May 1, 2009, Home Health & Hospice Medicare A Newsline - CGS

• For the oxygen equipment codes E1390, E1391, E1392, and K0738, billed with the modifier “MS”,Medicare contractors will make maintenance and servicing payments for covered services equal to thelesser of the supplier’s actual charge or 2 units of K0739 every 6 months.• Medicare contractors will deny claims for maintenance and servicing of oxygen equipment when billedwith the HCPCS codes E0424, E0439, E0431, E0434, E1405 or E1406 and the “MS” modifier.Additional InformationIf you have questions regarding this issue, refer to the “Contact Us” page of our Web site and select “PhoneUs” to call the Provider Contact Center.The official instruction, CR 6404, issued to your Medicare DME MAC, and/or RHHI regarding this changemay be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R461OTN.pdf on the CMS Web site.Disclaimer: This article was prepared as a service to the public and is not intended to grant rights or impose obligations. Thisarticle may contain references or links to statutes, regulations, or other policy materials. The information provided is onlyintended to be a general summary. It is not intended to take the place of either the written law or regulations. We encouragereaders to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of theircontents.News from CMS for Home Health ProvidersDurable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) SupplierAccreditation—RevisedThe Centers for Medicare & Medicaid Services (CMS) has issued a revision to the Special Edition (SE)Medicare Learning Network (MLN) Matters article entitled, “Durable Medical Equipment, Prosthetics,Orthotics and Supplies (DMEPOS) Supplier Accreditation,” which was published in the April 1, 2009,Home Health & Hospice Medicare A Newsline. This Special Edition MLN Matters article and other CMSarticles can be found on the CMS Web site at: http://www.cms.hhs.gov/MLNMattersArticlesMLN Matters Number: SE0903 Revised Related Change Request (CR) #: N/ARelated CR Release Date: N/A Effective Date: March 1, 2009Related CR Transmittal #: N/AImplementation Date: N/ANote: This article was revised on March 19, 2009, to change the Web links that were not working to accessthe DMEPOS Quality Standards and the list of CMS-approved deemed accreditation organizations. Allother information is unchanged.Provider Types AffectedAll providers and suppliers that furnish Medicare Part B durable medical equipment (DME), prostheticdevices, prosthetic or orthotic items, and medical supplies to Medicare beneficiariesHome Health & Hospice May 1, 2009 15Medicare A Newsline Vol. 16, No. 8