NAS DME Jurisdiction D E-mail List
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Subscribed Interests
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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
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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
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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
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Face-to-Face Workshops in Jurisdiction D
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Read More: https://www.noridianmedicare.com/dme/train/workshops/index.html
What's New
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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
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Daily: 11:45 a.m. - 12:30 p.m. CT (Telephone Reopenings only)
02/15/10 for training (Supplier Contact Center only)
Workshops
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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
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PECOS: https://www.noridianmedicare.com/dme/news/pecos.html
Competitive Bidding: https://www.noridianmedicare.com/dme/news/competitive_bidding.html
Medicare Partners
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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/
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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
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