March 5, 2012
Today CMS released the long-awaited revised Notice of Medicare Non-Coverage Form (CMS Form #10123). The new Notice combines and replaces CMS 10123 (Original Medicare Notice) and CMS 10095 (Medicare Advantage Notice). The combined notice retains the form number of the current Original Notice (CMS 10123) and the name of the Medicare Advantage Notice (Notice of Medicare Non-Coverage or NOMNC). Providers are required to issue the new combined notice ASAP, but no later than May 1, 2012. We will be replacing the form in client books as they reorder. CMS also released a revised Detailed Explanation of Non-Coverage (DENC- CMS Form #10124). Providers are required to issue the new notice ASAP, but no later than May 1, 2012. We will be replacing this form in client books as they reorder. Copies of CMS Form 10123 and 10124 (with instructions for use) may be viewed and downloaded at: http://www.cms.gov/BNI/06_FFSEDNotices.asp#TopOfPage
Cathy Green, RN Vice President of Regulatory Affairs • MedForms, Inc.