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DME MAC A News for December 01, 2011 - Power Mobility Devices - Prepayment Review Demonstration Project PDF Print E-mail
NHIC, Corp.

DME MAC A ListServe

For Immediate Release
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

December 01, 2011

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 York

Florida

North Carolina

Illinois

Texas

Michigan

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
[mailto: 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
[http://r20.rs6.net/tn.jsp?llr=wd5rpvbab&et=1108889663033&s=1237&e=001u-2y8Ca_39kL8So7Eij5z7FCiIJL31tSZW0cPyqExEr0OEsiAufztCWrPDFt7DVob-m5E7SYgHBe8pXfa-dHaJbJNU7XeFH5nNFntEQt_-6ABL9tBbcnDtLQIklb8cd1j9wVomcHB9CjJ-JHBMItUWVHytxApsIO]
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/
[http://r20.rs6.net/tn.jsp?llr=wd5rpvbab&et=1108889663033&s=1237&e=001u-2y8Ca_39lp89g-WB8OrI31jOEx6QYQ5htVvFB6eBfZCWpZgxgp6DN3Ns3I_RaS_E2EtxlmaAJisRF4g2q7DYMeWcr3aRx5CWhNk93GnsM4vdyCYUxPqqhdH4VkjCqb].

To read more about the PMD demonstration visit the CMS website: http://go.cms.gov/cert-demos
[http://r20.rs6.net/tn.jsp?llr=wd5rpvbab&et=1108889663033&s=1237&e=001u-2y8Ca_39mWX4C0kslVTZziABXUjJp4LP-OWnsjeKEARW6_1-moU3HFti_Vshrb-Q4wshHgJj1xNTthp2GvoYS9mysnNhtaXVXWwzPATDDWRmgRS2wl1g==].

Additional educational information about the coverage, coding and documentation
requirements for PMDs may be found on the NHIC Web site at: http://www.medicarenhic.com/dme/
[http://r20.rs6.net/tn.jsp?llr=wd5rpvbab&et=1108889663033&s=1237&e=001u-2y8Ca_39luXFLn9MbvvOzokM8Dh6Q0WX_wsso_pa8mkXKQJ4aACFwphlXtnpdXPs9hSwInE4ZnpVysaDpVXxO6n9nJTZytQsz3iL6MahxvWV1IWJyGh4rpArl4lX6u].

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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