Provider Outreach and Education Advisory Group (POEAG) Meeting Minutes - October 22, 2025 - JD DME

POEAG Mission and Goals

Mission

To determine the best methods of providing quality education and training to our supplier community.

Goals

• The primary function of POEAG is to help the MAC create, implement, and review provider education strategies and efforts.
• POEAG provides input and feedback on training topics, provider education materials, and dates and locations of provider education workshops and events.
• POEAG also identifies salient supplier education issues and recommends effective ways to disseminate information to all appropriate suppliers and their staff.
• POEAG is a provider education consultant resource but not an approval or sanctioning authority.
  • CMS Internet Only Manual (IOM), Publication 100-09, Chapter 6

Suggestions from POE Advisory Members

• Aligning with IOM direction
• Suggestions and feedback encouraged
• For policy specific questions:
  • Ask the Contractor Meeting (ACM) - November 19, 2025
  • Monday Live Chat
  • Policy specific webinars

Standing Items

• Collaborative MAC education
  • A/B DME Workgroup - Parenteral Nutrition
    • December 9, 2025
  • CERT Task Force Enteral/Parenteral Nutrition webinar
    • December 2, 2025

Follow-up from Previous Meeting - General

• Supplier complaints due to differences between CGS/Noridian processes
• None currently

Joint DME MAC Publications posted at Policies > Medical Director Articles > 2025

• Posted July 10, 2025 - Lung Expansion Airway Clearance, Continuous High Frequency Oscillation, and Nebulization Device (HCPCS Code E0469) - Correct Coding and Billing of HCPCS
• Posted July 17, 2025 - Documentation Requirements for New Urological Supplies Codes
• Posted August 21, 2025 - Vyalev, the VYAFUSER Pump, and Related Infusion Supplies - Correct Coding and Billing - Revised
• Posted September 18, 2025 - Additive Manufacturing Prosthetic Devices - Correct Coding
• Posted September 23, 2025 - Documentation Requirements for New Urological Supplies Codes
• Posted September 25, 2025 - 2025 HCPCS Code Update - October Edition - Correct Coding
• Posted September 25, 2025 - Scoliosis Brace - Correct Coding Revised
• Posted September 25, 2025 - Pneumatic Compression Devices - Correct Coding and Billing - Revised
• Posted September 25, 2025 - Correct Coding - Partial Hand Prostheses - Revised
• Posted September 25, 2025 - Correct Billing for Upper Limb Prostheses with L6895 instead of L7499 - Revised

New Items

General

• Virtual Events
  • American Academy of Dental Sleep Medicine (AADSM) - November 15, 2025
    • Midwest Association for Medical Equipment Services (MAMES) - October 3, 2025
• Ask the Contractor Meeting (ACM)
  • November 19, 2025
  • General - all topics
• Hydration Therapy - does not qualify as DME
  • No DME benefit
  • Not covered for enteral/parenteral nutrition or infusion therapy
• Medicare fraud scheme
  • Phishing fax requests for medical records - scammers impersonating CMS
• July CERT Awareness Month
  • Four joint articles published highlighting the need for suppliers to submit accurate documentation timely when contacted by CERT
  • This was designed to improve supplier response and education
• Noridian Educational Experience (NEE) Live
  • Exciting new self-paced training modules
  • Many curriculums Continuing Education Unit (CEU) eligible
  • Found under Noridian Education and Outreach tile

DME

• Home-based Noninvasive Positive Pressure Ventilation (NPPV) to Treat Chronic Respiratory Failure Due to Chronic Obstructive Pulmonary Disease
  • MLN Matters MM14117
  • Implementation date October 22, 2025
• Respiratory Assist Devices (RADs) covered with or without backup rate feature
• Home Mechanical Ventilator (HMV) covered in home to deliver high-intensity noninvasive ventilation
  • To treat chronic respiratory failure due to chronic obstructive pulmonary disease (COPD)

Open Discussion/Additional Member Comments/Suggestion

• Can you post a link to the September Documentation Requirements for New Urological Supplies Codes article
  • Policies > Medical Director Articles > 2025 > Documentation Requirements for New Urological Supplies Codes
• Is the POEAG team still restricted from travel?
  • Yes, we are
• Is the Phishing scan specific to a particular provider type?
  • We have not heard that it is targeting any specific provider type
• Does Noridian have any plans for education targeting the expiration of the telehealth waiver and the impact to DMEPOS suppliers concerning compliant medical records?
  • When we receive information from CMS, we will provide education
• Is there a link to register for the CERT-focused webinar on enteral and parenteral nutrition?
  • Yes. You can register on the Schedule of Events
• Is the phishing scam specific to a particular provider type?
  • We are not aware of a specific provider type
• Does Noridian have any plans for education targeting the expiration of the telehealth waiver and the impact to DMEPOS suppliers concerning compliant medical records?
  • As information is received, we will provide education.

Upcoming Meeting

Next Meeting: January 22, 2026