.gov/ContactCMS). Thank you.

Tuesday, September 29, 2009

FW: Jurisdiction B News: PR-16 - Claim Denials

Where is this NTE segment on our billing program?

--
Traci Thornsbury RN, BSN
Professional Home Medical Supplies
PO Box 2645, 336 Town Mtn Rd
Pikeville, KY 41502
606-433-0203 fax 606-432-3881
-------------- Forwarded Message: --------------
From: "Jurisdiction B DME MAC" <dmemaclistserve@anthem.com>
To: phms@bellsouth.net
Subject: Jurisdiction B News: PR-16 - Claim Denials
Date: Tue, 29 Sep 2009 20:14:29 +0000

PR-16 Claim Denials Supplies and Accessories Used with Beneficiary-Owned Equipment The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) recently published an article addressing documentation requirements for supplies used with beneficiary owned equipment. The article only addressed equipment that was not paid for by MedicareFee-for-Service (i.e., only equipment that was paid for by other insurance or by the beneficiary). For supplies and accessories used with beneficiary owned equipment that was not paid for by Medicare Fee-for-Service, all of the following information must be submitted with the initial claim in Item 19 on the CMS-1500 claim form for paper claim submitters or in the NTE segment for electronic claim submitters: Â· HCPCS code of base equipment; and,Â· A notation that the equipment is beneficiary owned; and,Â· Date the patient obtained the equipment. Example: E0601 Beneficiary Owned 01/01/2006 Claims for supplies and accessories must include all three pieces of information listed above. Claims lacking any one of the above elements will be denied with ANSI code PR-16 with a remittance remark code of M124, which indicates the charge is denied because it is missing an indication of whether the patient owns the equipment that requires the part or supply. In the past, the only course of action suppliers had to correct these issues was to go through the appeals process. However, on Friday, May 8, 2009 a change was made to the Medicare claims processing system which will now allow suppliers the opportunity to simply resubmit these claims for payment with the additional information in Item 19 or the NTE segment. Suppliers can receive payment quicker if they refile these claims. If you have previously submitted a claim that received this denial to redeterminations and would rather resubmit the claim you may do so, as opposed to waiting for a redetermination decision. If you choose to refile your claim(s), National Government Services will simply dismiss your request for redetermination.

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Memphis Medicare Survival Guide Workshop

In response to popular demand, the CIGNA Government Services Provider Outreach and Education team is pleased to offer expanded registration for our October 7, 2009 Medicare Survival Guide Workshop in Memphis, TN. Learn more and register here!
http://www.cignagovernmentservices.com/jc/pubs/news/2009/0209/cope9322.html

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Jurisdiction B News: PR-16 - Claim Denials

PR-16 Claim Denials Supplies and Accessories Used with Beneficiary-Owned Equipment The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) recently published an article addressing documentation requirements for supplies used with beneficiary owned equipment. The article only addressed equipment that was not paid for by MedicareFee-for-Service (i.e., only equipment that was paid for by other insurance or by the beneficiary). For supplies and accessories used with beneficiary owned equipment that was not paid for by Medicare Fee-for-Service, all of the following information must be submitted with the initial claim in Item 19 on the CMS-1500 claim form for paper claim submitters or in the NTE segment for electronic claim submitters: · HCPCS code of base equipment; and,· A notation that the equipment is beneficiary owned; and,· Date the patient obtained the equipment. Example: E0601 Beneficiary Owned 01/01/2006 Claims for supplies and accessories must include all three pieces of information listed above. Claims lacking any one of the above elements will be denied with ANSI code PR-16 with a remittance remark code of M124, which indicates the charge is denied because it is missing an indication of whether the patient owns the equipment that requires the part or supply. In the past, the only course of action suppliers had to correct these issues was to go through the appeals process. However, on Friday, May 8, 2009 a change was made to the Medicare claims processing system which will now allow suppliers the opportunity to simply resubmit these claims for payment with the additional information in Item 19 or the NTE segment. Suppliers can receive payment quicker if they refile these claims. If you have previously submitted a claim that received this denial to redeterminations and would rather resubmit the claim you may do so, as opposed to waiting for a redetermination decision. If you choose to refile your claim(s), National Government Services will simply dismiss your request for redetermination.

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Jurisdiction B News: PR-16 - Claim Denials

PR-16 Claim Denials Supplies and Accessories Used with Beneficiary-Owned Equipment The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) recently published an article addressing documentation requirements for supplies used with beneficiary owned equipment. The article only addressed equipment that was not paid for by MedicareFee-for-Service (i.e., only equipment that was paid for by other insurance or by the beneficiary). For supplies and accessories used with beneficiary owned equipment that was not paid for by Medicare Fee-for-Service, all of the following information must be submitted with the initial claim in Item 19 on the CMS-1500 claim form for paper claim submitters or in the NTE segment for electronic claim submitters: · HCPCS code of base equipment; and,· A notation that the equipment is beneficiary owned; and,· Date the patient obtained the equipment. Example: E0601 Beneficiary Owned 01/01/2006 Claims for supplies and accessories must include all three pieces of information listed above. Claims lacking any one of the above elements will be denied with ANSI code PR-16 with a remittance remark code of M124, which indicates the charge is denied because it is missing an indication of whether the patient owns the equipment that requires the part or supply. In the past, the only course of action suppliers had to correct these issues was to go through the appeals process. However, on Friday, May 8, 2009 a change was made to the Medicare claims processing system which will now allow suppliers the opportunity to simply resubmit these claims for payment with the additional information in Item 19 or the NTE segment. Suppliers can receive payment quicker if they refile these claims. If you have previously submitted a claim that received this denial to redeterminations and would rather resubmit the claim you may do so, as opposed to waiting for a redetermination decision. If you choose to refile your claim(s), National Government Services will simply dismiss your request for redetermination.

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Jurisdiction B News: Important Information about DMEPOS Supplier Accreditation

MLN Matters Number: SE0925 REVISEDRelated Changed Request (CR) #: N/ARelated CR Release Date: N/AEffective Date: N/ARelated CR Transmittal #: N/AImplementation Date: N/A Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program To view this MLN Matters article, you may click on the link below or paste the following into your Internet browser:http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0925.pdf This article will also be available on the National Government Services Web site within two business days. http://www.NGSMedicare.com

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Jurisdiction B News: HCPCS Code E1028 Used for Multiple Items -- REVISED

HCPCS Code E1028 Used for Multiple Items -- REVISED

The Healthcare Common Procedure Coding System (HCPCS) code E1028 is defined as manual swingaway, retractable, or removable mounting hardware for a joystick, other power wheelchair control interface, or positioning accessory. Fixed mounting hardware is included in the allowance for these codes. E1028 represents an incremental upcharge when specialty hardware is substituted for fixed hardware. This hardware can be used with many components on a power wheelchair. Multiple items may be billed on the same claim using this code.

When submitting a claim with multiple items that must be coded with HCPCS code E1028, the following instructions must be applied.Each different item (i.e., swingaway hardware for a medial thigh support, swingaway hardware for lateral trunk supports, retractable joystick mount, etc.) billed as an E1028 must be submitted on a separate claim line.Each E1028 claim line must include a narrative description of the item, including the brand name, make/model, and the part number.
Suppliers who bill claims electronically should enter the narrative information in the NTE segment of the electronic claim. Suppliers who submit paper claims should indicate the narrative information in Item 19 of the CMS-1500 claim form. Claims submitted without this required information will be denied.

For additional information on the different items that may be billed using HCPCS code E1028, refer to the Coding Guidelines section of the Wheelchair Options and Accessories Policy Article located on the National Government Services Web site at: http://www.ngsmedicare.com/NGSMedicare/dme_lcd/L27223_active_sia.htm or the Durable Medical Equipment Coding System (DMECS) at: https://www.dmepdac.com/index.html.

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DME MAC Jurisdiction C News

Register now for association sponsored workshops in Raleigh, NC and Richmond, VA! CIGNA Government Services (CGS) Provider Outreach and Education (POE) is excited to announce two new workshops for suppliers in North Carolina and Virginia. These workshops, titled "Keeping Up with what's New in the Medicare World", are all day educational events geared toward improving your knowledge of the Medicare program. Read more...
http://www.cignagovernmentservices.com//jc/pubs/news/2009/0909/cope10751.html

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Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Common Electronic Data Interchange (CEDI) Front-end Editing for Ordering/Referring Providers

In compliance with the Centers for Medicare and Medicaid Services (CMS) Change Request, CR6421, and as supplement to the information provided within the MLN Matters article - Expansion of the Current Scope of Editing for Ordering/Referring Providers, MM6421, previously communicated, the following are new edits that will appear on the CEDI GenResponse Report (GENRPT) should one of the situations described be encountered.

These edits/errors will set as a WARNING message until January 1, 2010, after which time, if the edit is received, the claim will be rejected.

If one of the errors is received, and there are no other errors on the claim(s) that would result in a rejection, the claim(s) will appear in the CLAIMS WITH WARNINGS section of the CEDI GENRPT and the assigned Claims Control Number/ Internal Control Number (CCN/ICN) will appear in the ICN field beneath the claim information in this section and will not be found within the CLAIMS WITHOUT ERRORS section.

If one of the below errors is received and there are other error(s) on the claim(s) that resulted in the claim(s) being rejected, these warning errors will appear listed with the other claim error(s) in the CLAIMS WITH ERRORS section of the CEDI GENRPT and a CCN/ICN will not be assigned.

After January 1, 2010 these edits will no longer be WARNINGS and will result in claim rejection and be returned in the CLAIMS WITH ERRORS section.

Although these errors are only being returned as a WARNING and will not be rejecting claims at this time, it is imperative that these warnings be followed up on by Providers and/or Trading Partners and action taken to ensure the Providers/Suppliers being used to Order/Refer services are on file with Medicare Provider Enrollment, Chain and Ownership System (PECOS) as authorized to do so.

Edit/Error Code C200 shall set at the 2310A (Referring Provider), if present, and the submitted NPI (NM1-09) and name (NM1-03/04) are not found on the CMS supplied file of Providers/Suppliers who are authorized to Order/Refer services for Medicare

-Error Description: REFERRING PROVIDER NOT AUTHORIZED

Edit/Error Code C201 shall set at the 2310F (Referring Provider), if present, and the submitted NPI (NM1-09) and name (NM1-03/04) are not found on the CMS supplied file of Providers/Suppliers who are authorized to Order/Refer services for Medicare

-Error Description: REFERRING PROVIDER NOT AUTHORIZED

Edit/Error Code C202 shall set at the 2420E (Ordering Provider), if present, and the submitted NPI (NM1-09) and name (NM1-03/04) are not found on the CMS supplied file of Providers/Suppliers who are authorized to Order/Refer services for Medicare

-Error Description: ORDERING PROVIDER NOT AUTHORIZED

For more information, view the MLN article by clicking on the link below or pasting the following into your Internet browser:

http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6421.pdf

For more information about the edits, please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at 866-311-9184.

Thank you,
National Government Services, Inc.
Corporate Communications

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Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Wednesday, September 30, 2009 - CEDI Outage for October 2009 Quarterly Release Implementation

Please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at 866-311-9184 for more information.

Thank you,
National Government Services, Inc.
Corporate Communications

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Jurisdiction B News: Medicare Provider Feedback Town Hall Meeting

MEDICARE PROVIDER FEEDBACK
TOWN HALL MEETING (200909-34)October 29, 20092:00 - 4:00 PM ET The Centers for Medicare & Medicaid Services (CMS) requests your participation in a Town Hall meeting on October 29, 2009, from 2:00 PM to 4:00 PM (Eastern Time). The meeting will be held via conference call as well as in the auditorium at the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244. The purpose of the meeting is to capture individual provider feedback on relevant Fee-for-Service (FFS) Medicare policy and operational issues. By doing so, we advance CMS efforts to enhance our relationship with providers and suppliers. This Town Hall meeting also provides a venue to allow CMS staff to engage individual providers and suppliers through the following year. This meeting is open to all Medicare FFS providers and suppliers that participate in the Medicare program. The agenda topics include: 5010, ICD-10, Medicare Contracting Reform: Lessons Learned from Medicare Administrative Contractor (MAC) Implementations, Recovery Audit Contractors (RACs), Provider Communications, and Program Integrity as noted in the September 25, 2009 Federal Register Notice. Meeting agenda and discussion materials will be available to download at http://www.cms.hhs.gov/center/provider.asp by October 23, 2009. CMS will conduct a discussion session at the meeting that offers meeting participants an opportunity to provide feedback on agenda topics. Please note: Due to time constraints not all participants will have an opportunity to speak, but written submissions will be accepted at MFG@cms.hhs.gov through November 6, 2009. CMS will give consideration to feedback received, but written responses will not be provided. Meeting Registration DetailsAll participants must pre-register for the meeting through on-line registration located at https://registration.intercall.com/go/cms2. Registration will open on September 28, 2009 and will close on October 23, 2009. Registered participants may be contacted for follow-up meetings to solicit additional individual opinions and clarify any issues that may arise during the October 29th Town Hall meeting. Upon registering, you will receive a confirmation page to indicate the completion of your registration. Please print this page as your registration receipt. We encourage you to complete your registration as soon as possible. Registration after 5:00 p.m. on October 23, 2009 will not be accepted. Meeting Participation DetailsAll persons attending the meeting in person will be required to show a photographic identification (a valid driver's license or passport). Further details can be found in the September 25, 2009 Federal Register Notice. All persons participating via conference call will receive dial-in information with their confirmation email. Additional Questions/InformationFor questions or additional information about the Medicare Provider Feedback Town Hall Meeting, please send an email to MFG@cms.hhs.gov----------------------------------------------------------------Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

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NAS DME Update

NAS DME Jurisdiction D E-mail List

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CMS Open Door Forum - October 21, 2009

The next CMS Home Health, Hospice & DME Open Door Forum is scheduled for:

Date: Wednesday, October 21, 2009

Start Time: 2 p.m. ET

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkVuEVFlpVxrVsBJEF&tmpl=dme_viewnews&style=part_ab_viewnews

Jurisdiction D Happenings, Issue 23, Now Available

Jurisdiction D Happenings, Issue 23, is found on our DME Web site in the News/Publications section in a PDF format. The bulletin contains educational material, claim submission reminders, reimbursement and coverage updates and much more for suppliers in Jurisdiction D. The bulletin also includes a Table of Contents that is both alphabetized and sorted by topic to allow for quick access.

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkVuEVFlVEyaofqcZl&tmpl=dme_viewnews&style=part_ab_viewnews

Monday, September 28, 2009

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Wednesday, September 30, 2009 - CEDI Outage for October 2009 Quarterly

Release Implementation

On Wednesday, September 30, 2009 CEDI will bring down the CEDI Gateway at 5:00

p.m. until no later than 11:59 p.m. (ET) to install updates for the October

2009 quarterly release. During this time Trading Partners will be unable to

connect and exchange transactions with CEDI.

Please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at

866-311-9184 for more information

Thank you,

National Government Services, Inc.

Corporate Communications

If you want to update your profile or unsubscribe from any of our lists, you

will first need to set up a password for your account. To do this, click on the

select one of the following:

Â§ Login - existing / transferred subscribers can obtain a new password

and subscribe or unsubscribe from lists

Â§ Manage Account - change personal information such as your address or

phone number

Â§ Join - new subscribers can create an account and subscribe to lists

Please do not reply to this e-mail. National Government Services' Listserv is

for outgoing messages only. Please do not respond back to messages as your

response will not be answered, as this is not an authorized mode of

communication at this time.

CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is

for the sole use of the intended recipient(s) and may contain confidential

and privileged information or otherwise be protected by law. Any

unauthorized review, use, disclosure or distribution is prohibited. If you

are not the intended recipient, please contact the sender by reply e-mail

and destroy all copies of the original message.

Important Revision to MLN Matters Special Edition Article SE0925

A revised MLN Matters Special Edition article (SE0925) containing Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program is now available. This article has been revised to include and emphasize important information regarding voluntary and non-voluntary enrollments/terminations. Please see the article located at: http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0925.pdf on the CMS website.

---------------------------------------------------------------------------------------------------------------ÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂÂ---------------------------------------------------------------

Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

Jurisdiction B News: DMEPOS Competitive Bidding Program Bidders' Conference

Special Open Door Forum: Medicare DMEPOS Competitive Bidding Program Bidders Conference—How a Bid is Evaluated (200909-33) REMINDER: The fifth in a series of Special Open Door Forums (ODF), which serve as bidders' conferences, to provide information on the durable medical equipment, prosthetics, orthotics, and supplies competitive bidding program will be held on September 29, 2009, from 2:00 pm – 3:00 pm EDT. At this Special ODF, we will walk through the bid evaluation process. This will include discussions about the components of bid evaluation and calculations of the single payment amounts.
The PowerPoint presentation for this Special ODF is now available on the Competitive Bidding Implementation Contractor (CBIC) web site. We encourage those who will be participating to print out the PowerPoint presentation before the Special ODF. For more information on this presentation and other educational activities, please visit the CBIC web site, http://www.dmecompetitivebid.com/ Special Open Door Participation Instructions:Dial: 1-800-837-1935 & Reference Conference ID: 23045547Note: TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help. An audio recording of this Special Forum will be posted to the Special Open Door Forum website at http://www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp and will be accessible for downloading beginning Wednesday October 7, 2009. For Open Door Forum schedule updates, E-Mailing list subscriptions, and to view Frequently Asked Questions please visit our website at http://www.cms.hhs.gov/opendoorforums/.Thank you for your interest in CMS Open Door Forums.
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DME MAC Jurisdiction C News

The CIGNA Government Services Provider Contact Center for Jurisdiction C DME MAC will be closed for Customer Service staff training and in observance of the Columbus Day holiday on Monday, October 12, 2009. This closure will be for the entire day.

This training closure will help to ensure that our Customer Service Representatives (CSRs) are fully informed on the most recent Medicare regulations and changes so that they may better serve you.

Although you will be unable to speak to a Customer Service Representative (CSR) during this time, please remember that our Interactive Voice Response (IVR) unit will remain operational to provide you with information that does not require CSR assistance.

In addition, due to the call center closure on Monday, October 12, 2009, CIGNA Government Services Jurisdiction C Provider Contact Center will not be closed Thursday morning October 15, 2009 for the regularly scheduled call center staff training.

We will advise you via the website, ListServ, and our IVR of any additional schedule changes. Your continued support of our efforts to ensure you receive optimal service is appreciated.

Thank you for visiting www.cignagovernmentservices.com!

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Medicare Provider Feedback Town Hall Meeting

MEDICARE PROVIDER FEEDBACK TOWN HALL MEETING

October 29, 2009

2:00 - 4:00 PM ET

The Centers for Medicare & Medicaid Services (CMS) requests your participation in a Town Hall meeting on October 29, 2009, from 2:00 PM to 4:00 PM (Eastern Time). The meeting will be held via conference call as well as in the auditorium at the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244.

The purpose of the meeting is to capture individual provider feedback on relevant Fee-for-Service (FFS) Medicare policy and operational issues. By doing so, we advance CMS' efforts to enhance our relationship with providers and suppliers. This Town Hall meeting also provides a venue to allow CMS staff to engage individual providers and suppliers through the following year. This meeting is open to all Medicare FFS providers and suppliers that participate in the Medicare program.

The agenda topics include: 5010, ICD-10, Medicare Contracting Reform: Lessons Learned from Medicare Administrative Contractor (MAC) Implementations, Recovery Audit Contractors (RACs), Provider Communications, and Program Integrity as noted in the September 25, 2009 Federal Register Notice. Meeting agenda and discussion materials will be available to download at http://www.cms.hhs.gov/center/provider.asp by October 23, 2009.ࠠ CMS will conduct a discussion session at the meeting that offers meeting participants an opportunity to provide feedback on agenda topics.

Please note: Due to time constraints not all participants will have an opportunity to speak, but written submissions will be accepted at MFG@cms.hhs.gov through November 6, 2009. CMS will give consideration to feedback received, but written responses will not be provided.

Meeting Registration Details

All participants must pre-register for the meeting through on-line registration located at http://registration.intercall.com/go/cms2. Registration will open on September 28, 2009 and will close on October 23, 2009. Registered participants may be contacted for follow-up meetings to solicit additional individual opinions and clarify any issues that may arise during the October 29th Town Hall meeting.

Upon registering, you will receive a confirmation page to indicate the completion of your registration. Please print this page as your registration receipt. We encourage you to complete your registration as soon as possible. Registration after 5:00 p.m. on October 23, 2009 will not be accepted.

Meeting Participation Details

All persons attending the meeting in person will be required to show a photographic identification (a valid driver's license or passport). Further details can be found in the September 25, 2009 Federal Register Notice. All persons participating via conference call will receive dial-in information with their confirmation email.

Additional Questions/Information

For questions or additional information about the Medicare Provider Feedback Town Hall Meeting, please send an email to MFG@cms.hhs.gov

Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

MLN Matters Article - Implementation of Version 5010 for Transaction 835

MLN Matters Number: MM6589

Related Changed Request (CR) #: 6589

Related CR Release Date: September 4, 2009

Effective Date: January 1, 2010

Related CR Transmittal #: R550OTN

Implementation Date: January 4, 2010

Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice

To view this MLN Matters article, you may click on the link below or paste the following into your Internet browser http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6589.pdf.

Thank you,

National Government Services, Inc.
Corporate Communications

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Friday, September 25, 2009

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Wednesday, September 30, 2009 - CEDI Outage for October 2009 Quarterly Release Implementation

Please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at 866-311-9184 for more information.

Thank you,
National Government Services, Inc.
Corporate Communications

§ Login - existing / transferred subscribers can obtain a new password and subscribe or unsubscribe from lists

§ Manage Account - change personal information such as your address or phone number

§ Join - new subscribers can create an account and subscribe to lists

Daily CMS NEWS

Wednesday, September 30, 2009

DME MAC Jurisdiction C News

Jurisdiction B News: Activation of New COBA Trading Partner Dispute Error Code

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Jurisdiction B News: Revised ICD-10-CM/PCS: An Introduction Fact Sheet

Jurisdiction B News: Important Revision to MLN Matters Article SE0925

Revised ICD-10-CM/PCS: An Introduction Fact Sheet Available in Print

Tuesday, September 29, 2009

FW: Jurisdiction B News: PR-16 - Claim Denials

Memphis Medicare Survival Guide Workshop

Jurisdiction B News: PR-16 - Claim Denials

Jurisdiction B News: PR-16 - Claim Denials

Jurisdiction B News: Important Information about DMEPOS Supplier Accreditation

Jurisdiction B News: HCPCS Code E1028 Used for Multiple Items -- REVISED

DME MAC Jurisdiction C News

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Jurisdiction B News: Medicare Provider Feedback Town Hall Meeting

NAS DME Update

Monday, September 28, 2009

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Important Revision to MLN Matters Special Edition Article SE0925

Jurisdiction B News: DMEPOS Competitive Bidding Program Bidders' Conference

DME MAC Jurisdiction C News

Medicare Provider Feedback Town Hall Meeting

MEDICARE PROVIDER FEEDBACK TOWN HALL MEETING

October 29, 2009

2:00 - 4:00 PM ET

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

Friday, September 25, 2009

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

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MEDICARE PROVIDER FEEDBACK TOWN HALL MEETING

October 29, 2009

2:00 - 4:00 PM ET

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