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NAS DME Jurisdiction D E-mail List ==================================================================== Subscribed Interests -------------------------------------------------------------------- Pharmacy / Infusion Upcoming Home Health, DME, and Hospice Open Door Forums Regarding Pharmacies On March 23, 2010, with the passage of the Patient Protection and Affordable Care Act (known as Affordable Care Act-ACA), there was a provision for pharmacies to be exempt from meeting the January 1, 2011, accreditation deadline. We would like to announce that CMS is planning a Special Open Door Forum to answer any questions pertaining to the ACA provision for billing DME as a pharmacy. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EklFuFAkAEFyiFCoyE&tmpl=dme_viewnews&style=part_ab_viewnews Supplies Urethral Inserts - A4336 - Coverage and Documentation Urethral inserts (A4336) are covered for adult females with stress incontinence when basic coverage criteria are met and the patient or caregiver can perform the procedure. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EklFuVFVuZXSXvUNxG&tmpl=dme_viewnews&style=part_ab_viewnews General Announcements -------------------------------------------------------------------- Guidance on Implementing Section 3109 of Patient Protection and Affordable Care Act MLN Matters 7021 Revised This article was re-issued on August 27, 2010, to include the above news flash as a reminder of the upcoming DMEPOS Competitive Bidding Program and to add a Web link to the Provider/Supplier Accreditation page on the CMS website. That link is in the "Additional Information" section of the article. All other information is the same. Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM7021Revised.pdf ESRD Prospective Payment System and Consolidated Billing for Limited Part B Services MLN Matters 7064 This article announces the implementation of an End Stage Renal Disease (ESRD) bundled prospective payment system effective January 1, 2011. Once implemented, the ESRD PPS will replace the current basic case-mix adjusted composite payment system and the methodologies for the reimbursement of separately billable outpatient ESRD related items and services. Read the complete update: https://www.noridianmedicare.com/lsredir.php?pdf=/provider/updates/docs/MM7064.pdf Therapeutic Shoes - Policy Revision/Documentation Requirements A revision of the Therapeutic Shoes Policy Article (PA) has been released. In addition, the following revision to the Documentation Requirements section of the LCD is being made. It will be incorporated in a subsequent revision of the Therapeutic Shoes LCD. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EklFuVFEApNovNwGhZ&tmpl=dme_viewnews&style=part_ab_viewnews Top Ten Redeterminations: January - June 2010 The purpose of this article is to assist suppliers with solutions to the top ten redeterminations NAS Appeals staff received from January-June 2010. These redeterminations include medical necessity, same or similar, noncovered items, duplicate items, and more. Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EklFuVFZkllcEYVblS&tmpl=dme_viewnews&style=part_ab_viewnews Medicare Imposes Stronger Protections on Medical Equipment Suppliers New Rule Strengthens Supplier Enrollment Standards to Help Prevent Fraud The Centers for Medicare & Medicaid Services (CMS) issued a final rule representing another step to increase protections for Medicare and beneficiaries from potentially fraudulent suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EklFuVFZAFIWcyIphK&tmpl=dme_viewnews&style=part_ab_viewnews Other Topics -------------------------------------------------------------------- ==================================================================== Version 5010 - Will You Be Ready? -------------------------------------------------------------------- Read more: https://www.noridianmedicare.com/dme/news/docs/2010/08_aug/v5010_target_testing.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 Closures -------------------------------------------------------- 9/6/10 in observance of Labor Day 9/17/10 - 8 - 12:30 pm CT Telephone Reopening Closures -------------------------------------------------------- 9/6/10 in observance of Labor Day 9/9/10 - 8 - 9 am CT 9/15/10 - 9 - 11 am CT Daily: 11:45 am - 12:30 pm CT (Telephone Reopenings 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): https://www.certprovider.com 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. 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