DME MAC Jurisdiction C News

Video Slideshow Presentations from ICD-10 National Provider Calls Available on CMS YouTube Channel: Is your organization preparing for a smooth transition to ICD-10 on Tuesday, October 1, 2013?  ICD-10 National Provider Calls, hosted by the CMS Provider Communications Group, can help you prepare for...

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CMS Clarifies 90-Day Requirement for Credit Reports in Round 2

CMS just published the following Q & A on the CBIC web site:
 
"The Centers for Medicare & Medicaid Services has issued the following clarification to assist suppliers bidding in the Round 2 and national mail-order competitions of the Medicare...

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IMPORTANT: VGM Gets Clarification on Credit Report Score for Competitive Bidding

Many HMEs have been expressing concern over recent fax receipts from third party consultants and others, which have been picked up by several state associations and distributed to their memberships.  The issue is in regard to whether the Round 2 potential...

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VERY IMPORTANT - PECOS for Suppliers is here!

PECOS for suppliers is here and we need to use it.
 
BUT there are a lot of issues and you have to be very careful and make sure you follow up with the completion of the updates and changes.
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Power Wheelchair Help from Peggy

For an updated checklist for PMDs click here.

Any questions contact:
Peggy Walker, RN
800-401-3643
peggy.walker@vgm.com

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Changes in Round 2 competitive bid items below.

Three DMEPOS Competitive Bidding Announcements

Thanks to many industry leaders for their hard work, and continued dedication to working together, a few delays have been announced for this new round of CB items. This is at at least...

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NCART Releases New CRT Video -- Also Updates CRT Educational Materials

NCART Members and Friends,

Today NCART is releasing a new educational video entitled “Complex Rehab Technology- Essential for health. Essential for life”.  Click here for a copy of the press release.

The 11 minute video provides an introduction to Complex...

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Important VGM Bid Preparation Worksheet Update

CMS has acknowledged an error in its official bid limits in the Round 2 Bid Preparation Worksheets.  They have revised 14 Healthcare Common Procedure Coding System (HCPCS) codes for power wheelchairs (K0813 through K0829). The previous bid...

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Electronic Submission of Medical Documentation (esMD) Pilot Project

The Centers for Medicare & Medicaid Services (CMS) has developed a new mechanism for contractors to receive medical documentation electronically from providers and suppliers, in response to an Additional Documentation Request (ADR).  This new mechanism is identified as Electronic Submission of...

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Update - Pre-pay Review on PMD's

PMD pre-pay review  delayed  CMS will give 30 day notice before initiating.  

This means it will more than likely start April 4th -- any time delays like this happen at last minute it...

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ATTENTION: All VGM members ---

OWNERS and BILLING MANAGERS
APPEALS CHANGE in Amount in Controversy Requirements for 2012
Claims filed to ALJ on or before 12/31/2011 is $130.00 -- No change with ALJ  -- Amount remians the same.

Federal District Court Review Request \   read more...

Adjustable Seat Cushion Codes Removed from Round 2 of Competitive Bidding

We have two announcements of interest to suppliers that are considering participating in the Round 2 and national mail-order competitions of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program.

First, the Competitive Bidding Implementation Contractor (CBIC) has issued a...

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Important - Electronic Data Interchange for Uploading All Claims

Friday, December 30, 2011 - CEDI Outage for January 2012 Quarterly Release Implementation

Read the complete update: https://www.noridianmedicare.com/lsredir.php?id=EFkuVyZklZTQtDIaMF&tmpl=dme_viewnews&style=part_ab_viewnews

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Suppliers beware - PECOS warning edits are being reactivated.

If you are receiving any C-200 / C-201/ or C-201 edit warnings please be aware that these may become actual claim rejects.

There is a Dear Physicians letter available on all jurisdiction web sites.

We will make this available...

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Flying screens

VGM offers members discounts of HME prescription, documentation system that safeguards against audits.

Software maker Dream Software and VGM Group Inc., have joined to help providers standardize prescription and documentation of HME medical necessity as a safeguard against audits.

Visit us at  www.dreamsoftwarecorp.com.

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Welcome to U.S. Rehab

U.S. Rehab, a division of VGM Group, Inc., is an alliance for providers of complex rehabilitation equipment. Since being acquired in 1997, it has grown to more than 1,000 members, all of which are independently owned businesses.

To belong to U.S. Rehab, members must meet stringent admission standards and have credentials from NRRTS and RESNA.

U.S. Rehab understands the unique rehab technology market, and provides services that allow members to operate more efficiently and increase profitability.

  • Excellent pricing from leading equipment manufacturers
  • Reimbursement and clinical advice from industry experts
  • Unequaled educational programs, both live and online

Because U.S. Rehab is part of VGM, its members may take advantage of a wide variety of products and services offered by 15 VGM companies and departments.