Jurisdiction C Supplier Manual This manual contains an overview of important and useful information for DMEPOS suppliers regarding the Medicare program. This manual contains an overview of important and useful information for DMEPOS suppliers regarding the Medicare program. DME MACs (A55426) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information CONTRACTOR NAME CONTRACT TYPE CONTRACT NUMBER JURISDICTION STATE(S) CGS Administrators, LLC DME MAC 17013 - DME MAC J-B Illinois Indiana Kentucky Michigan Minnesota Ohio Wisconsin.

Dme Mac Jurisdiction D Supplier Manual
Jurisdiction D Dme Mac Supplier Manual Instructions

b. Verbal Orders:
1. Verbal orders from the prescribing physician/practitioner may be accepted for DMEPOS items that do not require prior authorization by the DHCFP (except when Medicare is primary and Medicaid copayment will be requested, and Medicare requires a written order for that item prior to delivery). Refer online to the DME MAC
Jurisdiction D Supplier Manual, Chapter 3 – Documentation Requirements, for a current listing of those items at:
https://www.noridianmedicare.com/dme/news/manual/chapter3.html
2. The verbal dispensing order must include:
a. A description of the item;
b. The recipient’s name;
c. The physician’s name;
d. The start date and length of need of the order; and
e. Additional information sufficient to allow appropriate dispensing of the item.
3. Suppliers must maintain written documentation of the verbal order and, if the verbal order is used for dispensing the item, the supplier must obtain a detailed written order prior to billing the DHCFP
c. Written Orders:
1. Written orders are acceptable for all transactions involving DMEPOS and must be obtained prior to submitting a prior authorization for any DMEPOS items. Written orders may take the form of a photocopy, facsimile image, electronically maintained, or original “pen-and-ink” document.
2. All written orders must, at a minimum:
a. Clearly specify the start date of the order;
b. Include the length of need; Jurisdiction D Dme Mac Supplier Manual

c. Be sufficiently detailed, including all options or additional features that are needed to meet the recipient’s needs. The description must be either a narrative description (e.g., lightweight wheelchair base) or a brand name/model number; and
d. Be signed and dated by the treating physician/practitioner. Signature includes computer signature and pen and ink, no signature stamps allowed 3. Certain items require additional elements in the written orders, as follows:
a. If the written order is for supplies that will be provided on a periodic basis, the written order must include appropriate information on the quantity used, frequency of change, and duration of need. (For example, an order for surgical dressings might specify one 4x4-hydrocolloid dressing that is changed one to two times per week for one month or until the ulcer heals).
Dme

b. If the written order is for an item such as, but not limited to, enteral formula, oxygen, etc., the order must specify the name of the product, concentration (if applicable), dosage, frequency and route of administration, and duration of infusion (if applicable).
c. Custom-fabricated items must be clearly indicated on the written order that has been signed and dated by the prescribing physician/practitioner.
4. There are additional specifications for orders for certain items, such as, but not limited to, Power Mobility Devices (PMDs). Refer to Appendix B for details.
5. The detailed description of the item(s) may be completed by an employee of the ordering physician/practitioner; however, the prescriber must review the detailed description and personally indicate agreement by signing and dating the order.
6. Medical necessity information (such as an ICD-9 diagnosis code, narrative description of the recipient’s condition, abilities, and limitations) is not in itself considered to be part of the order although it may be put on the same document as the order
d. New Orders Are Required When:
1. There is a change in the order of a specific DMEPOS item;
2. There is a change in the resident’s condition that warrants a change in the order, a change in the treating physician/practitioner, or DMEPOS supplier; Jurisdiction

3. An item is replaced for any reason; or
4. An ongoing unchanged order continues to be medically necessary one year after the original order (orders are only valid for up to one year, unless documented with a shorter length of time).
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Noridian DME Jurisdiction D

PDF download:

www.cms.gov

(DME MAC). Contract for Jurisdiction D. ▫ On September 10, 2015, the Centers for
Medicare & Medicaid Services (CMS) awarded Noridian Healthcare Solutions, …

www.cms.gov

JA awarded to Noridian December 2015; implementation in progress. * JB
awarded to CGS in September 2015; implementation in progress. DME
Jurisdiction … Open eps on mac.

www.cms.gov

Jan 15, 2016 … Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Jurisdiction D contract to. Noridian Healthcare Solutions, LLC for …

oig.hhs.gov

Sep 9, 2010 … equipment Medicare administrative contractor for Jurisdiction D, within 5 …. CMS
awarded the DME MAC contract for Jurisdiction D to Noridian.

www.cms.gov

As of January 2016. MAC. Jurisdiction … (awarded to Noridian Dec 2015;
implementation in progress). DME B. DME B. Illinois, Indiana … DME D. Alaska,
Arizona, California, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana,. Nebraska,
Nevada …

oig.hhs.gov

Feb 4, 2011 … Jurisdiction D. We will forward a copy of this report to the HHS action …. Noridian
Administrative Services, LLC (Noridian), the DME MAC for …

oig.hhs.gov

monthly rental payments for this category of DME as long as medical necessity
and Part B coverage …. 6 Noridian Healthcare Solutions, Ventilators (HCPCS
E0464) Quarterly … Respiratory Assist Devices (L33800) for DME MAC
Jurisdictions A, B, C, and. D, available at https://www.cms.gov/medicare-
coverage-database/.

www.doh.wa.gov

Jun 30, 2013 … We'd like to thank you for joining us for this training on Medicare for Washington
State … Jurisdiction Immunization Billing Resource Guide.

www.justice.gov

Jurisdiction d dme mac supplier manual user

Sep 2, 2015 … Defendants also fraudulently dispensed DME, in the form of sleep … This Court
may exercise personal jurisdiction over Qualium Corporation d/b/a …. Noridian
Healthcare Solutions, LLC (“Noridian”) has been the MAC …

oig.hhs.gov

When submitting claims to DME MACs, suppliers use Healthcare Common ….
Noridian is the DME MAC for Medicare DME Jurisdiction D. Ninety percent of the
…

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Dme Mac Jurisdiction D Supplier Manual

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Dme Mac Jurisdiction D Supplier Manual

Jurisdiction D Dme Mac Supplier Manual Instructions