Oxygen Documentation
Requirements
Presented by
Noridian DME Outreach and Education
October 2016
Disclaimer
This information release is the property of Noridian Healthcare Solutions, LLC.
It may be freely distributed in its entirety, but may not be modified, sold for profit
or used in commercial documents.
The information is provided “as is” without any expressed or implied warranty.
While all information in this document is believed to be correct at the time of
writing, this document is for educational purposes only and does not purport to
provide legal advice. All models, methodologies and guidelines are undergoing
continuous improvement and modification by Noridian and the Centers for
Medicare & Medicaid Services (CMS). The most current edition of the
information contained in this release can be found on the Noridian website and
the CMS website.
The identification of an organization or product in this information does not
imply any form of endorsement. CPT codes, descriptors, and other data only
are copyright 2016 American Medical Association (or such other date of
publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.
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Noridian Medicare Website (https://med.noridianmedicare.com)
CMS Website (https://www.cms.gov)
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Acronyms
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ABG: Arterial Blood Gas
ABN: Advance Beneficiary Notice
of Noncoverage
ACA: Affordable Care Act
ADR: Additional Documentation
Request
CBA: Competitive Bidding Area
CEDI: Common Electronic Data
Interchange
CERT: Comprehensive Error Rate
Testing
CMN: Certificate of Medical
Necessity
CMS: Center for Medicare &
Medicaid Services
October 2016
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CO: Contractual Obligation
DMECS: Durable Medical Equipment
Coding System
DME MAC: Durable Medical
Equipment Medicare Administrative
Contractor
DMEPOS: Durable Medical
Equipment Prosthetics Orthotics and
Supplies
FAQ: Frequently Asked Question
FFS: Fee for Service
HCPCS: Healthcare Common
Procedure Coding System
HHA: Home Health Agency
HICN: Heath Insurance Claim Number
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Acronyms
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HMO: Health Maintenance
Organization
IDTF: Independent Diagnostic
Testing Facility
IOM: Internet Only Manual
LCD: Local Coverage
Determination
LPM: Liters per minute
mm Hg: Millimeters of Mercury
M&S: Maintenance and Service
MLN: Medicare Learning Network
NCD: National Coverage
Determination
NSC: National Supplier
Clearinghouse
October 2016
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PA: Policy Article
PHI: Protected Heath Information
PIM: Program Integrity Manual
POD: Proof of delivery
PTAN: Provider Transaction
Access Number
RA: Remittance Advice
RAC: Recovery Audit Contractor
RUL: Reasonable Useful Lifetime
SAT: Oxygen Saturation
SNF: Skilled Nursing Facility
WOPD: Written Order Prior to
Delivery
ZPIC: Zone Program Integrity
Contractor
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Agenda
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Oxygen and the ACA
Coverage Criteria
Testing Requirements
Coverage Groups
Certificate of Medical Necessity
Coding and Billing Guidelines
Documentation
CERT
Resources and Reminders
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Oxygen and the ACA
(Section 6407)
MM8304
MM8304
• Face-to-Face evaluation
– Documentation
– Authorized to order
– Timeliness
• Detailed Written Order
– WOPD
– Required Elements
• Physician NPI
• Affected HCPCS/Policies
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Implementation vs. Enforcement
• Implementation Date
– For all requirements
– July 1, 2013
• Enforcement Date
– For WOPD requirements
• Date of Service (DOS) January 1, 2014
– For F2F requirements
• To be announced by CMS in 2016
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Oxygen Specific Items & ACA
Requirements for Order
Do Require WOPD
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E0431
E0434
E0439
E0424
E0441
E0442
E0443
E0444
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Do Not Require WOPD
• E1390
• E1392
• K0738
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Orders
Detailed Written Order (DWO)
Written Order Prior to Delivery (WOPD)
5 Element Order (5EO)
Detailed Written Order
• Basic Elements
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Beneficiary’s name
Physician’s name
Date of the order
Detailed description of the item(s)
Physician signature and signature date
• Program Integrity Manual (PIM) 3.3.2.4
(https://www.cms.gov/Regulations-andGuidance/Guidance/Manuals/Downloads/pim83
c03.pdf)
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Written Order Prior to Delivery
(WOPD)
• Basic elements
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Beneficiary’s name
Physician’s name
Date of the order
Detailed description of the item(s)
Physician signature and signature date
If used for ACA requirements must include NPI
If used for ACA requirements must include date stamp
or equivalent
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DWO: Additional Elements
Items Provided on a Periodic Basis
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Item(s) to be dispensed
Dosage or concentration, if applicable
Route of administration
Frequency of use
Duration of infusion, if applicable
Quantity to be dispensed
Number of refills
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Acceptable Detailed Written Order
• May be completed by someone other than
physician
– Treating physician must review, sign and date
• Acceptable orders
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Fax
Photocopy
Electronic
Original pen and ink
• CMN can serve as the WOPD if sufficiently
detailed
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ACA Five Mandatory
Requirements (5EO)
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Beneficiary’s name
Item of DME ordered – this may be general
Signature of prescribing practitioner
Prescribing Practitioner’s NPI
Date of the order
5EO must be within 6 months of ACA F2F
5EO must be received by supplier prior to delivery
5EO must have date stamp or equivalent
If used requires DWO prior to billing
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Corrections and Amendments
to F2F and 5EO: Prior to Delivery
• Treating physician amend the F2F visit notes or
the 5EO following the guidance in the PIM; or
– (Internet-Only Manual, 100-08, Chapter 3, Section
3.3.2.5)
• New F2F examination or new 5EO may be
created, whichever is applicable
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Corrections and Amendments
to F2F and 5EO: After Delivery
• Prior to claim submission original supplier may:
– Recover delivered item(s)
– Obtain a compliant 5EO or F2F
– Re-deliver the item(s) to the beneficiary; or
• After claim submission:
– Original supplier recover their item(s)
– New supplier complete the transaction after
complying with all requirements
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ACA - Date and Timing
Requirements
Face-to-Face
• On or before the date of the
written order
• May not be older than 6
months prior to the written
order date (oxygen 30 day
requirement supersedes)
• Must be on or before the date
of delivery
• Date stamp/similar upon
receipt
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5EO/WOPD
• Date of the order must be
on or before the date of
delivery
• Date stamp/similar upon
receipt
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Coverage Criteria
National Coverage Determination (240.2)
Local Coverage Determination (L33797)
Policy Article (A52514)
Covered Home Oxygen Therapy
1. Severe lung disease or hypoxia related
symptoms; and
2. Beneficiary’s blood gas study meets specific
criteria; and
3. Blood gas study performed by physician or a
qualified provider or supplier of laboratory
services; and
4. Blood gas study performed under specific
conditions; and
5. Alternative treatments ineffective
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FAQ
Q: What is considered to be alternative treatment
measures before the oxygen is ordered?
A: Many disease conditions have standard treatment
regimens associated with them. This criterion, together with
the requirement that testing be done while the patient is in
their chronic, stable state means that the usual treatment
modalities need to be optimized before oxygen becomes
eligible for reimbursement.
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NCD – Alternative Treatments
• The treating physician's prescription or other
medical documentation must indicate that other
forms of treatment (e.g., medical and physical
therapy directed at secretions, bronchospasm
and infection) have been tried, have not been
sufficiently successful, and oxygen therapy is
still required.
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Home Oxygen – Not
Reasonable and Necessary
• Angina pectoris in the absence of hypoxemia
• Dyspnea without cor pumonale or evidence of
hypoxemia
• Severe peripheral vascular disease in absence
of systemic hypoxemia
• Terminal illnesses that do not affect respiratory
system
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NCD
Conditions for Which Oxygen Therapy May Be Covered
• A severe lung disease, such as chronic obstructive pulmonary
disease, diffuse interstitial lung disease, whether of known or
unknown etiology; cystic fibrosis, bronchiectasis; widespread
pulmonary neoplasm; or
• Hypoxia-related symptoms or findings that might be expected to
improve with oxygen therapy. Examples of these symptoms and
findings are pulmonary hypertension, recurring congestive heart
failure due to chronic cor pulmonale, erythrocytosis, impairment of
the cognitive process, nocturnal restlessness, and morning
headache.
• While there is no substitute for oxygen therapy, each patient must
receive optimum therapy before long-term home oxygen therapy is
ordered.
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FAQ
Q: Are pneumonia or post-surgical hypoxia covered
conditions for home oxygen upon discharge from the
hospital?
A: Short-term support strictly due to an acute hypoxia need
related to Pneumonia or post-operative recovery would not
meet the requirement of a chronic underlying lung condition
requiring long-term Oxygen therapy.
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Testing Requirements
Testing Definitions
• Blood gas study
– Refers to both arterial blood gas (ABG) studies and
pulse oximetry
• Oximetry
– Refers to routine or “spot” pulse oximetry
• Overnight oximetry
– refers to stand-alone pulse oximetry continuously
recorded overnight. It does not include oximetry
results done as part of other overnight testing such as
polysomnography or home sleep testing
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Blood Gas Study
• Qualifying test covered under Medicare
• Part A or B
• Test must be performed by provider qualified to
bill Medicare:
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Part A Provider
Laboratory
Independent Diagnostic Testing Facility (IDTF)
Physician
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Testing
• Types of qualifying tests:
– Arterial blood gas (ABG) – below 60 mm Hg
– Blood oxygen saturation (SAT) – below 90%
• Group I 88% or below
• Group II 89%
– Most recent study prior to CMN initial date (w/in 30
days)
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Testing
• Study can be performed:
– At rest
– During sleep
– During exercise
• Can be formal exercise or exertion while performing daily
activities
• Three separate readings must be taken
• Record reading taken during exercise breathing room air on
CMN
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Testing Conditions
Inpatient Hospital Stay
• Closest to, but no earlier
than 2 days prior to the
hospital discharge date
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Last test prior to discharge
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Outpatient
• Must be performed while
the beneficiary is in a
chronic stable state
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Not during acute illness or
exacerbation of underlying
disease
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FAQ
Q: Would a blood gas obtained during an
Observational status from the Emergency room qualify
for inpatient testing?
A: No, nor would it meet chronic stable state requirements.
– If using two days prior to hospital discharge for testing conditions
– the beneficiary must have been in a true inpatient hospital stay.
The patient must have had an order for Hospital inpatient
services as stated under Medicare Part A.
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Sleep Oximetry Studies
• Oximeter must be:
– Stand-alone overnight pulse oximetry
– Tamper proof
– Capable of downloading data that allows
documentation of duration of O2 desaturation below
specified value
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Sleep Oximetry Studies
• Home based overnight oximetry tests
– Performed under direction of Medicare enrolled IDTF
– Can be delivered by supplier or shipping entity if:
• Ordered by physician
• Test results accessible only by IDTF
• CMN Q1(b) = lowest value during 5-min
qualifying period
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Concurrent Use
Oxygen and PAP
Overnight Oximetry,
OSA AND PSG
• Testing must be done in Chronic Stable State
• Both oxygen LCD and PAP LCD must be
followed
• OSA sufficiently treated and lung disease
unmasked
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Overnight Oximetry,
OSA AND PSG (2)
• Overnight oximetry during home sleep test not
eligible to be used for oxygen qualification.
• Testing may only occur during a Titration Study
and
– Minimum 2 hours
– During titration specific reduction in AHI/RDI criteria
met
– Only performed after optimal PAP settings determined
– Nocturnal oximetry conducted during PSG shows
<88% for 5 minutes.
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Titration Example
PAP
Cm H2O
Total Sleep
Time
(min)
TIB (min)
Sleep Eff %
#
Central
Apneas
# Hypopneas
#
Obstructive
Apneas
AHI
Time O2
88% or
under
(min)
Lowest SPO2
0
Baseline
124
208
59.6
79
0
49
61.9
86
70
5
23.5
28
83.9
16
0
2
46
89
10
6
13
13.5
96.3
8
0
3
50.8
88
9
7
26
26
100
6
0
4
23.1
88
22
8
17.5
18
97.2
9
0
1
34.3
87
16
9
18.5
23
80.4
8
0
6
42.2
89
7
10
13.5
13.5
100
3
0
0
13.3
81
13.5
11
122
172
70.9
4
0
7
5.4
88
83
Total
minutes
358
502
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FAQ
Q: The Sleep Physician sends an order for overnight
oxygen, the medical records state the beneficiary is
scheduled for a Polysomnogram (PSG) to test for
Obstructive Sleep Apnea (OSA). Is Oxygen covered
until the PSG is completed?
A: No, if OSA is suspected it must either have been ruled
out or treated to confirm that the oximetry is done while the
beneficiary is in their chronic stable state during a titration
study.
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Coverage Groups
Coverage Groups
Group I
• ABG at or below 55 mm Hg or SAT at or below
88%
1.
2.
3.
4.
At rest, or
During exercise (3 tests)
During sleep (at least 5 minutes)
During sleep (signs of hypoxemia)
1. Decrease in ABG more than 10 mm Hg or a decrease in
SAT more than 5% from baseline for at least 5 minutes
taken during sleep
• Initial coverage limited to 12 months
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Coverage Groups
Group II
• ABG between 56 – 59 mm Hg or SAT at 89%
– Same testing requirements as Group I
• AND beneficiary has one of following conditions:
– Dependent edema, suggesting congestive heart
failure; or
– Pulmonary hypertension or cor pulmonale; or
– Erythrocythemia with a hematocrit greater than 56%
• Initial coverage limited to 3 months
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Portable Oxygen
• Beneficiary must be mobile within the home
• Qualifying study performed at rest or during
exercise
– Study performed during sleep – not reasonable and
necessary
• Separately payable if coverage criteria met
– Reimbursement is the same regardless of quantity
dispensed
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High Liter Flow
• High liter flow (greater than 4 LPM)
– Must meet Group I or II criteria when tested at 4 or
more LPM
• If not, payment limited to standard allowance
– Higher allowable for stationary but portable not
separately payable
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Certificate of Medical
Necessity
Initial CMN
1. First claim to DME MAC
– Testing and physician evaluation within 30 days of
initial date
2. Break in need during 36 month rental period
– Testing and physician evaluation within 30 days of
initial date
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Initial CMN (2)
3. Replacement due to RUL
– No new testing or new physician visit required per
LCD
• ACA section 6407 items require new F2F
4. Replacement due to irreparable damage, theft,
or loss of the originally dispensed equipment
– No new testing or new physician visit required
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Recertification
5. Group I patients – 12 months after initial
– Most recent qualifying test prior to 13th month
6. Group II patients – 3 months after initial
– Most recent qualifying test between 61st – 90th day
• Other requirements for 5 and 6:
– Re-evaluation within 90 days prior to recertification
– Above criteria not met, but use continues, coverage
resumes when requirements are met
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Recertification
• Recertification for replacement equipment:
– Same timeframes apply
– Repeat testing and re-evaluation not required
– Use most recent qualifying value and test date
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Revised CMN
7. Change in flow rate category
– Less than 1 liter per minute (LPM)
– 1-4 LPM
– Greater than 4 LPM
8. Length of need expired
• Revised CMN does not change recertification
schedule
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Revised CMN
9. Portable added to stationary
10.Stationary added to portable
11.New treating physician - oxygen order is the
same
12.New supplier does not have the prior CMN
• Revised CMN does not change recertification
schedule
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Other CMN Notes
• CMN Sections B and D completed by physician
– Signature and date stamps are not acceptable for use
on CMNs and DIFs
– Form CMS-484 (11/11):
https://www.cms.gov/Medicare/CMS-Forms/CMSForms/Downloads/CMS484.pdf
• Misc. changes not requiring new CMN or testing
– Flow rate changes but remains in same category
– Change of modality
– New written order is required though
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Other CMN Notes
• Making Changes to a CMN
– Two options
• Draw line through error
– Treating physician must initial and date correction
– Must have similar capability for electronic CMN
• Complete new CMN
– Whiteout not acceptable
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Coding and Billing Guidelines
Modifiers
• RR – Monthly rental
• Q0 – Investigational, approved clinical research
study (replaced QR)
• QE – Flow rate less than 1 LPM
• QF – Flow rate is greater than 4 LPM and
portable oxygen is prescribed
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Modifiers
• QG – Flow rate is greater than 4 LPM and
portable oxygen is not prescribed
• QH – Oxygen conserving device is being used
with an oxygen delivery system
• RA – Replacement of DME item, first month
rental only
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Months 1-36
• Supplier who furnishes equipment in 1st month
must continue for entire 36-mo rental period
unless:
– Beneficiary relocates or elects a new supplier
– Individual case exceptions made by CMS or the DME
MAC
– Item becomes subject to competitive bidding
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Months 1-36
• Contents, maintenance, supplies and
accessories all included in rental allowance
– Exception: contents separately allowed if beneficiary
only uses portable liquid or gas
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Months 1-36
• Relocation
– Supplier responsible for providing equipment for
remainder of current rental month
– For subsequent rentals months, home supplier
encouraged to continue to provide equipment or
assist the beneficiary in finding another supplier to
take over
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Months 37-60
• No further payment for remainder of the 5 year
RUL
• Continue providing equipment, supplies,
accessories, maintenance during remainder of 5
year RUL
• New 36-mo rental can only begin if equipment
lost, stolen or irreparably damaged
– No new 36-mo cap for normal wear and tear, changes
of modality, breaks in need or billing or change of
suppliers
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Months 37-60
• Relocation
– Home supplier required to provide or make
arrangements for another supplier to provide
equipment and all related items/services
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Travel
• Beneficiary responsible for airline oxygen
services
• Beneficiary responsible for services provided
outside the United States
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Break in Service
• Break less than 60 days = break in billing
– Does not start a new 36-mo cap
– Continue existing rental where left off until 36 rental
payments made
• Break greater than 60 days
– New 36-month cap begins
– Requires new testing, order and initial CMN
– Include narrative on claim for new rental explaining
why medical necessity ended
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Contents Billing Chart
Equipment Furnished in Month 36
Monthly Contents Payment
after Stationary Cap
Oxygen Concentrator (E1390, E1391, or E1392)
None
Portable Gaseous Transfilling Equipment (K0738)
None
Portable Liquid Transfilling Equipment (E1399)
None
Stationary Gaseous Oxygen System (E0424)
Stationary Gaseous Contents (E0441)
Stationary Liquid Oxygen System (E0439)
Stationary Liquid Contents (E0442)
Portable Gaseous Oxygen System (E0431)
Portable Gaseous Contents (E0443)
Portable Liquid Oxygen System (E0434)
Portable Liquid Contents (E0444)
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Contents
• Payment included in fee schedule allowance for
stationary equipment during 36-month cap
• Can begin billing contents for liquid/gas systems
after end of 36-month stationary cap
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Maintenance and Service
• Applies to concentrators and transfilling
equipment
– No M&S payment for gaseous or liquid equipment
• No separate payment for M&S during 36-month
cap
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Maintenance and Service
• M&S billable every 6 months starting 6 months
after end of 36-month cap or end of warranty,
whichever is later
– Supplier must actually make a visit to bill the service
– Only one M&S payment made regardless of number
of visits made during 6-month period
– See MLN Matters 6792 and 6990 for more
information
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Reasonable Useful Lifetime
• RUL = 5 years
– Supplier responsible for furnishing all accessories, contents,
repairs during RUL
• Options once RUL reached
– Make arrangements to pick up equipment and discontinue
servicing beneficiary
– Replace equipment and begin new 36-month cap and RUL
– Continue servicing beneficiary, billing only for contents and M&S
• Stationary equipment governs RUL-based rules
– MLN Matters MM7213
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Reasonable Useful Lifetime
•
Payment allowed when original equipment is:
–
–
–
–
•
Lost (includes replacement due to bankruptcy)
Stolen
Irreparably damaged (due to a specific incident)
RUL reached
Replacement rules:
– New 36 month cap and RUL begins
– Must include RA modifier on 1st rental of replacement equipment and narrative
explaining why replacement is being provided
– Need new detailed written order and initial CMN
•
A new reasonable useful lifetime or 36 month rental period does not start
when:
– Equipment modalities are changed
– Equipment needs to be replaced due to not functioning properly
– Beneficiary switches to new supplier and/or new equipment
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Documentation
Standard Documentation
Requirements
• Dispensing Order
– If item was delivered
based on dispensing
order or for suppliercreated DWO/WOPD
• Detailed Written
Order (DWO)
• Written Order Prior to
Delivery (WOPD)
– Based on policy/ACA
requirements
October 2016
• Beneficiary
Authorization
• Proof of Delivery
• Continued Use
• Continued Need
• Refill Requirements
– Items dispensed on a
periodic basis
• Medical Records
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Proof of Delivery (POD)
• Supplier Standard 12
• Signed POD required to verify beneficiary
received DMEPOS item
• Must be available upon request
– If not provided, claim denied, overpayment requested
– If no documentation provided on consistent basis,
may be referred to Office of Inspector General (OIG)
• Maintain documentation for seven years
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Comprehensive Error Rate
Testing (CERT)
CERT Letter
http://www.certprovider.com/
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CERT
• Randomly select submitted claims
• Request medical records from provider/supplier
that submitted claim
• Review claims and medical record for
compliance with Medicare to include:
– Coverage
– Coding
– Billing rules
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CERT 2015 Improper Payment Rates
• CERT Improper Payment Rate webpage
(https://www.cms.gov/Research-Statistics-Dataand-Systems/Monitoring-Programs/MedicareFFS-Compliance-Programs/CERT/index.html)
Improper Error Rate
Improper Payment Amount
(2)
Inpatient Hospitals
6.2%
$7.0 Billion
Durable Medical Equipment
39.9%
$3.2 Billion
Physician/Lab/Ambulance
12.7%
$11.5 Billion
Non-Inpatient Hospital
Facilities
14.7%
$21.7 Billion
Overall
12.1%
$43.3 Billion
Service Type
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CERT Error Categories
•
•
•
•
•
Insufficient documentation
No documentation
Service incorrectly coded
Medically unnecessary service
Other
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Decrease CERT Errors
• Educate staff
• Train coders/billers
• Submit correct information
– Beneficiary name, social security number, Medicare
number, date of service
• Submit legible and complete records
– Dates, required signatures, etc.
• CERT Inquiries
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CERT Inquiries
•
Email should include:
–
–
–
–
CERT Claim Identification (CID) – In Subject Line
Supplier name and address
Telephone number
Explanation of the issues, concern or question
• DO NOT send Protected Health Information (PHI)
• Response within two business days
– Email address located on the Noridian Medicare Website
• Medical Review > Other Review Entities >
Comprehensive Error Rate Testing > CERT Contacts
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Common CERT Oxygen Errors
• Missing the treating physician’s clinical records to
support beneficiary’s condition that requires oxygen use
and that the beneficiary continues to need and use
supplemental home oxygen proximal to billed date of
service (DOS).
• Missing the signed and dated order from the physician
that reflects the change in oxygen liter flow rate.
• Missing a copy of the qualifying oxygen saturation study
that applies to the conditions stated on the CMN.
• Missing the treating physician's re-evaluation within 90
days of the recertification CMN supporting the
beneficiary's lung disease or hypoxia-related symptoms
that improve with oxygen therapy.
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Resources and Reminders
Resources
• Policies
– LCD/Policy Article
– Documentation Checklists
– “Dear Physician” Letters
• Education & Outreach
– Noridian Supplier Manual
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Resources (cont.)
• Acronyms
– CMS Acronym List
(https://www.cms.gov/apps/acronyms/)
– Bottom of the Noridian Medicare Website
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Beneficiary Authorization
• Beneficiary must authorize supplier to bill
Medicare
– Sign and date Item 12 on CMS-1500 claim form
– Supplier-created Signature On File
• One-time authorization
• Statement from beneficiary authorizing Medicare benefits to
be paid to themselves or supplier
• One-time Authorization Sample Language
(https://med.noridianmedicare.com/web/jddme/claimsappeals/claim-submission/signature)
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PECOS Requirement
• Claims may be denied if:
– The ordering physician is NOT in PECOS
– The ordering physician is not of the specialty to order
– If the physician's name submitted on the claim does not
match their name in PECOS
• PECOS Edits located on the Noridian Medicare
Website
– Claims and Appeals > Claim Submission > PECOS Edits
• View the Pecos DME on Demand Located on the Noridian
Medicare website
• Education > DME on Demand > Provider Enrollment, Chain and
Ownership System > PECOS
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Medicare Learning Network (MLN)
•
•
•
•
•
•
Guides
Articles
Educational Tools
Booklets Brochures
Fact Sheets
Training
Presentations
• Web-Based Training
• And more!
October 2016
• MLN Webpage
(www.cms.gov/Outrea
ch-andEducation/MedicareLearning-NetworkMLN/MLNGenInfo/ind
ex.html)
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Noridian Medicare Portal
• Replaced Endeavor
– Same functionality
as Endeavor
– Endeavor was
decommissioned
May 1, 2016
• Five roles:
• More information
including training and
registration:
• Located on the
Noridian Medicare
Website
– Browse by Topic >
Noridian Medicare Portal
– Provider
Administrator
• Must register first
–
–
–
–
Provider End User
Vendor Administrator
Vendor End User
Dual Role
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Email Updates
• Tuesday and Friday
• Latest updates and
announcements
• Customizable
• Sign-up in the lower
right corner of our
website
• Click “subscribe”
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Website Survey
• Your feedback is
valuable
• Click “Yes, I’ll give
feedback”
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Education Opportunities
Located on the Noridian Medicare Website
– Education and Outreach
•
•
•
•
•
Web-Based Workshops
Q & A Sessions
DME On Demand and Part B Tutorials
Ask the Contractor Teleconference (ACT)
Education Request
– Located on the Noridian Medicare Website
• Education and Outreach >Forms
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https://med.noridianmedicare.com/
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Provider and Supplier Contact Center
• Part B Jurisdiction E:
– 855-609-9960
• Part B Jurisdiction F:
– 877-908-8431
• DME Jurisdiction A
– 866-419-9458
• DME Jurisdiction D
– 877-320-0390
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Beneficiary Contact Information
• Suppliers please use Noridian Contact Center
number for supplier inquiries only
• Beneficiaries who need assistance can be
directed to:
– 1-800-Medicare (800-633-4227)
• Question on claims and coverage of equipment
– Social Security Administration (800-722-1213)
• Update name/address, questions on premiums, Medicare
entitlement
– Benefits Coordination Recovery Center (800-999-1118)
• Primary insurance information update
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Questions
Join the Audio Conference
• Dial the 877 number
• Enter the access
code when prompted
• Enter your audio PIN
when prompted
– This is required in
order to ask verbal
questions later in the
presentation
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Asking a Verbal Question
• To ask a verbal
question:
– Click on the hand icon
(with the green arrow)
to the left of the
access panel
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Thank you for attending!