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MAC Jurisdiction C Site Links
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DME
MAC Jurisdiction C 2007 News Archive
December 2007
November 2007
October 2007
- Facilitator's Kit (Article Removed Nov.
1, 2007) - 10.31.07
- Application
of Administrative Simplification Compliance Act (ASCA) Enforcement
Review Decisions Made by Other Medicare Contractors to the Same
Providers When Selected for ASCA Review by the Railroad Medicare
Carrier, Elimination of References to Claim Status and COB Medicare
HIPAA Contingency Plans and Changes to Reflect Transfer of Responsibility
for Medigap Claims to the COBC Contractor - MLN
Matters PDF Document MM5606 - 10.30.07
- Durable
Medical Equipment Medicare Administrative Contractors (DME MACs)
- Discontinuance/Cancellation of the Use of a "WL" Modifier on
Claims for the DeWall Posture Protector Orthotic Body Jacket
HCPCS Code (L0430) - MLN Matters PDF
Document MM5758 - 10.30.07
- Special "Skilled
Nursing Facility" (SNF) Definition Used in Determining Durable
Medical Equipment (DME) Coverage, and in Ending a Benefit Period
or "Spell of Illness" - MLN Matters
PDF Document SE0745 - 10.30.07
- Telephone Reopenings
Update - 10.29.07
- Medicare Learning
Network Publications - 10.29.07
- Key Dates for
Medicare, Clarification Regarding NPI Requirement on Medicare
Institutional Claims & More -
10.27.07
- Budesonide (Pulmicort) – Coverage
and Coding
-
10.25.07
- Service Update: CIGNA Government
Services DME MAC Jurisdiction C's claim processing system is available
as expected today. All services, including telephone inquiries
to the IVR and customer service, are fully operational. -
10.24.07
- Unscheduled Service
Interruption - 10.23.07
- Electronic Funds
Transfer (EFT) Enrollment – Important Reminder -
10.19.07
- Additional Documentation
Request (ADR) Letters From TrustSolutions -
10.17.07
- REVISED: Skilled
Nursing Facility Consolidated Billing and Preventive/Screening
Services - MLN Matters PDF Document
SE0436 - 10.17.07
- Medicare
Summary Notice (MSN) Message: Revised 38.13 - MLN
Matters PDF Document MM5722 - 10.17.07
- REVISED: Correction
to Revised HCPCS Codes Relating to Immune Globulin (CR 5635) - MLN
Matters PDF Document MM5741 -
10.16.07
- REVISED: Skilled
Nursing Facility Consolidated Billing As It Relates to Ambulance
Services - MLN Matters PDF Document
SE0433 - 10.16.07
- Fall Workshop for Jurisdiction
C Suppliers - 10.16.07
- Medicare Billing
Information for Rural Providers, Suppliers, and Physicians -
10.15.07
- CMS Requests
Public Comment on DRAFT Interpretive Guidelines for ESRD -
10.12.07
- Correction
to Revised HCPCS Codes Relating to Immune Globulin (this
CR rescinds and fully replaces CR 5635) - MLN
Matters PDF Document MM5741 - 10.12.07
- Important Information
for All Medicare Providers – What to do if Claims Are Rejected -
10.12.07
- Medicare
Fee for Service (FFS) National Provider Identifier (NPI) Final
Implementation - MLN Matters PDF Document
MM5728 - 10.12.07
- Updated Information
- Business Hours Revised for EDC Cutover -
10.11.07
- Medicare Provider
Feedback Town Hall Meeting - 10.10.07
- Potential Issues
Related to Clearinghouse and Billing Service Practices -
10.08.07
- Updated Adult
Immunizations Web-Based Training Course -
10.05.07
- Reasonable
Charge Update for 2008 for Splints, Casts, Dialysis Supplies,
Dialysis Equipment, and Certain Intraocular Lenses - MLN
Matters PDF Document MM5740 - 10.05.07
- Remittance
Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC)
Update - MLN Matters PDF Document
MM5721 - 10.05.07
- Required
Use of Tamper-Resistant Prescription Pads for Outpatient Drugs
Prescribed to Medicaid Recipients on or After April 1, 2008 - Revised
MLN Matters PDF Document SE0736 -
10.05.07
- Preventive Services
Brochures for Health Care Professionals Now Available To Order -
10.03.07
- NPI Reminder:
Submitting Referring/Ordering Physician’s Information in
Electronic Claims - 10.02.07
- Repair and Replacement
Frequently Asked Questions - 10.01.07
- Power Mobility
Devices Frequently Asked Questions -
10.01.07
- October is National
Breast Cancer Awareness Month (NBCAM) -
10.01.07
September 2007
August 2007
July 2007
- Update
to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional
Facility - VMS Only - MLN Matters
PDF Document MM5331 - 07.31.07
- Data Dissemination,
New Educational Products, Group Practice Enumeration, Information
for Medicare Providers and More... -
07.27.07
- Code A4595 -
Medically Unlikely Edit (MUE) Postponed -
07.26.07
- Power Mobility
Devices - Frequently Asked Questions (FAQs) - July 2007 -
07.26.07
- Electronic
Funds Transfer Standardizations and Revisions to the Medicare
Claims Processing Manual (Chapter 24) - MLN
Matters PDF Document MM5586 -
07.26.07
- Revision
to Medicare Publication 100-09, Chapter 3 - Provider Inquiries
and Chapter 6 - Provider Customer Service Program Updates - MLN
Matters PDF Document MM5597 -
07.25.07
- Clarification
About the Medical Privacy of Protected Health Information - MLN
Matters PDF Document SE0726 -
07.25.07
- CMS Will Host
a National Roundtable/Q&A Session on Common Billing Errors
for Medicare Fee-For-Service Providers -
07.24.07
- Revised:
Additional Common Working File (CWF) Editing for Skilled Nursing
Facility (SNF) Consolidated Billing (CB) - MLN
Matters PDF Document MM5624 -
07.23.07
- Revised
- National Provider Identifier (NPI) Required to Enroll in Electronic
Data Interchange (EDI), and Update of Telecommunication and Transmission
Protocols for EDI - MLN Matters PDF
Document MM5637 - 07.19.07
- Reimbursement
for Vaccines and Vaccine Administration Under Medicare Part D - MLN
Matters PDF Document SE0727 -
07.17.07
- Electrical Joint
Stimulation Devices – E0762 – Coding Guidelines - 07.17.07
- LCD Revisions
Summary Article - 07.16.07
- Changes to the
Mandatory Medigap ("Claim-Based") Crossover Process -
07.13.07
- Notifying Affected
Parties Regarding Changes to the Mandatory Medigap ("Claim-Based")
Crossover Process - 07.13.07
- Revision
to Medicare Publication 100-09, Chapter 3 – Provider Inquiries
and Chapter 6 - Provider Customer Service Program Updates - MLN
Matters PDF Document MM5597 -
07.12.07
- National
Provider Identifier (NPI) Required to Enroll in Electronic Data
Interchange (EDI), and Update of Telecommunication and Transmission
Protocols for EDI - MLN Matters PDF
Document MM5637 - 07.12.07
- Revised: SE0714
- Pre-Bidding Activities for the Medicare Durable Medical Equipment,
Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding
Program - MLN Matters PDF Document
SE0714 - 07.12.07
- Important
Information for Providers/Suppliers Regarding National Plan and
Provider Enumeration System (NPPES) Errors, Using the NPI on
Medicare Claims and 835 Remittance Advice Changes - MLN
Matters PDF Document SE0725 -
07.12.07
- Provider
Education for Handling Issues Related to Deceased Providers - MLN
Matters PDF Document MM5508 -
07.12.07
- IVR Enhancement
- Payment Floor Information by Claim Now Available -
07.12.07
- New NPI Educational
Products Available - 07.11.07
- CIGNA Government
Services DME MAC Re-opening Fax Request Reminder -
07.11.07
- Differentiating
Mass Adjustments from Other Types of Adjustments and Claims for
Crossover Purposes and Revising the Detailed Error Report Special
Provider Notification Letters - MLN
Matters PDF Document MM5472 - 07.10.07
- The Interactive
Voice Response (IVR) System has been updated. - 07.10.07
- The Redeterminations
Request Form has been updated. -
07.10.07 - Revised 07.12.07
- Maintenance and
Servicing Denials - 07.10.07
- Items of Interest -
07.10.07
- Important NPI
Announcement Regarding Data Dissemination and UPIN Registry - 07.09.07
- Monday Reading
Materials - 07.09.07
- Modifier A1-A9
Reminder - 07.09.07
- Claim Denials
with the Same Issue - 07.09.07
- Telephone Reopenings
Update - 07.09.07
- ALERT - Special
Bidders Conference for DMEPOS Competitive Bidding Program - 07.09.07
- The premiere issue of the DME
MAC Jurisdiction C Insider is now available! - 07.06.07
- Appeals
Transition - BIPA Section 521 Appeals - MLN
Matters PDF Document MM5460 - 07.05.07
- CMS Announces
the Date by which Updates/Changes/Deletions Must Be Submitted
to NPPES in Order to be Reflected in Initial Downloadable File - 07.03.07
- Claims Processing
Output Delay - 07.03.07
- Reopenings for
Clerical Errors or Minor Omissions - 07.02.07
- Redetermination
Request Required Information - 07.02.07
- Update
of Claim Adjustment Reason Codes (CARCs) and Remittance Advice
Remark Codes (RARCs) and Enhancement of Medicare Remit Easy Print
(MREP) - MLN Matters PDF Document
MM5634 - 07.02.07
- Notifying
Affected Parties Regarding Changes to the Mandatory Medigap ("Claim-Based")
Crossover Process (Revised) - MLN
Matters PDF Document MM5662 - 07.02.07
June 2007
- DMEPOS Competitive
Bidding Reminder! - 06.29.07
- Medicare DMEPOS
Competitive Bidding Program - 06.28.07
- Revised
HCPCS Codes Relating to Immune Globulin - MLN
Matters PDF Document MM5635 - 06.28.07
- Attention: Electronic
Submitters - 06.27.07
- The NPI is here.
The NPI is now. Are you using it? - 06.27.07
- July
2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug
Pricing File, Effective July 1, 2007, and Revisions to January
2007 and April 2007 Quarterly ASP Medicare Part B Drug Pricing
Files - MLN Matters PDF Document MM5646 - 06.27.07
- July
Quarterly Update for 2007 Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Fee Schedule (Revised) - MLN
Matters PDF Document MM5641 - 06.26.07
- DMEPOS Competitive
Bidding Reminder! - 06.26.07
- Special Medicare
Provider Enrollment Open Door Forum - 06.25.07
- Ask the Contractor
Teleconference Reminder - 06.25.07
- Medicare
Contractor Annual Update of the International Classification
of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) - MLN
Matters PDF Document MM5643 - 06.25.07
- Downcoding - Use
of GK and GL Modifiers on Claims for Upgrades - 06.25.07
- 2007 DMEPOS Fee
Schedule Added to the CIGNA Government Services Website - 06.25.07
- Modifier KX Reminder - 06.22.07
- Telephone Reopenings - 06.21.07
- Documentation – Development
Letters from TrustSolutions - 06.21.07
- Vacuum Erection
Devices L7900: Documentation Requirements and Medical Review - 06.21.07
- Heating Pads:
Coding Guidelines, Documentation Requirements and Medical Review - 06.21.07
- The Centers for
Medicare and Medicaid Services (CMS) is Soliciting Bids for the
First Round of the Medicare Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS) Competitive Bidding Program - 06.19.07
- Bidders Conferences
for the Medicare DMEPOS Competitive Bidding Program - 06.19.07
- CMS News Items/Reading
Materials - 06.18.07
- Quarterly
Update to Medically Unlikely Edits (MUE), Version 1.2, Effective
July 1, 2007 - MLN Matters PDF Document
MM5603 - 06.18.07
- Interactive Voice
Response (IVR) system Issues Resolved - 06.14.07
- What's the Same?
What's Different? - 06.14.07
- Interactive Voice
Response (IVR) UNIT Issues identified - 06.14.07
- Redetermination
Requests Transferred from Palmetto GBA - 06.14.07
- Revised
HCPCS Codes Relating to Immune Globulin - MLN
Matters PDF Document MM5635 - 06.13.07
- July,
2007 Quarterly Update to the HCPCS Codes for Albuterol, Levalbuterol,
and Reclast® - MLN Matters PDF
Document MM5645 - 06.13.07
- Nebulizers: Brovana
Coverage Criteria and Billing Instructions - 06.13.07
- Albuterol and
Levalbuterol – Coding Changes - 06.13.07
- Oxygen – Documentation
Requests by the PSC - 06.13.07
- July
Quarterly Update for 2007 Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Fee Schedule - MLN
Matters PDF Document MM5641 - 06.13.07
- Important Update
to National Provider Identifier (NPI) Education Article - 06.11.07
- National Men's
Health Week - 06.11.07
- TrustSolutions
PSC announces LCD & PA revisions effective July 1, 2007 - 06.11.07
- CMS to Publish
the National Plan and Provider Enumeration System (NPPES) Data
Dissemination Notice (CMS-6060-N) - 06.08.07
- Quarterly
Update to Medically Unlikely Edits (MUEs), Version 1.2, Effective
July 1, 2007 - MLN Matters PDF Document
MM5603 - 06.08.07
- Bidders Conferences
for the Medicare DMEPOS Competitive Bidding Program - 06.08.07
- Transitioning
the Mandatory Medigap ("Claim-Based") Crossover Process
to the Coordination of Benefits Contractor (COBC)- MLN
Matters PDF Document MM5601 - 06.08.07
- Ask the Contractor
Teleconference Call - June 27, 2007 - 06.08.07
- Some EFT Transactions
Impacted by Incomplete Routing Number - 06.08.07
- ListServ
Error Results in Duplicate Messages - 06.07.07
- Discontinuance
of the UPIN Registry- MLN Matters
PDF Document MM5584 - 06.07.07
- New
Deadline for Required Submission of the Form CMS-1500 (08-05) - MLN
Matters PDF Document MM5616 - 06.06.07
- Revisions
to the Medicare Claims Processing Manual, Chapter 17, Sections
40 and 100, Regarding Discarded Drugs and Biologicals and Submission
of Claims With the Modifier JW, "Drug Amount Discarded/Not
Administered to Any Patient" - MLN
Matters PDF Document MM5520 - 06.06.07
- Jurisdiction C Re-openings
Services Available Tuesday, June 5, 2007 - 06.05.07
- Day One Call and IVR Volumes - 06.05.07
- DME MAC Jurisdiction
C Transition Update - 06.04.07
- Jurisdiction
C "Dark Day" Reminder - 06.04.07
- Jurisdiction
C EFT Payment Status - 06.01.07
- CIGNA Government
Services launches new DME MAC Web site - 06.01.07
May 2007
March 2007
February 2007
