DMEPOS Transmittals
The list below shows the transmittals that are directed to the DMEPOS provider community, but the list may not include all instructions for which DMEPOS providers are responsible. For a list of all instructions, view the Transmittals web page under Regulations and Guidance.
CR # | Release Date | Subject | Article # |
---|---|---|---|
5417 | 12/08/2006 | Fee Schedule Update for 2007 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies | MM5417 |
5419 | 12/22/2006 | Provider Migration | N/A |
5367 | 12/22/2006 | DMERC Claim Modifiers for Upgrades | N/A |
6714 | 01/15/2010 | Durable Medical Equipment and the National Supplier Clearinghouse Procedures for Third Party Notification of Deceased Durable Medical Equipment, Prosthetics, Orthotics and Supplies Supplier Associates | N/A |
6421 | 12/16/2010 | Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) | N/A |
6695 | 02/05/2010 | Common Working file Edit to Reject Claims for Durable Medical Equipment Provided to Medicare Beneficiaries During Non-Covered Stays in a Skilled Nursing Facility | N/A |
6359 | 02/05/2010 | Reporting the Beneficiary's Residence State Code and ZIP Code for Durable Medical Equipment, Prosthetics, Orthotics and Supplies Claims | MM6359 |
6792 | 02/05/2010 | Maintenance and Servicing Payments for Certain Oxygen Equipment on or After July 1, 2010 | MM6792 |
6762 | 02/05/2010 | Instructions for Reprocessing Claims and Recouping Overpayments for Claims for Implanted DME and Implanted Prosthetics Submitted Under the Guidelines Established in Change Request 5917 | MM6762 |
6421 | 02/26/2010 | Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics and Supplier Claims Process by Durable Medical Equipment Medicare Administrative Contractors | MM6421 |
6360 | 03/26/2010 | Update VIPS Medicare System to Deactivate Billing Numbers for Non-Frequent Billing Durable Medical Equipment, Prosthetics, Orthotics and Supplies Suppliers | N/A |
6939 | 04/24/2010 | Payment of Oxygen Contents to Suppliers After the 36th Month Rental Cap under the Medicare Durable Equipment Prosthetics, Orthotics and Supplies Competitive Bidding Program | MM6939 |
6877 | 04/28/2010 | Sending DMEPOS Medicare Summary Notices on a Monthly Schedule to all beneficiaries in Miami-Dade, Broward and Palm Beach County Zip Codes in Florida | N/A |
6795 | 04/29/2010 | Additional Medicare Secondary Payer Claims Processing Instructions for the Common Working File, Medicare Part B, and Durable Medical Equipment Shared Systems Regarding Medicare Secondary Payer Claims that Contain a Claim Adjustment Reason Code 19, 20 and 21 | N/A |
6934 | 04/29/2010 | Durable Medical Equipment National Competitive Bidding Implementation - Phase 10G: Paying for Oxygen Equipment when Grandfathered | N/A |
6591 | 03/16/2010 | 5010-D0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment | N/A |
6918 | 04/30/2010 | Durable Medical Equipment National Competitive Bidding Implementation - Phase 10C: Exception for Medicare Beneficiaries Previously Enrolled in a Medicare Advantage Plan | MM6918 |
6838 | 04/30/2010 | Payment for Replacement of Oxygen Equipment in Bankruptcy Situations | N/A |
6945 | 05/07/2010 | July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Suppliers (DMEPOS) Fee Schedule | MM6945 |
6566 | 05/21/2010 | Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies | MM6566 |
7300 | 01/07/2011 | Emergency Update to CY 2011 Medicare Physician Fee Schedule (MPFS) Database | N/A |
7235 | 01/14/2011 | Home Oxygen Use to Treat Cluster Headache (CH) | MM7235 |
7257 | 01/14/2011 | 2011 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List | MM7257 |
7116 | 01/14/2011 | Elimination of Lump Sum Purchase Payment for Standard Power Wheelchairs Furnished on or after January 1, 2011 due to the Affordable Care Act (ACA) | MM7116 |
5641 | 06/08/2007 | July Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | MM5641 |
7300 | 12/29/2010 | Emergency Update to the CY 2011 Medicare Physician Fee Schedule (MPFS) Database | MM7300 |
6159 | 06/20/2008 | National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), Medicare Summary Notice (MSN), and Remittance Advice (RA) Messages | N/A |
6112 | 06/13/2008 | Payment for Complex Rehabilitative Power Mobility Device Services that Span the Implementation Date of DMEPOS Competitive Bidding Programs in Competitive Bidding Areas | MM6112 |
6069 | 06/20/2008 | National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - Phase VIIB of Implementation | N/A |
6101 | 06/13/2008 | July 2008 Quarterly Update for the DMEPOS Competitive Bidding Program | MM6101 |
5838 | 01/11/2008 | Annual Type of Service (TOS) Update | N/A |
5285 | 03/21/2007 | Provider/Supplier Enrollment Approval Letters | N/A |
6007 | 06/26/2008 | Manual Revisions to Reflect Special Billing Instructions for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program | MM6007 |
6119 | 06/11/2008 | Phase 2 of Manual Revisions to Reflect Payment Changes for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005 | MM6119 |
7248 | 01/24/2011 | CY 2011 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule | N/A |
7261 | 01/28/2011 | Additional Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Replacement Parts, Accessories, and Supplies Pricing Logic Established By Change Requests (CRs) 5917 and 6573 | MM7261 |
7231 | 01/28/2011 | FISS System Changes for the Elimination of Lump Sum Purchase Payment for Standard Power Wheelchairs Furnished on or After January 1, 2011, Due to the Affordable Care Act | N/A |
5597 | 06/29/2007 | IOM Pub 100-09, Chapters 3, Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates | MM5597 |
5597 | 07/13/2007 | IOM Pub. 100-09, Chapters 3- Provider Inquiries and Chapter6- Provider Customer Service Program Updates | N/A |
7228 | 02/04/2011 | Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier | MM7228 |
7228 | 02/04/2011 | Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier | MM7228 |
5978 | 05/09/2008 | Phase 1 of Manual Revisions to Reflect Payment Changes for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act (DRA) of 2005 | MM5978 |
5771 | 11/02/2007 | Reporting an NPI and the 'EY' Modifier on Claims for DMEPOS Items Dispensed Without a Physician's Order to Obtain a Medicare Denial for Coordination of Benefits (COB) | MM5771 |
5803 | 12/07/2007 | Fee Schedule Update for 2008 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies | MM5803 |
5803 | 12/13/2007 | Fee Schedule Update for 2008 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies | MM5803 |
5929 | 04/18/2008 | Establish Pre-Payment Auto-denial Edit in Applicable States for DMEPOS Suppliers of Oxygen and Oxygen Equipment (DME MACs Only). | MM5929 |
5914 | 04/18/2008 | Removal of VIPS Medicare System (VMS) and Common Working File (CWF) Edits That Deny Claims for Parenteral or Enteral Services and/or Supplies if a Provider Has Not Recertified the Beneficiary's Need for Parenteral or Enteral Services and/or Supplies | N/A |
5979 | 04/18/2008 | Assignment of Providers to MACs | MM5979 |
5953 | 04/25/2008 | Local Coverage Determinations (LCDs) Responsibility Transition From Durable Medical Equipment (DME) Program Safeguard Contractor (PSC) to DME Medicare Administrative Contractors (MAC) | N/A |
6055 | 05/16/2008 | National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Phase VII Correction of Common Working File (CWF) Category for Portable Oxygen | N/A |
6022 | 05/23/2008 | July Quarterly Update for 2008 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule | MM6022 |
4876 | 04/18/2007 | New DMEPOS Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFS) for Claims Processing | N/A |
5537 | 03/09/2007 | April Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | MM5537 |
6159 | 06/20/2008 | National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), Medicare Summary Notice (MSN), and Remittance Advice (RA) Messages | N/A |
7333 | 03/04/2011 | Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | MM7333 |
6934 | 06/10/2010 | Durable Medical Equipment National Competitive Bidding Implementation Phase 10G: Paying for Oxygen Equipment when Grandfathered | MM6934 |
6990 | 06/08/2010 | Clarification of the Date of Service for Maintenance and Servicing Payments for Certain Oxygen Equipment After July 1, 2010 | MM6990 |
6970 | 06/11/2010 | Reprocessing of Claims for Certain Replacement Parts, Accessories, or Supplies for Prosthetic Implants and Surgically Implanted Durable Medical Equipment (DME) with Dates of Service of October 27th, 2008 through December 31, 2009 | MM6970 |
6918 | 06/18/2010 | Durable Medical Equipment National Competitive Bidding Implementation -- Phase 10C: Exception for Medicare Beneficiaries Previously Enrolled in a Medicare Advantage Plan | MM6918 |
7021 | 06/25/2010 | Guidance on Implementing Section 3109 (a) of the Patient Protection and Affordable Care Act (PPACA) | MM7021 |
6945 | 07/01/2010 | July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Suppliers (DMEPOS) Fee Schedule | MM6945 |
7070 | 07/23/2010 | October Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | MM7070 |
6714 | 07/27/2010 | Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates | N/A |
7014 | 07/30/2010 | Home Health Agencies (HHAs)Providing Durable Medical Equipment(DME)in Competitive Bidding Areas | MM7014 |
6891 | 08/20/2010 | New Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Specialty Code for Ocularists | MM6891 |
7110 | 09/17/2010 | 2010 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List | MM7110 |
7066 | 09/24/2010 | Durable Medical Equipment (DME) National Competitive Bidding (NCB) Implementation- Phase 11E: Remittance Advice (RA) and Medicare Summary Notice (MSN) Messages for Round One | MM7066 |
6714 | 10/01/2010 | Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates | N/A |
5574 | 04/03/2007 | Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the CY 2007 DMEPOS Competitive Bid Program | MM5574 |
5930 | 07/18/2008 | VMS Recognition of New Specialty Codes for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) With Pedorthic Personnel, Medical Supply Companies With Pedorthic Personnel, and Rehabilitation Agencies. (DME MACs Only) | N/A |
5516 | 04/13/2007 | Ventricular Assist Devices (VADs | N/A |
5571 | 04/13/2007 | New DMEPOS Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFS) for Claims Processing | N/A |
5579 | 05/25/2007 | Adding Three CMS Specialty Codes for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | N/A |
7213 | 04/08/2011 | Implementation of New Reasonable Useful Lifetime (RUL) Policy for Stationary and Portable Oxygen Equipment | N/A |
7164 | 10/28/2010 | Revision to Common Working File (CWF) Edit 729K to Deny Claims for Durable Medical Equipment (DME) Furnished to Beneficiaries in a Non-Part A Skilled Nursing Facility (SNF) Stay | N/A |
6908 | 10/28/2010 | Implementation of Section 2902 of the Patient Protection and Affordable Care Act (the Affordable Care Act) for Indian Health Service (IHS) Part B Services and All Inclusive Rate (AIR) Billing for Return Visits | N/A |
7181 | 11/05/2010 | January 2011 Quarterly Update for the DMEPOS Competitive Bidding Program. | MM7181 |
7075 | 11/05/2010 | National Council for Prescription Drug Programs (NCPDP) code set updates. | N/A |
7073 | 11/12/2010 | Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | MM7073 |
5881 | 02/22/2008 | ZIP Code Files by Date of Service | N/A |
7406 | 04/29/2011 | VMS Utility Run for DME MACs Identification of Edits for ICD-10 | N/A |
7411 | 04/29/2011 | New K codes for Suction Pumps and Wound Dressings | N/A |
7389 | 05/06/2011 | Durable Medical Equipment National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies | N/A |
7248 | 11/24/2010 | CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule | N/A |
6430 | 06/05/2009 | Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone | N/A |
6430 | 09/25/2009 | Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone | N/A |
6591 | 08/21/2009 | 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only | N/A |
6591 | 10/16/2009 | 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only | N/A |
6688 | 10/28/2009 | Update to the Common Working File (CWF) Edits to Recognize the "";RA""; and "";RB""; Modifiers for Durable Medical Equipment (DME) Repairs and Replacements | N/A |
7397 | 05/13/2011 | Pharmacy Billing for Drugs Provided, Incident To,a Physician Service | MM7397 |
7212 | 05/13/2011 | Edit to Deny Claims for Repairs to Capped Rental Durable Medical Equipment (DME) | N/A |
7425 | 05/20/2011 | October 2011 Quarterly Update for the DMEPOS Competitive Bidding Program | N/A |
6720 | 11/13/2009 | CY 2010 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule | MM6720 |
6566 | 12/23/2009 | Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | MM6566 |
7248 | 12/09/2010 | CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | MM7248 |
7401 | 05/27/2011 | Phase 3 of Manual Revisions to Reflect Payment Changes for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005 | MM7401 |
7416 | 06/03/2011 | July Quarterly Update for 2011 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | N/A |
7410 | 09/30/2011 | Proof of Delivery and Delivery Methods | MM7410 |
6421 | 10/14/2011 | Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) | N/A |
7625 | 10/27/2011 | Revisions to Common Working File (CWF) Edits that Deny Claims for Prosthetics, Orthotics, and Supplies (POS) Furnished to Beneficiaries in a Skilled Nursing Facility (SNF) Stay | N/A |
7632 | 11/04/2011 | January 2012 Quarterly Update for the DMEPOS Competitive Bidding Program | MM7632 |
7635 | 11/04/2011 | CY 2012 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule | MM7635 |
7638 | 12/02/2011 | April 2012 Quarterly Update for the DMEPOS Competitive Bidding Program | N/A |
7452 | 07/01/2011 | Prospective Billing for Refills of DMEPOS Items Provided on a Recurring Basis | N/A |
7397 | 07/01/2011 | Pharmacy Billing for Drugs Provided Incident to a Physician Service This CR rescinds and fully replaces CR 7109. | N/A |
7406 | 07/01/2011 | VMS Utility Run for DME MACs identification of edits for ICD-10 | N/A |
7397 | 12/15/2011 | Pharmacy Billing for Drugs Provided "Incident To" a Physician Service. This CR rescinds and fully replaces CR 7109. | MM7397 |
7498 | 12/23/2011 | Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program: Allowing Contract or Non-contract Suppliers to Maintain and Service the Enteral Nutrition Equipment that They Provided in the 15th Continuous Month of Rental. | MM7498 |
7389 | 07/14/2011 | Durable Medical Equipment National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies | N/A |
7167 | 01/20/2012 | Claims against Surety Bonds for Suppliers of Durable Medicare Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | MM7167 |
7397 | 08/05/2011 | Pharmacy Billing for Drugs Provided Incident To a Physician Service. This CR rescinds and fully replaces CR 7109. | N/A |
7729 | 2012-03-09 | Revision of Medicare Summary Notice (MSN) for Non-Competitive Bid Claims | MM7729 |
7679 | 2012-03-23 | 2012 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction | MM7679 |
7397 | 2012-04-04 | Pharmacy Billing for Drugs Provided "Incident To" a Physician Service. This CR rescinds and fully replaces CR 7109. | N/A |
7822 | 2012-05-11 | July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | MM7822 |
7768 | 2012-05-18 | Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) – October 2012 | MM7768 |
7749 | 2012-05-18 | Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS) | N/A |
7749 | 2012-06-08 | Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS) | N/A |
7729 | 2012-08-03 | Revision of Medicare Summary Notice (MSN) for Non- Competitive Bid Claims | MM7729 |
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