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Jurisdiction B News: Power Mobility Devices Prepayment Review Demonstration PDF Print E-mail
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Power Mobility Devices - Prepayment Review Demonstration Project As announced by the Centers for Medicare & Medicaid Services (CMS) in a press release on November 15, 2011, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) will begin conducting Phase 1 of the Medicare Prepayment Review and Prior Authorization of Power Mobility Devices demonstration project involving wide-spread prepayment review for power mobility devices (PMDs). Prepayment complex medical review will begin for claims with dates of service on or after January 1, 2012. The demonstration project includes beneficiaries requiring a PMD and residing in:
California New YorkFlorida North CarolinaIllinois TexasMichigan The following PMDs will be subject to the demonstration:Group 1 Power Operated Vehicles (K0800-K0802 and K0812)All standard power wheelchairs (K0813 thru K0829)All Group 2 complex rehabilitative power wheelchairs (K0835 thru K0843)All Group 3 complex rehabilitative power wheelchairs without power options (K0848 thru K0855)Group 5 pediatric power wheelchairs (K0890 -K0891)Miscellaneous power wheelchairs (K0898)CMS will hold Special Open Door Forums (ODF) via conference call to provide an opportunity for suppliers and physicians to ask questions about the demonstration. Teleconference information: Suppliers – Friday, December 2 – 2:00 -3:30 pm Eastern Time Dial: 1-866-501-5502 Conference ID: 29840167 Physicians – Monday, December 5 – 2:00 – 3:30 pm Eastern Time Dial: 1-866-501-5502 Conference ID: 29845811 Note: For both calls, TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help. Participants may submit questions prior to the Special ODF to This e-mail address is being protected from spambots. You need JavaScript enabled to view it by Thursday, December 1, 2011, 5pm ET. Also note: A transcript and audio recording of this Special ODF will be posted to the Special Open Door Forum website at http://www.cms.gov/OpenDoorForums/05_ODF_SpecialODF.asp and will be accessible for downloading beginning on or around Tuesday, December 13, 2011. For automatic emails of Open Door Forum schedule updates (E-Mailing list subscriptions) and to view Frequently Asked Questions please visit the CMS website at http://www.cms.gov/opendoorforums/ . To read more about the PMD demonstration visit the CMS website: http://go.cms.gov/cert-demos. Additional educational information about the coverage, coding and documentation requirements for PMDs may be found on the National Government Services Web site at: http://www.ngsmedicare.com. 
Remember! National Government Services' Jurisdiction B DME MAC List serv is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank You!

National Government Services encourages all Web site users to provide feedback regarding ways to improve our Web site. The ForeSee Results (pop-up) survey is an easy mechanism for providers to use to let us know how we can best serve you. Your comments play a large role in the enhancements that are made to the National Government Services Web site.

CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message.

National Government Services Inc.
8115 Knue Road
Indianapolis, Indiana 46250
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