Recently Released MLN Matters Articles of Particular Interest

 

*         MLN Matters Article #MM7014 - Home Health Agencies (HHAs)
Providing Durable Medical Equipment (DME) in Competitive Bidding Areas

 

The Centers for Medicare & Medicaid Services (CMS) has released MLN
Matters Article #MM7014 to alert Home Health Agencies (HHAs) that edits
will be in place, effective for services on or after January 1, 2011, to
prevent them from billing competitively-bid DME items in competitive
bidding areas and consequently, preventing the inappropriate payment of
competitively-bid DME items to HHAs.  For more details, please read the
article at http://www.cms.gov/MLNMattersArticles/downloads/MM7014.pdf on
the CMS website.

 

*         MLN Matters Article #MM7080 - Timely Claims Filing: Additional
Instructions

 

The Centers for Medicare & Medicaid Services (CMS) has released MLN
Matters Article #MM7080 to expand the Medicare Fee-For-Service (FFS)
reimbursement instructions outlined in Change Request 6960 that
specified the basic timely filing standards established for FFS
reimbursement. Those basic standards are a result of Section 6404 of the
Patient Protection and Affordable Care Act of 2010 (ACA), which states
that claims with dates of service on or after January 1, 2010, received
later than one calendar year beyond the date of service will be denied
by Medicare.  For more details, please read the article at
http://www.cms.gov/MLNMattersArticles/downloads/MM7080.pdf on the CMS
website.

 

*         MLN Matters Article #MM6934 - Durable Medical Equipment
National Competitive Bidding Implementation -- 10G: Paying for Oxygen
Equipment when Grandfathered

 

The Centers for Medicare & Medicaid Services (CMS) has released MLN
Matters Article #MM6934 to alert suppliers that a non-contract supplier
who chose to be a grandfathered supplier for oxygen and oxygen equipment
should also furnish additional oxygen equipment when medically necessary
after the start of a Durable Medical Equipment, Prosthetics, Orthotics
and Supplies (DMEPOS) Competitive Bidding Program to beneficiaries
residing in a Competitive Bidding Area (CBA) who are already receiving
oxygen equipment from the grandfathered supplier, as described in Change
Request 6934.  For more details, please read the article at
http://www.cms.gov/MLNMattersArticles/downloads/MM6934.pdf on the CMS
website.

 

 

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