March 2023

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

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Articles Source
1500 Claim Form Instructions and Tutorial
2022 1099 Tax Forms Available on NMP
2022 Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Fee Schedule File Revisions - Resolved 12/05/22 Alert
2023 Annual Update of HCPCS Codes for SNF CB Update CR12829
2023 HCPCS Code Update - January Edition - Correct Coding
A4239 Denied Incorrectly - Resolved 01/31/23 Alert
Additional Documentation Requests (ADR) and Appeals - Appeals Newsletter Part 2
Appealing Denials from Other Review Contractors
Avoid Receiving Inpatient Denials with Reason Code 109, Remark Code N538 and Denials for Claim Not Covered by This Payer Reason Code 109, Remark Code N418
Beneficiary Permanent Address on File with Social Security
Billing for Custom Fitted Orthotics When No Custom Fitting Is Completed With No Off-The-Shelf Equivalent
Changes for Beneficiaries to be Aware of at Beginning of Year
Claims With CMN/DIF on File for DOS on/after 01/01/23 - Resolved 02/07/23 Alert
Clinician Checklist for Pneumatic Compression Devices - Chronic Venous Insufficiency with Venous Stasis Ulcers (CVI)
CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) - COVID-19 Public Health Emergency - Revised
CMS Medicare Secondary Payer (MSP) Alert
Continuous Glucose Monitors (CGM) Procedure Code Update
Correct Coding - Submitting Oxygen Claims with Modifiers KX, GA, GY, and GZ - Revised
Coverage Criteria for Intermittent Urinary Catheters A4353 - Immunosuppressed Beneficiaries Meeting Criteria 2
Determining the Maximum Quantity of Ostomy Supplies
Determining the Maximum Quantity of Urological Supplies
DMEPOS Fee Schedule: CY 2023 Update CR13006
DMEPOS Fee Schedule: October 2023 Quarterly Update CR13343
Each Competitive Bid Area Has a Comprehensive List of Contract Suppliers
Eliminating Certificates of Medical Necessity & Durable Medical Equipment Information Forms - January 1, 2023
External Infusion Pump (EIP) Supplies Utilization Expectations
External Infusion Pumps (EIP) HCPCS Codes Rejected in Error - Resolved 01/27/23 Alert
HCPCS Codes K1018 and K1019 - Correct Coding - Revised
How to Resolve Reason Code 16, Remark Code M60 Denial
How to Submit Successful Appeals, or Reopenings - Appeals Newsletter Part 1
Inpatient Denials With Reason Code 109, Remark Code N538 Continues to Be One of the Top Denials Suppliers Receive
International Classification of Disease (ICD-10) Code Update for Coverage of IVIG Treatment of Primary Immune Deficiency Diseases in the Home CR12973
Introducing the Noridian Medicare Chat
Items That Can Be Purchased in Month One
It’s Important to Know Which HCPCS Codes Are Included in Competitive Bid Round 2021
January 2023 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR12925
K0553 and K0554 Rejected in Error - Resolved 01/19/23 Alert
KX Modifier Use for External Infusion Pumps
LCD and Policy Article Revisions Summary for December 29, 2022
LCD and Policy Article Revisions Summary for February 23, 2023
LCD and Policy Article Revisions Summary for January 12, 2023
Limitation on Recoupment of Overpayments CR11262
Lymphedema Compression Treatment Items - Correct Coding and Billing
Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 DMEPOS Benefit Category Determinations CR13028
Medical Review After the COVID-19 Public Health Emergency: New FAQ
Medicare Part B Premium and Deductible Changes in 2023
MLN Connects - August 10, 2023
MLN Connects - August 17, 2023
MLN Connects - August 24, 2023
MLN Connects - August 3, 2023
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