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 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
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