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Product Planning & Reimbursement Updates |
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Reimbursement Update 08-26 - August 12, 2008
- Product Planning and Reimbursement Update - All Providers New!
Signature Requirements
The Centers for Medicare and Medicaid Services (CMS) has identified problems of noncompliance with existing statues, regulations, rules, and other systematic problems relating to standards of practice for a valid physician’s signature on medical orders and related medical documents.
CMS has issued a Change Request (CR 5971) to prohibit the use of stamped signatures. Stamped signatures are not acceptable on ANY medical record. Medicare will accept hand written, electronic signatures or facsimiles of original written or electronic signatures.
To read the complete article go to;
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0829.pdf
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Reimbursement Update 08-27 - August 12, 2008
- Product Planning and Reimbursement Update - All Providers
SADMERC Transition to PDAC,click here.
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Reimbursement Update 08-25 - August 7, 2008
- Product Planning and Reimbursement Update - All Providers
Can your business sustain a 9.5% payment reduction? Click here.
Summary of the Simon Business School Summary, click here.
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Reimbursement Update 08-24 - July 31, 2008
- Product Planning and Reimbursement Update - All Providers
Delay of the National DMEPOS Competitive Bidding Program: Claims Processing click here.
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Reimbursement Update 08-23 - July 31, 2008
- Product Planning and Reimbursement Update - All Providers
SADMERC Transition to NAS PDAC click here.
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Reimbursement Update 08-22 - July 21, 2008
- Accreditation Deadlines Cancelled for Round Two of Competitive Bidding - All Providers
CMS has announced that the special accreditation deadlines, which were in effect for the 70 MSAs in Round 2 of the National Competitive Bidding Program, have been cancelled following the passage of the Medicare Improvements for Patients and Providers Act of 2008.
Specifically, the announcement states “prior to enactment of this new law, suppliers must have been accredited or have applied for accreditation by July 21, 2008 to be eligible to submit a bid for the second round of competitive bidding and must have obtained accreditation by January 14, 2009 to be eligible for a second round contract. Both of these deadlines have been cancelled and no longer apply.”
In the announcement CMS also reminded suppliers that “the deadline of September 30, 2009 that was previously established by which all DMEPOS suppliers must be accredited is still in effect.”
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Reimbursement Update 08-19 - June 24, 2008
- Pride Reimbursement Update - All Providers
July 2008 Quarterly Update for DMEPOS Competitive Bidding Program click here.
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Reimbursement Update 08-18 - June 19, 2008
- Pride Reimbursement Update - June 19, 2008 - All Providers
Payment for Complex Rehabilitative Power Mobility Device (PMD) Services that Span the Implementation Date of DMEPOS Competitive Bidding Programs in Competitive Bidding Areas, click here.
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Reimbursement Update 08-17 - June 3, 2008
- Express Plus Users Must Remove NSC Numbers and UPINs from Software to Avoid NPI Rejections - All Providers
Effective May 23, 2008, all Medicare claims must include ONLY the NPI in the primary and secondary provider fields. Express Plus users must follow the instructions given at the web site listed below to ensure that only the NPI is submitted on claims sent on/after May 23, 2008.
https://www.noridianmedicare.com/cgi-bin/coranto/viewnews.cgi%3fid=EkEkplpyEEMAxwwepc&tmpl=dme_viewnews&style=part_ab_viewnews
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Reimbursement Update 08-16 - May 30, 2008
- Billings Multiple Items using E1028 - Jurisdiction A Providers
Code E1028 is defined as a wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory. Multiple items may be billed using this code. When submitting a claim for any number of claim lines for code E1028, the following instructions must be applied:
1. Each different item that is billed as an E1028 must be on a separate claim line.
2. Each E1028 claim line must include a narrative description of the item, the brand name, the make/mode and the part number.
If billing electronically, details should be notated in the NTE 2400 segment of the electronic claim. For paper claims, details must be provided as an attachment.
Claims submitted without this required information will be denied.
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Reimbursement Update 08-14 - May 27, 2008
- Electronic Trading Partners in Jurisdictions B and C must be transitioned to CEDI before June 1, 2008. - Jurisdiction B and C Providers
National Government Services, Inc. (NGS) was awarded the Durable Medical Equipment (DME) Common Electronic Data Interchange (CEDI) front end contract by CMS on December 14, 2007. With this contract, CEDI will provide a single front end solution for the submission and retrieval of electronic transactions for the DME MACs.
With this change, DME MAC Trading Partners (Electronic Submitters) will send all electronic claims (X12 837 and NCPDP) and 276 Claim Status Inquiry transactions to CEDI. CEDI will return all electronic front end reports directly to the submitter.
CEDI will also receive the X12N 835 Electronic Remittance Advice (ERA) and 277 Claims Status Response transactions from the DME MACs and deliver them to the Trading Partner’s (Electronic Submitters) CEDI mailbox.
CMS and CEDI strongly encourage all electronic Trading Partners (Submitters) to transition to CEDI prior to June 1, 2008. Please visit the CEDI website, Outreach Materials web page at (http://www.ngscedi.com/outreach_materials/outreachindex.htm) to view important instructions for all vendors, billing services, and clearinghouses.
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Pride Mobility Products Corporation 1-800-800-8586
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