Issuance of Revised NOMNC and DENC, Form CMS-10123 and CMS-10124

CMS is issuing a new combined Notice of Medicare Non-Coverage. This notice will replace the CMS 10123 (Original Medicare notice) and the CMS 10095 (Medicare Advantage notice). This combined notice retains the form number of the current Original Medicare Notice (CMS 10123) and the name of the MA notice (Notice of Medicare Non-Coverage, or NOMNC).

CMS also is issuing a new Detailed Explanation of Non-Coverage, or DENC, with the form number CMS 10124.

Providers are required to issue the new combined notices as soon as possible, but no later than May 1, 2012.

Click here to access the forms.

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