June 2022

A listing of the individual articles included in the JD DME Happenings, dated June 2022 is provided. Each article title functions as a hyperlink to open to specific article.

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Articles Source
2022 Expansion for Face-to-Face (F2F) and Written Order Prior to Delivery (WOPD)
2022 HCPCS Code Update - April Edition - Correct Coding - Revised
April 2022 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR12559
April Quarterly Update for 2022 DMEPOS Fee Schedule CR12654
Are You Utilizing the Noridian Medicare Portal for All Your Self-Service Needs?
Billing Drugs or Supplies When the External Infusion Pump (EIP) is Beneficiary-Owned
Billing for Orthotics Requiring Prior Authorization in Acute Situations and Under Competitive Bidding
Billing Reminder for Mounting Hardware - HCPCS E1028
Calendar Year 2023 Modifications/Improvements to VBID Model – Implementation CR12688
Claim Status Category and Claim Status Codes Update CR12505
CMS Expands its Prior Authorization Program for Orthotics and Power Mobility
Code Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650)
Continuous Glucose Monitor (CGM) Alert: What You Need to Know Following April 1 Code Changes
Continuous Glucose Monitors - Correct Coding and Billing - Revised
Correct Coding and Billing of Halo Procedure
Elimination of Certificates of Medical Necessity & DME Information Forms SE22002
Glucose Monitors and Testing Supplies Tutorials Available 24/7
How Pricing Is Identified for Certain Products
Identifying if the Referring Practitioner is Enrolled with PECOS
LCD and Policy Article Revisions Summary for April 21, 2022
LCD and Policy Article Revisions Summary for March 24, 2022
LCD Revisions Summary for April 28, 2022
LCD Revisions Summary for March 10, 2022
Many Oxygen and Oxygen Equipment Tutorials Available 24/7
Missing CMN or DIF Denials
MLN Connects - April 14, 2022
MLN Connects - April 21, 2022
MLN Connects - April 28, 2022
MLN Connects - April 7, 2022
MLN Connects - March 10, 2022
MLN Connects - March 17, 2022
MLN Connects - March 24, 2022
MLN Connects - March 3, 2022
MLN Connects - March 31, 2022
MLN Connects - May 12, 2022
MLN Connects - May 19, 2022
MLN Connects - May 26, 2022
MLN Connects - May 5, 2022
MLN Connects Special Edition - April 11, 2022 - HHS Takes Actions to Promote Safety & Quality in Nursing Homes
MLN Connects Special Edition - April 18, 2022 - CMS Proposes Policies to Advance Health Equity & Maternal Health, Support Hospitals
MLN Connects Special Edition - April 4, 2022 - Biden-Harris Administration Announces a New Way for Medicare Beneficiaries to Get Free Over-the-Counter COVID-19 Tests
MLN Connects Special Edition - April 6, 2022 - Eligible Individuals Can Receive Second COVID-19 Booster Shot at No Cost
MLN Connects Special Edition - April 7, 2022 - Returning to Certain Pre-COVID-19 Policies & Coverage of Monoclonal Antibodies for Alzheimer's Disease Stakeholder Call
MLN Connects Special Edition - March 30, 2022 - Fiscal Year 2023 Hospice Payment Rate Update Proposed Rule - Comment by May 31
MLN Connects Special Edition - March 31, 2022 - IPF and IRF Proposed FY 2023 Payment Rules
Nebulizers - Final LCD and Response to Comments (RTC) Article Published
Negative Pressure Wound Therapy (NPWT) Continued Coverage
New Competitive Bid HCPCS Lookup Tool Now Available
New F2F, WOPD, and Prior Authorization Requirements Effective April 13, 2022
New WOPD and Face-to-Face Required List HCPCS Code Look Up Tool - Now Available
Noridian and Facebook
Osteogenesis Stimulator KF Modifier Use
PDAC Code Verification Reviews for CGM Devices - Coding and Billing
Policy Article Revisions Summary for April 14, 2022
Policy Article Revisions Summary for March 31, 2022
Policy Article Revisions Summary for May 26, 2022
Providing Accessories or Supplies for Beneficiary Owned Equipment
Quarterly Update for the DMEPOS CBP - April 2022 CR12569
RARC, CARC, MREP and PC Print Update CR12676
Receiving Inpatient Denials with Reason Code 109, Remark Code N538
Registering for the Noridian Medicare Portal Just Got Easier
Required Face-to-Face Encounter and Written Order Prior to Delivery versus Standard Written Order and Face-to-Face Encounter
See How Nurse Practitioners (NP) and Physician Assistants (PA) Qualify as Certifying Physicians for Therapeutic Shoes and Inserts
Sequestration Rate Taken in Error - Resolved 03/01/22 Alert
Surgical Dressings and Pneumatic Compressions Devices (PCD)
Targeted Probe and Education (TPE) Pre-Payment Reviews
There are Many Benefits to Signing Up for Electronic Funds Transfer (EFT)
Three External Infusion Pump (EIP) Tutorials Available 24/7
Top Claim Denial and Ways to Avoid the Denial in the Future
Updated Browse by Topic Webpage
Updated Information on Prior Authorization
Upper Limb Prostheses - Correct Coding
Urological Supplies and Continued Medical Need
Verify HMO/MCO Status on the Noridian Medicare Portal (NMP) Eligibility Tab to Ensure Billing to Correct Payor
Watch Urological Tutorials Anytime