Round 1 Updates:
MLN Matters: DME National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies-This article is for suppliers billing Durable Medical Equipment Medicare Administrative Contractors (DME MACs) for certain grandfathered accessories and supplies furnished to Medicare beneficiaries after the start of a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP).
STOP – Impact to YouThis article is based on CR7389 which informs Medicare suppliers and DME MACs that Medicare payment is permissible to a non-contract, grandfathered supplier for furnishing certain purchased, covered accessories or supplies furnished for use with capped rental equipment.
CAUTION – What You Need to KnowThere are limitations on the duration of this permission as well as constraints on the applicable Healthcare Common Procedure Coding System (HCPCS) codes. The KY modifier should not be annotated on claims for these HCPCS codes after September 30, 2011.
GO – What You Need to DoSee the Background and Key Points Sections of this article for clarification and details regarding these changes. To see this article in full, go to: http://www.cms.gov/MLNMattersArticles/downloads/MM7389.pdf
Round 2 Tips & Tasks:
NOTE: This information was previously published June 9, 2011 but many missed the update, so I am resending the information.
Tip: You and/or your designated staff should be sure that your Medicare Enrollment Application (Form 855S) is accurate and up-to-date.
NOTE: This information was previously published June 9, 2011 but many missed the update, so I am resending the information.
Tip: You and/or your designated staff should be sure that your Medicare Enrollment Application (Form 855S) is accurate and up-to-date.
Task:
1. Critical to valid bidder registration-be sure information is correct and up to date. Any changes to your busines (except enrolling a new business location) must be reported within 30 days of the effective date of the change. To access the Form 855S, go to: http://www.cms.gov/cmsforms/downloads/cms855s.pdf
2. Authorized official(s)-Section 6 (page 23) and 15 (page 31)-very important
3. Correspondence address-Section 2A2 (page 8)
4. Please note-it can take CMS 45 days to make these changes.
Upcoming Webinars (8/9 and 8/22 are repeats for those who missed them in July):
8/9/2011- 11:00 am CDT-Introduction to MED Group Round 2 Competitive Bidding Institute-(No charge)-to register: https://www2.gotomeeting.com/register/680808338
8/17/2011 -11:00 am CDT How to Implement Activity Based Costing for Competitive Bidding Products -($49 per member)- to register:
8/22/2011 -1:00 pm CDT Preparing to Submit a Bid for Round 2 Competitive Bidding -(No charge)-to register: https://www2.gotomeeting.com/register/545368090
