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2018 DME MAC Jurisdiction C News

NOTE: All articles and announcements for 2018 are available on our Articles Archive Page

July 2018

• Policy Article Revisions Summary for July 19, 2018 – 07.19.18
• MLN Connects® for Thursday, July 19, 2018 – 07.19.18
• Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) [MLN Matters MM10426] – 07.19.18
• New Physician Specialty Code for Undersea and Hyperbaric Medicine [MLN Matters MM10666] – 07.19.18
• Previewing myCGS Version 5 – Part 5: Under the Hood – 07.18.18
• Revised: New Medicare Beneficiary Identifier (MBI) Get It, Use It [MLN Matters SE18006] – 07.17.18
• Welcome New Suppliers! – 07.17.18
• Are You Looking for Education but Short on Time? – 07.13.18
• CMS Proposes Historic Changes to Modernize Medicare and Restore the Doctor-Patient Relationship – 07.13.18
• Orthopedic Shoes – HCPCS Code L3000 - Billing Reminder – 07.13.18
• Previewing myCGS Version 5–Part 4: Above the Navigation Bar – 07.12.18
• myCGS Version 5 Release – 07.12.18
• New CMS Proposals to Modernize and Drive Innovation in DME and ESRD Programs – 07.12.18
• MLN Connects® for Thursday, July 12, 2018 – 07.12.18
• Previewing myCGS Version 5 – Part 3: Buttons, Headings, and Consistency – 07.11.18
• Previewing myCGS Version 5 – Part 2: General Design Changes – 07.10.18
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2018 Update [MLN Matters MM10624] – 07.10.18
• Previewing myCGS Version 5 – Part 1: Logging In – 07.09.18
• MLN Connects® for Thursday, July 5, 2018 – 07.05.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 to Bill for Wheelchair Ventilator Tray – 07.05.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 to Bill for a Wheelchair Headrest – 07.05.18
• Correct Coding – Replacement Cecostomy Tube – 07.05.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 to Bill for Wheelchair Tray – 07.05.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 to Bill for Battery Charger – 07.05.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 to Bill for Replacement of Wheelchair Seat and Back Upholstery – 07.05.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 to Bill for Battery Replacement – 07.05.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 to Bill for a Drive Wheel Gear Box – 07.05.18
• CMS Takes Action to Modernize Medicare Home Health – 07.03.18
• The CGS Jurisdiction C Provider Outreach and Education (POE) Team Is Accepting Membership Applications for a New Orthotics and Prosthetics (O&P) Advisory Group! – 07.02.18
• New PWK (Paperwork) Fax/Mail/esMD Cover Sheet – Now Available! – 07.02.18
• Repair Modifiers Tool – 07.02.18
• The Summer 2018 DME Jurisdiction C Supplier Manual is now available – 07.02.18
• The Summer 2018 DME MAC Insider is now available – 07.02.18

June 2018

• Dear Physician – RAD for Central Sleep Apnea or Complex Sleep Apnea – 06.28.18
• Dear Physician – RAD for Chronic Obstructive Pulmonary Disease (COPD) – 06.28.18
• Dear Physician – RAD for Hypoventilation Syndrome – 06.28.18
• Dear Physician – RAD for Restrictive Thoracic Disorders – 06.28.18
• Last Chance: The myCGS Web Address is Changing–ACT NOW – 06.28.18
• Revised: Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program [MLN Matters SE1128] – 06.28.18
• MLN Connects® for Thursday, June 28, 2018 – 06.28.18
• Revised: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update [MLN Matters MM10624] – 06.28.18
• The 3rd Quarter 2018 Drug Fees are now available. – 06.27.18
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: June 29–July 1, 2018 – 06.27.18
• Revised: New Medicare Beneficiary Identifier (MBI) Get It, Use It [MLN Matters SE18006] – 06.26.18
• New Medicare Card Mailing Update – Wave 3 Begins, Wave 1 Ends – 06.26.18
• The 3rd Quarter 2018 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 06.25.18
• Get Ready–myCGS Version 5 is Coming! – 06.25.18
• Lower Limb Prostheses – Draft Local Coverage Determination (DL33787) and Related Policy Article (A54517) – Retired – 06.21.18
• MLN Connects® for Thursday, June 21, 2018 – 06.21.18
• Don't Forget! myCGS Address and Email Change – 06.21.18
• Policy Article Revisions Summary for June 21, 2018 – 06.21.18
• CGM Use of Smart Devices – 06.21.18
• Dear Physician: Continuous Glucose Monitors - Revised – 06.21.18
• CERT Claim Identifier Tool – 06.19.18
• Power Mobility Devices Denial Help Aid – 06.18.18
• Policy Article Revisions Summary for June 14, 2018 – 06.14.18
• MLN Connects® for Thursday, June 14, 2018 – 06.14.18
• July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM10707] – 06.14.18
• Provider Enrollment – Unlicensed Residents [MLN Matters SE18008] – 06.12.18
• Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2018 [MLN Matters MM10802] – 06.12.18
• New Address for Accessing myCGS – 06.11.18
• LCD and Policy Article Revisions Summary for June 7, 2018 – 06.07.18
• MLN Connects® for Thursday, June 7, 2018 – 06.07.18
• Claim Status Category and Claim Status Codes Update [MLN Matters MM10777] – 06.07.18
• myCGS Version 4.4 Now Available – 06.07.18
• Positive Airway Pressure (PAP) Tool – 06.06.18
• New Q Code for In-Line Cartridge Containing Digestive Enzyme(s) [MLN Matters MM10626] – 06.05.18
• New Address for Accessing myCGS – 06.04.18

May 2018

• Adjusted Fee Schedule Rates in Rural and Non Contiguous Areas – Use of the KE Modifier – 05.31.18
• myCGS Version 4.4 to be Installed on Friday, June 1, at 5:00 PM Central Time – 05.31.18
• Updated DMEPOS and PEN Fee schedule effective June 1, 2018, now available – 05.31.18
• MLN Connects® for Thursday, May 31, 2018 – 05.31.18
• New Medicare Beneficiary Identifier (MBI) Get It, Use It [MLN Matters SE18006] – 05.31.18
• July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM10667] – 05.31.18
• The Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) July 2018 [MLN Matters MM10556] – 05.31.18
• MBI Lookup Tool – Coming to myCGS in June 2018! – 05.30.18
• Medicare Beneficiary Identifier (MBI) Converter – 05.29.18
• Billing Reminder – Immunosuppressive Drugs – Delivery to Inpatient Hospitals – 05.24.18
• MLN Connects® for Thursday, May 24, 2018 – 05.24.18
• International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) [MLN Matters MM10622] – 05.24.18
• Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE [MLN Matters MM10566] – 05.24.18
• Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM10620] – 05.24.18
• Revised: Removal of KH Modifier from Capped Rental Items [MLN Matters MM10422] – 05.24.18
• DMEPOS Consolidated Billing Tool – 05.23.18
• Adjustments to Qualified Medicare Beneficiary (QMB) Claims – 05.18.18
• Updates to Publication 100-04, Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N382 [MLN Matters MM10619] – 05.17.18
• Revised: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update [MLN Matters MM10624] – 05.17.18
• Updates to Publication 100-04, Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N382 [MLN Matters MM10619] – 05.17.18
• MLN Connects® for Thursday, May 17, 2018 – 05.17.18
• Suggested Refill Request Form – 05.15.18
• International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) [MLN Matters MM10622] – 05.15.18
• Try the CGS GO Mobile App Today! – 05.11.18
• Proper Coding for Specimen Validity Testing Billed in Combination with Drug Testing [MLN Matters SE18001] – 05.10.18
• MLN Connects® for Thursday, May 10, 2018 – 05.10.18
• Correct Coding – Submitting Oxygen Claims with Modifiers KX, GA, GY, and GZ – 05.10.18
• Policy Article Revision Summary for May 3, 2018 – 05.03.18
• Dear Physician - Knee Orthoses – 05.03.18
• Removal of KH Modifier from Capped Rental Items [MLN Matters MM10422] – 05.03.18
• Inexpensive or Routinely Purchased Durable Medical Equipment (DME) Payment Classification for Speech Generating Devices (SGD) and Accessories [MLN Matters MM10604] – 05.03.18
• MLN Connects® for Thursday, May 3, 2018 – 05.03.18
• KX Table – 05.02.18
• New Physician Specialty Code for Medical Genetics and Genomics [MLN Matters MM10457] – 05.01.18

April 2018

• Special MLN Connects Edition – Friday, April 27, 2018 – 04.30.18
• LCD and Policy Article Revisions Summary for April 26, 2018 – 04.26.18
• Adjustments to Qualified Medicare Beneficiary (QMB) Claims – 04.26.18
• MLN Connects® for Thursday, April 26, 2018 – 04.26.18
• Billing Instruction – Oxygen CMN Question 5 – Revised – 04.26.18
• CMS Proposes Changes to Empower Patients and Reduce Administrative Burden – 04.25.18
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update [MLN Matters MM10624] – 04.24.18
• Help with Signature Requirements – 04.20.18
• LCD and Policy Article Revisions Summary for April 19, 2018 – 04.19.18
• MLN Connects® for Thursday, April 19, 2018 – 04.19.18
• Documentation Checklists – 04.17.18
• Top 5 Reasons to Attend a Mega Workshop in 2018! – 04.12.18
• Policy Article Revisions Summary for April 12, 2018 – 04.12.18
• MLN Connects® for Thursday, April 12, 2018 – 04.12.18
• Suggested Intake Form – 04.11.18
• Revised: Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires [MLN Matters SE17037] – 04.10.18
• Revised: Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires [MLN Matters SE17035] – 04.10.18
• Revised and New Modifiers for Oxygen Flow Rate [MLN Matters MM10158] – 04.10.18
• Low Volume Appeals (LVA) Settlements – 04.10.18
• Revised: Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System [MLN Matters MM10397] – 04.10.18
• Physicians! Your Medical Records Play a Vital Role in Ordering and Providing DMEPOS to Your Patients! – 04.06.18
• Policy Article Revisions Summary for April 5, 2018 – 04.05.18
• Dear Physician - Medicare Coverage of Immunosuppressive Drugs – 04.05.18
• MLN Connects® for Thursday, April 5, 2018 – 04.05.18
• Medicare Secondary Payer (MSP) Self-Service Tools – 04.05.18
• Continuous Glucose Monitor (CGM) Use – Alternative Testing For Fingerstick Testing Requirements For Insulin Pumps – 04.05.18
• What in the World is an MBI? – 04.04.18
• The Spring 2018 DME Jurisdiction C Supplier Manual is now available – 04.02.18
• The Spring 2018 DME MAC Insider is now available – 04.02.18

March 2018

• New Medicare Cards Mailing Schedule – 03.30.18
• MLN Connects® for Thursday, March 29, 2018 – 03.29.18
• The 2nd Quarter 2018 Drug Fees are now available. – 03.28.18
• Interactive ABN Tool – 03.28.18
• The 2nd Quarter 2018 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 03.28.18
• Revised: Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program [MLN Matters SE1128] – 03.27.18
• April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM10503] – 03.27.18
• Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 [MLN Matters MM10494] – 03.27.18
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: March 30–April 1, 2018 – 03.27.18
• Billing Instructions – LSO and TLSO – 03.22.18
• MLN Connects® for Thursday, March 22, 2018 – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Calf Pad or Calf Support – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for Transit System and Associated Bracket – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Shoe Holder or Shoe Holder Replacement Straps – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for Labor Charges – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for Anti-Tip Devices for Manual Wheelchairs – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for an Actuator – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for a Wheel Lock Brake Extension for Manual Wheelchairs – 03.22.18
• Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for a Privacy Flap – 03.22.18
• Dear Physician – Nebulizers - Coverage Criteria and Physician Documentation Requirements – 03.15.18
• MLN Connects® for Thursday, March 15, 2018 – 03.15.18
• Revised: Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 [MLN Matters MM10433] – 03.15.18
• Revised: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - April 2018 Update [MLN Matters MM10454] – 03.13.18
• MLN Connects® for Thursday, March 8, 2018 – 03.08.18
• Dear Physician - Insulin for Insulin Infusion Pumps – 03.08.18
• Help Us Help You - Include Your Email! – 03.08.18
• New PWK (Paperwork) Fax/Mail Cover Sheet – Now Available! – 03.08.18
• CGS Listens! Announcing Process Improvements – 03.08.18
• Revised: Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 [MLN Matters MM10433] – 03.06.18
• MSI Coming in March 2018! – 03.01.18
• Medicare Expired Legislative Provisions Extended and Other Bipartisan Budget Act of 2018 Provisions – 03.01.18
• MLN Connects® for Thursday, March 1, 2018 – 03.01.18

February 2018

• Low Volume Appeals (LVA) – 02.28.18
• ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) [MLN Matters MM10473] – 02.27.18
• myCGS Version 4.2.2 Includes Improvements to MFA and More – Available Now! – 02.26.18
• Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update [MLN Matters MM10402] – 02.22.18
• Correct Coding – Custom Fabricated Wheelchair Seat and Back Cushions – 02.22.18
• myCGS and IVR Beneficiary Deductible Issue RESOLVED – 02.22.18
• Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update System [MLN Matters MM10489] – 02.22.18
• Modifications to the Implementtion of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System [MLN Matters MM10397] – 02.22.18
• MLN Connects® for Thursday, February 22, 2018 – 02.22.18
• Revised and New Modifiers for Oxygen Flow Rate [MLN Matters MM10158] – 02.20.18
• Status Report for Quarter 4 – 2017: HCPCS Code A4253 Service-Specific Prepayment Review – 02.15.18
• Status Report for Quarter 4 – 2017: HCPCS Code E0601 Service-Specific Prepayment Review – 02.15.18
• Status Report for Quarter 4 – 2017: HCPCS Code E1390 Service-Specific Prepayment Review – 02.15.18
• Status Report for Quarter 4 – 2017: HCPCS Code J7507 Service-Specific Prepayment Review – 02.15.18
• Status Report for Quarter 4 – 2017: HCPCS Code K0004 Service-Specific Prepayment Review – 02.15.18
• Status Report for Quarter 4 – 2017: HCPCS Codes J7605, J7606, & J7626 Service-Specific Prepayment Review – 02.15.18
• MLN Connects® for Thursday, February 15, 2018 – 02.15.18
• Billing Instruction - Oxygen CMN Question 5 – 02.15.18
• CGS Connect™ – 02.09.18
• Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 [MLN Matters MM10433] – 02.08.18
• Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) [MLN Matters MM10426] – 02.08.18
• Correct Coding – Warranty, Reasonable Useful Lifetime (RUL), and the Minimum Lifetime Requirement (MLR) for Durable Medical Equipment – 02.08.18
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - April 2018 Update [MLN Matters MM10454] – 02.08.18
• New "K" Code for Therapeutic Shoe Inserts [MLN Matters MM10436] – 02.08.18
• MLN Connects® for Thursday, February 8, 2018 – 02.08.18
• Policy Article Revision Summary for February 1, 2018 – 02.01.18
• Correct Coding – Inserts Used with Therapeutic Shoes for Persons with Diabetes (A5512, A5513, K0903) – 02.01.18
• MLN Connects® for Thursday, February 1, 2018 – 02.01.18

January 2018

• CMS MLN Connects Special Edition for Friday, January 26, 2018 – 01.26.18
• MLN Connects® for Thursday, January 25, 2018 – 01.25.18
• Revised: ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) [MLN Matters MM10318] – 01.25.18
• Revised: Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims [MLN Matters SE17034] – 01.25.18
• CGS Documentation Identification Tool – 01.24.18
• DME Provider Outreach and Education Representatives at AAOP in February! – 01.23.18
• Medically Unlikely Edits (MUE) and Bilateral Surgical Procedures [MLN Matters SE1422] – 01.23.18
• MAC Operations Continue During Shutdown – 01.22.18
• 2018 Jurisdiction List for DMEPOS HCPCS Codes – 01.19.18
• myCGS Beneficiary Deductible Issue – 01.18.18
• MLN Connects® for Thursday, January 18, 2018 – 01.18.18
• 2018 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List [MLN Matters MM10416] – 01.18.18
• KX, GA, GY, and GZ Modifier Reminders – 01.16.18
• April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM10447] – 01.16.18
• Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM10395] – 01.16.18
• MLN Connects® for Thursday, January 11, 2018 – 01.11.18
• Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – 01.11.18
• CGS Online Education Courses (OECs) – 01.11.18
• Completion of Certificates of Medical Necessity – Annual Reminder – 01.11.18
• There are three new Dear Physician Letters now available: Positive Airway Pressure (PAP) Devices: Initial Qualification; Positive Airway Pressure (PAP) Devices: Replacement; and Negative Pressure Wound Therapy – 01.11.18
• Cures Act Claim Adjustment Reopenings for Addition of KE Modifier – Important Reminders – 01.11.18
• Revised: Suppression of the Standard Paper Remittance Advice (SPR) in 45 days if also Receiving Electronic Remittance Advice (ERA) [MLN Matters MM10151] – 01.09.18
• Co-Branded Education with Noridian and CGS! – 01.08.18
• Clearinghouse/Billing Agent Registration in myCGS–Now Available! – 01.05.18
• MLN Connects® for Thursday, January 4, 2018 – 01.04.18
• The Winter 2018 DME Jurisdiction C Supplier Manual is now available – 01.02.18
• The Winter 2018 DME MAC Insider is now available – 01.02.18
• Revised: Suppression of the Standard Paper Remittance Advice (SPR) in 45 days if also Receiving Electronic Remittance Advice (ERA) [MLN Matters MM10151] – 01.02.18
• The acceptance of a voluntary refund as repayment for the claim specified in no way affects or limits the rights of the Federal Government, or any of its agencies or agents, to pursue any appropriate criminal, civil, or administrative remedies arising from or relating to these or any other claims. – 01.02.18

Looking for older articles? All DME MAC Jurisdiction C articles and announcements can be found on our Articles Archive Pages:

• 2018 Archive
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