The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) process claims and evaluate claims processing according to edits that auto-deny claims based on certain Healthcare Common Procedure Coding System (HCPCS) codes depending on DMEPOS supplier status. Medicare Modernization Act of 2003 sets standards for DMEPOS suppliers receiving Medicare Part B payments. The Provider Enrollment Chain and Ownership System (PECOS) system provides input on these standards.
Subject: Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
Release Date: Feb. 10, 2017
Effective Date: July 1, 2017
Implementation Date: July 3, 2017
Special Notes: N/A