NHIC is pleased to serve you as the Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) for Jurisdiction A effective July 1, 2006.
NHIC will provide its services for Medicare beneficiaries and Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) in DME MAC Jurisdiction A which includes Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.
Highlights & Headlines
Advance Beneficiary Notice of Noncoverage (ABN)
Beginning Monday, March 3, 2008, providers (including independent laboratories), physicians,
practitioners, and suppliers may use the revised ABN for all situations where Medicare payment is
expected to be denied. The revised ABN replaces the existing ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L),
and NEMB (Form CMS-20007). Beginning March 1, 2009, the ABN-G and ABN-L will no longer be valid.
DMEPOS Accreditation
All existing DMEPOS suppliers enrolled in the Medicare program are required to obtain and submit an approved
accreditation to the NSC by September 30, 2009. The NSC shall revoke billing privileges if the DMEPOS supplier
fails to obtain and submit supporting documentation of accreditation.
PDAC News
Medicare Contractor Provider Satisfaction Survey (MCPSS) CMS Overview
Competitive Bidding for DMEPOS
- Delay of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CMS Message 2008-07-16)
The Medicare Improvements for Patients and Providers Act of 2008 was enacted on July 15, 2008. This new law has delayed the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. Items that had been included in the first round of the DMEPOS Competitive Bidding Program can be furnished by any enrolled DMEPOS supplier in accordance with existing Medicare rules. Payment for these items will be made under the fee schedule. Additional guidance regarding this new law will be forthcoming.
- (DMEPOS) Competitive Bidding Implementation Contractor (CBIC) website
|
back to top
12/05/2008 |