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 Jurisdiction A Supplier Manual Appendix A B
- Dme Mac Jurisdiction A Supplier Manual Appendix A List
- Dme Mac Jurisdiction A Supplier Manual Appendix And Pregnancy
Dec 11, 2014 DME MAC Jurisdiction A - DME Facts JA processes FFS Medicare DME claims for Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.
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Chapter 1 - Introduction
Dme Mac Jurisdiction A Supplier Manual Appendix A B
Chapter 2 - Supplier Enrollment 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.
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- Affordable Care Act (including Face-to-Face, detailed written order, and five-element order)
- Detailed Written Orders (including reminders)
- Orders (including PECOS Edits, Nurse Practitioners or Clinical Nurse Specialist Rules Concerning Orders and CMNs, and Physician Assistant Rules Concerning Orders and CMNs
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
Dme Mac Jurisdiction A Supplier Manual Appendix A List
Chapter 17 - System Outputs
Dme Mac Jurisdiction A Supplier Manual Appendix And Pregnancy
Appendix