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Tuesday, November 3, 2009

NAS DME Update



NAS DME Jurisdiction D E-mail List
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Subscribed Interests
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Mobility Devices

Medical Review Probe Findings on K0823

The NAS Jurisdiction D Medical Review department conducted a Service Specific prepayment probe review for HCPCS K0823, power wheelchair, group 2 standard, captain's chair, weight capacity up to and including 300 pounds. This was a selection of multiple supplier submitted claims based on a specific service that were reviewed for medical necessity.
General Announcements
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Male External Catheter - A4326 - Coding and Utilization Guidelines

The article, "Male External Catheter - A4326 - Coding and Utilization Guidelines," published on October 7, 2009, has been retired effective October 9, 2009.
IRS B-Notice

Attention: Suppliers Who Received a Letter from NAS and a Copy of the IRS B-Notice
NAS is required to provide an IRS Form 1099-MISC to each supplier who receives payment of $600 or more in a calendar year. The IRS Form 1099-MISC is an official tax document and as such, the name and Taxpayer Identification Number (TIN) information on the Form1099-MISC that is issued by NAS must exactly match the information on file with the IRS.
Reasonable Charge Update for 2010 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses MLN Matters 6691

Change Request 6691 instructs contractors on how to calculate reasonable charges for the payment of claims for splints, casts, dialysis supplies, dialysis equipment, and intraocular lenses furnished in calendar year 2010.
Web Site Survey - Share Your Thoughts Regarding Tools Implemented in 2009

NAS encourages suppliers to complete the randomly distributed ForeSee Results survey that pops up when navigating the Web site. Enhancements to the NAS DME Web site, https://www.noridianmedicare.com/dme, are made based on comments received from this survey. Review the summary of the enhancements made during 2009, visit the Web site, take the survey, and continue sharing what works well and ideas for improvement.
Other Topics
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Electronic Data Interchange

Ordering/Referring Provider Case Sensitive Edits
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Documentation Checklists Assist in Gathering Medical Records
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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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    November 20, 2009, from 8 a.m. - 12 p.m. CT for CMS-approved training (Supplier Contact Center only)

Workshops
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Tell NAS where, how, and what topics you want workshops on: http://www.surveymonkey.com/s.aspx?sm=HtqIIW7uv6fE52pDD9bb3w_3d_3d

Medicare Partners
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CBIC: Competitive Bidding Implementation Contractor (Competitive Bidding): http://www.dmecompetitivebid.com/palmetto/cbic.nsf/DocsCat/Home

CEDI: Common Electronic Data Interchange (Electronic Billing): http://www.ngscedi.com/

CERT: Comprehensive Error Rate Testing (Claim Payment Review): http://www.certcdc.com/certproviderportal/pages/

NSC: National Supplier Clearinghouse (Supplier Enrollment): http://www.palmettogba.com/nsc

PDAC: Pricing, Data Analysis and Coding (HCPCS Coding Assistance): https://www.dmepdac.com/

QIC: Qualified Independent Contractor (Reconsiderations): http://www.rivertrustsolutions.com/

RAC: Recovery Audit Contractor (Claim Processing Review): http://www.healthdatainsights.com/

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www.noridianmedicare.com

About this Blog

This blog shows most if not all of the announcements sent via the various email Mailservers.