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Medi-Cal: Medical Supplies Crossover Claims Update
CAMPS participated in a roundtable on August 25 with Medi-Cal during which it addressed the issue of medical supply Crossover Claims being inappropriately denied. As a result of that discussion, Medi-Cal has informed us that a fix has been put in place for crossover claims that were denying with RAD code 442 - Medicare meets or exceeds the maximum allowed by Medi-Cal. Details are shown below.
Effective September 1, 2009:
- The maximum number of Units, Visits, Studies, or Procedures field (UVSP) has been corrected to the default setting of 99.
- The unit of measure and the maximum pricing has been corrected to take into account the differences in unit of measure between Medi-Cal and Medicare and result in paying the crossover claim to the Maximum Allowable Product Cost (MAPC) pricing as the maximum rate.
Note: An EPC cannot be done for crossover claims.
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DMEPOS Competitive Bidding Registration System and Help Desk Closed Labor Day Weekend
CAMPS is reprinting an e-mail sent by CMS on the Competitive Bidding Registration System. The original e-mail from CMS reads as follows:
This is a reminder that the CMS registration system for the DMEPOS Competitive Bidding Program will be unavailable due to routine maintenance from Friday, September 4, at 9 p.m. Eastern Time until Tuesday, September 8, at 9 a.m. Eastern Time. The Competitive Bidding Implementation Contractor (CBIC) toll-free help desk will close for the Labor Day holiday on Friday, September 4, at 9 p.m. Eastern Time and will reopen on Tuesday, September 8, at 9 a.m. Eastern Time. The CBIC website, www.DMECompetitiveBid.com, and the Interactive Voice Response (IVR) unit will be available for registration and bidding information.
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AAHomecare Will Have 30 Minutes on C-Span this Saturday
In response to the American Association for Homecare's concern over misrepresentations about home medical equipment, C-SPAN has offered the Association a 30-minute slot on its "Washington Journal" program. The program is scheduled to air on Saturday, September 5, at 9:30 a.m. Eastern Time. Joel Marx, who is president and CEO of Medical Service Company in Cleveland and chair of AAHomecare's HME/RT Advisory Council, will appear representing the Association. The program is typically aired both on television and on the C-SPAN radio network.
Last Friday, former Medicare administrator Bruce Vladeck made several wildly inaccurate statements about HME and oxygen. (See AAHomecare blog for details about Vladeck's comments and the Association's response.) | |
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CAMPS Calendar of Events
September 17, 2009
CAMPS Board of Directors Meeting
10:00am - 4:00pm
Hilton Irvine/Orange County Airport
September 17, 2009
CAMPS Membership Dinner Meeting
Hilton Irvine/Orange County Airport
November 2, 2009
Exemptee Training Seminar
Embassy Suites Sacramento
Click here for registration information. |
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The CAMPS Office will be closed on Monday, September 7, 2009 in observance of Labor Day.
We wish all of our CAMPS members a safe and happy holiday weekend! | |
