Latest Updates

Articles posted in the "Latest Updates" are compiled and published into a bulletin quarterly.

Previously published articles are available within the Noridian Bulletins webpage. Exclusions to this include time-sensitive announcements such as: Noridian and CMS educational Events, Ask-the-Contractor Teleconferences, and claims processing downtime.

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Articles Source Posted
Ostomy Supplies DME on Demand Sep 09, 2024
Incarcerated Claim Denials Alert Sep 05, 2024
MLN Connects - September 5, 2024 Sep 05, 2024
Prior Authorization and Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1845, L1951) and Spinal Orthoses (L0631, L0637, L0639) Sep 05, 2024
Weekly Educational Events - Week of September 9 through September 13 Sep 04, 2024
Oxygen Modifier Decision Tree Tool Sep 04, 2024
Wheelchair Options, Accessories, and Seating Webinar - 10/10/2024 Sep 04, 2024
Upper Limb Orthoses Webinar - 10/10/2024 Sep 04, 2024
Power Mobility Devices - Documentation Webinar - 10/09/2024 Sep 04, 2024
Power Mobility Devices - Coverage and Coding Webinar - 10/08/2024 Sep 04, 2024
Monday Live Chat Webinars Sep 04, 2024
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 09/12/2024 Aug 29, 2024
Utilize Correct Modifier(s) Per HCPCS Code Aug 29, 2024
MLN Connects - August 29, 2024 Aug 29, 2024
Policy Article Revisions Summary for August 29, 2024 Aug 29, 2024
Update: How to Determine Whether to Obtain Prior Authorization for an Off-the-shelf vs Custom Fit Brace or Both Codes Aug 28, 2024
Educational Events - Month of September Aug 28, 2024
Lower Limb Prostheses (LLP) Webinar - 10/01/2024 Aug 27, 2024
Manual Wheelchair Bases Webinar - 10/01/2024 Aug 27, 2024
Prior Authorization - Power Mobility Devices Webinar - 10/02/2024 Aug 27, 2024
Knee Orthosis HCPCS Code L1833 Changes - Prior Authorization, Face-to-Face Encounter, and Written Order Prior to Delivery No Longer Required for Dates of Service on or After August 12, 2024 Aug 27, 2024
Continuous Glucose Monitors (CGMs) Supply Allowance Aug 23, 2024
MLN Connects - August 22, 2024 Aug 22, 2024
Correct Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses) - Revised Aug 22, 2024
Website Wednesday- Policy Focused Tools Webinar - 09/25/2024 Aug 20, 2024
Website Wednesday - Noridian Medicare Portal and Claims Webinar - 09/25/2024 Aug 20, 2024
Fraud and Abuse Webinar - 09/26/2024 Aug 20, 2024
DME Basics Series- Claims and Appeals Webinar - 09/26/2024 Aug 20, 2024
DME Basics Series- General Documentation Webinar - 09/25/2024 Aug 20, 2024
DME Basics Series- Background Knowledge Webinar - 09/24/2024 Aug 20, 2024
Positive Airway Pressure (PAP) Devices Webinar - 09/24/2024 Aug 20, 2024
Avoiding a Top Denial - Patient in Skilled Nursing Facility Aug 20, 2024
Claims for Oral Anti-Cancer Drug Capecitabine Aug 20, 2024
Enteral Nutrition DME on Demands Aug 15, 2024
MLN Connects - August 15, 2024 Aug 15, 2024
Determining Factors for Ostomy Supplies Aug 14, 2024
Lower Limb Prostheses Policy Updates Effective September 1, 2024 Aug 13, 2024
Claim Denial Rebill, Reopen or Redetermination Webinar - 09/17/2024 Aug 13, 2024
Lymphedema Compression Treatment Benefit Live Chat Webinar - 09/17/2024 Aug 13, 2024
External Infusion Pump Policy Modifiers - Mini Webinar Webinar - 09/18/2024 Aug 13, 2024
Policy Article Revisions Summary for August 8, 2024 Aug 09, 2024
Replacement Wheelchair Equipment When the Manufacturer Exits Wheelchair Business – Revised CR13610 Aug 08, 2024
Surgical Dressings Recommended Frequency of Change Aug 08, 2024
MLN Connects - August 8, 2024 Aug 08, 2024
Temporary Disruption to External Print and Mail Services - Resolved 08/06/24 Alert Aug 06, 2024
Requests for SSI Realignment for Cost Reporting Periods Starting Before October 1, 2013 Aug 05, 2024
MLN Connects - August 1, 2024 Aug 01, 2024
Targeted Probe and Education (TPE) Pre-Payment Reviews Aug 01, 2024
LCD Revisions Summary for August 1, 2024 Aug 01, 2024
Payment for Second Ventilator Jul 26, 2024
Lymphedema Compression Treatment Items: Implementation - Revised CR13670 Jul 25, 2024
Resolving and Avoiding Denials for Same or Similar Items Jul 25, 2024
MLN Connects - July 25, 2024 Jul 25, 2024
Lymphedema Compression Treatment Items Webinar - 09/12/2024 Jul 24, 2024
Website Wednesday - General Topic Tools Webinar - 09/11/2024 Jul 24, 2024
Osteogenesis Stimulators Webinar - 09/10/2024 Jul 24, 2024
Resolving a Top Denial for Billing Accessories or Supplies for Beneficiary Owned Equipment Jul 24, 2024
Enteral and Parenteral Modifiers - Proper Use Jul 24, 2024
Required Prior Authorization (PA) Program Pre-Claim Reviews Jul 23, 2024
Electronic Funds Transfer (EFT) Form Requests from the NPE Jul 23, 2024
Addendum Reference Jul 19, 2024
MLN Connects - July 18, 2024 Jul 18, 2024
Lower Limb Prostheses - Final LCD and Response to Comments (RTC) Article Published Jul 18, 2024
LCD and Policy Article Revisions Summary for July 18, 2024 Jul 18, 2024
Recovery Audit Contractor Steps to Appeal Jul 16, 2024
Noridian Healthcare Solutions (Noridian) & CGS Administrators, LLC (CGS) Signature Requirements Jul 15, 2024
When to Contact the National Provider Enrollment Contractors vs. the DME MAC Jul 12, 2024
MLN Connects - July 11, 2024 Jul 11, 2024
ALYGLO® (immune globulin intravenous, human-stwk), 10% Liquid - Correct Coding and Coverage Jul 11, 2024
Negative Pressure Wound Therapy Billing Modifiers Jul 10, 2024
Remittance Remark Code N790 Incorrect on Non-Accredited HCPCS Codes - Resolved 07/10/24 Alert Jul 10, 2024
Weekly Educational Events - Week of July 15 through July 19 Jul 10, 2024
Negative Pressure Wound Therapy DME on Demands Jul 09, 2024
RARC, CARC, MREP and PC Print Update CR13517 Jul 03, 2024
Claims for Oral Anti-Cancer Drug Methotrexate (Revised) Jul 03, 2024
MLN Connects - July 3, 2024 Jul 03, 2024
Treating Practitioner Evaluation of the Blood Gas Study for Oxygen Jul 03, 2024
July 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13560 Jul 01, 2024
MLN Connects - June 27, 2024 Jun 27, 2024
DMEPOS Fee Schedule: July 2024 Quarterly Update CR13658 Jun 27, 2024
Policy Article Revisions Summary for June 27, 2024 Jun 27, 2024
Face-to-Face Encounter and Written Order Prior To Delivery (WOPD) Update Effective August 12, 2024 Jun 26, 2024
Lymphedema Compression Treatment Items Frequently Asked Questions (FAQs) Jun 26, 2024
Resolving Denials for PECOS Errors Jun 26, 2024
MLN Connects - June 20, 2024 Jun 20, 2024
Updates to the Master List and Required Prior Authorization List Effective August 12, 2024 Jun 20, 2024
Medicare Benefit Policy Manual Update: DMEPOS BCD CR13651 Jun 20, 2024
DME Happenings JD June 2024 Bulletin - Now Available Jun 20, 2024
Policy Article Revisions Summary for June 20, 2024 Jun 20, 2024
Primary Care First Model Demonstration Project Jun 18, 2024
Navigating Claim Denials for Incorrect Jurisdiction: Common Reasons and Solutions Jun 17, 2024
Clarification of Liability for DMEPOS Claims Overlapping Inpatient Hospital Stays CR13631 Jun 13, 2024
MLN Connects - June 13, 2024 Jun 13, 2024
Policy Article Revisions Summary for June 13, 2024 Jun 13, 2024
Weekly Educational Events - Week of June 17 through June 21 Jun 12, 2024
Advance Determination of Medicare Coverage Resources Jun 12, 2024
Oxygen and Oxygen Equipment: Continued Coverage Jun 11, 2024
Nebulizer Drugs Denied for Missing Equipment - Resolved 06/21/24 Alert Jun 10, 2024
July 2024 HCPCS Updates Jun 07, 2024
Policy Article Revisions Summary for June 6, 2024 Jun 06, 2024
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