2020 Part A Kentucky and Ohio Medicare News Archive
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December 2020
- The January 2021 J15 Medicare Bulletin is now available – 12.31.20
- January 2021 Part A Provider Contact Center (PCC) Training – 12.29.20
- 3-Day Payment Window for Services Provided to Outpatients Resources – 12.29.20
- Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March – 12.28.20
- Your Feedback Matters! – 12.28.20
- Instructions to Medicare Administrative Contractors (MACs) on COVID-19 Emergency Declaration Blanket Waivers for Medicare-Dependent, Small Rural Hospitals and Sole Community Hospitals
[MLN Matters MM12070] – 12.28.20
- Calendar Year (CY) 2021 Annual Update for Clinical Laboratory Fee Schedule and Services Subject to Reasonable Charge
[MLN Matters MM12080] – 12.28.20
- Revised: Telehealth Expansion Benefit Enhancement Under the Pennsylvania Rural Health Model (PARHM) - Implementation
[MLN Matters MM11870] – 12.28.20
- The EDI Connection Winter 2020 Edition is now available – 12.28.20
- MLN Connects® for Wednesday, December 23, 2020 – 12.23.20
- COVID-19 Vaccine Codes: Updated Effective Date for Moderna – 12.22.20
- From the Desk of the MAC Medical Directors: Caring for Medicare Patients is a Partnership – 12.22.20
- CMS COVID-19 Vaccine Resources – 12.22.20
- January 2021 Release "Dark" Days for the Common Working File (CWF) Hosts – 12.21.20
- COVID-19: Add-on Payment for New Treatments – 12.18.20
- Monitoring for Hospital Price Transparency – 12.18.20
- Medicare Administrative Contractors (MACs) will Host a Multi-Jurisdictional Contractor Advisory Committee (CAC) Meeting Regarding Epidural Interventions for Chronic Pain Management – 12.17.20
- Revised: International Classification of Diseases, 10th Revision (ICD10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021
[MLN Matters MM12027] – 12.17.20
- MLN Connects® for Thursday, December 17, 2020 – 12.17.20
- Molecular Diagnostic Testing for Pathogens Multijurisdictional Contractor Advisory Committee Meeting – 12.16.20
- COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech – 12.15.20
- Introducing the NEW CGS EDI Application Status Check Tool! – 12.15.20
- 2021 Provider Enrollment Application Fee Amount – 12.14.20
- Introducing…myCGS Account Linking! – 12.11.20
- CMS Proposes New Rules to Address Prior Authorization and Reduce Burden on Patients and Providers – 12.11.20
- In Case You Missed It: CMS Announces Guidance for Medicare Coverage of COVID-19 Antibody Treatment – 12.10.20
- 2021 Annual Update of Per-Beneficiary Threshold Amounts
[MLN Matters MM12014] – 12.10.20
- Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2021
[MLN Matters MM12035] – 12.10.20
- Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2021 - Recurring File Update
[MLN Matters MM12046] – 12.10.20
- CY 2021 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM12063] – 12.10.20
- Summary of Policies in the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List
[MLN Matters MM12071] – 12.10.20
- Review of Hospital Compliance with Medicare's Transfer Policy with the Resumption of Home Health Services and the Use of Condition Codes (A-04-18-04067)
[MLN Matters SE20025] – 12.10.20
- FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients
[MLN Matters SE20024] – 12.10.20
- Revised: Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021
[MLN Matters MM12011] – 12.10.20
- Revised: New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE)
[MLN Matters SE20016] – 12.10.20
- MLN Connects® for Thursday, December 10, 2020 – 12.10.20
- Multijurisdictional Contractor Advisory Committee (CAC) Meeting Announcement – January 11, 2021 – Coverage Discussion Regarding Molecular Diagnostic Testing for Pathogens – 12.09.20
- National Influenza Vaccination Week: December 6 – 12 – 12.07.20
- COVID-19 Antibody Treatment and Enforcement Discretion Reminder – 12.03.20
- Trump Administration Finalizes Policies to Give Medicare Beneficiaries More Choices around Surgery – 12.03.20
- MLN Connects® for Thursday, December 3, 2020 – 12.03.20
- Provider Enrollment Application Fee Amount for CY 2021 – 12.02.20
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11943] – 12.02.20
- Claim Status Category and Claim Status Codes Update
[MLN Matters MM11957] – 12.02.20
- Implementation of Two (2) New NUBC Condition Codes. Condition Code "90", "Service provided as Part of an Expanded Access Approval (EA)" and Condition Code "91", "Service Provided as Part of an Emergency Use Authorization (EUA)"
[MLN Matters MM12049] – 12.02.20
- Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE
[MLN Matters MM11988] – 12.02.20
- Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2021
[MLN Matters MM12024] – 12.02.20
- Revised: Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2021
[MLN Matters MM12017] – 12.02.20
- Revised: Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021
[MLN Matters MM12011] – 12.02.20
- Revised: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2020
[MLN Matters MM11889] – 12.02.20
- Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients – 12.02.20
- Use of Human Amniotic Based Products – 12.02.20
- World AIDS Day is December 1 – 12.01.20
- Medicare Diabetes Prevention Program: Become a Medicare-Enrolled Supplier – 12.01.20
November 2020
- The December 2020 J15 Medicare Bulletin is now available – 11.30.20
- MLN Connects® for Thursday, November 25, 2020 – 11.25.20
- December 2020 Part A Provider Contact Center (PCC) Training – 11.24.20
- MLN Connects® for Thursday, November 19, 2020 – 11.19.20
- Changes to the End Stage Renal Disease (ESRD) PRICER to Accept the New Outpatient Provider Specific File Supplemental Wage Index Fields, the Network Reduction Calculation and New Value Code for Time on Machine
[MLN Matters MM11871] – 11.18.20
- Update to Vaccine Services Editing
[MLN Matters MM11975] – 11.18.20
- National Coverage Determination (NCD 90.3): Chimeric Antigen Receptor (CAR) T-cell Therapy
[MLN Matters MM11783] – 11.18.20
- Practitioners! Are You Ordering Durable Medical Equipment, Prosthetics, Orthotics, or Supplies (DMEPOS) for Your Patients? – 11.17.20
- Voluntary Refunds – Calendar Year 2020
– 11.16.20
- COVID-19 Vaccine Codes and PC-ACE Software Update – 11.13.20
- MLN Connects® for Thursday, November 12, 2020 – 11.12.20
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021
[MLN Matters MM12027] – 11.12.20
- Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Claims
[MLN Matters MM11992] – 11.12.20
- Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021
[MLN Matters MM12011] – 11.12.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 11.12.20
- CMS Takes Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment – 11.11.20
- Clarification to the New Eligibility From and Through Date Fields – 11.10.20
- Clinicians Ordering Oxygen and Oxygen Equipment – Reference Guide with Information for the COVID-19 Public Health Emergency (PHE) – 11.05.20
- Clinicians: Are You Ordering Oxygen for Your Patient? – 11.05.20
- How can you recognize an SMRC audit? The SMRC has begun mailing all additional document request (ADR) letters in green envelopes to assist with proper notification of review. Please notify your mail department of this change to allow SMRC requests to be received by the appropriate departments to be handled timely. – 11.05.20
- MLN Connects® for Thursday, November 5, 2020 – 11.05.20
- Special Provisions for Radiology Additional Documentation Requests
[MLN Matters MM11659] – 11.04.20
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update
[MLN Matters MM11939] – 11.04.20
- Revised: October Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11956] – 11.04.20
- Kentucky and Ohio Joint Contractor Advisory Committee (CAC) Local Coverage Determinations (LCD) Development Discussion Regarding Electroretinography on November 18th, 2020 – Open to the Public – 11.03.20
- ESRD & Home Health Payment Rules – 11.03.20
- CGSMedicare.com to Be Updated for Improved Mobile Responsiveness – 11.03.20
October 2020
- The November 2020 J15 Medicare Bulletin is now available – 10.30.20
- Trump Administration Acts to Ensure Coverage of Life-Saving COVID-19 Vaccines & Therapeutics – 10.29.20
- MLN Connects® for Thursday, October 29, 2020 – 10.29.20
- New CMS Proposals Streamline Medicare Coverage, Payment, and Coding for Innovative New Technologies and Provide Beneficiaries with Diabetes Access to More Therapy Choices – 10.28.20
- November 2020 Part A Provider Contact Center (PCC) Training – 10.27.20
- Revised: Change to the Payment of Allogeneic Stem Cell Acquisition Services
[MLN Matters MM11729] – 10.27.20
- MLN Connects® for Thursday, October 22, 2020 – 10.22.20
- The Fall 2020 edition of the EDI Connection is now available – 10.20.20
- Updated 2021 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Appeals – 10.20.20
- Hospital Price Transparency – 10.20.20
- Submit Medicare GME Affiliation Agreements during COVID-19 PHE by January 1 – 10.19.20
- Medicare Credit Balance Quarterly Reminder – 10.19.20
- January 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM12020] – 10.19.20
- Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2021 and Productivity Adjustment
[MLN Matters MM12031] – 10.19.20
- Revised: October 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.3
[MLN Matters MM11944] – 10.19.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 10.19.20
- Enforcement Discretion Relating to Certain Pharmacy Billing – 10.16.20
- Trump Administration Drives Telehealth Services in Medicaid and Medicare – 10.15.20
- MLN Connects® for Thursday, October 15, 2020 – 10.15.20
- myCGS Now Offers MORE Hospice Information! – 10.15.20
- Renewal of the Public Health Emergency (PHE) – 10.15.20
- Google Authenticator: A New Way to Access myCGS! – 10.15.20
- CMS Announces New Repayment Terms for Medicare Loans Made to Providers During COVID-19 – 10.09.20
- MLN Connects® for Thursday, October 8, 2020 – 10.08.20
- Non-Invasive Vascular Study Billing and Coding Article (A56697) Revision – 10.06.20
- Revised: October 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11960] – 10.06.20
- J15 Medicare Bulletin – The October 2020 J15 Medicare Bulletin is now available – 10.01.20
- MLN Connects® for Thursday, October 1, 2020 – 10.01.20
September 2020
- Fiscal Year (FY) 2021 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Changes
[MLN Matters MM11879] – 09.29.20
- Update to the Medicare Claims Processing Manual
[MLN Matters MM11958] – 09.29.20
- Revised: Change to the Payment of Allogeneic Stem Cell Acquisition Services
[MLN Matters MM11729] – 09.29.20
- Revised: New Physician Specialty Code for Micrographic Dermatologic Surgery (MDS) and Adult Congenital Heart Disease (ACHD) and a New Supplier Specialty Code for Home Infusion Therapy Services
[MLN Matters MM11750] – 09.29.20
- Revised: Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11937] – 09.29.20
- October 2020 Part A Provider Contact Center (PCC) Training – 09.24.20
- MLN Connects® for Thursday, September 24, 2020 – 09.24.20
- October 2020 Release "Dark" Days for the Common Working File (CWF) Hosts – 09.21.20
- National Coverage Determination (NCD 90.2): Next Generation Sequencing (NGS) for Medicare Beneficiaries with Germline (Inherited) Cancer
[MLN Matters MM11837] – 09.21.20
- 2021 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update
[MLN Matters MM11968] – 09.21.20
- Revised: New Waivers for Inpatient Prospective Payment System (IPPS) Hospitals, Long-Term Care Hospitals (LTCHs), and Inpatient Rehabilitation Facilities (IRFs) due to Provisions of the CARES Act
[MLN Matters SE20015] – 09.21.20
- Revised: Update to the Model Admission Questions for Providers to Ask Medicare Beneficiaries
[MLN Matters MM11945] – 09.21.20
- New COVID-19 Nursing Home Visitation Guidance, Kidney Disease Care Model, & Radiation Oncology Payment Model – 09.18.20
- Nursing Home COVID-19 Commission Findings, Oregon Wildfires, & Flu – 09.18.20
- MLN Connects® for Thursday, September 17, 2020 – 09.17.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes – 09.16.20
- Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2021
[MLN Matters MM11858] – 09.15.20
- Update to the Model Admission Questions for Providers to Ask Medicare Beneficiaries
[MLN Matters MM11945] – 09.15.20
- Community Health Access and Rural Transformation Model – 09.11.20 li>September 2020 Part A Provider Contact Center (PCC) Training – 09.10.20
- MLN Connects® for Thursday, September 10, 2020 – 09.10.20
- Kentucky & Ohio Joint Teleconference/Webinar Open Public Draft/Revised Local Coverage Decision (LCD) Discussion: Tuesday, October 13th, 2020 – 09.09.20
- CMS Advancing Seniors' Access to Cutting-edge Therapies and Technology in Medicare Hospital Rule – 09.03.20
- MLN Connects® for Thursday, September 3, 2020 – 09.03.20
- Claim Status Category and Claim Status Codes Updates
[MLN Matters MM11796] – 09.03.20
- 2021 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
[MLN Matters MM11852] – 09.03.20
- Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE
[MLN Matters MM11881] – 09.03.20
- Annual Clotting Factor Furnishing Fee Update 2021
[MLN Matters MM11932] – 09.03.20
- October 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.3
[MLN Matters MM11944] – 09.03.20
- October Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11956] – 09.03.20
- October 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11960] – 09.03.20
- Revised: National Coverage Determination (NCD 30.3.3): Acupuncture for Chronic Low Back Pain (cLBP)
[MLN Matters MM11755] – 09.03.20
- September 2020 J15 Medicare Bulletin: Additional Changes! – 09.01.20
- Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2021
[MLN Matters MM11949] – 09.01.20
- Revised: Update to the International Classification of Diseases, Tenth Revision (ICD-10) Diagnosis Codes for Vaping Related Disorder and Diagnosis and Procedure Codes for the 2019 Novel Coronavirus (COVID-19)
[MLN Matters MM11623] – 09.01.20
- Revised: Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11937] – 09.01.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 09.01.20
August 2020
- CMS Offers Comprehensive Support for Louisiana and Texas with Hurricane Laura – 08.28.20
- MLN Connects® for Thursday, August 27, 2020 – 08.27.20
- CR 11642: Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies
[R10315OTN] – 08.25.20
- Collaborative Oxygen Coverage & Documentation Requirements – 08.25.20
- Change Request 11642: Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies
– 08.25.20
- Revised: New COVID-19 Policies for Inpatient Prospective Payment System (IPPS) Hospitals, Long-Term Care Hospitals (LTCHs), and Inpatient Rehabilitation Facilities (IRFs) due to Provisions of the CARES Act
[MLN Matters SE20015] – 08.25.20
- Revised: October 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11854] – 08.25.20
- Revised: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2021
[MLN Matters MM11859] – 08.25.20
- UPDATED ALERT: The J15 Provider Contact Center telephone lines are now operational. – 08.25.20
- ALERT: The J15 Provider Contact Center telephone lines are experiencing technical difficulties. No estimated time for resolution is available. CGS will provide you with an update as soon as one is available. We apologize for the inconvenience. – 08.24.20
- MLN Connects® for Thursday, August 20, 2020 – 08.20.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update
[MLN Matters MM11939] – 08.18.20
- Correction to Editing Update for Vaccine Services
[MLN Matters MM11867] – 08.18.20
- Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11937] – 08.18.20
- Telehealth Expansion Benefit Enhancement Under the Pennsylvania Rural Health Model (PARHM) - Implementation
[MLN Matters MM11870] – 08.18.20
- MLN Connects® for Thursday, August 13, 2020 – 08.13.20
- International Classification of Diseases, 10th Revision (ICD10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2021 Update
[MLN Matters MM11905] – 08.11.20
- Revised: Influenza Vaccine Payment Allowances – Annual Update for 2020-2021 Season
[MLN Matters MM11882] – 08.11.20
- MACs Resume Medical Review on a Post-Payment Basis – 08.11.20
- COVID-19: Coverage of Physician Telehealth Services Provided – 08.06.20
- Update: Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 Renewal – 08.06.20
- MLN Connects® for Thursday, August 6, 2020 – 08.06.20
- PFS, OPPS, and IRF: FY 2021 Payment Rules – 08.05.20
- CGS Office Has a New Address! – 08.04.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 08.04.20
- Extension for Inpatient Prospective Payment System (IPPS) Wage Index Occupational Mix Survey Submission – 08.04.20
- FY 2021 Medicare Payment Policies for IPFs, SNFs, and Hospices – 08.03.20
July 2020
- Payment for COVID-19 Counseling, Reporting Hospital Therapeutics, Out-of-Pocket Drug Costs – 07.30.20
- Renewal of the Public Health Emergency (PHE) – 07.30.20
- MLN Connects® for Thursday, July 30, 2020 – 07.30.20
- New Month! New CGS Medicare Bulletin! – 07.30.20
- August 2020 Part A Provider Contact Center (PCC) Training – 07.29.20
- Revised: Modify Edits in the Fee for Service (FFS) System when a Beneficiary has a Medicare Advantage (MA) Plan
[MLN Matters MM11580] – 07.28.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 07.28.20
- Trump Administration Announces New Resources to Protect Nursing Home Residents Against COVID-19 – 07.23.20
- MLN Connects® for Thursday, July 23, 2020 – 07.23.20
- Influenza Vaccine Payment Allowances - Annual Update for 2020-2021 Season
[MLN Matters MM11882] – 07.21.20
- Change to the Payment of Allogeneic Stem Cell Acquisition Services
[MLN Matters MM11729] – 07.21.20
- Revised: July 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11814] – 07.21.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 07.21.20
- COVID-19: Nursing Home Testing, SNF Benefit Period Waiver – 07.20.20
- MLN Connects® for Thursday, July 16, 2020 – 07.16.20
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2020
[MLN Matters MM11889] – 07.14.20
- Revised: Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11815] – 07.14.20
- Rescinded: Claim Status Category Codes and Claim Status Codes Update
[MLN Matters MM11669] – 07.14.20
- Medicare Credit Balance Quarterly Reminder – 07.14.20
- The Summer 2020 edition of the EDI Connection is now available – 07.14.20
- Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)
[MLN Matters MM11835] – 07.09.20
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2020 Update
[MLN Matters MM11769] – 07.09.20
- October 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11854] – 07.09.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 07.09.20
- Revised: New Point of Origin Code for Transfer from a Designated Disaster Alternate Care Site
[MLN Matters MM11836] – 07.09.20
- Revised: New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE)
[MLN Matters SE20016] – 07.09.20
- Revised: July 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11814] – 07.09.20
- MLN Connects® for Thursday, July 9, 2020 – 07.09.20
- ESRD PPS CY 2021 Proposed Rule; COVID-19: New and Expanded Flexibilities for RHCs & FQHCs – 07.07.20
- MLN Connects® for Thursday, July 2, 2020 – 07.02.20
June 2020
- The July 2020 Part A Medicare Bulletin is now available – 06.30.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 06.29.20
- Revised: Quarterly Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2020 Pricer
[MLN Matters MM11742] – 06.29.20
- Revised: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) – July 2020 Update
[MLN Matters MM11655] – 06.29.20
- Revised: National Coverage Determination (NCD) 160.18 Vagus Nerve Stimulation (VNS)
[MLN Matters MM11461] – 06.29.20
- COVID-19: SNF Benefit Period Waiver, HHAs Proposed Rule, Ending Nursing Home Blanket Waiver – 06.26.20
- July 2020 Part A Provider Contact Center (PCC) Training – 06.25.20
- July 2020 Release "Dark" Days for the Common Working File (CWF) Hosts – 06.25.20
- MLN Connects® for Thursday, June 25, 2020 – 06.25.20
- CGS Interactive Voice Response (IVR) System Changes – 06.24.20
- Medicare Coverage of COVID-19 Testing for Nursing Home Residents and Patients – 06.22.20
- Beneficiary Eligibility Enhancements to myCGS – 06.19.20
- MLN Connects® for Thursday, June 18, 2020 – 06.18.20
- Reducing Denials through Correct Coding – 06.18.20
- Special Kentucky & Ohio Joint Teleconference/Webinar Open Public Draft/Revised LCD Discussion Meeting: Tuesday, July 14th, 2020 – 06.18.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes – 06.18.20
- Hospitals: Submission of Medicare GME Affiliation Agreements During COVID-19 PHE – 06.18.20
- Prior Authorization for Certain Hospital Outpatient Department (OPD) Services Article – 06.18.20
- Using myCGS to Obtain Prior Authorization (PA) for Certain Hospital Outpatient Department (OPD) Services – 06.17.20
- Physicians! Collaborative A/B/DME MAC Therapeutic Shoes for Persons with Diabetes on June 30, 2020! – 06.16.20
- Revised: NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR)
[MLN Matters MM11660] – 06.15.20
- Revised: Value-Based Insurance Design (VBID) Model – Implementation of the Hospice Benefit Component
[MLN Matters MM11754] – 06.15.20
- New Point of Origin Code for Transfer from a Designated Disaster Alternate Care Site
[MLN Matters MM11836] – 06.15.20
- Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11815] – 06.15.20
- Prior Authorization Process and Requirements for Certain Hospital OPD Services: Payment for Related Services – 06.15.20
- New Defined Thresholds for Medicare Low Utilization Cost Reports – 06.11.20
- MLN Connects® for Thursday, June 11, 2020 – 06.11.20
- July 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11814] – 06.11.20
- July Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11810] – 06.11.20
- July 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.2
[MLN Matters MM11792] – 06.11.20
- National Coverage Determination (NCD) 160.18 Vagus Nerve Stimulation (VNS)
[MLN Matters MM11461] – 06.09.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 06.09.20
- MLN Connects® for Thursday, June 4, 2020 – 06.04.20
- Kentucky & Ohio Joint Open Public Draft/Revised LCD Discussion Meeting: Draft Local Coverage Determinations – Tuesday, June 23, 2020 – 06.03.20
- COVID-19: Using the CR Modifier and DR Condition Code – 06.02.20
- Claim Status Category Codes and Claim Status Codes Update
[MLN Matters MM11699] – 06.01.20
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11708] – 06.01.20
- Summary of Policies in the Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) Public Health Emergency (PHE) Interim Final Rules
[MLN Matters MM11805] – 06.01.20
- Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE
[MLN Matters MM11709] – 06.01.20
- Value-Based Insurance Design (VBID) Model – Implementation of the Hospice Benefit Component
[MLN Matters MM11754] – 06.01.20
- Revised: Therapy Codes Update
[MLN Matters MM11791] – 06.01.20
- Revised: Supplier Education on Use of Upgrades for Multi-Function Ventilators
[MLN Matters SE20012] – 06.01.20
- Rescinded: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)—October 2020 Update
[MLN Matters MM11749] – 06.01.20
- The June 2020 Part A Medicare Bulletin is now available – 06.01.20
May 2020
- New COVID-19 FAQs on Medicare Fee-for-Service Billing – 05.29.20
- June 2020 Part A Provider Contact Center (PCC) Training – 05.28.20
- MLN Connects® for Thursday, May 28, 2020 – 05.28.20
- Preventing Denials for Iron Sucrose (Venofer) – HCPCS Code J1756 – 05.27.20
- Medicare Continues to Modernize Payment Software
[MLN Matters SE20019] – 05.26.20
- COVID-19 Blanket Swing Bed Waiver for Addressing Barriers to Nursing Home Placement for Hospitalized Individuals
[MLN Matters SE20018] – 05.26.20
- The Spring 2020 edition of the EDI Connection is now available – 05.21.20
- MLN Connects® for Thursday, May 21, 2020 – 05.21.20
- COVID-19: Payment for Lab Tests, Safely Reopening Nursing Homes, Lab & Ambulance Claims – 05.20.20
- Hospital: Physician Time Studies During the COVID-19 PHE – 05.19.20
- Medicare Pharmacies and Other Suppliers May Temporarily Enroll as Independent Clinical Diagnostic Laboratories to Help Address COVID-19 Testing
[MLN Matters SE20017] – 05.19.20
- New Physician Specialty Code for Micrographic Dermatologic Surgery (MDS) and Adult Congenital Heart Disease (ACHD) and a New Supplier Specialty Code for Home Infusion Therapy Services
[MLN Matters MM11750] – 05.19.20
- National Coverage Determination (NCD) 20.19 Ambulatory Blood Pressure Monitoring (ABPM)
[MLN Matters MM11650] – 05.19.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – July 2020 Update
[MLN Matters MM11788] – 05.19.20
- National Coverage Determination (NCD 30.3.3): Acupuncture for Chronic Low Back Pain (cLBP)
[MLN Matters MM11755] – 05.19.20
- Therapy Codes Update
[MLN Matters MM11791] – 05.19.20
- Manual Update to Pub. 100-04, Chapter 38, to Remove Identification of Items or Services Related to the 2010 Oil Spill in the Gulf of Mexico Section
[MLN Matters MM11778] – 05.19.20
- COVID-19: Deadlines, New Releases, and Important Calls – 05.18.20
- MLN Connects® for Thursday, May 14, 2020 – 05.14.20
- Attention Part A Providers! – 05.13.20
- COVID-19: Additional Waivers, Price Transparency, and CMS Letter to Nursing Homes – 05.13.20
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2020 Update
[MLN Matters MM11749] – 05.12.20
- Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) to Correct the Adjustment Process
[MLN Matters MM11727] – 05.12.20
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
[MLN Matters MM11661] – 05.12.20
- Skilled Nursing Facility (SNF) Demand Bills – 05.11.20
- COVID-19: Nursing Home Reporting, Updated Telehealth Video, Pharmacies & Other Suppliers Can Enroll as Labs, IRF Flexibilities – 05.08.20
- MLN Connects® for May 7, 2020 – 05.07.20
- Common Working File (CWF) Dark Day for Annual History Archive – 05.06.20
- Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration) – 05.04.20
- Modify Edits in the Fee for Service (FFS) System when a Beneficiary has a Medicare Advantage (MA) Plan
[MLN Matters MM11580] – 05.04.20
- Revised: Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent with Current Policy
[MLN Matters MM11559] – 05.04.20
- Kentucky & Ohio Joint Open Public Draft/Revised LCD Discussion Meeting: Draft Local Coverage Determinations – Tuesday, June 23, 2020 – 05.01.20
- COVID-19 ICD-10 Code U07.1 and SNF PDPM Assessment Diagnosis – 05.01.20
- COVID-19: Second Round of Sweeping Changes, RHC & FQHC Flexibilities, EMTALA – 05.01.20
April 2020
- The May 2020 Part A Medicare Bulletin is now available – 04.30.20
- MLN Connects® for Thursday, April 30, 2020 – 04.30.20
- Revised: Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE
[MLN Matters MM11490] – 04.28.20
- July 2020 Quarterly Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2020 Pricer
[MLN Matters MM11764] – 04.28.20
- Quarterly Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2020 Pricer
[MLN Matters MM11742] – 04.28.20
- May 2020 Part A Provider Contact Center (PCC) Training – 04.28.20
- CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program – 04.27.20
- MLN Connects® for Thursday, April 23, 2020 – 04.23.20
- New Waivers for Inpatient Prospective Payment System (IPPS) Hospitals, Long-Term Care Hospitals (LTCHs), and Inpatient Rehabilitation Facilities (IRFs) due to Provisions of the CARES Act
[MLN Matters SE20015] – 04.21.20
- New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE)
[MLN Matters SE20016] – 04.21.20
- Revised: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11489] – 04.21.20
- Revised: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11638] – 04.21.20
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
[MLN Matters MM11661] – 04.21.20
- Revised: April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1
[MLN Matters MM11680] – 04.21.20
- COVID-19: Nursing Home Transparency, Recommendations for Areas with Low Incidence of Disease – 04.20.20
- COVID-19: RHC & FQHC Flexibilities, Increased Payment for Lab Tests, Hospital Waivers, Call Audio and Transcript – 04.17.20
- UPDATE: Regarding Medicare Administrative Contractors (MACs) to Host a Multi-jurisdictional Contractor Advisory Committee (CAC) Meeting Regarding Facet Joint and Medial Nerve Branch Procedures on May 28th, 2020 from 1:00-3:00 PM Central Time – 04.16.20
- CGS is Retiring Policy L34093 Chemotherapy and Biologicals – 04.16.20
- MLN Connects® for Thursday, April 16, 2020 – 04.16.20
- COVID-19: Reprocessing Hospital Claims, Essential Diagnostic Services, Non-Invasive Ventilators – 04.15.20
- April 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11691] – 04.14.20
- Quarterly Update to the Fiscal Year 2020 Inpatient Psychiatric Facilities Pricer
[MLN Matters MM11759] – 04.14.20
- Revised: Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11681] – 04.14.20
- Revised: Claim Status Category and Claim Status Codes Update
[MLN Matters MM11467] – 04.14.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 04.14.20
- Immediate Infusion of $30 Billion into Health Care System – 04.13.20
- COVID-19: Infection Control, Maximizing Workforce, Updated Q&A, CS Modifier for Cost-Sharing, Payment Adjustment Suspended – 04.10.20
- Medicare Credit Balance Quarterly Reminder – 04.10.20
- MLN Connects® for Thursday, April 9, 2020 – 04.09.20
- July 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11745] – 04.07.20
- Supplier Education on Use of Upgrades for Multi-Function Ventilators
[MLN Matters SE20012] – 04.07.20
- Revised: Second Update to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)
[MLN Matters MM11632] – 04.07.20
- Revised: Update to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for Vaping Related Disorder and 2019 Novel Coronavirus (COVID-19)
[MLN Matters MM11623] – 04.07.20
- Revised: April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1
[MLN Matters MM11680] – 04.07.20
- April 2020 Part A Medicare Bulletin Review – 04.07.20
- COVID-19: Telehealth Video, Coinsurance and Deductible Waived, ASC Attestations, Ambulance Modifiers, Lessons from Front Lines, MLN Call Today – 04.07.20
- COVID-19: Telehealth Billing Correction, Nursing Home Recommendations, Billing for Multi-Function Ventilators, New ICD-10-CM Diagnosis Code – 04.03.20
- Medicare Administrative Contractors (MACs) Will Host a Multi-jurisdictional Contractor Advisory Committee (CAC) Meeting Regarding Facet Joint and Medial Nerve Branch Procedures on May 28th, 2020 from 1-3 pm CST – 04.02.20
- Telehealth Services – 04.02.20
- MLN Connects® for Thursday, April 2, 2020 – 04.02.20
- Medical Review Update – 04.01.20
March 2020
- COVID-19: Regulatory Changes, Telehealth Billing, and Specimen Collection Codes – 03.31.20
- NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR)
[MLN Matters MM11660] – 03.31.20
- Revised: Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations - Update
[MLN Matters SE19007] – 03.31.20
- The April 2020 Part A Medicare Bulletin is now available – 03.31.20
- COVID-19: Financial Relief, Nursing Home Telehealth, Quality Reporting, Clinical Laboratories, Hospital Data Sharing – 03.30.20
- Telehealth Services During the Public Health Emergency – 03.30.20
- COVID-19: Enrollment Relief, Open Payments, Beneficiary Notices – 03.27.20
- MLN Connects® for Thursday, March 26, 2020 – 03.26.20
- April 2020 Part A Provider Contact Center (PCC) Training – 03.25.20
- Cost Report: Delay Filing Deadline For Part A, Home Health, and Hospice Providers – 03.25.20
- SNF Claims Incorrectly Cancelled – 03.24.20
- April 2020 Release "Dark" Days for the Common Working File (CWF) Hosts – 03.24.20
- April 2020 Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11701] – 03.24.20
- April Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11702] – 03.24.20
- Revised: New Medicare Beneficiary Identifier (MBI) Get It, Use It
[MLN Matters SE18006] – 03.24.20
- Revised: Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS
[MLN Matters MM11335] – 03.24.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 03.24.20
- COVID-19: Relief for Quality Reporting Programs and Provider Enrollment – 03.24.20
- Registration Now Open! – 03.23.20
- COVID-19: Telehealth and Non-Essential Procedures – 03.23.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 03.19.20
- MLN Connects® for Thursday, March 19, 2020 – 03.19.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes – 03.18.20
- President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak – 03.17.20
- Coronavirus (COVID-19) Resources – 03.17.20
- Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 03.17.20
- The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2018 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)
[MLN Matters MM11679] – 03.17.20
- MM11681 – Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11681] – 03.17.20
- COVID-19: FFS Response and Nursing Home Visitor Guidance – 03.16.20
- COVID-19: Test Pricing, Diagnostic Lab Tests, Pricing & Codes, and EHB Coverage – 03.16.20
- MLN Connects® for Thursday, March 12, 2020 – 03.12.20
- Process Improvements Based On Your 2019 MSI Survey Feedback! – 03.11.20
- The CGS Medicare Exhibition – 03.11.20
- Reminder: Where to Send Refund Checks – 03.11.20
- NCD 20.4 Implantable Cardiac Defibrillators (ICDs)
[MLN Matters SE20006] – 03.10.20
- Section 1876 and 1833 Cost Plan Enrollee Access to Care through Original Medicare
[MLN Matters SE20009] – 03.10.20
- Incorrect Billing of HCPCS L8679 - Implantable Neurostimulator, Pulse Generator, Any Type
[MLN Matters SE20001] – 03.10.20
- April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1
[MLN Matters MM11680] – 03.10.20
- Revised: Proper Use of Modifier 59
[MLN Matters SE1418] – 03.10.20
- COVID-19 Response: CMS Issues FAQs to Assist Medicare Providers – 03.09.20
- CMS Develops Additional Code for Coronavirus Lab Tests – 03.06.20
- CMS Announces Actions to Address Spread of Coronavirus – 03.05.20
- MLN Connects® for Thursday, March 5, 2020 – 03.05.20
- Update to myCGS Administrator Unlock Feature! – 03.04.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
[MLN Matters MM11661] – 03.04.20
- Standard Elements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Order, and Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Orders Prior to Delivery and, or Prior Authorization Requirements
[MLN Matters SE20007] – 03.03.20
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11638] – 03.03.20
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) -- July 2020 Update
[MLN Matters MM11655] – 03.03.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Website Resources – 03.03.20
- SNF PDPM Claims Issue – 03.03.20
- Evaluate Our Services! – 03.02.20
February 2020
- The March 2020 Part A Medicare Bulletin is now available – 02.28.20
- MLN Connects® for Thursday, February 27, 2020 – 02.27.20
- Process Improvements Based On Your 2019 MSI Survey Feedback! – 02.27.20
- Changes are Coming to Electronic Data Interchange (EDI) Forms – 02.26.20
- Save the Date! CGS Medicare Exhibition on June 17 and 18, 2020 – 02.25.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2020 Update
[MLN Matters MM11661] – 02.25.20
- Implementation of the Long Term Care Hospital (LTCH) Discharge Payment Percentage (DPP) Payment Adjustment
[MLN Matters MM11616] – 02.25.20
- Revised: January 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.0
[MLN Matters MM11564] – 02.25.20
- Revised: Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging – Approval of Using the K3 Segment for Institutional Claims
[MLN Matters SE20002] – 02.25.20
- Revised: Accepting Payment from Patients with a Medicare Set-Aside Arrangement
[MLN Matters SE17019] – 02.25.20
- March 2020 Part A Provider Contact Center (PCC) Training – 02.24.20
- MLN Connects® for Thursday, February 20, 2020 – 02.20.20
- Coming in March 2020! – 02.18.20
- Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent with Current Policy
[MLN Matters MM11559] – 02.17.20
- Second Update to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)
[MLN Matters MM11632] – 02.17.20
- Revised: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) – April 2020 Update
[MLN Matters MM11491] – 02.17.20
- Revised: New Medicare Beneficiary Identifier (MBI) Get It, Use It
[MLN Matters SE18006] – 02.17.20
- MLN Connects® for Thursday, February 13, 2020 – 02.13.20
- Just Have a General Question? – 02.12.20
- Provider Enrollment Appeals Procedure
[MLN Matters MM11210] – 02.11.20
- Quarterly Influenza Virus Vaccine Code Update - July 2020
[MLN Matters MM11603] – 02.11.20
- Revised: Update to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for Vaping Related Disorder
[MLN Matters MM11623] – 02.11.20
- Revised: January 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11605] – 02.11.20
- February 2020 Part A Medicare Bulletin Review – 02.11.20
- FREE Medicare Part A Update Seminars in Ohio and Kentucky! – 02.10.20
- Attention Kentucky Providers! Medicare Update Seminars in Lexington Kentucky! – 02.10.20
- MLN Connects® for Thursday, February 6, 2020 – 02.06.20
- Medicare Beneficiary Identifier (MBI) Submission Reminders – 02.06.20
- Did You Know??? – 02.03.20
- Revised: 2020 Annual Update to the Therapy Code List
[MLN Matters MM11501] – 02.03.20
January 2020
- The February 2020 Part A Medicare Bulletin is now available – 01.31.20
- MLN Connects® for Thursday, January 30, 2020 – 01.30.20
- The Self-Administered Drug Exclusion List and Biologicals Excluded from Coverage – Medical Policy Article (A52527)
has been revised. – 01.30.20
- February 2020 Part A Provider Contact Center (PCC) Training – 01.29.20
- Making it Easy to Submit Your Credit Balance Report Using myCGS – 01.27.20
- Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
[MLN Matters MM11641] – 01.27.20
- January 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
[MLN Matters MM11605] – 01.27.20
- Increasing Access to Innovative Antibiotics for Hospital Inpatients Using New Technology Add-On Payments: Frequently Asked Questions
[MLN Matters SE20004] – 01.27.20
- Update to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for Vaping Related Disorder
[MLN Matters MM11623] – 01.27.20
- Revised: Implementation to Exchange the list of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System
[MLN Matters MM11003] – 01.27.20
- Revised: Calendar Year (CY) 2020 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11598] – 01.27.20
- Revised: Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS
[MLN Matters MM11335] – 01.27.20
- Provider Compliance Tips for Polysomnography (Sleep Studies) – 01.23.20
- MLN Connects® for Thursday, January 23, 2020 – 01.23.20
- Medicare Bulletin – Read It and then Test Your Knowledge – 01.21.20
- Upcoming MBI Look-Up Tool Outage – 01.16.18
- MLN Connects® for Thursday, January 16, 2020 – 01.16.20
- Kentucky & Ohio Joint Onsite Open Public Draft/Revised LCD Discussion Meeting: Draft Local Coverage Determinations – Tuesday, February 18th, 2020 – 01.15.20
- Medicare Credit Balance Quarterly Reminder – 01.13.20
- January 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.0
[MLN Matters MM11564 – 01.13.20
- Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging- Approval of Using the K3 Segment for Institutional Claims
[MLN Matters SE20002 – 01.13.20
- Revised: Updates to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)
[MLN Matters MM11513 – 01.13.20
- Revised: CY 2020 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11570 – 01.1..20
- Revised: Medicare Part B Clinical Laboratory Fee Schedule: Revised Information for Laboratories on Collecting and Reporting Data for the Private Payor Rate-Based Payment System
[MLN Matters SE19006 – 01.13.20
- Reissued: New Medicare Beneficiary Identifier (MBI) Get It, Use It
[MLN Matters SE18006 – 01.13.20
- MLN Connects® for Thursday, January 9, 2020 – 01.09.20
- myCGS Availability – 01.09.20
- January 2020 EDI Edit Spreadsheet Changes – 01.02.20
- The acceptance of a voluntary refund as repayment for the claim 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. – 01.02.20