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

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.

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

Last Updated Oct 31 , 2025