Noridian Medicare Portal Functionality for DME Users Webinar - August 21, 2019 Aug 02, 2019 Noridian Medicare Portal Registration for Part A, B and DME Users Webinar - August 20, 2019 Aug 02, 2019 MBI on Remittance Advice Aug 02, 2019. The Healthcare Common Procedure Coding System (HCPCS) codes that describe these categories of service are updated annually in late spring. All other DMEPOS items are billed to the DME MAC. See the Medicare Claims Processing Manual, Chapter 23, ยง20.3 for additional information.
Each Durable Medical Equipment Administrative Contractor (DME MAC) is responsible for processing claims for specific states and territories. Claims must be submitted to the DME MAC that serves the state or territory where the Medicare beneficiary permanently resides.
For example: A supplier is located in California. The supplier provides Medicare-covered items to a Medicare beneficiary who calls Minnesota home for eight months of the year, but who spends about four months in California. The supplier is to submit the claim in to Jurisdiction B where the Medicare beneficiary lives most of the year and not to Jurisdiction D where the supplier is located or where the beneficiary is temporarily living. Below is a list of each DME MAC and the states and territories they service. Jurisdiction A is serviced by Noridian Healthcare Solutions and includes Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont. Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin. Jurisdiction C is serviced by CGS and includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, West Virginia and the US Virgin Islands. Jurisdiction D is serviced by Noridian Healthcare Solutions and includes Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming, To view a map of the DME contractors and the areas they service, please click on the links below. Also, the NSC is happy to assist you with questions regarding your supplier file, the Medicare DMEPOS supplier standards, licensure issues and other NSC related topics. If you have questions related to claims, reimbursement, etc., please contact your DME MAC/Region.
The information previously consolidated into Supplier Manual Chapters is now located in the website for improved access to individual topics. The contents of each chapter with hyperlinks to access individual topics is provided below.
Dme Mac Region D Supplier Manual Download
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Chapter 1 - Introduction
Chapter 2 - Supplier Enrollment
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To enroll as a Medicare DME supplier, there are requirements that must be met. View the National Supplier Clearinghouse (NSC) website to read articles, access learning & educational information, view resources and learn about Supplier enrollment related processes, rules, and regulations.
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Dmerc Region D
Want Medicare payments directly deposited into your bank account? See the Noridian Electronic Funds Transfer (EFT) webpage for EFT application assistance and helpful hints.
Chapter 3 - Documentation Requirements
Chapter 4 - Certificate of Medical Necessity (CMN)/DME Information Form (DIF)
Chapter 5 - DMEPOS
Chapter 6 - Claim Submission
Chapter 7 - Crossover Claims
Chapter 8 - Electronic Data Interchange
Chapter 9 - DMEPOS Coverage, Benefit Categories, and Medical Policy
Chapter 10 - Indian Health Services
Chapter 11 - Medicare Secondary Payer (MSP)
Chapter 12 - Pricing
Chapter 13 - Reopenings and Appeals
Chapter 14 - Fraud and Abuse
Chapter 15 - Overpayments and Refunds
Chapter 16 - Coding
Chapter 17 - System Outputs
Appendix
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