States Requiring Payment Edits for DMEPOS Suppliers of Prosthetics and Certain
Custom-Fabricated Orthotics. Update to CR 3959
article is based on Change Request (CR) 8390 which instructs DME MACs to revise
programming edits so that Arkansas, Georgia, Kentucky, Mississippi, and
Tennessee are added to the logic, in accordance with CR3959 (Transmittal 656;
August 19, 2005).
CR3959 instructed DME
MACs to implement claims processing edits to ensure compliance with CMS
regulations which require Durable Medical Equipment, Prosthetics, Orthotics,
and Supplies (DMEPOS) suppliers wishing to bill Medicare to operate their
business and furnish Medicare-covered items in compliance with all applicable
Federal and State licensure and regulatory requirements.
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