“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.
“I thank you for suggesting and helping me out with my situation. I can’t tell you enough how the Multi-USE Boot is helping me stay Pain Free!!!”
—D.C. from San Diego, California
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