“Recently, one multi use boot and one Leeder Boot were sent by your company to me, and now our staff is interested in pursuing more information regarding the Multi use boot.”
—N. N., M.S., OTR/L
“I wanted to let you know how things are going with the Multi-USE Boot you sent me. I’ve had it for a couple weeks now and it’s working out great!”
—D.C.
DMERC Bulletins
- Reporting of Recoupment for Overpayment on the Remittance Advice (RA)
- Provider Alert Repair Replace
- Plantar Fasciitis by Cigna
- Noridian Notification of Spinal Orthoses Prepayment Targeted Review
- Knee Braces Functional
- Guidance to Surveyors Long Term Care Alert
- Dynamic Splints-Splinting
- Coverage under Brace Benefit Category: Heel Ulcers & Foot Drop
- CIGNA AFO-KAFO COVERAGE POSITION FOR PROVIDERS
- Charcot Restraint Orthotic Walker - CROW Boot - Coding
- Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)
- 2016-11 DMEPOS Competitive Bidding Program: CMS Awards Contracts for Round 1 2017
- 2016-11 Pressure Injury Staging Illustrations NPUAP
- 2016-10 Recovery Audit Contractor Awards
- 2016-10 PDAC Process to re-classify orthotic products as Off-The-Shelf
- 2016-08 Navigating Latest CMS 855 Forms & PECOS Guidelines
- 2016-07 Prepayment Targeted Review HCPCS A5500
- 2016-05 Licensure Updates by States
- 2016-04 Licensure Updates by States
- 2016-03 Licensure Updates by States
- 2016-02 Program Integrity Enhancements to Provider Enrollment CMS 6058 P
- 2016-02 Licensure Updates by States
- 2016-01 Physician Signatures Missing on Medical Records: CERT Tip
- 2016-01 Palmetto GBA New eAppeal Portal
- 2016-01 Licensure Updates by States
- 2016-01 Completion of Certificates of Medical Necessity - Annual Reminder
- 2015-12 Licensure Update by States
- 2015-12 Finalized Rule Prior Authorization For Certain DME
- 2015-11 Licensure Updates by States
- 2015-10 Licensure Updates by States
- 2015-10 Face-to-Face Written Order for High Cost DME - Dear Physician Letter
- 2015-09 Licensure Updates by State
- 2015-08 Licensure Updates by State
- 2015-08 Competitive Bid Round 1 2017 Time Line
- 2015-07 Licensure updates by State
- 2015-07 Lack of Documentation is the #1 reason for Claims Denial
- 2015-07 Comprehensive Care for Joint Replacement-Incentives
- 2015-07 CMS Medicare Fraud Prevention Efforts Ramp Up
- 2015-06 Licensure Updates by State
- 2015-06 Changes to the Medicare Recovery Audit Program RAC
- 2015-05 Licensure Updates by State
- 2015-04 Licensure Updates by State
- 2015-04 CMS Outlines Next Round one Re-compete for 2017
- 2015-03 Medical Necessity and Reasonable Necessary
- 2015-03 Licensure Updates by State
- 2015-03 Billing Reminder: Supplies Provided On a Periodic Basis
- 2015-03 Next Generation Accountable Care Organization (ACO) Model
- 2015-02 Proof of Delivery Reminder
- 2015-02 Licensure Updates by State
- 2015-02 Bidding Reform Bills Make Slight Gain from HME Business
- 2015-02 Additional Guidance on Electronic Signatures Is Available
- 2015-01 Licensure Updates through 01/15/2015 by State
- 2015-01 HHS Sets Clear Goals and Timeline for Shifting Medicare Reimbursements from Volume to Value
- 2014-12 Supplier Self Audits
- 2014-12 Round 2 Comp Bidding Recompete Important Dates Timeline
- 2014-12 Complying With Medical Record Documentation Requirements Fact Sheet
- 2014-11 NSC Palmettogba Provider Licensure Info
- 2014-11 Correct Coding - Medicare - Diabetic Shoes - Brace Related Shoes
- 2014-11 CMS Updates Competitive Bidding Program
- 2014-11 CMS Help Transitioning to ICD-10
- 2014-10 CMS Reports: Hospital-Acquired Conditions Should Be Better Controlled
- 2014-10 Submitting Complete and Legible Medical Records is Key
- 2014-08 Written Order Prior to Delivery - Corrections to Document
- 2014-08 Proof of Delivery - Signature and Date Requirements
- 2014-08 MM8839 New K Codes for Prefab OTS Knees K0901 K0902
- 2014-08 ACA 6407 Requirements – Corrections and Amendments to the Face-To-Face Visit and Written Order Prior to Delivery (WOPD)
- 2014-07 Results of Widespread Prepayment Review of Claims for L0631 and L0637
- 2014-07 Proposed Prior Authorization Process for Certain Durable Medical Equipment
- 2014-07 Orthoses: Replacement of Components Clarification
- 2014-07 ICD-10 Deadline Set to October 1, 2015
- 2014-07 Electronic Health Records and Addenda Issue
- 2014-07 CMS Recompete Supplier Contracts Awarded in Round 2
- 2014-07 Ankle-Foot Orthoses: Walking Boots - Coverage and Coding Issues - Revised
- 2014-07 Additional Documentation Requests (ADR) Tool Available
- 2014-05 MM8730 Related CR 8730 State Licensure
- 2014-05 ICD-10 Implementation Extended to 2015 October
- 2014-04 RUL Reasonable Useful Lifetime
- 2014-03 Transition from ICD-9 to ICD-10 on October 1 2014
- 2014-03 Change is on the Horizon - CMS is Soliciting Comments on its Payment Methodology
- 2014-02 Physicians Corner: Help Sheets for the Your Doctors
- 2014-02 PDAC-HCPCS New Code Update Ankle-Foot & WHFO's
- 2014-02 Correct Coding - Definitions Used for Off-the-Shelf, Custom Fitted and Custom Fab
- 2014-01 LDC L11527 Ankle-Foot/Knee-Ankle-Foot Orthosis
- 2014-01 Jimmo v. Sebelius -CMS Settlement
- 2013-12 Updated Information Regarding DMEPOS Enrollment Fees
- 2013-12 UDI Rule and GUDID Guidance
- 2013-12 The 2014 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes
- 2013-12 Dear Physician Letter - PECOS Enrollment
- 2013-11 Ordering and Referring Denial Edits Full Implementation on January 6, 2014
- 2013-11 Comprehensive Error Rate Testing (CERT) Documentation Submission: Update
- 2013-11 CMS Announces DMEPOS Competitive Bidding Payment Amounts for Round 1 Annual Recompete
- 2013-10 Payment Rules Notice
- 2013-10 Jurisdiction C Now Accepting Development Letter Responses via CD/DVD
- 2013-09 Unique Device Identification System Final Rule
- 2013-09 Same/Similar Durable Medical Equipment (DME) Look-Up Portal PSP
- 2013-08 Updated LCD L11527, Part 4
- 2013-08 Updated LCD L11527, Part 2
- 2013-08 Updated LCD L11527 Ankle-Foot/Knee-Foot Orthosis, Part 1
- 2013-08 Off-The-Shelf OTS Orthotics Codes Eff. 1 Jan 2014
- 2013-08 Off-The-Shelf Orthotics 2014 HCPCS Codes
- 2013-08 Medicare Fraud & Abuse: Prevention, Detection, and Reporting Podcast 906509
- 2013-08 Knee Orthoses LCD with addition 727.66
- 2013-08 ICD-10-CM/PCS THE NEXT GENERATION OF CODING
- 2013-08 MM8390 Related Change Request # CR8390
- 2013-07 DMEPOS Competitive Bidding Program: 1 July Implementation- Supplier Resources
- 2013-07 Detailed Written Orders and Face-to-Face Encounters MM8304
- 2013-07 Billing Reminder - AFO/KAFO Prefabricated Base Orthoses and Custom-Fabricated Additions
- 2013-06 Establish a CERT Contact Person for Your Practice or Facility
- 2013-06 ACT Call Questions and Answers - June 18, 2013
- 2013-05 Use of Signature Rubber Stamp Exception
- 2013-05 Unique Device Identification UDI Proposed Rule
- 2013-05 ReBid ReCompete Competitive Bidding Program Every 3 Years
- 2013-05 Providers Mis-Mailing Redetermination Requests After ADR Denied
- 2013-05 HCPCS Code and Modifier Combinations
- 2013-05 DMEPOS Information: Supply by Pharmacies Fact Sheet
- 2013-05 CMS Proposes New Safeguards and Incentives to Reduce Medicare Fraud
- 2013-04 Temporary Delay Implementing Ordering and Referring Denial Edits
- 2013-04 Sequestration Questions and Answers
- 2013-04 Quarterly Update DMEPOS Competitive Bidding Program (CBP) - July 2013
- 2013-04 Physician Delegation of Tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs)
- 2013-04 PDAC Medicare Pricing, Data Analysis and Coding
- 2013-04 Competitive Bidding Grandfathering Requirements for Non-Contract Suppliers
- 2013-04 Avoiding PECOS Ordering Physician Denials
- 2013-03 Widespread Prepayment Probe for HCPCS Codes L0631 and L0637
- 2013-03 Sequestration 2% Mandatory Payment Reduction, Eff. 1 April
- 2013-03 Performant Recovery Notice of Issue Under Review - Ankle-Foot Orthosis - JA
- 2013-03 Manual Medical Review of Outpatient Therapy Claims Will Begin April 1
- 2013-03 Full Implementation of Edits on the Ordering/Referring Providers, Eff. 1 May 2013
- 2013-03 CR 8197 Medicare Shared Systems ICD-9 to ICD-10
- 2013-03 CMS Releases ICD-10 Checklists and Timelines
- 2013-02 Recovery of Annual Wellness Visit (AWV) Overpayments
- 2013-02 Continuous Passive Motion (CPM) Devices – Coverage Reminder
- 2013-01 Wrong Marketing Practices Can Lead to Payment Suspension
- 2013-01 Round Two Competitive Bidding Details, Timeline
- 2013-01 President Obama Signs the American Taxpayer Relief Act of 2012
- 2013-01 October ICD-10 IMPLEMENTATION
- 2013-01 Medicare Announces the Next Round of Competitive Bidding
- 2013-01 Medically Unlikely (MUEs) and Clinically Unbelievable Edits (CUEs)
- 2013-01 Items Requiring Coding Verification Reviews by the PDAC
- 2012-12 Results of Widespread Prepayment Review of Claims for HCPCS K0823
- 2012-12 Results of Widespread Prepayment Review for E0570-Nebulizer, with Compressor-L11499
- 2012-12 OIG Fraud Advisory Compilation
- 2012-12 New Place of Service (POS) Code for Place of Employment-Worksite
- 2012-12 ICD-10-CM Code Updates Now Available from CMS
- 2012-11 SE1237 Legible Medical Records
- 2012-11 Final Rule 2 November: DME Face-to-Face Requirement
- 2012-10 Update PIM-Part IX; Out of state Practices, CHOW & more
- 2012-10 DMEPOS Activities Revealed in OIG’s 2013 Work Plan
- 2012-10 Coverage Reminder - TENS Used For Chronic Low Back Pain
- 2012-09 Updated ICD-10 Implementation Information 1 OCT 2014
- 2012-09 Reminder Regarding Referrals by Other Providers and Suppliers
- 2012-09 Partial Code Freeze Prior to ICD-10 Implementation
- 2012-09 New Webcast for Round 1 Recompete Bidders
- 2012-09 Can Chiropractors Enroll as DMEPOS Suppliers?
- 2012-08 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain -CLBP
- 2012-08 PMD Prior Authorization Demonstration Project
- 2012-08 Items Requiring Coding Verification Reviews by the PDAC
- 2012-08 Ground-Breaking Public-Private Partnership to Prevent Health Care Fraud (CMS Message 201207-75)
- 2012-08 Competitive Bidding Timeline Round One Re-Compete
- 2012-08 CMS Billions in Savings and ICD 10 Extended to October 2014
- 2012-08 CMS 3yr Demonstration Allows for Prior Authorization for Certain Power Mobility Devices (PMDs)
- 2012-08 Addition of Digital Document Repository to PECOS
- 2012-07 Steps to Assess How the ICD-10 Transition will Affect your Organization
- 2012-07 Reminder-DMEPOS Site Inspection Regulation-Reporting Requirements
- 2012-07 LCD and Policy Article Revisions - Summary for July 06, 2012
- 2012-07 FDA proposes unique device identification system for medical devices
- 2012-07 KX Modifier Billing Reminder
- 2012-06 Revised-Items on Recurring Basis & Refill Requirements
- 2012-06 Phase 2 of Ordering and Referring Requirement
- 2012-06 How to Find Medicare Billing Forms for Providers
- 2012-06 Final Decision Memorandum for Transcutaneous Electrical Nerve Stimulation for Chronic Low Back Pain (CAG-00429N)
- 2012-06 Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions
- 2012-06 2013 ICD-10 PCS Files Now Available
- 2012-05 Overpayment Recovery from Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
- 2012-05 Notice of Service-Specific Prepayment Review: HCPCS Code E0260
- 2012-05 Major Improvements: Internet-based PECOS
- 2012-05 Hints for Submitting Medical ADR (Additional Documentation Requests) or Appeal Requests
- 2012-05 Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)
- 2012-05 Competitive Bidding Round 1 Re-compete
- 2012-04 Diabetic Supplies and Diabetic Shoes Information Now Available on the IVR
- 2012-04 DMEPOS Competitive Bidding Round 1 Recompete Announced
- 2012-03 Off-The-Shelf Orthotics HCPCS Codes: Future Competitive Bidding
- 2012-03 Off-The-Shelf (OTS) Orthotic HCPCS Codes Comment Extension
- 2012-03 MLN Matters SE1213 Questionable Billing of Lower Limb Prostheses
- 2012-03 Medicare Learning Network: Provider Compliance WebPage
- 2012-03 Medicare Learning Network: DMEPOS Info for Pharmacies
- 2012-03 Medicare Learning Network: DMEPOS Accreditation
- 2012-03 Medical Record Amendments; Medicare Guidelines
- 2012-03 LCD and Policy Article Revisions: Ankle-Foot/Knee-Ankle-Foot Orthosis
- 2012-03 LCD A19885 Ankle-Foot/Knee-Ankle-Foot Orthosis
- 2012-03 Appeal Rights: Know the Rules
- 2012-03 855-O Medicare Enrollment Application Ordering and Referring Physicians
- 2012-02 New Tools to Fight Fraud, Strengthen Federal Health Programs, and Protect Taxpayer Dollars
- 2012-02 Licensure Extension for Round 2 DMEPOS Competitive Bid Program
- 2012-01 Three DMEPOS Competive Bidding Announcements
- 2012-01 Ordering/Referring Physician Documentation Responsibility
- 2011-2012 ICD-10-PCS GEMs Files Now Available from CMS
- 2011-12 Two DMEPOS Competitive Bidding Announcements
- 2011-12 MLN Matters® Number: MM7638 Related Change Request (CR) #: 7638
- 2011-12 DMEPOS Interactive Map on Competitive Bidding, Round 1 & 2
- 2011-12 CMS to delay Implementation of Power Mobility Demonstration
- 2011-12 Bidding Suppliers Round 2 & National Mail-Order
- 2011-12 AntiTrust Guidance DMEPOS Competitive Bid Program
- 2011-11 Proof of Delivery and Delivery Methods: REVISED
- 2011-11 CMS Has Created Implementation Handbooks to Help you Transition to ICD-10
- 2011-11 Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131: Revised Effective 1 Jan 2012
- 2011-10 Revalidation Initiative: Frequently Asked Questions (FAQs)
- 2011-10 Predictive Modeling Analysis of Medicare Claims; MLN SE1133
- 2011-10 Medical Record Cloning = Misrepresentation
- 2011-08 Updated Information Regarding DMEPOS Enrollment Fees
- 2011-08 Provider Re-Validation: Wait to be notified
- 2011-08 Provider Re-validation Information MM7350
- 2011-08 DMEPOS Competitive Bidding Program Expansion Announced
- 2011-08 Chiropractors non-eligible provider-supplier who may order-refer
- 2011-08 Charcot Restraint Orthotic Walker - CROW Boot – Coding Update
- 2011-07 Local Coverage Determination (LCD) for Knee Orthoses L27263
- 2011-07 CERT Ask the Contractor Q&A
- 2011-06 Reporting of Recoupment for Overpayments
- 2011-06 No Date Set for PECOS Implementation
- 2011-06 Medical Review Faxed ADR responses - Clear copies Only
- 2011-06 Going Green - An Electronic Environment
- 2011-06 Claims Modifiers for Use in DMEPOS Competitive Bidding Program
- 2011-06 Supplies Used With Functional Electrical Stimulators (FES) - E0770
- 2011-05 SE1112 Power Mobility Device Face to Face Exam Checklist
- 2011-05 LCD ICD-9 Codes 340.91 & 340.92 for L1832
- 2011-05 Coverage Reminder: Chiropractor Limitations
- 2011-05 CERT Reminders
- 2011-04 The Basics of DMEPOS Accreditation from DME MAC A
- 2011-04 Reasonable Useful Lifetime and Duplicate Items - Billing Reminder
- 2011-04 New DMEPOS Quality Standards Fact Sheet, from DME MAC A
- 2011-04 KX Modifier Attestation Table
- 2011-04 Home Health Face-to-Face Encounter Requirement (CMS Message 201103-63)
- 2011-04 Home Health and Hospice Face-to-Face Encounter Requirements
- 2011-04 DMEPOS Provided During an Inpatient Stay - ANSI Denial Code CO-97; Change Request 7189
- 2011-04 Comprehensive Error Rate Testing (CERT) Signature Requirements
- 2011-03 Widespread Documentation Compliance Prepayment Review for Oxygen and Oxygen Equipment
- 2011-03 Local Coverage Determinations: Find Them Quickly
- 2011-03 Implementation of Provider Enrollment Provisions in CMS-6028-FC
- 2011-03 FILING REMINDER ONE CALENDAR YEAR LIMIT
- 2011-03 Correctly Coding Place of Service by Physicians
- 2011-03 Change Request 7333 Rescinds-Replaces CR7073
- 2011-03 Billing Reminder for Knee Orthoses Addition Codes
- 2011-02 Negative Pressure Wound Therapy - LCD Documentation
- 2011-02 Interactive Remittance Advice LINK
- 2011-02 HCPCS Code K0823 - Service Specific Pre-Pay Review
- 2011-02 Expansion of Durable Medical Equipment (DME) Supplier Standards SE1032
- 2011-02 Competitive Bidding Program Update & Contact Number
- 2011-02 (LCD) for Ankle-Foot/Knee-Ankle-Foot Orthosis (L11517)
- 2011-01 Three Important DMEPOS Competitive Bidding Updates
- 2011-01 Temporary Solution for Grandfathered Suppliers: KY Modifier