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Questions and Answers

Where can you find codes for Durable Medical Equipment (DME) MACs?

  • In the NCD
  • In the LCD (policy) (correct)
  • In the Claims Processing Manual (CPM)
  • In the Billing & Coding Articles

Do NCDs contain claims processing information?

  • Not mentioned in the text
  • Yes
  • No (correct)
  • It depends

What are Change Requests (CR) Transmittals used for?

  • To update the Medicare Fee-For-Service Claims Processing Manual (CPM)
  • To modify the coverage conditions within the NCD
  • To provide clinical or administrative codes
  • To change billing and claims processing systems (correct)

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Study Notes

DME MACs and Coding Resources

  • Codes for Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) can be found in specific resources.

National Coverage Determinations (NCDs)

  • NCDs do not contain claims processing information.

Change Requests (CR) Transmittals

  • Change Requests (CR) Transmittals are used to communicate changes to Medicare policies, procedures, and payment information.

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