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Friday, December 18, 2009

NAS DME Update



NAS DME Jurisdiction D E-mail List
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NSC Corrective Action Plan and Reconsideration Process

Please be advised that submitting a Corrective Action Plan (CAP)/Reconsideration request prior to the scheduled revocation date will not necessarily circumvent the revocation of your Medicare billing privileges.
Competitive Bidding Documents

Important Notice for DMEPOS Competitive Bidding

This notice applies to all suppliers bidding in the Round 1 Rebid of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program.
Claim Crossover Process

CMS reminds all providers, physicians, and suppliers to allow sufficient time for the Medicare crossover process to work - approximately 15 work days after Medicare's reimbursement is made, as stated in MLN Matters Article SE0909 - before attempting to balance bill their patients' supplemental insurers.
New MLN Booklet: How to Use Medicare Coverage Database Search Tool

Do you ever wonder about how to utilize search tools in selected areas of the CMS Web site? The searchable Medicare Coverage Database (MCD) contains all Medicare National Coverage Determinations (NCDs), National Coverage Analyses (NCAs), Local Coverage Determinations (LCDs), and local policy articles. The Medicare Learning Network (MLN) has produced a "How To" booklet (2.5 MB), that provides an explanation of the MCD, as well as how to use the Search, Indexes, Reports and Downloads features.
Revised Guided Pathways Booklets Now Available

Revised Guided Pathways (NOV2009) booklets now available at http://www.cms.hhs.gov/MLNEdWebGuide/30_Guided_Pathways.asp.
Change to DME CSI User Request Form Instructions

NAS Data Security has updated the instructions for the Part A Direct Data Entry (DDE), Part B Professional Provider Telecommunication Network (PPTN), & DME Claim Status Inquiry (CSI) User Request Form. The updated instructions apply to the DME CSI users only.
CARC, RARC and MREP Update MLN Matters 6742

Several claim adjustment reason code and reason remark code narratives have been updated with an effective date of January 1, 2010.

Expansion of Current Scope of Editing for Ordering/Referring Providers for DMEPOS Suppliers' Claims MLN Matters 6421 Revised

This article was revised on December 11, 2009, to reflect an extension of phase 1 and a delay in implementing phase 2 of CR 6417. All other information remains the same.
Claim Status Category Code and Claim Status Code Update MLN Matters 6723

This article was revised on December 15, 2009, to reflect a revised CR 6723 that was issued on December 14. The CR release date, transmittal number, and the Web address for accessing CR 6723 were revised. All other information remains the same.
Other Topics
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Electronic Data Interchange

Avoid Diagnosis Code CEDI Rejections
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Enteral Nutrition: Ensure Correct DIF is On File
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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 and Telephone Reopening Closures
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    12/18/09 from 8 a.m. - 12 p.m. for training (Supplier Contact Center only)
    12/24/09 for training and 12/25/09 in observance of the Christmas holiday
    Daily: 11:45 a.m. - 12:30 p.m. CT (Telephone Reopenings 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

Upcoming Changes
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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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