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Modified: 2/3/2012
Two new announcements pertaining to the Affordable Care Act were released; one regards the Care Innovation Summit, and the other prescription drug pricing. [PERL 201202-06]
Modified: 2/3/2012
The Centers for Medicare & Medicaid Services (CMS) is extending the licensure deadline for the round 2 and national mail-order competitions of the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program. [PERL 201202-07]
Modified: 2/3/2012
Change request (CR) 7687 announces that reason code 32809 has been updated with the correct abortion condition codes: AA, AB, and AD. [MM7687]
Modified: 2/1/2012
Effective for claims processed with dates of service on or after January 1, 2011, outpatient prospective payment system (OPPS) providers should report code G0010 for the administration of hepatitis B vaccine rather than 90471 or 90472. [MM7692]
Modified: 1/31/2012
All bids must be submitted in the online bidding system, by 8:59:59 p.m. ET on March 30, 2012. The contract period for the round 2 and national mail-order competitions of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program is July 1, 2013-June 30, 2016. [PERL 201201-52]
Modified: 1/31/2012
A guide that provides step-by-step instructions for using the online bidding system and the final in a series of webcasts is now available. [PERL 201201-51]
Modified: 1/31/2012
This article instructs Medicare contractors to download and implement the April 2012 average sales price drug pricing file for Medicare Part B drugs and revisions to files from prior quarters. [MM7734]
Modified: 1/26/2012
The Centers for Medicare & Medicaid Services (CMS) has issued a clarification regarding credit report and score requirements to assist suppliers bidding in the round 2 and national mail-order competitions of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program. [PERL 201201-43]
Modified: 1/26/2012
A new educational webcast, titled "Financial Documentation Requirements," for the national mail-order competition of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program is now available. [PERL 201201-44]
Modified: 1/23/2012
A new educational webcast for the national mail-order competition of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program is now available. [PERL 201201-38]
Modified: 1/19/2012
The Centers for Medicare & Medicaid Services (CMS) has posted a new on-demand webcast to educate providers on the rules for the round 2 and national mail-order competitions of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program. [PERL 201201-25]
Modified: 1/18/2012
This article is based on change request 7726, which reminds physicians of the quarterly update to correct coding initiative edits. [MM7726]
Modified: 1/11/2012
The Centers for Medicare & Medicaid Services (CMS) has three announcements for suppliers that are interested in participating in the round 2 and national mail-order competitions of the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program. [PERL 201201-12]
Modified: 1/11/2012
This MLN MattersŪ article clarifies the "3-day payment window" policy that applies to certain services preceding an inpatient admission. [MM7502]
Modified: 1/10/2012
Suppliers interested in participating in the round 2 and national mail-order competitions of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program who have not registered a backup authorized official (BAO), must do so by Thursday, January 12, 2012. [PERL 201201-13]
Modified: 1/10/2012
A new educational webcast for the national mail-order competition of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program is now available. [PERL 201201-14]
Modified: 1/5/2012
The Centers for Medicare & Medicaid Services has added new information to the Medicare Shared Savings Program website, including the "2012 Accountable Care Organization (ACO) Narrative Quality Measures Specifications Manual" and application crosswalks. [PERL 201201-06]
Modified: 1/5/2012
The Centers for Medicare & Medicaid Services (CMS) has selected 73 individuals from 27 states and the District of Columbia for its innovation advisors program. [PERL 201201-04]
Modified: 1/1/2012
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 2.0 percent is in effect January 1, 2012, through June 30, 2012. [Publication 100-04, Chapter 1, Section 80.2.2]
Modified: 12/29/2011
If you are a supplier interested in the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program and your designated authorized official has not yet registered, he or she should register NOW. [PERL 201112-51]
Modified: 12/28/2011
This article was revised on December 21 to clarify the cost report language for low-volume facility adjustments on page 6. All other information remains the same. [MM7064]
Modified: 12/28/2011
Medicare claims administration contractors will be holding some institutional provider claims containing 2012 services for up to the first 10 business days of January 2012. Claims will be released as system testing is successfully completed, which is expected during that time frame. [PERL 201112-49]
Modified: 12/28/2011
This information is for suppliers that are considering participating in the round 2 and national mail-order competitions of the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program. [PERL 201112-53]
Modified: 12/21/2011
The new Independence at Home Demonstration greatly expands the scope of in-home services Medicare beneficiaries can receive -- providing chronically ill patients a complete range of primary care services. [PERL 201112-44]
Modified: 12/21/2011
The first in a series of educational webcasts for the round 2 and national mail-order competitions of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program is now available. [PERL 201112-43]
Modified: 12/21/2011
FCSO will hold claims for new preventive services from December 27, 2011 until January 16, 2012. Claims for procedure codes G0442, G0443, G0444, and G0446 will be held to ensure the coinsurance and deductible are appropriately waived. [TDL 12086]
Modified: 12/20/2011
This article was revised on December 16, 2011, to reflect the revised change request (CR) 7397 issued on December 15. The effective and implementation dates were changed. Also, the CR release date, transmittal number, and the Web address for accessing CR 7397 were revised. All other information remains the same. [MM7397]
Modified: 12/20/2011
Registration for user IDs and passwords is open for all suppliers interested in participating in the round 2 and national mail-order competitions of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program. [PERL 201112-40]
Modified: 12/20/2011
The revised average sales price (ASP) template is now available for providers to use for submitting ASP to the Centers for Medicare & Medicaid Services (CMS), beginning January 2012. [PERL 201112-41]
Modified: 12/19/2011
This MLN MattersŪ article was revised November 8 to reflect revisions to change request (CR) 6417. Although the related CR lists different implementation and effective dates, the revised article lists the correct “To Be Announced” implementation and effective dates. [MM6417]
Modified: 12/13/2011
The Centers for Medicare & Medicaid Services has posted the January 2012 average sales price (ASP) and not otherwise classified (NOC) pricing files and crosswalks and updated pricing files for October 2011 and July 2011. [PERL 201112-25]
Modified: 12/8/2011
Consumers and employers will have the health care information they need to make more informed choices about their care, thanks to a new final rule. [PERL 201112-13]
Modified: 12/6/2011
The Centers for Medicare & Medicaid Services is pleased to announce the availability of a list of quality and efficiency measures being considered for adoption in calendar year 2012. [PERL 201112-05]
Modified: 10/17/2011
For the latest news and information, visit the Centers for Medicare & Medicaid Services DMEPOS competitive bidding webpage and click on the “Latest News and Announcements” link on the left side of the page. [CR 6571]
Modified: 9/29/2011
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether you have or do not have an advanced beneficiary notice (ABN) signed by the beneficiary. [CR 7228]
Modified: 4/21/2011
First Coast Service Options, Inc. (FCSO) recently became aware of a disparity in the billing of screening mammography versus diagnostic mammography services in Puerto Rico.
Modified: 4/21/2011
This information outlines the process for the 935 recoupment.
Modified: 10/15/2010
Learn about eligibility and enrollment requirements for providers who wish to order/refer items or services for Medicare beneficiaries.
Modified: 9/19/2010
Provider specialty page on CMS.gov
Modified: 7/9/2010
NEVER EVER EXPIRE
This article refers to denials when Medicare is the secondary payer during the coordination period of 30 months required for beneficiaries that are eligible for Medicare due to an ESRD diagnosis.
This article refers to denials when Medicare is the secondary payer during the coordination period of 30 months required for beneficiaries that are eligible for Medicare due to an ESRD diagnosis.
Modified: 9/1/2009
Completion of the Overpayment redetermination request for a Medicare Part B claim form and receipt in the appropriate mailbox is critical to correct processing of an overpayment redetermination request.
