CMS: Please don’t send duplicates

Thursday, July 31, 2008

WASHINGTON--One of the DME MACs in June reminded providers that an advance determination of Medicare coverage (ADMC) request may be submitted only once in a six-month period. If additional medical documentation is obtained that would affect the ADMC decision, then the request can be submitted once more in that six-month period, according to Noridian Administrative Services, the MAC for Jurisdiction D.

Any requests above and beyond these are duplicates. NAS asks that providers avoid submitting a second request until they have received a determination on the initial submission. Decisions on ADMCs are made within 30 days of receipt.