June 2023

A listing of the individual articles included in the JD DME Happenings, dated June 2023 is provided. Each article title functions as a hyperlink to open to specific article.

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Articles Source
2023 HCPCS Code Update - April Edition - Correct Coding
2023 Modifier Usage for the External Infusion Pumps (EIP) Policy
Advance Beneficiary Notice of Noncoverage (ABN): Form Renewal
April 2023 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13044
Attention Competitive Bid Suppliers Furnishing Off-the-Shelf (OTS) Knee and Back Braces as a Non-Contract Physician or Other Treating Practitioner, Physical Therapist, or Occupational Therapist
Billing Insulin Furnished Through an External Infusion Pump May 1, 2023 and After
Certain Ankle-Foot/Knee-Ankle-Foot (AFO/KAFO) Orthotics Codes Have a New Requirement for the Order and Office Visit
Claim Status Category and Claim Status Codes Update CR12845
Claim Submission Instruction Post-PHE - Continued Use of Modifier CR and COVID Narrative - Revised
Clinician Checklist for Spinal Orthoses
Clinician Checklist: Hospital Beds and Accessories
Denials for Base Equipment Not on File/ Not Payable
Denials for Reason Code 50, Remark Code N115
DMEPOS Fee Schedule: April 2023 Update CR13153
DMEPOS Fee Schedule: July 2023 Quarterly Update CR13235
Documentation Checklist for Negative Pressure Wound Therapy
E0776BA Denied in Error - Resolved 03/30/23 Alert
E2394 Medically Unlikely Edit
Educational Opportunities Available
Enteral and Parenteral Prospective Use
Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms - Final LCDs and Response to Comments (RTC) Articles Published
Glucose Monitors - Final LCD and Response to Comments (RTC) Article Published
Glucose Monitors and Supplies L200 DME on Demands
HCPCS Codes K1018 and K1019 - Correct Coding - Revised
Hospitals Beds and Accessories: Billing Miscellaneous Code E1399
Initial Wound Evaluation for Surgical Dressings
J7677 Denied in Error - Resolved 02/27/23 Alert
July 2023 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13157
Knee Orthoses - Correct Documentation of Knee Instability
Knee Orthosis (KO) Code L1843 Joins Other KO Codes on the Required Face-to-Face and Written Order Prior to Delivery List
LCD and Policy Article Revisions Summary for April 13, 2023
LCD and Policy Article Revisions Summary for April 20, 2023
LCD and Policy Article Revisions Summary for April 27, 2023
LCD and Policy Article Revisions Summary for March 2, 2023
LCD and Policy Article Revisions Summary for March 30, 2023
LCD and Policy Article Revisions Summary for May 18, 2023
Manual Update to Pub. 100-04, Chapter 20, Pre-Discharge Delivery of DMEPOS for Fitting and Training, Section 110.3 CR13005
Manual Wheelchair DME on Demands
Medicare Secondary Payer: Don’t Deny Services & Bill Correctly CR13085
Mental Health Visits via Telecommunications for RHCs & FQHCs - Revised SE22001
MLN Connects - April 13, 2023
MLN Connects - April 20, 2023
MLN Connects - April 27, 2023
MLN Connects - April 6, 2023
MLN Connects - August 10, 2023
MLN Connects - August 17, 2023
MLN Connects - August 24, 2023
MLN Connects - August 3, 2023
MLN Connects - August 31, 2023
MLN Connects - July 13, 2023
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