Tag: DME MAC Claim System

NASHVILLE, Tenn. - CMS has corrected an issue in the DME MAC claim system that had been affecting processing, CGS said in a Jan. 24 bulletin. Claims are now being processed using ordering/referring physician data from PECOS, according to the statement. Any claims incorrectly denied because of the problem will be reprocessed automatically, CGS said. In addition, the myCGS web portal and Jurisdiction C IVR are assessing the corrected ordering/referring physician file, according to the bulletin.

NASHVILLE, Tenn. - A problem with ordering/referring physician data in the DME MAC claim system is affecting processing, as well as the data available in the myCGS web portal and the Jurisdiction C IVR, according to a bulletin from CGS. CMS and DME MAC system maintenance contractors are researching the issue. CGS says it will provide more information when it becomes available. CMS on Jan. 6 started denying claims with the names of physicians who are not enrolled in PECOS.