National Government Services, the Jurisdiction B DME MAC, reports an increase in claims, overpayment requests, appeals requests, correspondence and other documents that are being submitted stapled together. “This is not an acceptable form of submission,” the DME MAC said in a release last week. “Submitting multiple pages stapled together will severely slows down the process of scanning the mail. Documents submitted with staples must be manually removed prior to scanning. … It is acceptable to use paper clips, binder clips, etc.”