2023 Part A Kentucky and Ohio Medicare News Archive
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December 2023
- Palmetto GBA and CGS SNF Symposium: Early Bird Special Extended – 12.28.23
- The Micro-invasive Glaucoma Surgery (MIGS) Local Coverage Determination (LCD), L37578 (Future Effective), and Billing and Coding Article A56491 (Future Effective), will not become Final and therefore have been removed from the Medicare Coverage Database. Accordingly, at this time there will be no change in the current status of coverage for MIGS. – 12.28.23
- SPRAVATO™ (esketamine) nasal spray, CIII – 12.21.23
- MLN Connects Newsletter: December 21, 2023 – 12.21.23
- J15 PCC Closure Schedule – January 2024 – 12.19.23
- FISS DDE Screen Changes – January 2024 – 12.19.23
- Pathway to an RFA Request for Facet Joints – 12.19.23
- CR13468 – Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions – 12.19.23
- MLN Connects Newsletter: December 14, 2023 – 12.14.23
- CWF "Dark Days" – December 15-17 – 12.14.23
- MLN Connects Newsletter: December 7, 2023 – 12.07.23
November 2023
- MLN Connects Newsletter: December 7, 2023 – 12.07.23
- Palmetto GBA and CGS SNF Symposium – 11.30.23
- MLN Connects Newsletter: November 30, 2023 – 11.30.23
- Save the Date! Palmetto GBA and CGS SNF Symposium! – 11.28.23
- J15 Provider Contact Center (PCC) Training – December 2023 – 11.28.23
- The EDI Connection Fall 2023 Edition is now available – 11.28.23
- MLN Connects Newsletter: November 22, 2023 – 11.22.23
- January 2024 Release "Dark Days" – 11.21.23
- MLN Connects Newsletter: November 16, 2023 – 11.16.23
- Final Call: 2023 DDE/PPTN Recertification Ends November 30th – 11.16.23
- MLN Connects Newsletter: November 9, 2023 – 11.09.23
- MLN Connects Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules – Nov 2, 2023 – 11.03.23
- MLN Connects Newsletter: November 2, 2023 – 11.02.23
- Take Our Provider Survey Today – 11.01.23
October 2023
- myCGS: Access Redeterminations (1st Level Appeal) Form from the CLAIMS Tab – 10.31.23
- MLN Connects Newsletter: October 26, 2023 – 10.26.23
- J15 Provider Contact Center (PCC) Training – November 2023 – 10.24.23
- MLN Connects Newsletter: October 19, 2023 – 10.19.23
- myCGS: Access Redeterminations (1st Level Appeal) Form from the CLAIMS Tab – 10.17.23
- Voluntary Refunds – Calendar Year 2023 – 10.16.23
- 2024 Amount in Controversy for Administrative Law Judge Hearings or Federal District Court Reviews – 10.12.23
- MLN Connects Newsletter: October 12, 2023 – 10.12.23
- CGS October 2023 Upcoming Virtual Educational Events – 10.10.23
- Ohio Open Public Draft/Revised LCD Discussion Meeting: November 8, 2023 – 10.10.23
- Kentucky Open Public Draft/Revised LCD Discussion Meeting: November 7, 2023 – 10.10.23
- myCGS: Access Redeterminations (1st Level Appeal) Form from the CLAIMS Tab – 10.10.23
- Reminder: Medicare Credit Balance Reports Due – 10.10.23
- MLN Connects Newsletter: COVID-19: Updated Novavax COVID-19 Vaccine, Adjuvanted for Patients 12 & Older – Oct 6, 2023 – 10.06.23
- MLN Connects Newsletter: October 5, 2023 – 10.05.23
- FISS DDE Screen Changes – October 2023 – 10.03.23
- A/B/DME Collaborative Webinar: Therapeutic Shoes for Persons with Diabetes – 10.03.23
September 2023
- Address Change for Overnight Delivery of Refund Checks – 09.29.23
- Attention: CGS J15 Local Coverage Determination (LCD) L36690/A56696 – 09.28.23
- MLN Connects Newsletter: September 28, 2023 – 09.28.23
- Prior Authorization for Botulinum Toxin Procedures: Requesting Number of Units – 09.26.23
- MLN Connects Newsletter: September 21, 2023 – 09.21.23
- CR13337 – Revision to Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments – 09.19.23
- J15 Provider Contact Center (PCC) Training – October 2023 – 09.19.23
- FISS DDE Screen Changes – October 2023 – 09.15.23
- MLN Connects Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older – Sept 14, 2023 – 09.15.23
- MLN Connects Newsletter: September 14, 2023 – 09.14.23
- Multi-Jurisdictional CAC Meeting on Botulinum Toxins – October 19, 2023 – 09.14.23
- Annual DDE PPTN Recertification Deadline: September 30th – 09.07.23
- MLN Connects Newsletter: September 7, 2023 – 09.07.23
- October 2023 Release "Dark Days" – 09.07.23
- NEW Process for 56900 Reopening Requests – 09.05.23
August 2023
- MLN Connects Newsletter: August 31, 2023 – 08.31.23
- Quarterly Update to the MPFSDB – October 2023 – 08.31.23
- J15 Provider Contact Center (PCC) Training – September 2023 – 08.29.23
- MLN Connects Newsletter: August 24, 2023 – 08.24.23
- CGS J15 Skin Substitute Grafts/Cellular and/or Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers: L36690/A56696 – 08.22.23
- Skin Substitute Grafts/Cellular and/or Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers: For Clinicians – 08.22.23
- MLN Connects Newsletter: August 17, 2023 – 08.17.23
- MLN Connects Newsletter: August 10, 2023 – 08.10.23
- Help us help you! Share your communication preferences – 08.08.23
- Reminder: OPPS Off-Campus Provider-Based Department Edits – 08.08.23
- Physicians! Are You Ordering Surgical Dressings for Your Patients? – 08.08.23
- MLN Connects Newsletter: August 3, 2023 – 08.03.23
- Coming Soon: 711 to Replace TTY Lines – 08.03.23
- MLN Connects Newsletter: 5 Final FY 2024 Payment Rules – Aug 1, 2023 – 08.02.23
- Don't Delay: Recertify Your FISS DDE Access Today! – 08.01.23
July 2023
- MLN Connects Newsletter: July 27, 2023 – 07.27.23
- Multi-Jurisdictional CAC Meeting on Cervical Fusion – August 16, 2023 – 07.26.23
- J15 Provider Contact Center (PCC) Training – August 2023 – 07.25.23
- CGS J15 Local Coverage Determination (LCD) – L39521 Positron Emission Tomography (PET) for Inflammation and Infection – 07.21.23
- Multi-Jurisdictional CAC Meeting on Cervical Fusion – August 16, 2023 – 07.20.23
- MLN Connects Newsletter: July 20, 2023 – 07.20.23
- Important Update: OPPS Off-Campus Provider-Based Department Edits – 07.18.23
- MLN Connects Newsletter: PFS & OPPS/ASC Proposed Payment Rules – July 13, 2023 – 07.14.23
- MLN Connects Newsletter: July 13, 2023 – 07.13.23
- Medical Review Roundtable Meetings: Facet Joint Injection Prior Authorization Process – 07.12.23
- CR13220 – Technical Revisions Only to the National Coverage Determination (NCD) Manual – 07.11.23
- Reminder: Medicare Credit Balance Reports Due – 07.11.23
- Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval – 07.07.23
- The EDI Connection Summer 2023 Edition is now available – 07.06.23
- Prompt Payment Interest Rate for July – December 2023 – 07.06.23
- MLN Connects Newsletter: July 6, 2023 – 07.06.23
June 2023
- Billing and Coding: JW and JZ Modifier Guidelines – 06.29.23
- MLN Connects Newsletter: June 29, 2023 – 06.29.23
- J15 Provider Contact Center (PCC) Training – July 2023 – 06.27.23
- Medical Review Roundtable Meetings: Facet Joint Injection Prior Authorization Process – 06.22.23
- MLN Connects Newsletter: June 22, 2023 – 06.22.23
- Importance of Using Severe Malnutrition Codes Correctly – 06.22.23
- MLN Connects Newsletter: June 15, 2023 – 06.15.23
- FISS DDE Screen Changes – July 2023 – 06.14.23
- Kentucky & Ohio Joint Open Public Draft/Revised LCD Discussion Meeting: July 11, 2023 – 06.14.23
- MLN Connects Newsletter: June 8, 2023 – 06.08.23
- Medicare Dental Service Coverage Update – 06.08.23
- Canceling a RSNAT Unique Tracking Number (UTN) – 06.07.23
- Who to Contact Regarding Your Applications! – 06.02.23
- MLN Connects Newsletter: June 1, 2023 – 06.01.23
- July 2023 Release "Dark Days" – 06.01.23
May 2023
- Quarterly Update to the Medicare Physician Fee Schedule Database – July 2023 – 05.30.23
- MLN Connects Newsletter: May 25, 2023 – 05.25.23
- Kentucky & Ohio Joint Special Open Public Draft LCD Discussion Regarding Urinary Biomarkers for Chronic Pain Management: June 22, 2023 – 05.25.23
- J15 Provider Contact Center (PCC) Training – June 2023 – 05.23.23
- MLN Connects Newsletter: May 18, 2023 – 05.18.23
- MLN Connects Newsletter: May 11, 2023 – 05.11.23
- Update: "Dark Day" on May 22 – 05.10.23
- Action Required: 2023 DDE PPTN Recertification – 05.09.23
- Help Simplify Your Medicare Billing with myCGS!! – 05.08.23
- Educational Article J1411 Hemgenix (esranacogene dezaparvovec-drlb) – 05.08.23
- MLN Connects Newsletter: May 4, 2023 – 05.04.23
- Medicare Administrative Contractors (MACs) will host a Multi-Jurisdictional CAC meeting regarding Non-Invasive Technology for Coronary Artery Plaque Analysis on Thursday, May 25, 2023 – 05.04.23
- The EDI Connection Spring 2023 Edition is now available – 05.04.23
- Total Invoice Price and Overpayments – 05.01.23
- SPRAVATO™ (esketamine) nasal spray, CIII – 05.01.23
- Update: "Dark Day" on May 22 – 05.01.23
April 2023
- MLN Connects Newsletter: April 27, 2023 – 04.27.23
- Kentucky & Ohio Joint Special Open Public Draft/Revised LCD Discussion Meeting: 5/17/2023 – 04.27.23
- J15 Provider Contact Center (PCC) Training – May 2023 – 04.25.23
- Medicare Administrative Contractors (MACs) will host a Multi-Jurisdictional CAC meeting regarding Non-Invasive Technology for Coronary Artery Plaque Analysis on Thursday, May 25, 2023 – 04.25.23
- Physician Certification Statement Requirements for RSNAT – 04.24.23
- Additional Documentation Requests (ADRs) Process: What to Send – 04.24.23
- MLN Connects Newsletter: April 20, 2023 – 04.20.23
- MLN Connects Newsletter: April 13, 2023 – 04.13.23
- MLN Connects Newsletter: CMS Proposes Policies to Improve Patient Safety and Promote Health Equity – Apr 10, 2023 – 04.11.23
- Reminder: Medicare Credit Balance Reports Due – 04.11.23
- MLN Connects Newsletter: April 6, 2023 – 04.06.23
- MLN Connects Newsletter: 4 Proposed FY 2024 Payment Rules – April 4, 2023 – 04.05.23
- Critical Access Hospitals: Bill Correctly – 04.04.23
- Ending the COVID-19 PHE Resource Update – 04.04.23
March 2023
- Critical Access Hospitals: Bill Correctly – 04.04.23
- Ending the COVID-19 PHE Resource Update – 04.04.23
- MLN Connects Newsletter: March 30, 2023 – 03.31.23
- J15 Provider Contact Center (PCC) Training – April 2023 – 03.28.23
- Multijurisdictional Contractor Advisory Committee Meeting: Trigger Point Injections – 03.27.23
- MLN Connects Newsletter: March 23, 2023 – 03.23.23
- CR13122 – Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments – 03.22.23
- CR12669 – Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement – 03.21.23
- CR12748 – Upload of Notice Program Reimbursement (NPR) Letters, Interim Rate Reviews, and Tentative Settlement Documentation into the System for Tracking Audit and Reimbursement (STAR) – 03.16.23
- FISS DDE Screen Changes – April 2023 – 03.16.23
- MLN Connects Newsletter: March 16, 2023 – 03.16.23
- CR13105 – Technical Revisions Only to the National Coverage Determination (NCD) Manual – 03.16.23
- MLN Connects Newsletter: Inflation Reduction Act Tamps Down on Prescription Drug Price Increases Above Inflation – Mar 15, 2023 – 03.15.23
- Part A Medical Review News – 03.10.23
- NCD 110.24: Chimeric Antigen Receptor (CAR) T-Cell Therapy Billing Instructions – 03.10.23
- MLN Connects Newsletter: March 9, 2023 – 03.09.23
- MLN Connects Newsletter: March 2, 2023 – 03.02.23
February 2023
- MLN Connects Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet – Feb 27, 2023 – 02.28.23
- April 2023 Release "Dark Days" for the CWF Host – 02.28.23
- Quarterly Update to the Medicare Physician Fee Schedule Database – April 2023 – 02.28.23
- How to Submit "Additional Documentation" Requested by Part A Medical Review – 02.24.23
- MLN Connects Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers – Feb 23, 2023 – 02.23.23
- Upcoming myCGS Enhancements and Updates! – 02.23.23
- MLN Connects Newsletter: February 23, 2023 – 02.23.23
- J15 Provider Contact Center (PCC) Training – March 2023 – 02.21.23
- MLN Connects Newsletter: February 16, 2023 – 02.16.23
- Medical Documentation for RSNAT Prior Authorization and Claims – 02.14.23
- Multijurisdictional Contractor Advisory Committee (CAC) Meeting Regarding RPM/RTM for Non-Implantable Devices – 02.14.23
- MLN Connects Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 – 02.10.23
- MLN Connects Newsletter: February 9, 2023 – 02.09.23
- Attention: Part A Outpatient Prior Authorization Inquiries – 02.02.23
- New Authentication Requirement When Calling the Provider Contact Center – Effective May 1st – 02.02.23
- Medicare Provider Alert: Your Responsibility When Using Billing Companies and Outsourced Agencies – 02.02.23
- MLN Connects Newsletter: February 2, 2023 – 02.02.23
January 2023
- J15 Provider Contact Center (PCC) Training – February 2023 – 01.31.23
- System Status – March 10 – 12, 2023 – 01.26.23
- MLN Connects Newsletter: January 26, 2023 – 01.26.23
- Kentucky & Ohio Joint Open Public Draft/Revised LCD Discussion Meeting: February 21st, 2023 – 01.24.23
- The EDI Connection Winter 2022 Edition is now available – 01.24.23
- Practitioners! Are You Ordering Ankle-Foot /Knee-Ankle-Foot Orthoses (AFO/KAFO) for Your Patients? – 01.24.23
- Practitioners! Are You Ordering Knee Orthoses for Your Patients? – 01.19.23
- MLN Connects Newsletter: January 19, 2023 – 01.19.23
- Who Will Need to Submit a Prior Authorization Request for HOPD Services? – 01.12.23
- MLN Connects Newsletter: January 12, 2023 – 01.12.23
- CMS Awards 200 New Medicare-funded Residency Slots to Hospitals Serving Underserved Communities – 01.10.23
- Use the myCGS Eligibility Tab to Avoid Claim Errors – 01.10.23
- Reminder: Medicare Credit Balance Reports Due – 01.10.23
- 2023 Schedule for Upcoming Compliance, Open Draft/Revised LCD Discussion, and Provider Touch Point Meetings – 01.05.23
- MLN Connects Newsletter: January 5, 2023 – 01.05.23
- Update to the Interest Paid on Clean Non-PIP Claims Not Paid Timely – 01.03.23