2025 DME MAC Jurisdiction B News Archive
December 2025
- Fee Schedule Fact Sheet – 12.04.2025
- Pneumatic Compression Devices – Correct Coding and Billing – Revised – 12.04.2025
- Lymphedema Compression Treatment Items – Correct Coding and Billing – Revised – 12.04.2025
- Correct Billing and Coding of Ventilators – 12.04.2025
- New Modifier Requirements for Ventilators, Lymphedema Compression Treatment Items, and Pneumatic Compression Devices – Effective January 1, 2026 – 12.04.2025
- MLN Connects® Newsletter for Thursday, December 4, 2025 – 12.04.2025
- Special Edition: 2026 Medicare Participation Announcement | Home Health Final Rule – 12.03.2025
- New Policy Added to CGS Connect! – 12.02.2025
November 2025
- MLN Connects® Newsletter for Wednesday, November 26, 2025 – 11.26.2025
- Special Edition: OPPS/ASC Final Payment Rule – 11.24.2025
- Special Edition: Claims Processing Update | ESRD Final Payment Rule – 11.21.2025
- MLN Connects® Newsletter for Thursday, November 20, 2025 – 11.20.2025
- Claim Status Inquiry Annual Recertification – 11.17.2025
- Medicare Participation Announcement for CY 2026: Decide by December 31 – 11.14.2025
- Medical Review Quarterly Reports Available Now! – 11.13.2025
- LCD and Policy Article Revisions Summary for November 13, 2025 – 11.13.2025
- Urological Supplies – Final LCD and Response to Comments (RTC) Article Published – 11.13.2025
- Capecitabine Oral Anti-Cancer Drug Billing Instructions – Revised – 11.11.2025
- Update on Processing of Telehealth and Acute Hospital Care at Home Claims – 11.07.2025
- New To-the-Point Video: Beneficiary Deductible – How to Know if It's Met – 11.06.2025
- New To-the-Point Video: Qualified Medicare Beneficiary (QMB) – Rules for Billing Medicare – 11.06.2025
- Recordings and Transcripts Published – October 2, 2025 Virtual Open Meetings – 11.06.2025
- Recordings and Transcripts Published – August 27, 2025 Virtual Open Meetings – 11.06.2025
- New To-the-Point Video: New Urological Supply Codes for Hydrophilic Catheters – 11.04.2025
- CMS Modernizes Payment Accuracy and Significantly Cuts Spending Waste – 11.03.2025
- Voluntary Refunds – Calendar Year 2025 – 11.03.2025
- myCGS® 10.4 Available Now! – 11.03.2025
- Medical Review Bulletin: Collagen Dressing A6023 – Key Denial Trends and Compliance Tips – 11.03.2025
October 2025
- Qualified Medicare Beneficiary Fact Sheet – 10.30.2025
- MAC Customer Experience (MCE) Survey – Collaborative Improvements Driven by Your Feedback – 10.30.2025
- Dear Physician – Respiratory Assist Devices for Central Sleep Apnea or Complex Sleep Apnea
– 10.30.2025 - Dear Physician – Respiratory Assist Devices for Restrictive Thoracic Disorders
– 10.30.2025 - Dear Physician – Respiratory Assist Devices for Hypoventilation Syndrome
– 10.30.2025 - Power Wheelchair Hardware and Accessories – 10.30.2025
- LCD and Policy Article Revisions Summary for October 30, 2025 – 10.30.2025
- Correct Coding – Lithium Batteries – Revised – 10.30.2025
- LCD and Policy Article Revisions Summary for October 23, 2025 – 10.23.2025
- Claims Hold Update – 10.21.2025
- MLN Connects® Newsletter for Wednesday, October 15, 2025 – 10.15.2025
- The 4th Quarter 2025 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 10.13.2025
- The 4th Quarter 2025 Drug Fees are now available – 10.10.2025
- LCD and Policy Article Revisions Summary for October 9, 2025 – 10.09.2025
- LCD and Policy Article Revisions Summary for October 2, 2025 – 10.02.2025
- Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown – 10.01.2025
- The Fall 2025 JB Supplier Manual is now available – 10.01.2025
September 2025
- myCGS 10.3 Available Now! – 09.29.2025
- myCGS 10.2 Available Now! – 09.29.2025
- 2025 DMEPOS HCPCS Jurisdiction List – October Update
– 09.25.2025 - Quarterly Revised Frequently Asked Questions (FAQs) – Customer Support & Top Claim Denials – 09.25.2025
- Correct Billing for Upper Limb Prosthesis with L6895 instead of L7499 – Revised – 09.25.2025
- Correct Coding – Partial Hand Prostheses – Revised – 09.25.2025
- Scoliosis Brace – Correct Coding – Revised – 09.25.2025
- MLN Connects® Newsletter for Thursday, September 25, 2025 – 09.25.2025
- 2025 HCPCS Code Update – October Edition – Correct Coding – 09.25.2025
- New! Oxygen FAQ #26: If the beneficiary's medical record reflects "suspected" obstructive sleep apnea (OSA), could they still qualify for nocturnal oxygen via an overnight pulse oximetry? – 09.22.2025
- MLN Connects® Newsletter for Thursday, September 18, 2025 – 09.18.2025
- Additive Manufacturing Prosthetic Devices – Correct Coding – 09.18.2025
- LCD and Policy Article Revisions Summary for September 18, 2025 – 09.18.2025
- Open Meeting Agenda – Nebulizers Proposed Local Coverage Determination (LCD) – 09.18.2025
- Open Meeting Agenda – Urological Supplies Proposed Local Coverage Determination (LCD) – 09.18.2025
- MLN Connects® Newsletter for Thursday, September 11, 2025 – 09.11.2025
- Backend Updates for cgsmedicare.com Are Live – 09.11.2025
- Cgsmedicare.com Website Unavailable Wednesday Evening – 09.09.2025
- October 2025 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 09.09.2025
- Policy Article Revisions Summary for September 4, 2025 – 09.04.2025
- MLN Connects® Newsletter for Thursday, September 4, 2025 – 09.04.2025
August 2025
- Widespread Pre-Pay Service Specific Medical Record Review Announcement – HCPCS Code A6023 – 08.28.2025
- MLN Connects® Newsletter for Thursday, August 28, 2025 – 08.28.2025
- Open Meeting Announcement – Urological Supplies Proposed Local Coverage Determination (LCD) – 08.28.2025
- Open Meeting Announcement – Nebulizers Proposed Local Coverage Determination (LCD) – 08.28.2025
- Proposed Local Coverage Determinations (LCDs) Released for Comment – Nebulizers and Urological Supplies – 08.28.2025
- New Codes Added to CGS Connect! – 08.26.2025
- Policy Article Revisions Summary for August 21, 2025 – 08.21.2025
- MLN Connects® Newsletter for Thursday, August 21, 2025 – 08.21.2025
- VYALEV® (foscarbidopa and foslevodopa), the VYAFUSER Pump, and Related Infusion Supplies – Correct Coding and Billing – Revised – 08.21.2025
- Medicare Secondary Payer (MSP) Claims – Billing Reminders – 08.21.2025
- MLN Connects® Newsletter for Thursday, August 14, 2025 – 08.14.2025
- Updated Design for the Tools & Calculator Webpage – 08.14.2025
- Open Meeting Agenda – Knee Orthoses Proposed Local Coverage Determination (LCD) – 08.13.2025
- Open Meeting Agenda – External Infusion Pumps Proposed Local Coverage Determination (LCD) – 08.13.2025
- Clinicians – Are You Ordering Wheelchair Options and Accessories for Your Patients? – 08.07.2025
- Coming Soon to CGS Connect®! – 08.07.2025
- MLN Connects® Newsletter for Thursday, August 7, 2025 – 08.07.2025
- MLN Connects Newsletter: 5 FY 2026 Final Payment Rules – Monday, August 4, 2025 – 08.04.2025
July 2025
- MLN Connects Newsletter: July 31, 2025 – 07.31.2025
- CERT Awareness Month – 07.28.2025
- Reopening and Redetermination Tips – 07.25.2025
- Proposed Local Coverage Determinations (LCDs) Released for Comment – External Infusion Pumps and Knee Orthoses – 07.24.2025
- Open Meeting Announcement – External Infusion Pumps Proposed Local Coverage Determination (LCD) – 07.24.2025
- Open Meeting Announcement – Knee Orthoses Proposed LocOpen Meeting Agenda – External Infusion Pumps Proposed Local Coverage Determination (LCD) – 08.13.2025al Coverage Determination (LCD) – 07.24.2025
- MLN Connects Newsletter: July 24, 2025 – 07.24.2025
- CERT Awareness Month – 07.21.2025
- MLN Connects Newsletter: July 17, 2025 – 07.17.2025
- Documentation Requirements for New Urological Supplies Codes – 07.17.2025
- OPPS and ASC CY 2026 Proposed Payment Rule & Gene Therapies – 07.16.2025
- CMS Proposes Physician Payment Rule to Significantly Cut Spending Waste, Enhance Quality Measures, and Improve Chronic Disease Management for People with Medicare
– 07.15.2025 - CERT Awareness Month – 07.14.2025
- MLN Connects Newsletter: July 10, 2025 – 07.10.2025
- Lung Expansion Airway Clearance, Continuous High Frequency Oscillation, and Nebulization Device (HCPCS Code E0469) – Correct Coding and Billing of HCPCS – 07.10.2025
- The 3rd Quarter 2025 Drug Fees are now available – 07.08.2025
- The 3rd Quarter 2025 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 07.07.2025
- CERT Awareness Month – 07.07.2025
- MLN Connects Newsletter: July 3, 2025 – 07.03.2025
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: July 3–6, 2025 – 07.02.2025
- The Summer 2025 JB Supplier Manual is now available – 07.01.2025
June 2025
- Beneficiary Information Authentication Fact Sheet – 06.30.2025
- Attention: Phishing Fax Requests – 06.30.2025
- 2025 DMEPOS HCPCS Code Jurisdiction List – July Update – 06.26.2025
- Use CGS® Connect to Reduce Claim Denials! – 06.26.2025
- New Recovery Auditor Contractor (RAC) – 06.26.2025
- MLN Connects Newsletter: June 26, 2025 – 06.26.2025
- 2025 HCPCS Code Update – July Edition – Correct Coding – 06.26.2025
- New Policies Added to CGS Connect! – 06.20.2025
- Quarterly Revised Frequently Asked Questions (FAQs) – Customer Support & Top Claim Denials – 06.19.2025
- Policy Article Revisions Summary for June 19, 2025 – 06.19.2025
- MLN Connects Newsletter: June 18, 2025 – 06.18.2025
- MLN Connects Newsletter: June 12, 2025 – 06.12.2025
- Urological Supplies FAQs – 06.11.2025
- Upper Extremity Prosthetic Myoelectronic Control – Correct Coding and Code Verification Review Requirement – 06.05.2025
- MLN Connects Newsletter: June 5, 2025 – 06.05.2025
- July 2025 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 06.05.2025
May 2025
- myCGS 10.0 Release! – 05.30.2025
- MLN Connects Newsletter: May 29, 2025 – 05.29.2025
- Policy Article Revisions Summary for May 29, 2025 – 05.29.2025
- myCGS 10.0 Featuring New Finance Options – Coming May 30! – 05.23.2025
- Departments of Labor, Health and Human Services, Treasury Announce Move to Strengthen Healthcare Price Transparency – 05.22.2025
- New HCPCS Codes for Wheelchair Transportation/Transit Securement Systems – Correct Coding – Revised – 05.22.2025
- LCD and Policy Article Revisions Summary for May 22, 2025 – 05.22.2025
- MLN Connects Newsletter: May 22, 2025 – 05.22.2025
- Dear Physician – Medicare Coverage of Immunosuppressive Drugs
– 05.22.2025 - Widespread Pre-Pay Service Specific Medical Record Review Announcement – HCPCS Code E1390 – 05.20.2025
- MLN Connects Newsletter: May 15, 2025 – 05.15.2025
- New To-the-Point Video: Accreditation Claim Message – 05.15.2025
- New To-the-Point Video: Simplifying Claim Denials with CGS Tools – No Registration Required – 05.15.2025
- Medical Review Quarterly Reports by Policy – 05.15.2025
- CMS Seeks Public Input on Improving Technology to Empower Medicare Beneficiaries
– 05.13.2025 - 2025 Hurricane Season Update from CGS – 05.08.2025
- MLN Connects Newsletter: May 8, 2025 – 05.08.2025
- MLN Connects Newsletter: May 1, 2025 – 05.01.2025
April 2025
- MLN Connects Newsletter: April 24, 2025 – 04.24.2025
- MLN Connects Newsletter: April 17, 2025 – 04.17.2025
- LCD and Policy Article Revisions Summary for April 17, 2025 – 04.17.2025
- FY 2026 Proposed Payment Rules – 04.14.2025
- Urological Supplies: Intermittent Catheters Documentation Checklist
– 04.14.2025 - Policy Article Revisions Summary for April 11, 2025 – 04.11.2025
- MLN Connects Newsletter: April 11, 2025 – 04.11.2025
- National DME CERT Education Task Force Surgical Dressing Webinar – 04.10.2025
- Dear Physician – Ankle-Foot/Knee-Ankle-Foot Orthoses
– 04.10.2025 - The 2nd Quarter 2025 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 04.08.2025
- 2025 DMEPOS HCPCS Code Jurisdiction List – April Update – 04.08.2025
- The 2nd Quarter 2025 Drug Fees are now available – 04.07.2025
- LCD and Policy Article Revisions Summary for April 4, 2025 – 04.04.2025
- MLN Connects Newsletter: April 3, 2025 – 04.04.2025
- The 2nd Quarter 2024 and 4th Quarter 2024 Drug Fees have been revised – 04.04.2025
- Continued Use of Modifier CR and COVID-19 Claim Narrative – 04.04.2025
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: April 4–6, 2025 – 04.03.2025
- Dynamic Adjustable Devices, Static Progressive Stretch Devices, and Use of Modifiers – Revised – 04.03.2025
- Custom Fitted Orthotic HCPCS Codes Without a Corresponding Off-the-Shelf Code – Correct Coding – Revised – 04.03.2025
- Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) – Correct Coding – Revised – 04.03.2025
- The Spring 2025 JB Supplier Manual is now available – 04.01.2025
March 2025
- MLN Connects Newsletter: March 27, 2025 – 03.28.2025
- 2025 HCPCS Code Update – April Edition – Correct Coding – 03.27.2025
- MLN Connects Newsletter: March 25, 2025 – 03.26.2025
- DME MAC Program Manager Update – Workgroup Collaboration 2025 – 03.21.2025
- Policy Article Revision Summary for March 20, 2025 – 03.20.2025
- MLN Connects Newsletter: March 13, 2025 – 03.14.2025
- Policy Article Revisions Summary for March 13, 2025 – 03.14.2025
- New HCPCS Codes for Wheelchair Accessories – Coding and Billing – 03.13.2025
- April 2025 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 03.11.2025
- MLN Connects Newsletter: March 6, 2025 – 03.07.2025
- Dear Physician – Parenteral Nutrition – Coverage Criteria and Documentation Requirements
– 03.06.2025 - Clinicians – Are You Ordering Urological Supplies for Your Patients? – 03.06.2025
- New! Walkers Documentation Checklist
– 03.04.2025 - Hospitals: Actions to Make Healthcare Prices Transparent – 03.03.2025
- myCGS 9.4 Introduces Several New Enhancements—Available Now! – 03.03.2025
February 2025
- Immunosuppressive Drug Supply Allowance – 02.27.2025
- New To-the-Point Video: Ohtuvayre® (ensifentrine) – 02.25.2025
- MLN Connects Newsletter: February 24, 2025 – 02.25.2025
- Capecitabine Oral Anti-Cancer Drug Billing Instructions – 02.19.2025
- MLN Connects Newsletter: February 14, 2025 – 02.14.2025
- Policy Article Revisions Summary for February 13, 2025 – 02.14.2025
- Dear Physician – Walkers – Coverage Criteria and Documentation Requirements
– 02.13.2025 - Medical Review Quarterly Reports by Policy – 02.13.2025
- 2025 DMEPOS HCPCS Code Jurisdiction List – Revised February 12, 2025 – 02.13.2025
- New! Nebulizer Drug Calculator for HCPCS Code J7601 (Ensifentrine) – 02.10.2025
- New "To-The-Point" video: Medicare Beneficiary Identifier (MBI) & Name to Number Converter Tool – 02.10.2025
- New HCPCS Codes for Dynamic Adjustable Joint Stretching Devices – Coding and Billing – 02.06.2025
- myCGS 9.3 Available Now – 02.05.2025
- New! Parenteral Supplies Documentation Checklist
– 02.04.2025
January 2025
- Policy Article Revision Summary for January 23, 2025 – 01.30.2025
- New Policies Added to CGS Connect! – 01.30.2025
- Ohtuvayre® (ensifentrine) – Correct Coding and Coverage – Revised – 01.23.2025
- Nebulizers, External Infusion Pumps and Related Drugs – 01.23.2025
- Recording and Transcript Published – Topical Oxygen Therapy Virtual Contractor Advisory Committee (CAC) Meeting – 01.23.2025
- Contractor Advisory Committee (CAC) Members for Topical Oxygen Treatment (TOT) – 01.23.2025
- Topical Oxygen Therapy Contractor Advisory Committee (CAC) Key Questions – 01.23.2025
- The 1st Quarter 2025 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 01.17.2025
- Concentric Adjustable Torsion Joints – Correct Coding – Revised – 01.16.2025
- LCD and Policy Article Revisions Summary for January 16, 2025 – 01.16.2025
- MLN Connects Newsletter: January 16, 2024 – 01.16.2025
- Your Voice Matters to CGS Customer Support! – 01.15.2025
- PrEP Fee Amount and New Supply Code for 2025 – 01.14.2025
- The 1st Quarter 2025 Drug Fees are now available – 01.14.2025
- Submitting Claims When the Billed Amount Exceeds $99,999.99 – 01.09.2025
- MLN Connects Newsletter: January 8, 2024 – 01.08.2025
- 2025 DMEPOS HCPCS Code Jurisdiction List – 01.06.2025
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: January 3–5, 2025 – 01.02.2025
- 2025 HCPCS Code Update – January Edition – Correct Coding – 01.02.2025
- Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – January 2025 – 01.02.2025
- The Winter 2025 JB Supplier Manual is now available – 01.02.2025
Updated: 12.04.2025
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