Implementation of Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Access to VIPS Medicare Shared System (VMS) Medical Review (MR) Functions at DME MACs
The VMS implemented the capability for a PSC to have full access to DME MAC claims at all DME MAC processing centers on October 1, 2004. However, no DME regional contractor or DME MAC except Health Now activated the capability. All DME PSCs activated the full PSC access capability and certain other systems features identified since the initial implementation of the full PSC access capability on April 1, 2006. On November 1, 2007, DME MACs will assume all responsibility for claims MR processing functions that PSCs now perform, and PSCs will retain responsibility for the Benefit Integrity (BI) MR functions the PSCs now perform. In order to implement this transfer of responsibilities, the VMS maintainer must develop certain changes in system access rights and responsibilities for the VMS system users. This CR specifies those changes
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 06, 2007
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