Tag: jurisdiction b dme mac

NASHVILLE - CGS Administrators, the Jurisdiction B DME MAC, has launched Mr. Wizard, an online tool that provides detailed information on claims under review and the status of additional documentation requests. Providers simply enter their 14-digit claim control number to receive information on type of denial received and detailed explanation; provider NPI; date of service, code billed, and links to education and resources for particular denials.

NASHVILLE - CGS Administrators will take over the Jurisdiction B DME MAC contract July 5. The myCGS portal registration window for suppliers will open three weeks prior, and the process is expected to be a simplified, express registration to ease the transition, the agency said during a recent call. Jurisdiction B suppliers will receive a written invitation to pre-register. Any unfinished claims processing, appeals and other work will be officially transitioned from the previous contractor, National...

INDIANAPOLIS - National Government Services, the Jurisdiction B DME MAC, plans to conduct a widespread prepayment review of nebulizers, related drugs, accessories and dispensing fees, it announced Oct. 29. The review is an expansion of a documentation review now being conducted on oxygen equipment and glucose supplies. Suppliers of selected claims will receive a request in the mail asking for copies of the signed and dated detailed written order, applicable dispensing orders, records supporting medical...

BALTIMORE - National Government Services, the Jurisdiction B DME MAC, is conducting a widespread prepay review of power wheelchairs without power seating options. The DME MAC processed 636 claims between July 1, 2013 and Sept. 1, 2013, and said 572 claims needed more documentation, according to a recent bulletin. Partial and full denials of those claims resulted in a 77% error rate. Denials were most common when documentation did not prove a manual wheelchair was unsuitable, did not demonstrate why...