Dear Customer;

NOTE FROM PALMETTO GBA ON 9/1/2008

DMERC CMN & DIF form Changes
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The Center for Medicare & Medicaid (CMS) has revised the Certificates of Medical
Necessity forms and DMERC Information Forms (DIFs). You can begin using the new
forms on October 1 2008. However, for claims submitted on and after January 1
2007 that require a CMN or DIF, you must submit the new form. You can submit
either version between October 1 2008 and December 31 2008.
For more information on these changes, please refer to the MLN matters article
MM4296 for CR 4296....

END OF THE NOTE.

The changes to the CMN are as follow:

OLD CMN NEW CMN
~~~~~~~ ~~~~~~~
4842 Home Oxygen Therapy 48403 Oxygen
0102A Hospital Bed No longer Required
0102B Support Surface No longer Required
0403B Lynphadema Pumps 0404B Pneumatic Compression Device
0403C Osteogenisis Stimulator 0404C Osteogenisis Stimulator
0602B TENS 0603B TENS
0702A Seat Lift Mechanism 0703A Seat Lift Mechanism
0902 External Infusiion Pumps 0903 External infusion Pumps
1002A Parenteral Nutricion
1002B Enteral Nutricion 1003 Enteral and Parenteral Nutricion

Here at Computers Solutions & Consultant, Inc. and Budget Computer Systems, Inc.
we are ready to start using the new CMN as of October 1 2008 but your system must
be updated the latest Version in order to start using the new CMN forms.
Even when there are three (3) months to implement this changes, we encourage you
to update early since all customers must be updated.

We are waiting for your response.

Sincerely

Mandy Lopez-Calleja
President
BCS-CSC
(305) 251 1446