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Important Provider Enrollment Updates

Recently, the CMS made updates to the Medicare Enrollment chapter of the Program Integrity Manual. These changes are effective December 5, 2022.  Notable changes include updated provider enrollment instructions for:  Ownership disclosures Electronic...

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National Provider Enrollment (NPE) DMEPOS Transition Starts Today!

Effective today, November 7, 2022, DMEPOS suppliers will be required to submit enrollment applications to either the NPE East (Novitas Solutions) or NPE West (Palmetto GBA) contractors. DMEPOS activities for suppliers located east of the Mississippi River...

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Updating your general liability insurance? You may need to change the certificate holder!

On Thursday, September 29, 2022, CMS formally announced the transition from the National Supplier Clearinghouse (NSC) to two new National Provider Enrollment Contractors (NPEC), Novitas Solutions (NPEast) and Palmetto GBA (NPWest). The contract...

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CMS announces new Enrollment Contractor

On Thursday, September 29, 2022, CMS formally announced the transition from the National Supplier Clearinghouse (NSC) to two new National Provider Enrollment Contractors (NPEC).  November 6, 2022, is the last day that the National Supplier Clearinghouse...

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Accreditation up to date? Find out on your remittance notices beginning January 3, 2022!

To supply Medicare DMEPOS to patients and to obtain and retain a supplier billing number, suppliers must adhere to the DMEPOS supplier and quality standards and accreditation requirements. In compliance with supplier standards, all changes to...

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Reminder: Payment edits for custom fitted orthotics go in effect October 1, 2021

Effective for dates of service on or after October 1, 2021, if a supplier is located in one of the states listed below and wishes to bill Medicare for certain orthoses coded as OR01 (Orthoses: Custom Fabricated) and OR02 (Orthoses: Prefabricated, Custom...

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Provider Enrollment Activities to Resume

In this week’s MLN Matters Newsletter, CMS announced that, beginning October 2021, some provider enrollment activities that were paused during the COVID-19 public health emergency will resume, including: Application Fees  Criminal...

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Provide Custom Fabricated or Prefabricated (Custom Fitted) Orthotics? You may need to update your enrollment file!

CMS issued CR 12282 to communicate the addition of HCPCS codes that require the use of a licensed/certified orthotist or prosthetist for furnishing custom fabricated and prefabricated (custom fitted) orthoses.  This change will apply...

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