CGS Administrators, the jurisdictions B and C DME … [Read more...]
Prior Authorization Process Change Now in Effect at DME MACs
Briefly: DME MACs Announce Documentation Updates
Featuring CGS Administrators and Noridian Healthcare Solutions.
CGS to Stop Accepting Faxed Reopening Requests on … [Read more...]
Surgical Dressings, Lymphedema Treatment Items Top CGS Q4 Error Rate List of TPE Results
The DME MAC is performing Targeted Probe and Educate reviews on 16 durable medical equipment categories.
CGS Administrators, the Jurisdictions B and C … [Read more...]
CMS Adds Orthoses, PCD Codes to Prior Authorization List for April
Prior authorization requirements go into effect on April 13.
The Centers for Medicare & Medicaid Services … [Read more...]
CGS Announces Pre-Payment Review for Urological Supplies Claims from New Suppliers
The DME MAC will send additional documentation requests for selected claims.
CGS Administrators, the Jurisdictions B and C DME … [Read more...]
CMS Catheter Changes: HCPCS Codes, Narratives, Standard Written Order Guidance for 2026
Three new codes become effective on Jan. 1.
Ringing in the new year will include significant … [Read more...]
Medicare DME Claims on Hold, Telehealth Flexibilities End as Government Shuts Down
The DME MACs sent reminders to stakeholders on Oct. 1.
The Centers for Medicare & Medicaid Services … [Read more...]
DME MACs Issue October HCPCS Code Changes
The new codes go into effect Oct. 1, 2025.
The DME MAC contractors have released the list of … [Read more...]
DME MACs Release Proposed LCDs for External Infusion Pumps, Knee Orthoses
Virtual public meetings will be held on Aug. 27 to discuss both proposed local coverage determinations.
The Durable Medical Equipment Medicare … [Read more...]
CGS Announces Pre-Pay Review of Oxygen Concentrator Claims for Jurisdictions B, C
The DME MAC said oxygen claims rank high in CERT errors.
CGS Administrators, Medicare’s DME MAC for … [Read more...]