2023 DME MAC Jurisdiction B News Archive
December 2023
- The 1st Quarter 2024 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 12.28.22
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: December 29, 2023–January 1, 2024 – 12.28.23
- LCD and Policy Article Revisions Summary for December 28, 2023 – 12.28.23
- Powered Upper Extremity Exoskeleton – Correct Coding – 12.28.23
- Powered Lower Extremity Exoskeleton – Correct Coding – 12.28.23
- HCPCS Codes K1018 and K1019 – Correct Coding – Revised – 12.28.23
- Modifiers and Competitive Bidding Changes for Off-the-Shelf Back and Knee Braces Effective January 1, 2024 – 12.21.23
- Providing Orthoses Prior to Surgery – Reminder – 12.21.23
- MLN Connects Newsletter: December 21, 2023 – 12.21.23
- New JZ Modifier for Zero Discarded Drugs & Biologicals in Single-Use Containers – Revised – 12.18.23
- Your Voice Matters to CGS Customer Support! – 12.18.23
- Ask the Contractor Meeting on Refill Documentation Updates – December 20! – 12.15.23
- MLN Connects Newsletter: December 14, 2023 – 12.14.23
- LCD and Policy Article Revisions Summary for December 14, 2023 – 12.14.23
- Collaborative Education with A/B MACs – 12.08.23
- MLN Connects Newsletter: December 7, 2023 – 12.07.23
- Policy Article Revisions Summary for December 7, 2023 – 12.07.23
- myCGS 8.1 Adds Additional Home Health Information and More! – 12.01.23
November 2023
- MLN Connects Newsletter: November 30, 2023 – 11.30.23
- Oxygen Modifiers – Billing Reminder – 11.30.23
- LCD and Policy Article Revisions Summary for November 30, 2023 – 11.30.23
- January 2024 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 11.27.23
- MLN Connects Newsletter: November 22, 2023 – 11.22.23
- 2023 DMEPOS HCPCS Code Jurisdiction List – October Update – 11.20.23
- MLN Connects Newsletter: November 16, 2023 – 11.16.23
- National DME CERT Education Task Force Webinar for Positive Airway Pressure (PAP) Devices – 11.15.23
- MLN Connects Newsletter: November 9, 2023 – 11.09.23
- LCD and Policy Article Revisions Summary for November 9, 2023 – 11.09.23
- New Authentication Requirement When Calling the Provider Contact Center – Effective February 1, 2024 – 11.06.23
- MLN Connects Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules – Nov 2, 2023 – 11.03.23
- Correct Coding Reminder – RT and LT Modifiers - Revised – 11.03.23
- MLN Connects Newsletter: November 2, 2023 – 11.02.23
- Take Our Provider Survey Today – 11.01.23
October 2023
- myCGS 8.0 Featuring Prior Authorization Smart Submission—Available Now! – 10.27.23
- Policy Article Revisions Summary for October 26, 2023 – 10.26.23
- MLN Connects Newsletter: October 26, 2023 – 10.26.23
- Coming Soon to myCGS: Prior Authorization Smart Submission! – 10.25.23
- Medicare Secondary Payer (MSP) Record Updates – 10.24.23
- Updated Medical Review Quarterly Status Reports – 10.23.23
- Provider Compliance Focus Group Meeting – November 2 – 10.20.23
- MLN Connects Newsletter: October 19, 2023 – 10.19.23
- Voluntary Refunds – Calendar Year 2023 – 10.16.23
- Collaborative Patient Care is a Provider Partnership – 10.13.23
- MLN Connects Newsletter: October 12, 2023 – 10.12.23
- LCD and Policy Article Revisions Summary for October 12, 2023 – 10.12.23
- The 4th Quarter 2023 Drug Fees are now available – 10.11.23
- Entering the Correct Ordering Practitioner on Claims – 10.11.23
- The 4th Quarter 2023 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 10.10.23
- MLN Connects Newsletter: COVID-19: Updated Novavax COVID-19 Vaccine, Adjuvanted for Patients 12 & Older – Oct 6, 2023 – 10.06.23
- Policy Article Revisions Summary for October 5, 2023 – 10.05.23
- MLN Connects Newsletter: October 5, 2023 – 10.05.23
- MAC Customer Experience (MCE) Survey – We Value Your Feedback – 10.04.23
- The Fall 2023 JB Supplier Manual is now available – 10.02.23
September 2023
- Address Change for Overnight Delivery of Refund Checks – 09.29.23
- 2023 HCPCS Code Update – October Edition – Correct Coding – 09.28.23
- Policy Article Revisions Summary for September 28, 2023 – 09.28.23
- MLN Connects Newsletter: September 28, 2023 – 09.28.23
- myCGS 7.3.15 Now Available – 09.25.23
- MLN Connects Newsletter: September 21, 2023 – 09.21.23
- Policy Article Revisions Summary for September 21, 2023 – 09.21.23
- DMEPOS Fee Schedule: October 2023 Quarterly Update (MLN Matters Number: MM13343) – 09.19.23
- MLN Connects Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – Sept 14, 2023 – 09.15.23
- New Online Education Course: Using Documentation Checklists – 09.14.23
- MLN Connects Newsletter: September 14, 2023 – 09.14.23
- L1681 Prefabricated Bilateral Hip Abduction Orthosis – Correct Coding – 09.14.23
- myCGS 7.3.14 Adds IVR MBI Number Converter – 09.11.23
- MLN Connects Newsletter: September 7, 2023 – 09.07.23
- Pneumatic Compression Devices – Final LCD and Response to Comments (RTC) Article Published – 09.07.23
- LCD and Policy Article Revisions Summary for September 7, 2023 – 09.07.23
- Did You Know the Treating Practitioner Must Conduct and Sign Any Follow Up Visits for Continuous Glucose Monitor (CGM) Coverage? – 09.06.23
- What to Do If the MBI Changes – 09.05.23
August 2023
- MLN Connects Newsletter: August 31, 2023 – 08.31.23
- Physicians! Are You Ordering Glucose Monitors and Supplies for Your Patients? – 08.25.23
- MLN Connects Newsletter: August 24, 2023 – 08.24.23
- October 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 08.24.23
- myCGS 7.3.13.3 Now Available – 08.21.23
- MLN Connects Newsletter: August 17, 2023 – 08.17.23
- LCD and Policy Article Revisions Summary for August 17, 2023 – 08.17.23
- Dear Physician – Positive Airway Pressure (PAP) Devices: Initial Qualification – 08.17.23
- Dear Physician – Positive Airway Pressure (PAP) Devices: Replacement – 08.17.23
- Dear Physician – RAD for Central Sleep Apnea or Complex Sleep Apnea – 08.17.23
- Dear Physician – RAD for Chronic Obstructive Pulmonary Disease (COPD) – 08.17.23
- Dear Physician – RAD for Hypoventilation Syndrome – 08.17.23
- Dear Physician – RAD for Restrictive Thoracic Disorders – 08.17.23
- myCGS 7.3.13.2 Now Available – 08.14.23
- Medical Review Quarterly Reports by Policy – 08.11.23
- How to Choose the Correct Oxygen Modifier – 08.11.23
- Coming Soon: 711 to Replace TTY Lines – 08.10.23
- MLN Connects Newsletter: August 10, 2023 – 08.10.23
- Help us help you! Share your communication preferences – 08.08.23
- Get Answers to Your Post-PHE Billing Questions – 08.08.23
- MLN Connects Newsletter: August 3, 2023 – 08.03.23
- Policy Article Revisions Summary for August 3, 2023 – 08.03.23
- MLN Connects Newsletter: 5 Final FY 2024 Payment Rules – Aug 1, 2023 – 08.02.23
July 2023
- MLN Connects Newsletter: July 27, 2023 – 07.27.23
- LCD Revisions Summary for July 27, 2023 – 07.27.23
- CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement Form Submission – Important Changes Effective August 21, 2023 – 07.26.23
- Policy Article Revisions Summary for July 20, 2023 – 07.20.23
- DME MAC Program Manager Update – Post-Public Health Emergency Education – 07.20.23
- MLN Connects Newsletter: July 20, 2023 – 07.20.23
- myCGS 7.3.13.1 Now Available – 07.17.23
- Respiratory Assist Device (RAD) HCPCS E0470 & E0471 available in CGS Connect® – 07.14.23
- MLN Connects Newsletter: PFS & OPPS/ASC Proposed Payment Rules – July 13, 2023 – 07.14.23
- Claim Status Inquiry (CSI) Annual Recertification – Reminder to Submit Form by July 31 – 07.14.23
- MLN Connects Newsletter: July 13, 2023 – 07.13.23
- The 3rd Quarter 2023 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 07.13.23
- LCD Revisions Summary for July 13, 2023 – 07.13.23
- GW Modifier Usage for Hospice Patients – 07.12.23
- The 3rd Quarter 2023 Drug Fees are now available – 07.11.23
- Ventilator Resources – 07.07.23
- Insulin Furnished Through an External Infusion Pump – Important Billing Instructions for Dates of Service on or After May 1, 2023 – 07.07.23
- Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval – 07.07.23
- CR13220: Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03 – 07.07.23
- Policy Article Revisions Summary for July 6, 2023 – 07.06.23
- MLN Connects Newsletter: July 6, 2023 – 07.06.23
- The Summer 2023 JB Supplier Manual is now available – 07.03.23
June 2023
- "Same or Similar" Resource List – 06.30.23
- Widespread Pre-Pay Service Specific Review Announcement – HCPCS Code K1007 – 06.30.23
- Therapeutic Shoes for Persons with Diabetes: Know the Roles – 06.29.23
- MLN Connects Newsletter: June 29, 2023 – 06.29.23
- 2023 HCPCS Code Update – July Edition – Correct Coding – 06.29.23
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: June 30–July 2, 2023 – 06.28.23
- Supplies – Use of Upgrade Modifiers – 06.26.23
- Medicare Part B DME Drug Inflation Rebates – 06.23.23
- KX Modifier Added to Enteral Nutrition, Parenteral Nutrition, Osteogenesis Stimulators, and Seat Lift Mechanisms LCDs for Dates of Service on or after July 2, 2023 – 06.23.23
- Access to myCGS Features – 06.22.23
- MLN Connects Newsletter: June 22, 2023 – 06.22.23
- LCD and Policy Article Revisions Summary for June 22, 2023 – 06.22.23
- myCGS 7.3.13 Adds Additional MSP Details – 06.19.23
- Post COVID-19 PHE Collaborative Q&As – 06.15.23
- New JZ Modifier for Zero Discarded Drugs & Biologicals in Single-Use Containers – Revised – 06.15.23
- Specialty Evaluation for Wheelchairs Lookup – 06.15.23
- MLN Connects Newsletter: June 15, 2023 – 06.15.23
- LCD and Policy Article Revisions Summary for June 15, 2023 – 06.15.23
- New Rental Period Decision Tree – 06.15.23
- Manufacturer or Supplier Warranty Documentation for Repairs – 06.14.23
- Claim Status Inquiry (CSI) Annual Recertification – 06.14.23
- Open Meeting Agenda – External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) – 06.13.23
- MLN Connects Newsletter: June 8, 2023 – 06.08.23
- Payment of Power Seat Elevation Equipment on Power Wheelchairs – 06.08.23
- Webinars Scheduled through September – 06.06.23
- IVIG Demonstration Fact Sheet Revised – 06.02.23
- MLN Connects Newsletter: June 1, 2023 – 06.01.23
May 2023
- DMEPOS Competitive Bidding Program: Temporary Gap Period Starts January 1 – 05.31.23
- myCGS 7.3.12.1 Now Available – 05.31.23
- End of COVID-19 PHE Teleconference Q&As Published – 05.30.23
- myCGS 7.3.12 Now Available – 05.26.23
- July 2023 HCPCS Updates – New, Revised and Discontinued HCPCS Codes – 05.26.23
- MLN Connects Newsletter: May 25, 2023 – 05.25.23
- Open Meeting Announcement – External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) – 05.25.23
- Proposed Local Coverage Determination (LCD) Released for Comment – External Upper Limb Tremor Stimulator Therapy – 05.25.23
- Policy Article Revisions Summary for May 25, 2023 – 05.25.23
- CGS Administrators Wins Major Medicare Contract – 05.24.23
- Claim Submission Instruction Post-PHE – Continued Use of Modifier CR and COVID Narrative – Revised – 05.18.23
- Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms – Final LCDs and Response to Comments (RTC) Articles Published – 05.18.23
- LCD and Policy Article Revisions Summary for May 18, 2023 – 05.18.23
- MLN Connects Newsletter: May 18, 2023 – 05.18.23
- 2023 Hurricane Season Update from CGS – 05.17.23
- New Email Address for Post-PHE Billing Questions – 05.17.23
- Exciting New Features in myCGS 7.3.11 That You've Been Waiting For! – 05.12.23
- Setting a Default NPI/PTAN in myCGS – 05.12.23
- MLN Connects Newsletter: May 11, 2023 – 05.11.23
- Dear Physician – Sleep Test Scoring – 05.11.23
- Dear Physician – Therapeutic Shoes for Persons with Diabetes – 05.11.23
- DME MAC Program Manager Update – Workgroup Collaboration – 05.10.23
- End of COVID-19 Public Health Emergency (PHE) Ask the Contractor Teleconference (ACT) Calls Scheduled for Tuesday May 9 and Friday May 12 – 05.05.23
- Medical Review Quarterly Reports by Policy – 05.05.23
- Dear Physician – Negative Pressure Wound Therapy – 05.04.23
- Dear Physician – Physician Documentation Letter – 05.04.24
- MLN Connects Newsletter: May 4, 2023 – 05.04.23
- 2023 HCPCS Code Update – April Edition – Correct Coding – 05.04.23
- Policy Article Revisions Summary for May 4, 2023 – 05.04.23
- Ordering/Referring Provider Denial Job Aid – 05.03.23
- End of COVID-19 Public Health Emergency (PHE) Ask the Contractor Teleconference (ACT) Calls Scheduled for Tuesday May 9 and Friday May 12 – 05.02.23
- ALERT: myCGS, IVR, and Other Systems Unavailable May 8 – 05.01.23
April 2023
- MLN Connects Newsletter: April 27, 2023 – 04.27.23
- LCD and Policy Article Revisions Summary for April 27, 2023 – 04.27.23
- Dear Physician – Airway Clearance: High Frequency Chest Wall Oscillation Devices & Mechanical In-Exsufflation Devices – 04.27.23
- Dear Physician – Documentation of Artificial Limbs and Braces – 04.27.23
- Dear Physician – Durable Medical Equipment - An Easy Option for Documenting Continued Use – 04.27.23
- Insulin Furnished Through an External Infusion Pump – Important Billing Instructions for Dates of Service on or After May 1, 2023 – 04.27.23
- Tips for Submitting Prior Authorization Accessories for Power Mobility Devices – 04.24.23
- MLN Connects Newsletter: April 20, 2023 – 04.20.23
- Dear Physician – Documentation Requirements for Power Wheelchairs and Power Operated Vehicles – 04.20.23
- Dear Physician – Glucose Monitors and Supplies – 04.20.23
- LCD and Policy Article Revisions Summary for April 20, 2023 – 04.20.23
- The 2nd Quarter 2023 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 04.19.23
- The 2nd Quarter 2023 Drug Fees are now available – 04.19.23
- Signature Requirements on Proof of Delivery During the COVID-19 Pandemic – 04.17.23
- Insufficient Documentation of Lower Limb Orthoses to be Addressed in National Webinar on June 1, 2023 – 04.17.23
- MLN Connects Newsletter: April 13, 2023 – 04.13.23
- Hospice and GW Modifier Prepayment Reviews – 04.13.23
- LCD and Policy Article Revisions Summary for April 13, 2023 – 04.13.23
- Upcoming Claim Status Inquiry (CSI) System Update – 04.11.23
- MLN Connects Newsletter: CMS Proposes Policies to Improve Patient Safety and Promote Health Equity – Apr 10, 2023 – 04.11.23
- Comprehensive Error Rate Testing (CERT) Review Contractor Company Name and Email Changed – 04.10.23
- New Features in myCGS 7.3.10 – 04.07.23
- Advance Beneficiary Notice of Noncoverage: Form Renewal – 04.07.23
- Medicare Part B DME Drug Inflation Rebates – 04.06.23
- The COVID-19 Public Health Emergency (PHE) ends May 11, 2023. Find resources here. – 04.06.23
- MLN Connects Newsletter: April 6, 2023 – 04.06.23
- MLN Connects Newsletter: 4 Proposed FY 2024 Payment Rules – April 4, 2023 – 04.05.23
- Use myCGS to Submit Prior Authorization Accessories for Power Mobility Devices – 04.05.23
- The Spring 2023 JB Supplier Manual is now available – 04.03.23
- April 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 04.03.23
March 2023
- MLN Connects Newsletter: March 30, 2023 – 03.31.23
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: March 31–April 2, 2023 – 03.30.23
- LCD and Policy Article Revisions Summary for March 30, 2023 – 03.30.23
- New & Improved Registration Platform for Webinars! – 03.27.23
- Widespread Pre-Pay Service Specific Review Announcement – HCPCS Codes K1018 and K1019 – 03.24.23
- MLN Connects Newsletter: March 23, 2023 – 03.23.23
- Insulin Furnished Through an External Infusion Pump – Important Billing Instructions for Dates of Service on or After May 1, 2023 – 03.20.23
- CGS is coming to Plano, TX on April 12! – 03.16.23
- Power Mobility Device (PMD) Accessory Voluntary Prior Authorization – 03.16.23
- MLN Connects Newsletter: March 16, 2023 – 03.16.23
- MLN Connects Newsletter: Inflation Reduction Act Tamps Down on Prescription Drug Price Increases Above Inflation – Mar 15, 2023 – 03.15.23
- April 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 03.14.23
- Technical Revisions Only to the NCD Manual: CR 13105 announced technical changes that were made to the National Coverage Determination (NCD) Manual, Publication 100-03, Chapter 1, Parts 1,2,3, and 4. The revisions are effective April 10, 2023. View the complete CMS Change Request (CR)13105. – 03.13.23
- myCGS 7.3.9 Adds Additional Hospice Information – 03.13.23
- Power Mobility Device (PMD) Accessory Voluntary Prior Authorization – 03.10.23
- Dear Physician – Home Oxygen Initial Qualification Testing – 03.09.23
- Open Meeting Teleconference Information and Agenda – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) – 03.09.23
- MLN Connects Newsletter: March 9, 2023 – 03.09.23
- MLN4443820 – Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance – 03.07.23
- Join Your Medicare Contractors at National Home Infusion Association (NHIA) in Washington D.C. – 03.02.23
- MLN Connects Newsletter: March 2, 2023 – 03.02.23
- Glucose Monitors – Final LCD and Response to Comments (RTC) Article Published – 03.02.23
- LCD and Policy Article Revisions Summary for March 2, 2023 – 03.02.23
February 2023
- MLN Connects Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet – Feb 27, 2023 – 02.28.23
- myCGS 7.3.8 Introduces New Features that You Requested – 02.27.23
- Unsuspend Your Own myCGS Account with No Phone Call Required! – 02.27.23
- MLN Connects Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers – Feb 23, 2023 – 02.23.23
- LCD and Policy Article Revisions Summary for February 23, 2023 – 02.23.23
- MLN Connects Newsletter: February 23, 2023 – 02.23.23
- Join Your Medicare Contractors at Medtrade in Dallas! – 02.21.23
- Get CERT audit results with the CERT Claim Identifier Tool! – 02.20.23
- Oxygen FAQs – 02.17.23
- MLN Connects Newsletter: February 16, 2023 – 02.16.23
- How to Bill Correctly for Items Provided During Inpatient Stays – 02.16.23
- Correct Coding Reminder – RT and LT Modifiers – 02.16.23
- Important Tip for Searching Medicare Advantage Plan Eligibility Information in myCGS – 02.13.23
- MLN Connects Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 – 02.10.23
- Dear Physician – Intermittent Urinary Catheterization – 02.09.23
- MLN Connects Newsletter: February 9, 2023 – 02.09.23
- Benefits of Submitting Electronic Claims – 02.09.23
- Open Meeting Announcement – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) – 02.09.23
- Proposed Local Coverage Determinations (LCDs) Released for Comment – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms – 02.09.23
- Billing Reminder on Narratives and Date Spanning Claim Dates – 02.08.23
- CGS Is Coming to Louisville, KY on March 14! – 02.03.23
- Medical Review Quarterly Reports by Policy – 02.03.23
- Dear Physician – Commodes – 02.02.23
- New JZ Modifier for Zero Discarded Drugs & Biologicals in Single-Use Containers – 02.02.23
- MLN Connects Newsletter: February 2, 2023 – 02.02.23
January 2023
- Knee Orthoses Documentation of Knee Instability Reminder – 01.31.23
- Providing Orthoses Prior to Surgery – Reminder – 01.31.23
- January 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 01.30.23
- Policy Article Revisions Summary for January 26, 2023 – 01.26.23
- MLN Connects Newsletter: January 26, 2023 – 01.26.23
- Update to Required Face-to-Face Encounter and Written Order Prior to Delivery (WOPD) List Effective April 17, 2023 – 01.24.23
- 2023 HCPCS Code Update – January Edition ‐ Correct Coding – 01.19.23
- Policy Article Revisions Summary for January 19, 2023 – 01.19.23
- MLN Connects Newsletter: January 19, 2023 – 01.19.23
- KX Modifier Use for External Infusion Pumps – 01.12.23
- LCD and Policy Article Revisions Summary for January 12, 2023 – 01.12.23
- MLN Connects Newsletter: January 12, 2023 – 01.12.23
- CMS Awards 200 New Medicare-funded Residency Slots to Hospitals Serving Underserved Communities – 01.10.23
- MLN Connects Newsletter: January 5, 2023 – 01.05.23
- MAC Customer Experience (MCE) Survey – We Value Your Feedback – 01.05.23
- The Winter 2023 JB Supplier Manual is now available – 01.03.23
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