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COVID-19

COVID-19

Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Guidance

Guidance for DMEPOS suppliers regarding requirements for face-to-face/in-person encounters, enforcement of clinical indications for coverage found in specific NCDs, LCDs and Policy Articles, claim instructions, CMN and DIF instructions, and ICD-10 coding has been published. Please review the entire publication: CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency Joint DME MAC Article - Revised.

A Message from CGS DME Jurisdiction B Regarding COVID-19

CR Modifier Usage

The CR modifier and COVID-19 narrative should not be used for dates of service prior to 03/01/20.

Information on the use of the CR modifier is located in the following articles:

The CR modifier for COVID-19 is only effective for dates of service on or after 03/01/20 and for the duration of the PHE.

CMS Emergencies, Waivers and Flexibility Information

Resources by Topic

Information below has been categorized by topic. For additional information on specific topics/subjects, please refer to the links listed below each topic.

Advance Payment

Telephone Hotline – DMEPOS Suppliers may contact the telephone hotline 1.855.769.9920 for questions concerning their advance payments. The hotline is available Monday–Friday 7:00 am–4:00 p.m Central Time (CT).

Advance Beneficiary Notice (ABN) & Beneficiary Notices:

Appeals/Redeterminations

Billing, CMNs, DIFs, Modifiers, and Diagnosis Codes

Competitive Bidding

Comprehensive Error Rate Testing (CERT)

Drug Refills

Face-to-Face Requirements for DMEPOS

Fee Schedule

Home Infusion Services

Payments

Policy/LCD Clinical Indications

Prior Authorization

Proof of Delivery Signatures

Supplier Enrollment

Questions related to enrollment should continue to be directed to the National Supplier Clearinghouse (NSC)External Website

Targeted Probe and Educate (TPE)

Telehealth

Updated: 05.27.20

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