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NAS DME Jurisdiction D E-mail List ==================================================================== Subscribed Interests -------------------------------------------------------------------- Education and Training Announcing Face-to-Face Workshops for Spring/Summer 2010! NAS is pleased to announce the Outreach and Education team will be conducting face-to-face workshops for DMEPOS suppliers! Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAApAEixthSzwP&tmpl=dme_viewnews&style=part_ab_viewnews PECOS Letter to Physicians Suppliers may provide this letter to physicians as a reminder to confirm their PECOS enrollment. Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/PECOS Letter.Dr. Whitten.pdf Tracheostomy Care Supplies & Suction Pumps Web-Based Workshop If you have questions regarding the billing of tracheostomy care supplies or suction pumps, attend the workshop NAS is offering on April 14th at 1 p.m. CT. This workshop will review information from the Tracheostomy Care Supplies and Suction Pumps local coverage determination (LCD) and policy article which includes coverage and payment rules, coding guidelines, and documentation requirements. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAAylpguggeFcr&tmpl=dme_viewnews&style=part_ab_viewnews Mobility Devices HCPCS K0004 - Notification of Prepayment Review NAS Jurisdiction D DME MAC Medical Review will be initiating a widespread prepayment probe review of claims for HCPCS K0004 (High strength, lightweight wheelchair). Widespread reviews are used to determine the extent of potential problem areas across multiple suppliers. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAAVZVyHlxpLuL&tmpl=dme_viewnews&style=part_ab_viewnews Pharmacy / Infusion Revision of Definition of Compendia as Authoritative Source for Use in Determination of Medically-Accepted Indication of Drugs/Biologicals Used Off-Label in Anti-Cancer Chemotherapeutic Regimens Change Request 6806 Effective January 1, 2010, CMS is making corresponding revisions in Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 50.4.5, for use in the determination of a medically-accepted indication of drugs and biologicals used off-label in an anti-cancer chemotherapeutic regimen. Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/ChangeRequest6806.pdf Supplies HCPCS A4253 and A4259 - Notification of Prepayment Review NAS Jurisdiction D DME MAC Medical Review will be initiating a widespread prepayment probe review of claims for HCPCS A4253 (Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips) and A4259 (Lancets, per box of 100). Widespread reviews are used to determine the extent of potential problem areas across multiple suppliers. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAAVEuTCgBOBlc&tmpl=dme_viewnews&style=part_ab_viewnews General Announcements -------------------------------------------------------------------- CMS MLN Matters Indices Redesigned The 2007 through 2009 MLN Matters articles indices have been redesigned! These redesigned indices are much more user friendly and are now available for use on the MLN Matters Web page at: http://www.cms.hhs.gov/MLNMattersArticles/ (see the downloads section). Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAAkyEOdrlTeIj&tmpl=dme_viewnews&style=part_ab_viewnews "DR" Condition Code and "CR" Modifier As part of its response to the 2005 Katrina hurricane emergency, CMS developed the "DR" condition code and the "CR" modifier to facilitate the processing of claims affected by that emergency (See Transmittal 184 (CR 4106), issued on October 15, 2005). Use of these indicators was also authorized for claims affected by subsequent emergencies. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAAFFyvgVKpnBF&tmpl=dme_viewnews&style=part_ab_viewnews LCD and Policy Article Revisions - Summary for February 4, 2010 Outlined below are the principal changes to several DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. Please review the entire LCD and each related Policy Article for complete information. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAAZVVuwmZApkm&tmpl=dme_viewnews&style=part_ab_viewnews Other Topics -------------------------------------------------------------------- Electronic Data Interchange Physician NPI File Now Available - Revised Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EkyVkAlZVlsyZxgppo&tmpl=dme_viewnews&style=part_ab_viewnews ==================================================================== Face-to-Face Workshops in Jurisdiction D ------------------------------------------------------------------------------- Read More: https://www.noridianmedicare.com/dme/train/workshops/index.html What's New ---------- View a complete listing of the most recent web site updates: https://www.noridianmedicare.com/dme/news/updates.html Supplier Contact Center and Telephone Reopening Closures -------------------------------------------------------- Daily: 11:45 a.m. - 12:30 p.m. CT (Telephone Reopenings only) 02/15/10 for training (Supplier Contact Center only) Workshops --------- Tell NAS where, how, and what topics you want workshops on: http://www.surveymonkey.com/s.aspx?sm=HtqIIW7uv6fE52pDD9bb3w_3d_3d Schedule of Events: https://www.noridianmedicare.com/dme/train/schedule.html Upcoming Changes ---------------- PECOS: https://www.noridianmedicare.com/dme/news/pecos.html Competitive Bidding: https://www.noridianmedicare.com/dme/news/competitive_bidding.html Medicare Partners ----------------------------- CBIC: Competitive Bidding Implementation Contractor (Competitive Bidding): http://www.dmecompetitivebid.com/palmetto/cbic.nsf/DocsCat/Home CEDI: Common Electronic Data Interchange (Electronic Billing): http://www.ngscedi.com/ CERT: Comprehensive Error Rate Testing (Claim Payment Review): http://www.certcdc.com/certproviderportal/pages/ NSC: National Supplier Clearinghouse (Supplier Enrollment): http://www.palmettogba.com/nsc PDAC: Pricing, Data Analysis and Coding (HCPCS Coding Assistance): https://www.dmepdac.com/ QIC: Qualified Independent Contractor (Reconsiderations): http://www.rivertrustsolutions.com/ RAC: Recovery Audit Contractor (Claim Processing Review): http://www.healthdatainsights.com/ To edit your e-mail preferences or unsubscribe, go to https://naslists.noridian.com/list/login.html?mContainer=2&mOwner=G30392x2n39372t36&mAddress=SUPPORT%40DMEFREE.COM To view the NoridianMedicare.com Privacy Policy, go to https://www.noridianmedicare.com/privacy.html ==================================================================== (c) Noridian Administrative Services, LLC 900 42nd Street South, Fargo ND 58103-2146 Phone 1-866-243-7272 DME MAC Jurisdiction D States: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, WY, American Samoa, Guam, N. Mariana Islands www.noridianmedicare.com |
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