Advance Beneficiary Notice of Noncoverage (ABN)
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Appeal Process
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Automatic External Defibrillators (AED)
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Before you Bill
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Canes and Crutches
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Cervical Traction Devices
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Claim Submission
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CMS-1500 Claim Form
Common Electronic Data Interchange (CEDI)
Paperwork Documentation Supporting Claims (PWK)
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CMS Contractors
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CMS Education
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Commodes
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Competitive Bid
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Note: Review the Prior Authorization category for tutorials about Orthotic Prior Authorization.
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Consolidated Billing
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Continuous Passive Motion (CPM) Devices
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DME Modifiers
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Enteral Nutrition
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External Infusion Pump (EIP)
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Fraud and Abuse
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Glucose Monitors and Testing Supplies
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Heating Pads and Heat Lamps
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High Frequency Chest Wall Oscillation Devices (HFCWO)
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Hospital Beds and Accessories
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Immunosuppressive Drugs
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Intake Process
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Intravenous Immune Globulin (IVIG)
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Local Coverage Determinations - Policy Articles |
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Lymphedema |
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Mechanical In-Exsufflation Devices
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Medical Review (MR) Program
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Medicare Background
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Medicare Secondary Payer (MSP)
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Negative Pressure Wound Therapy (NPWT)
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Noncovered Items
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Oral Anticancer / Antiemetic Drugs
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Oral Appliances
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Orthotics
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Ankle Foot/Knee Ankle Foot Orthosis (AFO/KAFO)
Knee Orthosis
Upper Limb Orthoses
Orthopedic Footwear
Types of Orthoses
Spinal Orthosis
Note: Review the Prior Authorization category for tutorials about Orthotic Prior Authorization.
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Osteogenesis Stimulators
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Ostomy Supplies
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Parenteral Nutrition
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Patient Lifts
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Payment Categories
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Place of Service
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Power Mobility Devices (PMDs)
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Note: Review the Prior Authorization category for tutorials about PMD Prior Authorization.
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Pneumatic Compression Devices (PCD)
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Pressure Reducing Support Surfaces (PRSS)
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Group 1
Group 2
Note: Review the Prior Authorization category for tutorials about PRSS Prior Authorization.
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Prior Authorization |
Advance Determination of Medicare Coverage (ADMC)
- ADMC Mar 2024 - 8 minutes
General/Global
Policies Requiring PAR:
Lower Limb Prosthesis (LLP)
Orthotics
Power Mobility Devices (PMDs)
Pressure Reducing Support Surfaces (PRSS)
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Prosthetics
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External Breast Prothesis (EBP)
Eye/Facial Prothesis
Lower Limb Prosthetics (LLP)
Note: Review the Prior Authorization category for tutorials about Prosthetic Prior Authorization.
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Provider Enrollment, Chain and Ownership System (PECOS)
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- PECOS Nov 2023 - 4 minutes
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Refractive Lenses
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Remittance Advice
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Repairs and Replacements
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Respiratory
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Nebulizers
Oxygen and Oxygen Equipment
Positive Airway Pressure (PAP) Devices
Respiratory Assist Device (RAD)
Ventilators
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Same or Similar
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Seat Lift Mechanisms
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Self Service Tools
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IVR
Noridian Medicare Portal (NMP) DME YouTube Playlist
- 1099 Inquiry
- Additional Documentation Request (ADR) Submission and Status
- Appeal Status and Submission
- Automatic Password Reset and Username Lookup
- CERT Inquiry
- Claim Status
- Claim-Specific Remittance Advice
- Eligibility
- Expanded Denial Details
- Financial Information
- Full Remittance Advice
- MBI Lookup Tool
- Message Center
- Overpayments
- Portal Registration
- Prior Authorizations for DME Users
- Recoupment Requests for DME Users
- Self Service Reopenings for DME Users
- Same or Similar (DME Only)
Website
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Speech Generating Devices (SGD)
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Standard Documentation Requirements
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Suction Pumps
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Surgical Dressings
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Telehealth
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Therapeutic Shoes for Persons with Diabetes (TSPD)
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Tracheostomy Care Supplies
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Transcutaneous Electrical Nerve Stimulator (TENS)
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Upgrades
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Urological Supplies
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Walkers
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Wheelchair Bases - Manual
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Wheelchair Options, Accessories & Seating
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