All Fee-For-Service Providers

Spotlights

• Does your dialysis facility qualify for Medicare’s low-volume payment adjustment (LVPA) available under the End-Stage Renal Disease (ESRD) Prospective Payment System? Registration is now open for a National Provider Call on April 24.

• Revised Fact Sheet for Referral Agents - Where are the Round 2 areas?  What if a beneficiary travels? What do you need to know before prescribing a DMEPOS item or referring the beneficiary to a DMEPOS supplier? Want more information on the national mail-order program for diabetic testing supplies?

  For answers to these questions and more, see the revised “Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program: Referral Agents” Fact Sheet (ICN 900927), which is now available in downloadable format. 

• Information for people who refer Medicare beneficiaries for durable medical equipment, orthotics and supplies. The DMEPOS Competitive Bidding Program will be changing how some Medicare patients get covered supplies.  Be sure to give your Medicare patients the correct information.

• On April 9, CMS will host a National Provider Call on the Medicare Shared Savings Program Application Process: Preparing to Apply. CMS subject matter experts will provide information on what you can do now to prepare for the Shared Savings Program application process for the January 1, 2014 start date. Registration is now open.
• Begin Transitioning to ICD-10 in 2013. Registration is now open for a National Provider Call on April 18 from 1:30-3.
• Ordering and Referring Denial Edits Will Turn on May 1, 2013
  
  Effective May 1, 2013, CMS will instruct contractors to turn on Phase 2 denial edits on the following claims to check for a valid individual National Provider Identifier (NPI) and to deny the claim when this information is missing
  • Medicare Part B claims including Durable Medical Equipment, Orthotics, and Supplies (DMEPOS) that have an ordering or referring physician/non-physician provider; and
  • Part A Home Health Agency (HHA) claims that require an attending physician provider.

  For more information:

  Attend the National Provider Call on March 20 from 3-4:30ET.  Register Now.

  •  MLN Matters® Article #SE1305,"Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims"
  •  “Medicare Enrollment Guidelines for Ordering/Referring Providers”
  •  “The Basics of Medicare Enrollment for Physicians Who Infrequently Receive Medicare Reimbursement”
• Follow us on Twitter!  CMS has added the social media site Twitter to our communication and outreach program. Our main goal is to reach providers, suppliers, health professionals, and others interested in current and up-to-date information on the Medicare Fee-For-Service program. Messages on Twitter will include updates to rules & regulations, MLN products, notices of upcoming National Provider Calls, new web postings, and more.

• Follow us at http://twitter.com/cmsgov and search the following hash tags:

  • #CMSMLN for all MLN tweets,
  • #CMSNPC for all National Provider Call tweets, or
  • #MLNProducts for all tweets related to MLN products.
    
• [URGENT] The Provider Call Center Toll Free Number Directory information can now be found in the Provider Compliance Interactive Map at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/provider-compliance-interactive-map/index.html.
  
• The HAC POA fact sheet has been revised and is now available to be downloaded.  This fact sheet gives an overview of the Deficit Reduction Act of 2005, and lists affected hospitals, as well as a table of HACs and Codes.
  

• Medicare FFS e-News Spotlights

  • Subscribe now to receive the weekly CMS Medicare FFS Provider e-News for the latest Fee-For-Service program information, event announcements (including National Provider Call announcements), claims and pricer information, and MLN educational product updates.