DMERC/MAC Updates

• Jurisdiction B News: Jurisdiction B Parenteral Nutrition Widespread Review
  Jurisdiction B Parenteral Nutrition Widespread Review
• CMS Policy Revision on Nebulizers
  MESA Memo
• Jurisdiction B News: March 2007 Oxygen Contents
• Jurisdiction B News: CMS Approves transition timeline for DME MAC Jurisdiction C
• NPIs Are Being Submitted Incorrectly on the New CMS 1500 Claim Forms (Paper Claim Submitters Only)
• Region C Council Meeting Update
• DMERC Redetermination Request Tips
  Palmetto GBA
• The New Revised CMS 1500 (08-05) Claim Form is Now Available
• Rocky transition for region D MAC
  HME NewsWire
• Jurisdiction B News: DME MAC MSP Transition and Dark Days Information
• Capped Rental & Supplier Standard #5 Information
• Clarification Relating to the Use of the New Certificates of Medical Necessity (CMNs) and DME MAC Information Forms (DIFs) - Effective January 1, 2007
• AdminaStar Federal To Become National Government Services January 1, 2007
• 2007 DMEPOS Fee Schedule
• To ensure that your Medicare enrollment application is processed timely, you should:
• Jurisdiction B News: Claims Submitted With Only a NPI
• Jurisdiction B News: Upcoming Changes in Payment for Oxygen Equipment
• Revised Fee Schedule Amounts for PMDs
• Reopenings and Revisions of Claim Determinations and Decisions
• Important Information Regarding Competitive Bidding and the Supplier Information Listed with the NSC
• Region A/B DME PSC Bulletin September 2006
• Jurisdiction B News You Can Use: Redetermination Documentation for Mobility
• Medicare payment hold begins September 22.
• Deficit Reduction Act of 2005 - 9-Day Payment Hold
  This message is a reminder for all providers who bill Medicare contractors for their services.
• Receipt of the Standard Paper Remittance (SPR) Advice
• Important Information Regarding the Transition to the DMEMACs
• Attention All Suppliers - DME MAC Transition Dark Days
• Frequently Asked Questions-Jurisdiction B DME MAC Transition
• Ask the Contractor Teleconference - Changes to the CMS-1500
• Region C Update
  May, 2006
• DMERC B Contact Information
  June, 2006 Update
• Top 10
  Region B DMERC
• Administer Federal
  Administer Federal
• Quarterly Medicare Summary Notice (MSN) Printing Cycle
  AdminaStar Federal
• MLN Matters: DRA of 2005 Summary of O2/DME Payment Changes
• Important Information Regarding the Transition to the DME MACs, July 1, 2006
• Important News – Ask the Contractor Teleconference - Changes to the CMS-1500 Claim Form
• National Provider Identifier (NPI) Stage 2 for Electronic Billers
• Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications
• Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor Transition
• CMS has announced the release of the revised CMS 855 Medicare enrollment applications.
• Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor Transition
• Options for Physicians/Suppliers Who Receive Both an Electronic Remittance and a Paper Remittance
• New DRA Provider "Education" Document Released
  O2 & Capped Rental Detail
• Release of Draft Nebulizer LCD
• Electronic Funds Transfer (EFT) Re-enrollment Required.
  MAC Region A
• Release of Draft Nebulizer LCD
• Electronic Funds Transfer (EFT) Re-enrollment Required.
  MAC Region A
• TriCenturion – New Program Safeguard Contractor for Region B DMERC
• TriCenturion – New Program Safeguard Contractor for Region B DMERC
• RATC Update: CMS Issues Instructions to DMERCs about Power Mobility Claims
• Change Payment Floor Date for Paper Claims
  Effective January 1, 2006
• Hold on Medicare Payments
  September 22,2006 - September 30, 2006.
• Change Payment Floor Date for Paper Claims
  27th day to the 29th date after receipt of a claim.
• Q & A about Provisions from Budget Bill that Affect Capped Rental HME and Home Oxygen
• Region D DME Benefit Integrity Support Center
• CMS revises payment classification for RADs
• CMS REVISES PAYMENT CLASSIFICATION OF CERTAIN RESPIRATORY ASSIST DEVICES
  Bi-level with backup now capped
• CMS Announces New DMEPOS Contractors
• Nebulizer Drugs: Albuterol and Ipratropium
  January 1, 2006 - DuoNeb
• Supplying Fee/Dispensing Fee Revisions & Clarifications
  Oral anti-cancer chemotherapeutic drugs, oral anti-emetic drugs, immunosuppressive drugs, or inhalation drugs
• Power Mobility Devices – Grace Period for Implementation of the Interim Final Rule
• MMA - Evidence of Medical Necessity: Power Wheelchair and Power Operated Vehicle (POV)/Power Mobility Device (PMD) Claims
  Implementation occurs on October 25, 2005.
• MMA - New G Code for Power Mobility Devices (PMDs)
• SADMERC Medical Director: Power Chair Coding Is Job One
  HomeCare Monday
• Status of Activities Related to Power Mobility Devices (PMDs)
  October 14, 2005
• WHEELCHAIR CMN TRANSITION CONFERENCE CALL FOR
• Region C Council Q & A, July 20, 2005
• Power Mobility Devices – Documentation Requirements
  On or after October 25, 2005
• National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
• MMA - Evidence of Medical Necessity: Power Wheelchair and Power Operated Vehicle (POV)/Power Mobility Device (PMD) Claims
  Update
• National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
• Power Mobility Devices – Draft LCD – Corrections
  (September 14 original release)
• Wheelchair CMNs – Transition Instructions
• NEW POWER MOBILITY DEVICE CODES
  Testing
• Power Mobility Device Draft Local Coverage Determination
• Power Mobility Device Draft Local Coverage Determination
  Includes Link To Draft Policy
• Pennsylvania`s Senators Ask CMS for Clarity on Mobility Documentation
• CPAP KX MODIFIER USAGE AND DOCUMENTATION
• CMS, DMERC officials disagree over PWC policy
  HME News
• Overnight Oximetery Testing
• Redetermination Reminder: Capped Rental Items
• Average Wholesale Pricing (AWP)
• DMERC doc clarifies PWC documentation
  HME News
• CMS Eliminates Specialist Requirement to Prescribe Scooters, POVs
• DNF - "Do Not Forward" Initiative
  and ICD-9 Diagnosis Codes - New Specificity Guidelines
• ICD-9-CM Annual Update
  Update applies October 1, 2005
• Physician Specialist Requirements for Power Operated Vehicles Are Posted
• Region C DMERC DMEPOS Supplier Manual Update
  Summer 2005
• CMS Releases New Educational Guide on Remittance Advice (RA) Notices
• National Supplier Clearinghouse Advisory Committee (NSCAC) Meeting With NSC
  April 7, 2005
• CMS transitioning plans for NPI
• Transitioning to the Mobility Assistive Equipment National Coverage Determination
• July 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
• AdminaStar Federal’s Written Correspondence Reminders
  Oxygen Claim Denials
• Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea
• DMERCS wait on NCD instructions from CMS
  HME News
• 2005 2nd Quarter Average Sale Price (ASP) Drug Revisions
• CMS Releases New Mobility Coverage Policy
  HomeCare Monday
• SADMERC Swamped with Coding Reviews
  HomeCare Monday
• Extended Response Times for SADMERC Coding Verification Reviews
• PCOM Advisory Group Meeting, April 20, 2005
  Palmetto GBA in Columbia, SC
• SADMERC talks up 49 new PWC codes
  HME News
• Region B DMERC 2005 DMEPOS Drug Fees
  April 18, 2005
• CMS Change Request 3607 and How this Change Affects Suppliers of O&P
• 2005 Oxygen Fee Schedule Update
• DMERC IVR for Oxygen & Nutrition- Installation Complete
• Palmetto GBA Region C Council Meeting Minutes
  January 19, 2005
• CMS grants portable concentrator a K code
  HME News 3/7/2005
• CMS Redraws Medicare Carrier Map
  HomeCare Magazine
• Electronic Claim Reminders
• Appeal Process & Tips
  Supplier Number Deactivation
• Examples of correct billing units for J7616 (Duoneb)
  Palmetto GBA
• Modifications to Duplicate Editing for Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Anti-Emetic, Immunosuppressive, and Inhalation Drugs
• FAQ: Respiratory Assist Devices
• Proof of delivery requirements - Update
  Region C Council Q & A, November 17, 2004
• Region C Council Q & A, November 17, 2004
• Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished Under an
  Implementation Date: January 24, 2005
• New Inhalation Drug Therapy Codes and Fees Take Effect
• 2005 Payment Amounts for Oxygen and Oxygen Equipment
  2005 Update
• 1) National Coverage Analysis (NCA) Tracking Sheet for Mobility Assistance Devices (CAG-00274N)
• January 2005 Average Sales Price (ASP) Pricing File for Medicare Part B Drugs.
• Medicare Region B DMERC / Region B Council Frequently Asked Questions
  December 2, 2004
• Advance Determination of Medicare Coverage and Wheelchair Seating Policy
• 2005 Codes for Cushions and Backs
  Effective January 1, 2005
• Region B DMERC Revised Medical Policies
  Effective January 1, 2005
• Inappropriate Access to or Use of Electronic Data Interchange (EDI) Transaction Data by Third Party Entities
• Q: What is Medigap?
• AdminaStar Federal Update
  November 22, 2004
• 2005 DMEPOS Fee Schedule Posted on VGM Website
• January 2005 Quarterly Average Sales Price (ASP) Update
• 2004 Fee Schedule Amounts for Wheelchair Seat and Back Cushions
  Effective November 12, 2004
• Items Requiring A Written Order Prior To Delivery
• WHEELCHAIR SEATING – CODING AND PRICING CHANGES
  TriCenturion Update
• Inappropriate Access to or Use of Electronic Data Interchange (EDI) Transaction Data by Third Party Entities for DMERC
• MMA-January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2005 for DMERC
• Important Change Request for O&P Practitioners
  Payment to Providers/Suppliers Qualified to Bill Medicare for Prosthetics and Certain Custom-Fabricated Orthotics
• Wheelchair Seating – Coding and Pricing Changes
  November Update
• Wheelchair Seating – Coding and Pricing Changes
• Invalid Diagnosis Code Editing – Second Phase
• CMS Announces Medicare Part B Wheelchair Seating Policy Update
• CMS ANNOUNCES REVISION TO WHEELCHAIR
• CMS Revises Wheelchair Cushion Fees
  HomeCare Monday
• Open the HCPCS Coding Process, Stakeholders Say
  HomeCare Monday
• Treatment of Obesity
• Clarification of Proof of Delivery Requirements
• New seating codes bring grief to providers
  HME News, plus tips from Pehhy Walker
• Revising the Healthcare Common Procedure Coding System (HCPCS) Process
  CMS Special Open Door Forum
• Summary of Power Wheelchair Coding Meeting
  September 1, 2004 CMS Public Meeting
• New Codes For Power Wheelchairs
  Reference Document
• Interim Medicare Fee Schedule Slashes Cushion Reimbursement
  HomeCare Monday
• CMS PUBLISHES INTERIM WHEELCHAIR CUSHION FEE SCHEDULE*
• Questions and Answers Regarding Coding and Payment for Wheelchair Cushions
• DMERC EDI Enrollment Status On-line Request Form
• Appeal Process
  The NSC has posted updated information
• CMS eliminating 90-day grace period ICD-9-CM codes,
  Effective October 1, 2004
• Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year (CY) 2005 for DMERC
• DMERC Overpayment Refund Form
  Begin using this new form October 1, 2004
• APPROVED NSCAC MEETING MINUTES WITH THE NSC
  8/10/04 CONFERENCE CALL
• Wheelchair Seating Policy – Correction
  September 2004 Supplier Manual update
• Redetermination Requests
  Beginning October 1, 2004, "Reviews" will now become known as "Redeterminations."
• Filing Disaster Claims
• MMA- Section 937 - Correction of Minor Errors and Omissions without Appeals for DMERC
• Questions & Answers from Region B Coucil.
  September 7, 2004
• Region B DMERC Top Claim Submission Error Summary Report
• Destination: Medicare, A Durable Medical Equipment, Home Health and Hospice Symposium presented by Palmetto GBA
• EDI Enrollment Forms Reminder
• Wheelchair Seating – Policy Revision
  Tricenturian
• Reminder - Elimination of the 90-day Grace Period for Billing Discontinued ICD-9-CM Codes
• Region B DMERC Fall Open House
• Extended repayment plan (ERP) checklist now available
  Overpayments
• Assignment of Benefit Form - Clarifications
• Destination: Medicare, A Durable Medical Equipment, Home Health and Hospice Symposium presented by Palmetto GBA
• Region B DMERC Fall Open House
  Date:Wednesday, September 15, 2004
• Assignment of Benefit (AOB) Form
• DMERC Claim Entry Software Update - August 2004
  Users of low-cost billing software must migrate to the new HIPAA-compliant software
• Region B DMERC Open House
  Indianapolis, on Wednesday, September 15, 2004.
• Interactive Voice Response Updates: Checks Issued Information
• Top Five Region B DMERC Supplier Inquiries
• Region B DMERC Fall Open House
  Wednesday, September 15, 2004
• Notice of New Interest Rates for Medicare Overpayments and Underpayments
  August 9, 2004 rate is now 11.75%
• CALL FOR QUESTIONS FOR REGION B COUNCIL MEDICARE
• Palmetto GBA DMERC Region C Provider Communications (PCOM) Advisory Group Meeting Minutes
  July 14, 2004
• MMA- Section 937 - Correction of Minor Errors and Omissions Without Appeals
  AdminaStar Federal
• DME Supplier BiPAP Alert
• Region B DMERC Responses To Wheelchair Seating Policy Issues From Region B Council Rehab A Team
  July 12, 2004
• Medicare Replacement Drug Demonstration
• CMS / SADMERC Update – NEW Medicare Policy for Wheelchair Seating
• Instructions for Medicare Payments Sent to a Bank
• ICD-9-CM Update
• PACES Software Update - June 2004
  Payment to take 13 additional days
• Top Ten Claim Submission Errors and Billing Tips
  Region B
• Reporting Medicare Secondary Payer Information on the Health Insurance Portability and Accountability Act of 1996 X12N 837, Created Via the Free Billing Software
• The 2004 Region C DMEPOS Fee Schedule Third Quarter updates are now available on the Palmetto GBA Web site.
• Region B DMERC "News You Can Use"
  June 7, 2004
• Correction to the Annual DMEPOS Fee Schedule Update for 2004
  Update factor
• Qualifications for Diabetic Footwear Suppliers
• Palmetto GBA Information Dispatch
  May 14, 2004 Update
• HIPAA TCS Update
  Palmetto GBA Information Dispatch for Friday, May 14, 2004
• DMERCs Processing of National Drug Code (NDC) Numbers
• July Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics and
• Supplier Proof of Delivery Documentation Requirements
• Medical Review Question/Answers
  from the DMERC Medicare Update Seminar held in Indianapolis, Indiana on April 29, 2004
• 2004 Drug Fee Update for HCPCS codes J1563, J1564, J8520 and J8521
• ALERT: OCR Reminder for Proper Submission of Claims
• DMERC Duplicate Claims
  Provider Action Needed
• Implementation of the new Medicare Redetermination Notice
• What is the DAC?
  The Medicare Region D DMERC Advisory Committee (DAC)
• Medicare Coverage Update
  Continuous Positive Airway Pressure Therapy for Obstructive Sleep Apnea
• CMS Considering Changes to Wheelchair Policy
  HomeCare Monday
• Palmetto GBA Region C Council Meeting Minutes
  April 14, 2004

Important News from CMS

• CMS Sets August 31st as Accreditation Deadline for NCB
• NPI “Contingency Plan” Announced
• CMS Policy Revision on Nebulizers
  MESA Memo
• CMS Developing Competitive Bidding Implementation Website
  Multi-purpose site designed for suppliers, referral sources, beneficiaries
• CMS Requests Public Comment on the Revised Advance Beneficiary Notice (ABN)
• Jurisdiction B News: CMS Approves transition timeline for DME MAC Jurisdiction C
• NPIs Are Being Submitted Incorrectly on the New CMS 1500 Claim Forms (Paper Claim Submitters Only)
• The New Revised CMS 1500 (08-05) Claim Form is Now Available
• CMS Reminder: Keep Supplier Information Up to Date
• CMS surveys providers on contractor performance
  HME News
• NUCC Releases Updates to the Health Care Provider Taxonomy Code Set
• Additional Provider Education for Upcoming Changes in Payment for Oxygen Equipment and Capped Rentals for Durable Medical Equipment (DME) Based on the Deficit Reduction Act (DRA) of 2005
• Accreditation: `There is no more waiting`
  HME News
• CMS boosts PMD pricing
  HME News
• CMS released further revisions to the new power mobility device (PMD) fee schedules
• Jurisdiction B News: Claims Submitted With Only a NPI
• Jurisdiction B News: Upcoming Changes in Payment for Oxygen Equipment
• Implementation of PMD Policies in Effect
• CMS Announces Payment Changes for Medicare Home Health Services and Certain Medical and Oxygen Equipment
• Reopenings and Revisions of Claim Determinations and Decisions
• Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle (POV) Claims
  Implementation Date: October 16, 2006
• Important Information Regarding Competitive Bidding and the Supplier Information Listed with the NSC
• NSC Top Ten Development Issues
• National Supplier Clearinghouse – NPI & CMS855S Update
• CODE RED: CMS SLASHES PMD PRICING
  HME NewsWire
• Medicare Issues Revised Local Coverage Determinations (LCD) for Power Mobility Devices
• Jurisdiction B News You Can Use: Update on Power Mobility Device and HCPCS
• Region A/B DME PSC Bulletin September 2006
• Pricing Sources for New HCPCS Codes for Power Wheelchairs Posted for Public Review and Comment
• Medicare payment hold begins September 22.
• Deficit Reduction Act of 2005 - 9-Day Payment Hold
  This message is a reminder for all providers who bill Medicare contractors for their services.
• MMA - Coverage for Home Use of Oxygen Included in Clinical Trials
  "Medlearn Matters"
• Wheelchair CMNs - New Instructions
• New Power Mobility Codes Issued
• Attention All Suppliers - DME MAC Transition Dark Days
• Overview of the DMEPOS Reenrollment Process
  Suppliers must enroll every three years
• National Provider Identifier (NPI) Countdown
• Deficit Reduction Act (DRA) of 2005 - Payment for Oxygen Equipment and Capped Rentals for DME
  General Provider Education for Changes
• MLN Matters: DRA of 2005 Summary of O2/DME Payment Changes
• Important Information Regarding the Transition to the DME MACs, July 1, 2006
• National Provider Identifier (NPI) Stage 2 for Electronic Billers
• Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications
• BILLING NUMBER INFORMATION
  "PIN" and NPI Update
• CMS has announced the release of the revised CMS 855 Medicare enrollment applications.
• CMS has announced approved drug vendor information for the Competitive Acquisition Program (CAP.)
• CMS Announces Efforts to Streamline and Improve the Medicare Enrollment Process
• New DRA Provider "Education" Document Released
  O2 & Capped Rental Detail
• Medicare to Stop Mailing Standard Paper Remittance
  June 1, 2006,
• Form CMS-1500 (12-90) is being revised
• Nebulizers: CMS Issues Draft Local Coverage Determination
• RATC Update: CMS Issues Instructions to DMERCs about Power Mobility Claims
• CMS 855 Application Prescreening Process
  Effective February 11, 2006
• Change Payment Floor Date for Paper Claims
  Effective January 1, 2006
• Payment Provisions in the Original Medicare Program Immediately Affected by the Deficit Reduction Act
  2006 Fact Sheet
• Hold on Medicare Payments
  September 22,2006 - September 30, 2006.
• Change Payment Floor Date for Paper Claims
  27th day to the 29th date after receipt of a claim.
• Q & A about Provisions from Budget Bill that Affect Capped Rental HME and Home Oxygen
• Region D DME Benefit Integrity Support Center
• BIPAP CAP
• CMS revises payment classification for RADs
• CMS REVISES PAYMENT CLASSIFICATION OF CERTAIN RESPIRATORY ASSIST DEVICES
  Bi-level with backup now capped
• CMS Announces New DMEPOS Contractors
• Medicare Contractor Provider Satisfaction Survey (MCPSS)
  New annual survey
• Inherent Reasonableness (IR) Final Rule
• Supplying Fee/Dispensing Fee Revisions & Clarifications
  Oral anti-cancer chemotherapeutic drugs, oral anti-emetic drugs, immunosuppressive drugs, or inhalation drugs
• CMS Issues Clarification on Inhalation Drug Dispensing Fee
• Lawmakers delay decision on key PWC provision
  HME News
• Comment period closes for PWC rule
• Committee drops PWC reimbursement cut
• Power Mobility Devices – Grace Period for Implementation of the Interim Final Rule
• MMA - Evidence of Medical Necessity: Power Wheelchair and Power Operated Vehicle (POV)/Power Mobility Device (PMD) Claims
  Implementation occurs on October 25, 2005.
• MMA - New G Code for Power Mobility Devices (PMDs)
• CMS delays implementing new PWC codes
• Status of Activities Related to Power Mobility Devices (PMDs)
  October 14, 2005
• Proposed PWC reg holds docs accountable
  HME NewsWite
• MMA - Evidence of Medical Necessity: Power Wheelchair and Power Operated Vehicle (POV)/Power Mobility Device (PMD) Claims
  Update
• National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
• Power Mobility Devices – Draft LCD – Corrections
  (September 14 original release)
• CMS Releases Draft of HME Supplier Quality Standards
• Wheelchair CMNs – Transition Instructions
• Power Mobility Device Draft Local Coverage Determination
• Power Mobility Device Draft Local Coverage Determination
  Includes Link To Draft Policy
• CMS Announces Special Open Door Forum on Power Mobility Devices
• CMS Interim Final Rule, “Conditions for Payment of Power Mobility Devices”
  RATC Update
• CMS drops CMN for power chairs
  HME News
• New Regulation on Power Mobility
• Overnight Oximetery Testing
• CMS: HME suppliers may deliver overnight pulse oximetry testing units to patients` homes
• CMS Eliminates Specialist Requirement to Prescribe Scooters, POVs
• DNF - "Do Not Forward" Initiative
  and ICD-9 Diagnosis Codes - New Specificity Guidelines
• ICD-9-CM Annual Update
  Update applies October 1, 2005
• New Address for ALJ Hearings Request
  Effective June 30, 2005
• CMS: Any kind of physician can prescribe a scooter
  HME Newswire
• FAQs: Mobility Assistive Equipment (MAE)
  June 2005
• CMS cuts DuoNeb reimbursement
  HME News
• CMS transitioning plans for NPI
• July 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
• Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea
• OIG Begins Survey of Inhalation Drug Services; Accurate Response Is Critical
  AAHomecare
• CMS Releases Mobility Coverage Criteria; AAHomecare Will Continue Push to End "In-the-Home" Restriction
• DMERCS wait on NCD instructions from CMS
  HME News
• Long-awaited NCD draws criticism over `in-the-home` language
  HME News
• CMS Releases New Mobility Coverage Policy
  HomeCare Monday
• CMS: No sleep screening in the home
  HME News
• CMS Medlearn Matters Article on News DME Codes, Fees
• CMS expected to green light in-home oximetry
  HME News
• SADMERC Swamped with Coding Reviews
  HomeCare Monday
• CMS has finalized its decision not to expand coverage for in-home sleep testing
• Changes to AOB Regulations
• CMS delays issuing new PWC coverage criteria
  HME News
• SADMERC talks up 49 new PWC codes
  HME News
• CMS Change Request 3607 and How this Change Affects Suppliers of O&P
• 2005 Oxygen Fee Schedule Update
• Edwards: New Power Chair Codes Designed for Flexibility
  HomeCare Monday
• CMS prepares to release new coverage criteria for PWCs
  HME News
• Medicare keeps respiratory drug pricing stable
  HME News
• Power Wheelchair Coding Initiative (2004)
  SADMERC Frequently Asked Questions
• Providers wait: Still no word on Medicare oxygen cuts
  HME News
• Industry comments on proposed PWC criteria
  HME News 3/7/2005
• CMS grants portable concentrator a K code
  HME News 3/7/2005
• CMS Releases Interim Final Rule on Claims Appeal Reform
  HomeCare Monday 3/7/2005
• CMS proposes new wheelchair coverage criteria; PWC codes
  HME News
• The NSC TOP TEN
  "Reoccuring issues" that delay HME provider enrollment
• Expedite Power Chair Coverage Decision, Stakeholders Say
• CMS Resumes Oxygen Claims Processing
  HomeCare Monday
• CMS Update Regarding Oxygen Payments for 2005
  CMS TO BEGIN PAYING OXYGEN CLAIMS
• CMS seeking public comment on home sleep testing device decision
• New Year Has Mobility Stakeholders Watching and Waiting
  HomeCare Monday
• 2005 Payment Amounts for Oxygen and Oxygen Equipment
  2005 Update
• MMA - Drugs Paid by Average Selling Price Beginning January 1, 2005 for DMERC (revised)
  Effective 1/1/2005
• DME Competitive Bidding Committee Uncovers a Myriad of Issues
  HomeCare Monday
• Clarification of Proof of Delivery Requirements
• 2005 DMEPOS Fee Schedule Posted on VGM Website
• Important Change Request for O&P Practitioners
  Payment to Providers/Suppliers Qualified to Bill Medicare for Prosthetics and Certain Custom-Fabricated Orthotics
• More on Inhalation Dispensing Fee, Physician Fee Schedule
• CMS Finalizes Dispensing Fees for Respiratory Meds, Delays Ruling on Face-to-Face Exam
  HomeCare Monday
• CMS Announces Medicare Part B Wheelchair Seating Policy Update
• CMS ANNOUNCES REVISION TO WHEELCHAIR
• Attn: Diabetic Shoe Providers
• CMS Revises Wheelchair Cushion Fees
  HomeCare Monday
• Medicare Awards Contracts for Second-Level Claims Appeals
  HomeCare Monday
• CMS Unveils Demonstration Project for Managing Highest-Cost Beneficiaries
• FAQ: Clarification on the DMERC Advisories Relating to the New Codes for Wheelchair Cushions and Backs
• CMS considers “reasonable” reimbursement for respiratory meds
  HME News
• Industry Breathes Easier as Government Suggests Inhalation Drug Fees
  HomeCare Monday
• Reduced PWC Payments Could Bring $400 Million in Savings, OIG Says
  HomeCare Monday
• Revising the Healthcare Common Procedure Coding System (HCPCS) Process
  CMS Special Open Door Forum
• Summary of Power Wheelchair Coding Meeting
  September 1, 2004 CMS Public Meeting
• New Codes For Power Wheelchairs
  Reference Document
• CMS to Revise Coding Application Process
  HomeCare Monday
• Interim Medicare Fee Schedule Slashes Cushion Reimbursement
  HomeCare Monday
• Proposed "Face-to-face" Rule: Trap for the Unwary
  Dealer Provider
• CMS says it costs suppliers $5 to $8 to process CMN
  HME News
• CMS PUBLISHES INTERIM WHEELCHAIR CUSHION FEE SCHEDULE*
• Appeal Process
  The NSC has posted updated information
• CMS Asks for Public Comment on Certificates of Medical Necessity
• CMS Will Develop Guidance Documents for National Coverage Determinations
• CMS eliminating 90-day grace period ICD-9-CM codes,
  Effective October 1, 2004
• APPROVED NSCAC MEETING MINUTES WITH THE NSC
  8/10/04 CONFERENCE CALL
• Informational article: FEHB & Formal Spouse Coverage
• Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year (CY) 2005
• Filing Disaster Claims
• Sept. 1 rehab coding meeting encourages industry
  HME News
• Reminder - Elimination of the 90-day Grace Period for Billing Discontinued ICD-9-CM Codes
• Assignment of Benefit Form - Clarifications
• CMS Discusses Modernizing Coding Application Process
  HomeCare Monday
• CMS proposes new codes for power wheelchairs
  HME News
• OIG: Medicaid pays too much for oxygen
  HME News
• Medicare Replacement Drug Demonstration - Reminder
• FAA PROPOSES REG TO ALLOW TRAVEL WITH OXYGEN CONCENTRATORS
• CMS schedules hearing on new PWC codes
  HME News
• CMS Issues Corrected ICD-9 Code Set
• "In the home" takes center stage at open door forum
  HME News
• CMS expands provider e-mail service
  HME News
• CMS moves to develop new PWC eligibility guidelines
  HME News
• CMS helps covered entities understand new HIPAA edit requirements
• Florida Supplier Number Scheme Under Investigation, FAMES Reports
  HomeCare Monday
• CMS Permits Home Oxygen Testing Device
  HomeCare Monday
• New Insurance Requirements
• Florida Supplier Number Scheme Under Investigation, FAMES Reports
  HomeCare Monday
• MMA Reporting Provision Could Cause Medicare Payment Cuts
  HomeCare Monday
• NSC backs off draconian enforcement
  HME News
• MMA - National 1-800-MEDICARE (1-800-633-4227) Implementation
• 2004 Drug Fee Update for HCPCS codes J1563, J1564, J8520 and J8521
  Reductions based on DIMA
• Medicare Providers: Their Vendors, Clearinghouses, or Other Third-Party Billers and the HIPAA/Medicare Contingency Plan for DMERC
• CMS Working to Improve Provider Enrollment Process
• Government to reduce fraud and abuse for power wheelchair payments
• CMS wants fees for duplicate/incomplete claims
• CMS considers in-home sleep testing
  HME Newswire
• MMA - New Part B Annual Deductible
• CMS issues rule on physician self-referral, compensation
• Dialog on K0011 Coverage Set to Begin
  HomeCare Monday
• CMS ISSUES INTERIM FINAL RULE ADDRESSING PHYSICIAN SELF-REFERRALS
• Average sales price (ASP) update
• CMS rescinds DMERC effort to change scooter coverage
  HME News
• HERB KUHN NAMED TO HEAD MEDICARE CENTER
• CMS URGES STATES TO ADOPT DISEASE MANAGEMENT PROGRAMS, AGENCY WILL MATCH STATE COSTS
  Medicaid News
• Announcing the New Medlearn Matters
  Information for Medicare Providers Educational Resource for Medicare Providers Provider Types Affected
• ICD-9 Grace Period Rescinded – Effective October 1, 2004
• “Power Wheelchairs and POVs - Policy Clarification and Medical Review Strategy”.
  Q&A`s from Robert D. Hoover, Jr., MD, MPH, Medical Director, Region B
• CMS Introduces DMEPOS Information Source Web Page
• CMS Finalizes Outpatient Drug Reimbursement Reductions
• 2004 Fee Schedule Increase and Particpation Enrollment Extension
• HEALTH CARE SPENDING REACHES $1.6 TRILLION IN 2002
  CMS Office of Public Affairs 1/8/04 Press Release
• ABN Clarification from CMS
• CMS to Revise Home Health Market Basket; Revisit Part B Drug Determination
• Dennis Smith Named Acting CMS Administrator; Scully Joins Alston & Bird
• Former CMS head Scully joins law firm
• PROVIDER ALERT: STOPPING ABUSE OF THE POWER WHEELCHAIR BENEFIT
  From the Medicare Learning Network @ CMS
• Scully`s interim replacement steps up
• HHS Secretary Thompson to Step Down after 2004 Election
• DMERCs Issue Power Wheelchair Policy Clarification
  HomeCare Monday
• NSC Issues 760 New Supplier Numbers
  Where`s Your VGM Medicare Suppliers Guide?
• CMS Chief Scully Looks to Work as Industry Consultant
  Colin Roskey, health aid on Senate Finance Committee also quits
• CMS Makes $11.6 Billion in Errors for 2003
  DMERCs and DME suppliers, on average, showed a 13.6 percent error rate.
• Consolidation of the Claims Crossover Process
• CODING CHANGES A STEP CLOSER, BUT STUDY WARNS OF COST
• CMS FINALIZES NEW PROCESS FOR APPEAL OF COVERAGE DECISIONS
• CMS announces 2003 Medicare improper payment rate
• CMS lifts moratorium on supplier numbers
  HME News
• NSC Could Assign Some Supplier Numbers This Week
  HomeCare Monday
• 2004 Medicare Deductible, Coinsurance, and Premium Rates
• Lawmakers look to slash AWP reimbursement
  HME News
• REGION C’S METZGER JOINS THE SCOOTER STORE; FBI TARGETS NATION’S LARGEST POWER CHAIR PROVIDER
  from HME NewsWire
• CMS broadens appeal rights for Medicare beneficiaries
• Medicare Premium, Deductible & Coinsurance Changes
  2004 Update
• Scully: States, Feds Must be Partners in Medicaid Reform
• Medicare stalls on retesting Group I respiratory patients
  HME News
• ALERT! CMS indicates NSC supplier number deactivations no longer subject to moratorium!
  Some success seen from VGM member input and other efforts of last week
• ALERT: Medicare Announces Plan to Accept HIPAA Non-Compliant Electronic Transactions After October 16 Compliance Deadline
• CMS Transitions to Online Instructions System
• Medicare cracks down on booming power chair sales
  OIG Also Investigating DME Fraud
• CMS Manual :Transition from Paper to Web-based
  Beginning October 1, 2003
• IMPORTANT MESSAGE FROM THE NSCAC
  Re Blanket Moratorium on DMERC Numbers
• CMS Introduces DMEPOS Information Source Web Page
• Proposed Cuts Highlight Deeper Problem with Medicare Reimbursement, Experts Say

Current Compliance/Reimbursement Issues

• NPI “Contingency Plan” Announced
• CMS Developing Competitive Bidding Implementation Website
• CMS Taking Public Comments on Revised ABN
• Invacare restructures to increase efficiency
  HME News
• NUCC Releases Updates to the Health Care Provider Taxonomy Code Set
• Capped Rental & Supplier Standard #5 Information
• DRA COMPLIANCE: CMS ISSUES DECEMBER 13, 2006 GUIDANCE
• SCOOTER STORE LAYS OFF 200 EMPLOYEES
  HME NewsWire
• CIRCUIT COURT: CMS HAD RIGHT TO REQUEST INFO BEYOND CMN
  HME NewsWire
• Study Predicts Wheelchair Cuts in Medicare Will Trigger Exodus of Providers and Sharply Reduce Patient Access
  AAHomecare Study Says Wheelchair Cuts Will Increase Government Costs by Billions of Dollars
• Important Information Regarding Competitive Bidding and the Supplier Information Listed with the NSC
• FBI ACCUSES DIABETIC SHOEMAKER OF FRAUD
• Mobility Industry Predicts Dire Circumstances if Medicare Proceeds with Pay Cuts for Power Wheelchairs
  On Nov.15 Medicare will reduce reimbursements for power wheelchairs by about an average of 35%
• Medicare Issues Revised Local Coverage Determinations (LCD) for Power Mobility Devices
• Region A/B DME PSC Bulletin
• MEDICARE ENHANCES QUALITY IMPROVEMENT ORGANIZATION PROGRAM OVERSIGHT
• CMS Issues Final Standards For Suppliers
• FINAL RULE ON ACCREDITATION OF DME SUPPLIERS RELEASED
  314 page document also includes PPS rule; VGM offers "DME only" condensed version
• Revisit security rule compliance in your HME facility
• Wheelchair CMNs - New Instructions
• CMS Issues Final Provider/Supplier Enrollment Rule
  June 2006
• Mobility Stakeholders: Code Descriptions Look Good, but Testing Requirement Worrisome
  HomeCare Monday
• Overview of the DMEPOS Reenrollment Process
  Suppliers must enroll every three years
• National Provider Identifier (NPI) Countdown
• House Letter Asks CMS to Re-Evaluate PMD Rule
  HomeCare Monday
• Information on NPI and the Revised CMS 855 Medicare Provider Enrollment Applications
• The Revised CMS 855S - Specific Changes for DMEPOS Suppliers
  May 1, 2006
• Appeals Process and Filing Criteria Update
• Revised Local Coverage Determination for Nebulizers
  AAHomecare Comments
• Information Suppliers Should be Aware of Regarding the NPI and the Revised CMS 855S
• CMS Announces Efforts to Streamline and Improve the Medicare Enrollment Process
• CMS FINALIZES PWC RULE, INDUSTRY SEEKS CLARIFICATION
  April 5, 2006
• DME MACs Prepare for Start-Up
• Q & A about Provisions from Budget Bill that Affect Capped Rental HME and Home Oxygen
• Change Payment Floor Date for Paper Claims
  Effective January 1, 2006
• Payment Provisions in the Original Medicare Program Immediately Affected by the Deficit Reduction Act
  2006 Fact Sheet
• Bye Bye DMERCs, Hello MACs
  By Denise M. Fletcher, JD
• Technical Committee Begins Work on New PMD Codes
• Q & A about Provisions from Budget Bill that Affect Capped Rental HME and Home Oxygen
• AAHomecare Not Surprised but Disappointed with Final Rule on Ventilators, NPPVs
• HIPAA Security Nightmare: Thief steals data for 365,000 patients from car
• BIPAP CAP
• CMS revises payment classification for RADs
• CMS Reclassifies Some Respiratory Assist Devices
• CMS REVISES PAYMENT CLASSIFICATION OF CERTAIN RESPIRATORY ASSIST DEVICES
  Bi-level with backup now capped
• Nebulizer Drugs: Albuterol and Ipratropium
  January 1, 2006 - DuoNeb
• Inherent Reasonableness (IR) Final Rule
• DOT Rules Could Limit Driver Hours
• CMS Issues Clarification on Inhalation Drug Dispensing Fee
• Senate, House debate cap rental option for DME
  HME News
• Lawmakers delay decision on key PWC provision
  HME News
• Comment period closes for PWC rule
• Cap rental proposals `catastrophic` for providers, beneficiaries
  HME News
• Committee drops PWC reimbursement cut
• CMS forum address PWC billing, provider satisfaction
• DMERCs Implement Grace Period for Power Mobility Rule
• Dispensing fee implosion: An industry mulls its options
  HME News
• AAHomecare Disputes Dispensing Fee Cut for Home Inhalation Drug Therapy
• OIG Oxygen Survey Could Build Case for Reimbursement Cuts
  AAHomecare
• Feds continue to roll over fraud
  Health Care Fraud and Abuse Control Program Update
• Docs to see Medicare cuts in 2006
• MMA - Evidence of Medical Necessity: Power Wheelchair and Power Operated Vehicle (POV)/Power Mobility Device (PMD) Claims
  Implementation occurs on October 25, 2005.
• MMA - New G Code for Power Mobility Devices (PMDs)
• Bachenheimer: "What are they smoking?"
  Mobility Issue Update From Medtrade (Transcript)
• SADMERC Medical Director: Power Chair Coding Is Job One
  HomeCare Monday
• CMS delays implementing new PWC codes
• Status of Activities Related to Power Mobility Devices (PMDs)
  October 14, 2005
• WHEELCHAIR CMN TRANSITION CONFERENCE CALL FOR
• Mobility Advocates Descend on Washington to Request Time to Implement New Policies
• Inhalation Dispensing Fee Issues
  AAHomecare
• Mobility Advocates Descend on Washington to Request Time to Implement New Policies
• Power Mobility Devices – Documentation Requirements
  On or after October 25, 2005
• The OIG will audit for fraud and abuse in the wake of Hurricane Katrina
• National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
• National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
• AAH, OIG surveys heat up dispensing fee debate
  HME NewsWire
• Conditions for Payment of Power Mobility Devices, including Power Wheelchairs and Power-Operated Vehicles
  AAHomecare Comments
• Nearly Half of Homecare Pharmacies May Stop Providing Inhalation Drug Therapy
  AAHomcare Press Release
• MMA - Evidence of Medical Necessity: Power Wheelchair and Power Operated Vehicle (POV)/Power Mobility Device (PMD) Claims
  Update
• Conditions for Payment of Power Mobility Devices, including Power Wheelchairs and Power-Operated Vehicles
  AAHomecare Comments
• National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
• Power Mobility Devices – Draft LCD – Corrections
  (September 14 original release)
• CMS Releases Draft of HME Supplier Quality Standards
• URGENT MESSAGE FROM NCART
• Wheelchair CMNs – Transition Instructions
• NEW POWER MOBILITY DEVICE CODES
  Testing
• Power Mobility Device Draft Local Coverage Determination
  Includes Link To Draft Policy
• CMS Announces Special Open Door Forum on Power Mobility Devices
• Conference surveys state of LTOT, suggests improvements
  HME News
• CMS Interim Final Rule, “Conditions for Payment of Power Mobility Devices”
  RATC Update
• CMS drops CMN for power chairs
  HME News
• Industry: More Clarity, More Time Needed on Power Mobility Rule
  HomeCare Monday
• New Regulation on Power Mobility
• Pennsylvania`s Senators Ask CMS for Clarity on Mobility Documentation
• CPAP KX MODIFIER USAGE AND DOCUMENTATION
• CMS proposes to cut neb-med dispensing fee in 2006
  HME News
• CMS, DMERC officials disagree over PWC policy
  HME News
• AAHomecare Opposes Any Cut to Dispensing Fee for Home Inhalation Drug Therapy
• Overnight Oximetery Testing
• CMS Says Oximetry Test Units Can Be Delivered to Beneficiaries` Homes
• CMS: HME suppliers may deliver overnight pulse oximetry testing units to patients` homes
• DNF - "Do Not Forward" Initiative
  and ICD-9 Diagnosis Codes - New Specificity Guidelines
• New Address for ALJ Hearings Request
  Effective June 30, 2005
• CMS: Any kind of physician can prescribe a scooter
  HME Newswire
• FAQs: Mobility Assistive Equipment (MAE)
  June 2005
• CMS cuts DuoNeb reimbursement
  HME News
• Transitioning to the Mobility Assistive Equipment National Coverage Determination
• DMERCs Issue Mobility Coverage Transition Article, But No Additional Documentation Guidance
  HomeCare Monday
• RAMP wants the CMN and `something else`
  HME News
• Decoding the HCPCS Coding Process
• Ten Tips for NSC Compliance
• DMERCs Await Instructions from CMS on Mobility NCD
  HomeCare Monday
• Government Appeals Maximum Comfort Case
  HomeCare Monday
• Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea
• CMS Releases Mobility Coverage Criteria; AAHomecare Will Continue Push to End "In-the-Home" Restriction
• Long-awaited NCD draws criticism over `in-the-home` language
  HME News
• CMS Releases New Mobility Coverage Policy
  HomeCare Monday
• CMS: No sleep screening in the home
  HME News
• Copy of OIG "Hotline" To Report Medicare Fraud
• Justice Department sues Scooter Store
  HME News
• Government/Industry Affairs Update
  Pride Mobility’s April 28 Update
• Ten Tips for NSC Compliance
• Drug Dispensing Fee Discrepancy Catches Industry Off Guard
  HomeCare Monday
• SADMERC Swamped with Coding Reviews
  HomeCare Monday
• Changes to AOB Regulations
• As HIPAA deadline passes even the unprepared are safe – for now
• Extended Response Times for SADMERC Coding Verification Reviews
• AAHomecare Launches Oxygen Utilization Data Repository
• NSC Offers Guidance on Diabetic Shoes
  HomeCare Monday
• CMS delays issuing new PWC coverage criteria
  HME News
• SADMERC talks up 49 new PWC codes
  HME News
• 2005 Oxygen Fee Schedule Update
• Edwards: New Power Chair Codes Designed for Flexibility
  HomeCare Monday
• Home Oxygen Fees Announced
  March 30, 2005
• Revenue Improvements and Other Considerations for Inhalation Therapy
  By Miriam Lieber
• USA Today takes compounders to task
  HME News
• Medicare keeps respiratory drug pricing stable
  HME News
• Texas study yields more PWC savings for Medicare
  HME News
• Power Wheelchair Coding Initiative (2004)
  SADMERC Frequently Asked Questions
• Providers wait: Still no word on Medicare oxygen cuts
  HME News
• Industry comments on proposed PWC criteria
  HME News 3/7/2005
• CMS Releases Interim Final Rule on Claims Appeal Reform
  HomeCare Monday 3/7/2005
• Power wheelchair advocates call for changes to CMS coverage proposal
• Mobility Stakeholders Discuss Proposed National Coverage Decision at CMS
  February 28, 2005
• CMS Redraws Medicare Carrier Map
  HomeCare Magazine
• Medical necessity of power wheelchairs update
• Electronic Claim Reminders
• Appeal Process & Tips
  Supplier Number Deactivation
• Examples of correct billing units for J7616 (Duoneb)
  Palmetto GBA
• AAHomecare Launches Gap-Filling Methodogy Study
• Modifications to Duplicate Editing for Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Anti-Emetic, Immunosuppressive, and Inhalation Drugs
• Oxygen Uncertainty Continues
  By Tim Pontius, RRT
• CMS proposes new coverage criteria for wheelchairs, scooters
• CMS proposes new wheelchair coverage criteria; PWC codes
  HME News
• CMS Issues Draft Coverage Criteria for New Power Wheelchair Codes
• The NSC TOP TEN
  "Reoccuring issues" that delay HME provider enrollment
• Region C Council Q & A, November 17, 2004
• CMS Update Regarding Oxygen Payments for 2005
  CMS TO BEGIN PAYING OXYGEN CLAIMS
• CMS seeking public comment on home sleep testing device decision
• Respiratory Drug Fee Schedule becomes Effective; Uncertainties Remain
  HomeCare Monday
• Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished Under an
  Implementation Date: January 24, 2005
• New Inhalation Drug Therapy Codes and Fees Take Effect
• MMA - Drugs Paid by Average Selling Price Beginning January 1, 2005 for DMERC (revised)
  Effective 1/1/2005
• 1) National Coverage Analysis (NCA) Tracking Sheet for Mobility Assistance Devices (CAG-00274N)
• CMS to Announce Home Oxygen Pricing in Mid-January, After Additional Data Gathering
  AAHomecare
• January 2005 Average Sales Price (ASP) Pricing File for Medicare Part B Drugs.
• Medigap Q&A
• CMS RELEASES PROPOSED COVERAGE CRITERIA FOR WHEELCHAIRS
  Pride Mobility
• GAO Recommends Actions to Curb Abuse of Power Wheelchair Benefit
  AAHomecare
• Medicare Region B DMERC / Region B Council Frequently Asked Questions
  December 2, 2004
• Gap filling? Isn’t there a better way?
  HME News
• A Look at CMS` Final Rules
  Dealer Provider
• Medicare Seating Policy Creates Access Problems, RATC says
  HomeCare Monday
• Clarification of Proof of Delivery Requirements
• RATC Alerts CMS to Patient Access Problem in Wheelchair Seating Policy
  RATC
• Industry Reacts to Inhalation Drug Dispensing Fee
  HomeCare Monday
• January 2005 Quarterly Average Sales Price (ASP) Update
• Discounts on co-pays and deductibles?
• DMERC Should Be Liable for Failing to Detect Fraud, Lawsuit Says
  HomeCare Monday
• Homecare Win: CMS Sets $57 Monthly Dispensing Fee for Inhalation Therapy
  AAHomecare
• CMS ANNOUNCES REVISION TO WHEELCHAIR
• Attn: Diabetic Shoe Providers
• CMS Revises Wheelchair Cushion Fees
  HomeCare Monday
• Open the HCPCS Coding Process, Stakeholders Say
  HomeCare Monday
• Open the HCPCS Coding Process, Stakeholders Say
  HomeCare Monday
• FAQ: Clarification on the DMERC Advisories Relating to the New Codes for Wheelchair Cushions and Backs
• Industry attempts to rescind new Medicare cushion allowables
  HME News
• JOIN THE RATC AT MEDTRADE!!!
  Tuesday, October 26, 2004
• New seating codes bring grief to providers
  HME News, plus tips from Pehhy Walker
• Summary of Power Wheelchair Coding Meeting
  September 1, 2004 CMS Public Meeting
• New Codes For Power Wheelchairs
  Reference Document
• Proposed "Face-to-face" Rule: Trap for the Unwary
  Dealer Provider
• Clinicians recommend a more functional Medicare policy for power wheelchairs
  HME News
• Medicare Panel Shows Moderate Confidence in In-Home Sleep Testing
  HomeCare Monday
• Appeal Process
  The NSC has posted updated information
• Congress Backs Functional Definition of `Nonambulatory`
  HomeCare Monday
• Industry doubts OIG methodology
  HME News
• OIG & CMS support capped rental for oxygen
  HME News
• CMS adopts new ASP calculation
  HME News
• The Issue: CMNs
  From the editors of HomeCare magazine
• Filing Disaster Claims
• MMA- Section 937 - Correction of Minor Errors and Omissions without Appeals for DMERC
• Mobility Stakeholders Say CMS Is Beginning to `Get It`
  HomeCare Monday
• Coding Changes for Power Wheelchair Suppliers: How Will They Affect You?
  Dealer Provider
• Extended repayment plan (ERP) checklist now available
  Overpayments
• Medicare Power Chair Expenditures Will Be Cut by a Third, PMC Says
  HomeCare Monday
• GAO: Medicare Call Centers Fall Short on Policy Info
• "Unpopular" managed-care tools re-emerge
  Shorter hospital stays one result
• OIG Alert About Charging Extra for Covered Services
• Can I operate a Durable Medical Equipment Company from my home?
  Source: NSC
• Physician’s Education – Power wheelchairs / POVs
  Tips from Peggy Walker
• OIG Alert About Charging Extra for Covered Services for DMERC
• OIG GIVES A NUDGE TO SLOW PAYERS
• RAMP COALITION MEETS WITH CMS ON POWER WHEELCHAIR COVERAGE ISSUES
• Medicare Should Consider PT/OT Clinician Evaluation, RAMP Says
  HomeCare Monday
• GAO Pans Joint Commission
  HomeCare Monday
• Correction of Minor Errors and Omissions Without Appeals
• NSCAC Draft Insurance Primer
  Medical Equipment Suppliers "An Insurance Primer"
• How Comforting Is the Maximum Comfort Case
  Dealer Provider
• NSC clarifies 21 Supplier Standards
  HME News
• CMS readies face-to-face requirement for PWCs
  HME News
• California Court Rules CMN Is Proof Enough for Reimbursement
  HomeCare Monday
• CMS hears louder call for in-home sleep diagnostics
  HME News
• Ostomy Supplies
  Frequently Asked Questions from Your Ombudsmen
• Are Your Claims Being Rejected?
• NSCAC Conference Call; Suppler Standards Draft Guidance Info
• NSC and CMS Propose Supplier Standards Clarification
  HomeCare Monday
• Power Wheelchair Guidance Discussed At CMS Open Door Forum
  AAHomecare
• Preparing for a National Supplier Clearinghouse Site Inspection: Are You Ready?
  Dealer Provider
• CMS Could Consider Part B Drug Service Cost Component
• Hospital-HME arrangement called a kick-back
  HME News
• A Copy of the National Supplier Clearinghouse "Welcome Letter"
• QUESTIONS ON THE NEW NSC REQUIREMENT
  FOR INSURANCE “CERTIFICATE HOLDER”
• CMS Introduces New Wheelchair Cushion Codes
  HomeCare Monday
• NSC Gives Providers Additional Days to Prove Compliance
  HomeCare Monday
• GAO Recommends Medicare Clarify Supplier Standards
  HomeCare Monday
• Proposed Sentencing Guideline Changes Impact Compliance Plan Operations
• Beneficiary Inducement: Avoiding the Stupid Line
  Dealer Provider
• Bush calls for electronic medical records
• Metzger resigns from The Scooter Store
• Diabetic Suppliers: Avoid the Death Knell
  Dealer Provider
• CMS Considering Changes to Wheelchair Policy
  HomeCare Monday
• Mixed Reviews: CMS` first open-door session following the power wheelchair clarification retraction.
  Dealer Provider
• RAMP Responds to CMS` K0011 Policy Stance
  HomeCare Monday
• Update on 3-31 CMS Open Door on Power Mobility
  From the Power Mobility Coalition (PMC)
• Power Wheelchair Meeting Sends Industry Back to Square One
  HomeCare Monday
• NSCAC CONFERENCE CALL FINAL MEETING MINUTES
  03-15-04
• OIG study cites overpayments of enteral nutrition formulas
  HME News
• CMS will address concerns regarding power wheelchair claims.
  Dealer Provider
• Congressmen Urge CMS to Rescind DMERC K0011 Clarification
  HomeCare Monday
• Clarifying the Clarification
  Dealer Provider
• Providers Support Pre-Approval Process for Power Wheelchairs
  HomeCare Monday
• CMS to Slow Processing of Non-Compliant Claims
  HomeCare Monday
• Must my company have a Respiratory Therapist on staff if it sells oxygen?: Clarification
• Could an OIG proposed rule cause you to be excluded from Medicare?
  Dealer Provider
• PWC denials skyrocket in Houston
  HME News
• ALERT! TRICENTURION CONDUCTING PRE-PAYMENT AUDITS ON POWER WHEELCHAIRS AND THERAPEUTIC SHOES
  Alert from NEMED
• Second Texas Power Wheelchair Scheme Sparks Congressional Hearing
  Power Wheelchair Clarification Debate Heats Up
• Grassley Says Surge in Medicare Spending On Motorized Wheelchairs May Signal Fraud
• Appeals and Hearings Tips
• Power Mobility - Frequently Asked Questions
  Answers from Region D
• Guidelines For Filing Paper Claims
  Eighth in a continuing series
• Coalition fights to rescind k0011 coverage criteria
  HME News
• What the changes in the Medicare proof of delivery and date of service rules may really mean for suppliers.
  Dealer Provider
• Collecting copayment and deductibles from those eligible for Medicare and Medicaid
• New rehab codes challenge providers
• Industry Stakeholders Fight DMERC Power Wheelchair Clarification
  HomeCare Monday
• DMERCs Update Proof of Delivery Requirements - Revision clarifies and eases the burden of HME providers’ requirements
  Seventh in a continuing series
• Some Common FAQs
  Answers supplied by the regional DMERCs
• CMS offers preview of HIPAA authorization form
• CMS ANNOUNCES PAYMENT INCREASES FOR PHYSICIANS IN 2004 IN ACCORD WITH MEDICARE REFORM LAW
  Effective January 5, 2004
• Encourage reporting and prevent whistleblowing
• Paul Metzger, MD Commentary & Call To Action Re "Clarification" of Power Policy
  Former DMERC Medical Director Encourages Providers to Submit Comments
• OIG seeking recommendations on safe harbors, fraud alerts
• Are the DMERCs Changing Power Chair Policy?
  Dealer Provider
• POWER WHEELCHAIR UPDATE
  AAHomecare
• OIG boasts record year for audits, investigations
• Power Wheelchairs and POVs – Policy Clarification and Medical Review Strategy
  Fifth in a series
• OIG: We saved taxpayers a bundle
• Where’s Your Guide?
  It’s Time To Dust Off (Or Find) Your VGM Medicare Supplier Standards Guide!
• CR 2613: CMS dreams up billing nightmare
  HME Newswire
• CMS ignores industry’s plea to revamp PWC codes
  HME News
• OIG Thinks Medicare Is Overpaying
  Notice of Proposed Rule Making - May Affect Supplier Operations
• Standard 12 - May I contract delivery and instruction services out to someone else?
  Fourth in a series
• OIG Work Plan targets HMEs
  HME News
• Debunking Medicare Myths
  Commentary from Michael W. Hamilton, GAMES Executive Director
• The Power Mobility Industry & Fraud
  Commentary from HomeCare Advocate
• Must my company have a Respiratory Therapist on staff if it sells oxygen?
  Third in a series
• HMESA/Standardization Information
  Dealer Provider
• “Home Based” HME Information and Check List
  Second in a series
• OIG Work Plan for 2004 – HME Providers
  OIG Encourages Reporting Fraud
• VGM provides helpful tips to reduce incidence of supplier number deactivations
  First in the series: Change of Information Guide
• Supplier Number Moratorium Update
  Source: ADMEA
• NSC Moratorium Examples & Information
  AAHomecare
• Houston Power Wheelchair Indictment Unsealed
• Supplier Number Re-enrollment Tips from Peggy Walker
• OIG trying to clear confusion surrounding excessive claims
• Feds Crack Down on Power Wheelchair Fraud
  HomeCare Monday
• ARE YOU HIPAA COMPLIANT?
  Good October 16 Compliance Link Here
• IMPORTANT MESSAGE FROM THE NSCAC
  Re Blanket Moratorium on DMERC Numbers
• Medicare 10 Point Plan on Power Mobility - Association Responses
  MESA Press Release

DMERC/SADMERC links