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2012 Home Health & Hospice News and Articles Archive
December 2012
- January 2013 Integrated Outpatient Code Editor (I/OCE) Specifications Version 14.0 - MLN Matters PDF Document MM8137 – 12.28.12
- Update to Therapy Cap Exceptions Process – 12.27.12
- Upcoming January Webinars for Home Health and Hospice Billing Staff – 12.26.12
- Reminder to Apply Condition Codes to Claims Receiving An Expedited Determination Decision From the Quality Improvement Organization (QIO) or Qualified Independent Contractor (QIC) – 12.21.12
- CMS Medicare FFS Provider e-News for Thursday, December 20, 2012 – 12.20.12
- Revisions of the Financial Limitation for Outpatient Therapy Services - Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012 - MLN Matters PDF Document MM7785 – 12.20.12
- January 2013 Update of the Hospital Outpatient Prospective Payment System (OPPS) - MLN Matters PDF Document MM8141 – 12.20.12
- Attention Health Professionals: Information Regarding the 2013 Medicare Physician Fee Schedule – 12.19.12
- Revised: Implementation of the PWK (Paperwork) Segment for X12N Version 5010 - MLN Matters PDF Document MM7041 – 12.18.12
- CMS e-News for Thursday, December 13, 2012 – 12.17.12
- Phase 2 of Ordering/Referring Requirement - MLN Matters PDF Document SE1221 – 12.14.12
- Revised: Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers - MLN Matters PDF Document SE1201 – 12.14.12
- HIPAA Eligibility Transaction System (HETS) to Replace Common Working File (CWF) Medicare Beneficiary Health Insurance Eligibility Queries - MLN Matters PDF Document SE1249 – 12.14.12
- Calendar Year (CY) 2013 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule - MLN Matters PDF Document MM8133 – 12.13.12
- Update to Medicare Deductible, Coinsurance, and Premium Rates for 2013 - MLN Matters PDF Document MM8052 – 12.13.12
- E-mailing PTANs and Personal Health Information – 12.12.12
- Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services - Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 - MLN Matters PDF Document MM8005 – 12.10.12
- New Contact Information for Overpayment Recovery Questions – 12.10.12
- Revised: Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) - MLN Matters PDF Document MM7836 – 12.10.12
- IMPORTANT: Changes to How Providers Access the Fiscal
Intermediary Standard System (FISS) – 12.10.12
- CMS e-News for Thursday, December 6, 2012 – 12.06.12
- Implementation of Provider Enrollment Provisions in CMS-6028-FC - MLN Matters PDF Document MM7350 – 12.04.12
- Revised: Further Details on the Revalidation of Provider Enrollment Information - MLN Matters PDF Document SE1126 – 12.04.12
- Therapy Cap Values for Calendar Year (CY) 2013 - MLN Matters PDF Document MM8129 – 12.04.12
- 2013 Annual Update to the Therapy Code List - MLN Matters PDF Document MM8126 – 12.04.12
- Redesign of the Medicare Summary Notice (MSN) - Final Implementation - And Major Update to Chapter 21 of the Claims Process Manual - MLN Matters PDF Document MM7676 – 12.04.12
- The December 2012 HH+H Medicare Bulletin is now available – 12.03.12
November 2012
- CMS e-News for Thursday, November 29, 2012 – 11.29.12
- Importance of Preparing/Maintaining Legible Medical Records - MLN Matters PDF Document SE1237 – 11.26.12
- Medicare DMEPOS Competitive Bidding Program: Quick Reference Article - MLN Matters PDF Document SE1244 – 11.26.12
- CMS e-News for Wednesday, November 21, 2012 – 11.21.12
- Upcoming Home Health Face-to-Face Teleconference – 11.20.12
- Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2013 - MLN Matters PDF Document MM8122 – 11.20.12
- CMS e-News for Thursday, November 15, 2012 – 11.16.12
- Upcoming Home Health and Hospice Webinars – 11.16.12
- Appeals Issues Related to Hurricane Sandy FAQs – 11.13.12
- Hurricane Sandy and Medicare Disaster Related Claims - MLN Matters PDF Document SE1247 – 11.12.12
- Meet the New CGS Medical Directors – 11.09.12
- CMS e-News for Thursday, November 8, 2012 – 11.08.12
- Erroneous Partial Episode Payment Adjustments on Certain Home Health Dual-Eligible Claims - MLN Matters PDF Document MM7865 – 11.07.12
- New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States - MLN Matters PDF Document MM8009 – 11.07.12
- Forms Enhancement: The Ability to Save! – 11.07.12
- REVISED: Phase 2 of Ordering/Referring Requirement - MLN Matters PDF Document SE1221 – 11.06.12
- January 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files - MLN Matters PDF Document MM8116 – 11.06.12
- Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician/Practitioner - MLN Matters PDF Document MM8100 – 11.06.12
- New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries - MLN Matters PDF Document MM8007 – 11.06.12
- New look for the CMS Medicare FFS Provider e-News – 11.05.12
- CMS Issues ESRD and Home Health Payment Rules – 11.05.12
- EDI FTP Users: We have identified an issue with connectivity to our EDI Gateway (GPNet) via FTP. Submitters connecting to our EDI Gateway (GPNET) via FTP may experience sporadic connectivity issues. Please monitor our website for updates.
- Upcoming Hospice Cap Webinar for Administrators and Clinicians – 11.02.12
- Thursday, November 1, 2012 — CMS Issues 2 Payment Rules – 11.02.12
- The November 2012 HH+H Medicare
Bulletin is now available – 11.02.12
- CMS e-News for Thursday, November 1, 2012 – 11.01.12
October 2012
- Upcoming J15 EDI Help Desk Training Closure – 10.30.12
- Medicare Guidance Regarding Meningitis Outbreak - MLN Matters PDF Document SE1246 – 10.30.12
- General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part IX - MLN Matters PDF Document MM8019 – 10.30.12
- The e-News for Friday, October 26, 2012: "Medicare Guidance Regarding Meningitis Outbreak" MLN Matters® Article – Released –
10.29.12
- Home Health and Hospice News from CGS – Upcoming November Training Events – 10.29.12
- CMS e-News for Thursday, October 25, 2012 – 10.25.12
- 2012-2013 Seasonal Influenza (Flu) Resources for Health Care Professionals - MLN Matters PDF Document SE1242 – 10.22.12
- Updates to Additional Development Request (ADR) Information on the CGS Website – 10.19.12
- CMS e-News for Thursday, October 18, 2012 – 10.18.12
- Experiencing Missing or Duplicate files? – 10.16.12
- The e-News for Monday, October 15, 2012: Bidding is Now Open for the Round 1 Recompete of the DMEPOS Competitive Bidding Program – 10.16.12
- CMS e-News for Friday, October 12, 2012 – 10.15.12
- Reminder: Reporting Hospice Certifying Physician Information – 10.12.12
- Introducing the New Hospice Payment Rate Calculator – 10.11.12
- Important: PC-ACE Pro32 Occurrence Code 55 Effective Date Patch – 10.11.12
- CMS e-News for Thursday, October 11, 2012 – 10.11.12
- Only 14 Days Left to Register for the Round 1 Recompete of the DMEPOS Competitive Bidding Program – 10.08.12
- System Issues with Occurrence Code 55 and Referring Physician Information – 10.05.12
- Home Health and Hospice News from CGS – Upcoming CGS Webinar on ADRs for Clinicians and Billers – 10.04.12
- CMS e-News for Thursday, October 4, 2012 – 10.04.12
- REVISED: New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) - MLN Matters PDF Document MM7902 – 10.03.12
- REVISED: October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB) - MLN Matters PDF Document MM8017 – 10.03.12
- October 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.3 - MLN Matters PDF Document MM8035 – 10.03.12
- Annual Clotting Factor Furnishing Fee Update 2013 - MLN Matters PDF Document MM8049 – 10.03.12
- Attention myCGS Users! – 10.03.12
- The October 2012 HH+H Medicare
Bulletin is now available – 10.03.12
- REVISED: Manual Medical Review of Therapy Services - MLN Matters PDF Document MM8036 – 10.02.12
- REVISED: Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments - MLN Matters PDF Document MM7760 – 10.02.12
- EDI Requirements for Paperwork (PWK) Implementation – 10.01.12
September 2012
- Reminder: Hospice Widespread Edits and Timely Mailing of Documentation – 09.28.12
- New CMS Edits Effective October 1, 2012 – 09.28.12
- Hospice Notice - Beneficiary Listing for Cap Periods Ending on or After 10/31/12 – 09.28.12
- CMS e-News for Wednesday, September 26, 2012 – 09.27.12
- Partial Code Freeze Prior to ICD-10 Implementation - MLN Matters PDF Document SE1240 – 09.26.12
- Updated ICD-10 Implementation Information - MLN Matters PDF Document SE1239 – 09.26.12
- myCGS: O vs. 0 – 09.26.12
- Revised: Phase 2 of Ordering/Referring Requirement - MLN Matters PDF Document SE1221 – 09.26.12
- Revised: Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers - MLN Matters PDF Document SE1201 – 09.26.12
- Revised: Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) - MLN Matters PDF Document SE1011 – 09.26.12
- CMS Open Door Forums for September 26, 2012: Medicare's Prior Authorization for Power Mobility Devices Demonstration and Manual Medical Review of Therapy Claims – 09.25.12
- myCGS is Currently Unavailable – 09.24.12
- CMS e-News for Wednesday, September 19, 2012 – 09.20.12
- Claim Status Category and Claim Status Codes Update - MLN Matters PDF Document MM8045 – 09.20.12
- GPNet Alert! – 09.19.12
- ICD-9-CM Coordination and Maintenance Committee Materials and Long-Term Care Hospital Announcements and Updates – 09.19.12
- Information about a Medicare Claims Processing Issue Related to Part B Services for Skilled Nursing Facility Patients – 09.17.12
- CMS e-News for Wednesday, September 12, 2012 – 09.13.12
- myCGS: Remittance Advice Update – 09.13.12
- Manual Medical Review of Therapy Services - MLN Matters PDF Document MM8036 – 09.11.12
- Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update – 09.11.12
- myCGS: Remittance Advices Temporarily Unavailable – 09.11.12
- Ordering and Certifying Documentation - Maintenance Requirements - MLN Matters PDF Document MM7890 – 09.10.12
- Therapy Cap Exception – 09.07.12
- CMS e-News for Wednesday, September 5, 2012 – 09.06.12
- Medicare Part B Outpatient Therapy Cap and Exceptions Process Extended Through December 31, 2012 – 09.05.12
- Expiration of 2012 Therapy Cap Revisions and User-Controlled Mechanism to Identify Legislative Effective Dates - MLN Matters PDF Document MM7881 – 09.05.12
- The September 2012 HH+H Medicare
Bulletin is now available – 09.04.12
- October 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) - MLN Matters PDF Document MM8031 – 09.04.12
- Revised: Prohibition on Balance Billing Qualified Medicare Beneficiaries (QMBs) - MLN Matters PDF Document SE1128 – 09.04.12
- New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) - MLN Matters PDF Document MM7902 – 09.04.12
August 2012
- Urgent Update Needed for PC-ACE Pro 32 Users – 08.31.12
- CMS e-News for Wednesday, August 29, 2012 – 08.30.12
- Overpayment Letters: Look for Blue Envelopes – 08.30.12
- Important Reminder About Medicare Secondary Payer Laws - MLN Matters PDF Document SE1227 – 08.29.12
- October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB) - MLN Matters PDF Document MM8017 – 08.29.12
- New Health Care Standards to Save up to $6 Billion – 08.28.12
- Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update - MLN Matters PDF Document MM8029 – 08.27.12
- CMS e-News for Wednesday, August 22, 2012 – 08.23.12
- Registration Now Open for DMEPOS Competitive Bidding – 08.20.12
- CMS Announces Timeline for DMEPOS Competitive Bidding Round 1 Recompete; Begins Bidder Education Program – 08.20.12
- Version 2.1 of the Medicare FFS Version 5010 835 Companion Guide has now been published – 08.16.12
- CMS e-News for Wednesday, August 15, 2012 – 08.16.12
- Addition of Digital Document Repository to Provider Enrollment Chain and Ownership System (PECOS) - MLN Matters PDF Document SE1230 – 08.16.12
- Revised:Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers' Compensation (WC) Medicare Secondary Payer (MSP) Claims - MLN Matters PDF Document MM7355 – 08.15.12
- Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) - MLN Matters PDF Document MM7836 – 08.14.12
- Claim Status Category and Claim Status Codes Update - MLN Matters PDF Document MM7905 – 08.13.12
- October 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files - MLN Matters PDF Document MM7885 – 08.13.12
- CMS e-News for Wednesday, August 8, 2012 – 08.09.12
- Revised Fiscal Intermediary Standard System (FISS) Guide – 08.08.12
- Correction: Widespread Probe Results and Review Notification – Hospice Claims for Debility, Alzheimer's Disease, and Chronic Airway Obstruction – 08.07.12
- Medicare Shared Savings Program Electronic Application Process through Health Plan Management System Call – 08.06.12
- Overpayment Letters: Look for Blue Envelopes – 08.06.12
- Experiencing Duplicate Files or Missing Data? – 08.06.12
- CMS e-News: August 1, 2012 – 08.03.12
- Remit Alert! Reminder to EDI Electronic
Remit Receivers. Your remits posted to your mailbox are only available
for 14 days. Be sure to download them immediately so reruns and restores
are not necessary at the end of the month. — 08.02.12
- The August 2012 HH+H Medicare
Bulletin is now available – 08.02.12
- Now Available: Replay Past Webinars/Teleconferences – 08.01.12
- Medicare Secondary Payer (MSP) - Billing for Working Aged: August 7, 2012 Webinar – 08.01.12
- MLN Educational Products Update – 08.01.12
- Widespread Probe Results and Review Notification – Hospice Claims for Debility, Alzheimer's disease, and Chronic Airway Obstruction – 08.01.12
July 2012
- Quarterly Provider Specific Files for the Prospective Payment System are Now Available – 07.31.12
- Obama Administration Announces Ground-Breaking Public-Private Partnership to Prevent Health Care Fraud – 07.31.12
- Medicare to Automatically Convert Format 4010A1 Electronic Remittance Advice (835) to X12 Version 5010 Effective August 1, 2012 – 07.31.12
- New Shared Saving Program FAQs Posted to the CMS Website – 07.31.12
- All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 07.31.12
- Act Now to Avoid Claim Denials for Ordered/Referred Services – 07.31.12
- Get Ready for DMEPOS Competitive Bidding – 07.30.12
- 2012 Physician Quality Reporting System Program Reminder – 07.30.12
- 2013 ICD-10 CM Codes and Mapping Files are Now Available – 07.30.12
- How to Prepare for Documentation Changes and Improvements with ICD-10 – 07.30.12
- Medicare Announces Updated, Enhanced Tools for Patients to Compare Hospitals and Nursing Homes – 07.30.12
- One Week to Transition to Version 5010 for the Remittance Advice (835) – 07.30.12
- National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process — Register Now – 07.26.12
- Revised: Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number - MLN Matters PDF Document MM7499 – 07.26.12
- Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2013 - MLN Matters PDF Document MM7857 – 07.26.12
- HHAs Must Use Individual Practitioner NPIs to Bill for Ordered/Referred Services – 07.24.12
- Quarterly Provider Specific Files for the Prospective Payment System are Now Available – 07.24.12
- MLN Educational Products Update – 07.24.12
- Get Ready for DMEPOS Competitive Bidding – 07.24.12
- Steps to Assess How the ICD-10 Transition will Affect your Organization – 07.24.12
- CGS Administrator LLC Contractor Number – 07.24.12
- National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process — Register Now – 07.23.12
- Medicare Fee-For-Service Version 5010 July 1, 2012 Implementation Update for the Week of July 16 – 07.23.12
- From the CDC: Life-Threatening Outbreaks Due To Injection Practices – 07.23.12
- HHS Announces 89 New Accountable Care Organizations – 07.17.12
- Get Ready for DMEPOS Competitive Bidding – 07.17.12
- MLN Educational Products Update – 07.16.12
- CMS Proposes Claims-Based Data Collection Strategy for Therapy Services – 07.16.12
- Home Health and Hospice News from CGS – Upcoming CGS Webinars for Clinicians, QA Staff, and Administrators – 07.13.12
- Implementation of the Paperwork Segment within the 5010 837 Professional and Institutional Electronic Transactions – 07.12.12
- More Than 16 Million People With Medicare Get Free Preventive Services in 2012 – 07.12.12
- Medicare Fee-For-Service (FFS) Version 5010 July 1, 2012 Implementation Update for the Week of July 9 – 07.12.12
- National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process — Register Now – 07.12.12
- National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process - Date Changed to July 31 – 07.10.12
- Home Health and Hospice Upcoming Educational Events – 07.10.12
- Attention Physicians Who Order/Refer Services for Medicare Beneficiaries Residing in Home Health Agencies – 07.10.12
- CMS to Release a Comparative Billing Report on Outpatient Physical Therapy Services with the KX Modifier - Target Release July 20 – 07.10.12
- Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2013, Hospice Quality Reporting Requirements, and Survey and Enforcement Requirements for Home Health Agencies – 07.10.12
- Revised: Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number - MLN Matters PDF Document MM7499 – 07.09.12
- National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process — Register Now – 07.06.12
- Medicare Fee-For-Service Version 5010 July 1, 2012 Implementation Update for the Week of July 2 – 07.06.12
- Major Improvements to the Internet-based PECOS system – 07.06.12
- 5010 Tip of the Day – 07.05.12
- Medicare Fee-For-Service (FFS) Version 4010 Closeout Activities for the Week of June 25 – 07.05.12
- Get Ready for DMEPOS Competitive Bidding – 07.05.12
- Submit a Notice of Intent to Apply for the Medicare Shared Savings Program January 1, 2013 Start Date - Deadline Extended to June 29 – 07.05.12
- National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process — Register Now – 07.05.12
- All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 07.05.12
- 2013 ICD-10 PCS Files Now Available – 07.05.12
- Revised: IDE Request Requirements Form – 07.03.12
- 5010 Tip of the Day – 07.02.12
- The July 2012 HH+H Medicare
Bulletin is now available – 07.02.12
June 2012
- 5010 Tip of the Day – 06.29.12
- 5010 Tip of the Day – 06.28.12
- Immediate Offset Changes – 06.28.12
- 5010: Are You Ready? – 06.27.12
- 5010 Tip of the Day – 06.27.12
- Updates from the Medicare Learning Network – 06.25.12
- Two New Fraud and Abuse CME Modules Posted on Medscape – 06.25.12
- HHS Announces 81 Health Care Innovation Awards – 06.25.12
- National Provider Call: Medicare Shared Savings Program and Advance Payment Model Application Process — Registration Now Open – 06.25.12
- Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) - MLN Matters PDF Document SE1011 – 06.21.12
- Medicare Fee-For-Service Version 5010/D.0 Update for the Week of June 18, 2012 – 06.21.12
- NPPES Issues Resolved, NPI Registry Tip – 06.21.12
- July 2012 Outpatient Prospective Payment System Pricer File Update – 06.20.12
- 5010 Tip Of The Day - Anesthesia Claims – 06.20.12
- Changes to the Hospice Aggregate Cap Calculation Method - MLN Matters PDF Document MM7838 – 06.20.12
- Phase 2 of Ordering and Referring Requirement - MLN Matters PDF Document SE1221 – 06.19.12
- Revised: Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) - MLN Matters PDF Document SE1011 – 06.19.12
- 5010 Tip Of The Day - Line Item Control Number – 06.19.12
- Revised: Important Update Regarding 5010/D.0 Implementation - Action Needed Now - MLN Matters PDF Document SE1131 – 06.19.12
- Medicare Fee-For-Service Version 5010 Specialty Types Transition Information – 06.18.12
- Updates from the Medicare Learning Network – 06.18.12
- Special Open Door Forum: Suggested Electronic Clinical Template for Power Mobility Devices – 06.18.12
- Get Ready for DMEPOS Competitive Bidding – 06.18.12
- Medicare Fee-For-Service Version 5010/D.0 Update for the Week of June 11, 2012 – 06.15.12
- Submit a Notice of Intent to Apply for the Medicare Shared Savings Program January 1, 2013 Start Date – Date Extended to June 29 – 06.15.12
- Advance Payment ACO Model: New Opportunity To Apply – 06.13.12
- Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG) - MLN Matters PDF Document SE1223 – 06.13.12
- July 2012 Update of the Hospital Outpatient Prospective Payment System - MLN Matters PDF Document MM7847 – 06.13.12
- July 2012 Average Sales Price Files Now Available – 06.13.12
- Medicare Fee-For-Service to Reject Version 4010 Electronic Transactions July 1, 2012 – 06.13.12
- Reason Code 31313 Update – 06.12.12
- 5010 Tip of the Day: P.O. Boxes – 06.12.12
- Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions - MLN Matters PDF Document MM7821 – 06.12.12
- July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) - MLN Matters PDF Document MM7844 – 06.11.12
- 5010 Tip Of The Day - Nine Digit Zip Codes – 06.11.12
- HHS Harnesses the Power of Health Data to Improve Health – 06.11.12
- Reason Code 31313 Update – 06.11.12
- Recognizing Men's Health Week, June 11-17 – 06.11.12
- Home Health and Hospice Upcoming Educational Events – 06.08.12
- Updates from the Medicare Learning Network® – 06.08.12
- Medicare Fee-For-Service to Reject Version 4010 Electronic Transactions July 1, 2012 – 06.07.12
- IMPORTANT: 5010 Electronic Claim Submission – 06.06.12
- Need Help Fixing Home Health and Hospice Claim Submission Errors? – 06.06.12
- Major Improvements to Medicare Online Enrollment System – 06.05.12
- Revised: Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN) - MLN Matters PDF Document SE1216 – 06.04.12
- Update to Fiscal Intermediary Standard System (FISS) Issues – 06.04.12
- Revised: Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers' Compensation (WC) Medicare Secondary Payer (MSP) Claims - MLN Matters PDF Document MM7355 – 06.04.12
- Revised: New Occurrence Code to Report Date of Death - MLN Matters PDF Document MM7792 – 06.04.12
- Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies - MLN Matters PDF Document MM7834 – 06.04.12
- CMS Announces Partnership to Improve Dementia Care in Nursing Homes – 06.04.12
- How to Avoid Common Version 5010 Claims Rejections – 06.04.12
- Health Care Law Saved People With Medicare Over $3.5 Billion on Prescription Drugs – 06.04.12
- CMS to Release a Comparative Billing Report on Home Oxygen Services - Target Release June 26 – 06.04.12
- The June 2012 HH+H Medicare
Bulletin is now available – 06.04.12
May 2012
- CY 2012 Home Health Prospective Payment System PC Pricer has been Updated – 05.30.12
- NPPES System Issues – 05.30.12
- Updates from the Medicare Learning Network – 05.30.12
- Honor Our Nation's Seniors in May During Older Americans Month – 05.30.12
- Provider Education Video Presentations Now Available on the CMS YouTube Channel – 05.30.12
- Only 38 days left before Version 5010 Enforcement Discretion Period ends – 05.30.12
- All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 05.30.12
- The Summer 2012 edition of the EDI Connection is now available – 05.25.12
- Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers' Compensation (WC) Medicare Secondary Payer (MSP) Claims - MLN Matters PDF Document MM7355 – 05.24.12
- Take Action Now to be 5010 Compliant! – 05.24.12
- October 2012 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - MLN Matters PDF Document MM7768 – 05.24.12
- Home Health and Hospice Upcoming Educational Events – 05.24.12
- Revised: Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number - MLN Matters PDF Document MM7499 – 05.24.12
- May is Hepatitis Awareness Month and May 19 is National Hepatitis Testing Day – 05.24.12
- Updates from the Medicare Learning Network® – 05.23.12
- HHS Finalizes New Rules to Cut Regulations for Hospitals and Health Care Providers, Savings More Than $5 Billion – 05.22.12
- Denise Buenning from CMS Answers the Industry's Top Questions about the Version 5010 Upgrade – 05.22.12
- Negative Pressure Wound Therapy Interpretive Guidelines - MLN Matters PDF Document SE1222 – 05.22.12
- Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN) - MLN Matters PDF Document SE1216 – 05.22.12
- Prior Authorization Demonstration Update – 05.22.12
- July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2 - MLN Matters PDF Document MM7841 – 05.22.12
- Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data - MLN Matters PDF Document MM7833 – 05.22.12
- July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule - MLN Matters PDF Document MM7822 – 05.22.12
- Hospice Cap Calculations – 05.17.12
- We Can't Wait: HHS Announces First 26 Health Care Innovation Awards – 05.16.12
- Were You Sent a Request to Revalidate Your Medicare Enrollment? – 05.16.12
- Home Health Claims Selected for Review with Dates of Service October 1, 2011 through December 31, 2011 – 05.15.12
- May Is National Osteoporosis Month – 05.15.12
- Medicare Enrollment/Revalidation: Requests for the IRS Form CP 575 – 05.15.12
- Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments - MLN Matters PDF Document MM7760 – 05.15.12
- Video Slideshow Presentation and Podcasts from March 1 National Provider Call on the Medicare Shared Savings Program and Advance Payment Model Application Process Now Available – 05.14.12
- National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Register Now – 05.14.12
- There is Only 1 Week to Submit Comments for the HHS Proposed Rule to Delay ICD-10 – 05.14.12
- Submit a Notice of Intent to Apply for the Medicare Shared Savings Program January 1, 2013 Start Date - Due by June 15 – 05.14.12
- Additional Information on Home Health Face-to-Face Encounter Requirements – 05.14.12
- Guidance for Correct Claims Submission When Secondary Payers Are Involved - MLN Matters PDF Document SE1217 – 05.11.12
- Revisions of the Financial Limitation for Outpatient Therapy Services - Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012 - MLN Matters PDF Document MM7785 – 05.10.12
- Medicare Fee-For-Service Part A Common Edit and Enhancements Module Editing Clarification – 05.09.12
- A Physician's Guide to Medicare's Home Health Certification, including the Face-to-Face Encounter - MLN Matters PDF Document SE1219 – 05.09.12
- There are only 2 weeks to Submit Comments for the HHS Proposed Rule to Delay ICD-10 – 05.08.12
- Use an Individual NPI as the Ordering NPI when Billing Medicare for Part A Home Health Agency Services – 05.08.12
- Spotlight Women's Health in May in Recognition of Women's Health Week, and Women's Checkup Day – 05.08.12
- HHS Announces New Affordable Care Act Options for Community Based Care – 05.08.12
- Providers who Receive Error Codes H20203 and H45255 Need to Balance Bill – 05.08.12
- CY 2012 Outpatient Prospective Payment System Pricer File Update – 05.07.12
- Slides and Comments from the WEDI-CMS Industry Collaboration and Problem Solving Webinar are Now Posted – 05.07.12
- National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 – Save the Date – 05.04.12
- Major Improvements to Medicare Online Enrollment System – 05.04.12
- CY 2012 Outpatient Prospective Payment System Pricer File Update – 05.04.12
- Modification to CWF, FISS, MCS and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch - MLN Matters PDF Document MM7260 – 05.03.12
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2012 Update - MLN Matters PDF Document MM7831 – 05.03.12
- Ensuring Hospice Certifying Physician Identifiers Are Fully Processed - MLN Matters PDF Document MM7755 – 05.02.12
- New Occurrence Code to Report Date of Death - MLN Matters PDF Document MM7792 – 05.03.12
- New Influenza Virus Vaccine Code - MLN Matters PDF Document MM7794 – 05.03.12
- The May 2012 HH+H Medicare
Bulletin is now available – 05.02.12
April 2012
March 2012
February 2012
January 2012
- Medicare Check Date Changes – 01.31.12
- Now Available: New education materials for Round 2 and National Mail-Order Bidders – 01.31.12
- Bidding is Now Open for the Round 2 and National Mail-Order Competitions of the DMEPOS Competitive Bidding Program – 01.31.12
- Top Five EDI Application Errors – 01.31.12
- Provider Enrollment Revalidation – 01.31.12
- Ordering/Referring Physician Documentation Responsibility – 01.31.12
- Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.31.12
- Credit Report/Score Requirements for DMEPOS Competitive Bidding – 01.31.12
- Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.30.12
- Updates from the Medicare Learning Network® – 01.30.12
- Third Anniversary of ICD-10 Rule – 01.30.12
- Updates from the Medicare Learning Network® – 01.26.12
- January is National Glaucoma Awareness Month – 01.26.12
- Video Slideshow Presentations from ICD-10 National Provider Calls Available on CMS YouTube Channel – 01.26.12
- Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.26.12
- CY 2012 Outpatient Prospective Payment System (OPPS) Pricer File Update – 01.26.12
- All Medicare Provider and Supplier Payments To Be Made By Electronic Funds Transfer – 01.25.12
- Clarification Concerning HIPAA 5010 and NCPDP D.0 Cut-Over and Impacts on Crossover Claims – 01.25.12
- January 2012 Quarterly Provider Specific Files (PSF) SAS data files and Text data files are available – 01.25.12
- Now Available: New Webcast for Round 2 and National Mail-Order Bidders – 01.25.12
- Claims Suspending in Status/Location "S M68XX" – 01.24.12
- Direct Data Entry (DDE) Eligibility Information Option Issue – 01.24.12
- Three Ways to Enhanced EDI Assistance – 01.24.12
- National Provider Call: Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transactions – Register Now – 01.24.12
- Home Health Agencies: Have you responded to the CGS revalidation request? Please note that due to an error in mailing the letters on December 20, 2011, the deadline for responding to letters sent on December 20th and December 29, is February 27, 2012. Please review the CGS Provider Enrollment Revalidation Frequently Asked Questions and the Provider Enrollment Revalidation Web page for additional information and resources to assist you in responding to the revalidation request. – 01.18.12
- Target Deadline Today
for Backup Authorized Officials to Register for DMEPOS Competitive
Bidding – 01.12.12
- REVISED: 01/09/2012 - Recovery
Audit Program: Medicare Administrative Contractor (MAC)-issued Demand
Letters - MLN Matters
PDF Document MM7436 – 01.12.12
- Provider Enrollment Revalidation Questions and Provider Resources – 01.11.12
- Healthcare Common
Procedure Coding System (HCPCS) Code Set Update – 01.11.12
- Extension of Moratorium
That Allows Independent Laboratories to Bill for the Technical Component
of Physician Pathology Services Furnished to Hospital Patients – 01.11.12
- January
2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) -
MLN Matters PDF Document MM7672 – 01.11.12
- Three DMEPOS Competitive
Bidding Announcements – 01.11.12
- HHS Adopts HIPAA
Standard for Electronic Funds Transfers/Remittance Advice – 01.10.12
- Now Available: New
Webcast for National Mail-Order Bidders – 01.10.12
- Stay on Track and
Complete Your Version 5010 Upgrade – 01.10.12
- Time is Running Out
to Register for DMEPOS Competitive Bidding – 01.10.12
- Upcoming Provider Revalidation
Ask-the-Contractor Teleconferences (ACT) – 01.10.12
- Reminder: New Mailing
Addresses Effective December 5, 2011 – 01.09.12
- Now Available - Medicare
Shared Savings Program Video Slideshow Presentations and Podcast – 01.09.12
- Important Information About the
CGS IVR System: January 13 – 16, 2012 – 01.06.12
- Important Information About CGS
E-Mail Changes: January 13 – 16, 2012 – 01.06.12
- Now Available on
the CMS Web Site: Medicare Shared Savings Program 2012 ACO Narrative
Quality Measures Specifications Manual and Application Crosswalks – 01.06.12
- Now Available - Video
Slideshow Presentation and Podcasts of the November 17 National Provider
Call on "ICD-10 Implementation Strategies and Planning" – 01.06.12
- Version 5010 Benefits
and Resources – 01.05.12
- Healthcare Professionals
Selected for the New Innovation Advisors Program to Improve Care for
Patients – 01.05.12
- CY 2012 Outpatient
Prospective Payment System (OPPS) Pricer File Update – 01.05.12
- New ASC X12 Version
5010 FAQs Posted to the CMS Website (Revised Link) – 01.05.12
- President Obama Signs
the Temporary Payroll Tax Cut Continuation Act of 2011 – 01.05.12
- The acceptance of a voluntary refund as repayment for the claims specified
in no way affects or limits the rights of the Federal Government, or
any of its agencies or agents, to pursue any appropriate criminal, civil,
or administrative remedies arising from or relating to these or any other
claims. – 01.05.12
- January and February Webinars
are now available for registration – 01.04.12
- CY 2012 Outpatient
Prospective Payment System (OPPS) Pricer File Update – 01.04.12
- The Compliance Deadline
for the Transition to ASC X12 Version 5010 is Less Than One Week Away – 01.04.12
- CMS Announces Delay
to the Prepayment Review and Prior Authorization for Power Mobility
Devices (PMDs) Demonstration and the Recovery Audit Prepayment Review
Demonstration – 01.04.12
- The January 2012 HH+H Medicare
Bulletin is now available – 01.04.12
- Provider Enrollment Revalidation – 01.03.12
- New ASC X12 Version
5010 FAQs Posted to the CMS Website – 01.03.12
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