2020 Part B Kentucky and Ohio Medicare News Archive
Click on a month to expand.
December 2020
- The January 2021 J15 Medicare Bulletin is now available – 12.31.20
- The 1st Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 12.29.20
- The 1st Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 12.29.20
- Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March – 12.28.20
- January 2021 Part B Provider Contact Center (PCC) Training – 12.28.20
- Your Feedback Matters! – 12.28.20
- Updating Calendar Year (CY) 2021 Medicare Diabetes Prevention Program (MDPP) Payment Rates
[MLN Matters MM12030] – 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
- Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 87811 and 87428
[MLN Matters MM12093] – 12.28.20
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.1, Effective April 1, 2021
[MLN Matters MM12110] – 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
- 2021 Home Infusion Therapy Services - Codes and Fees – 12.21.20
- January 2021 Release "Dark" Days for the Common Working File (CWF) Hosts – 12.2120
- Home Health Agency (HHA) Change in Reimbursement – Medicare Patient's Therapy Needs Have Not Changed! – 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
- Influenza Vaccine Invoice – 12.15.20
- 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
- IMPORTANT: The fees for CY 2021 Medicare Physician Fee Schedule (MPFSDB) will be posted to our website after the 2021 physician fee schedule regulation is put on display. – 12.10.20
- Information about Calendar Year (CY) 2021 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures – 12.10.20
- 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
- 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
- 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
- The 3rd and 4th Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 12.08.20
- The 4th Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 12.08.20
- Annual Participation Enrollment Period Extended to January 31, 2021: CMS is extending the 2021 Annual Participation Enrollment Program. The participation enrollment period will now end January 31, 2021, instead of December 31, 2020. – 12.08.20
- 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
- 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: Overview of the Repetitive, Scheduled Non-emergent Ambulance Prior Authorization Model
[MLN Matters SE1514] – 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 B Provider Contact Center (PCC) Training – 11.23.20
- MLN Connects® for Thursday, November 19, 2020 – 11.19.20
- National Coverage Determination (NCD 90.3): Chimeric Antigen Receptor (CAR) T-cell Therapy
[MLN Matters MM11783] – 11.18.20
- Revised: Billing for Home Infusion Therapy Services on or After January 1, 2021
[MLN Matters MM11880] – 11.18.20
- Revised: Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment Policies for Home Infusion Therapy (HIT) Suppliers
[MLN Matters MM11954] – 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
- New Feature to the Self-Service Options – 11.12.20
- 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
- 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
- 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
- Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment Policies for Home Infusion Therapy (HIT) Suppliers
[MLN Matters MM11954] – 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
- Non-covered Services/Category III CPT Code Utilization ADR Checklist – 10.29.20
- 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
- The 4th Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 10.27.20
- The 4th Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 10.27.20
- November 2020 Part B Provider Contact Center (PCC) Training – 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
- New Feature Added to the Self-Service Options Web page! – 10.20.20
- Updated 2021 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Appeals – 10.20.20
- 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: New Waived Tests
[MLN Matters MM11982] – 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
- 2020 Administration Codes - Immunization Vaccine Codes – 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
- Reminder: COVID-19: Payment for Diagnostic Laboratory Tests – 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
- The 4th Quarter 2020 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page. – 10.02.20
- The 4th Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 10.02.20
- The 4th Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 10.02.20
- The 3rd Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 10.02.20
- 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
- Update to the Medicare Claims Processing Manual
[MLN Matters MM11958] – 09.29.20
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.0, Effective January 1, 2021
[MLN Matters MM11984] – 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
- Revised: October 2020 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11963] – 09.29.20
- The 4th Quarter 2020 ASC Drug fees are now available, and the 2nd and 3rd Quarter ASC Drug fees have been revised – 09.29.20
- The 3rd Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 09.24.20
- MLN Connects® for Thursday, September 24, 2020 – 09.24.20
- October 2020 Part B Provider Contact Center (PCC) Training – 09.23.20
- 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
- October 2020 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11963] – 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
- 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
- The 2nd and 3rd Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 09.16.20
- Internet Only Manual Update to Pub. 100-04, Chapter 16, Section 60.1.2 and Pub. 100-04, Chapter 26, Section 10.4, Item 19
[MLN Matters MM11935] – 09.15.20
- Community Health Access and Rural Transformation Model – 09.11.20
- MLN Connects® for Thursday, September 10, 2020 – 09.10.20
- September 2020 Part B Provider Contact Center (PCC) Training – 09.09.20
- 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 Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11956] – 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
- 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
- Notification of Service Specific Post Payment Reviews for Ambulance: BLS Non-Emergency (A0428), BLS Emergency (A0429) and Mileage (A0425) – 08.26.20
- Notification of Service Specific Post Payment Review for Drugs: Eylea/Aflibercept (J0178), Orencia/Abetacept (J0129), Krystexxa/Pegloticase (J2507) – 08.26.20
- Collaborative Oxygen Coverage & Documentation Requirements – 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
- 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
- The 3rd Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 08.21.20
- 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
- Billing for Home Infusion Therapy Services On or After January 1, 2021
[MLN Matters MM11880] – 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
- Medicare Secondary Payer Information and Filing Claims: Getting It Right the First Time – 08.07.20
- Prior Authorization for Certain Hospital Outpatient Department (OPD) Services: Part A Claims Only – 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
- New Waived Tests
[MLN Matters MM11916] – 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
- 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
- The 3rd Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 07.30.20
- The 3rd Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 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 B Provider Contact Center (PCC) Training – 07.29.20
- Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Code 87426
[MLN Matters MM11927] – 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
- Revised: Overview of the Repetitive, Scheduled Non-emergent Ambulance Prior Authorization Model
[MLN Matters SE1514] – 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
- 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
- The 2nd and 3rd Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 07.16.20
- The 3rd Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 07.16.20
- 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
- Teaching Physicians and Residents: Expansion of CPT Codes that May Be Billed with the GE Modifier – 07.14.20
- The Summer 2020 edition of the EDI Connection is now available – 07.14.20
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2020 Update
[MLN Matters MM11769] – 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: July 2020 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11842] – 07.09.20
- MLN Connects® for Thursday, July 9, 2020 – 07.09.20
- New Provider Tips – Medicare Part C and D Eligibility – 07.07.20
- ESRD PPS CY 2021 Proposed Rule; COVID-19: New and Expanded Flexibilities for RHCs & FQHCs – 07.07.20
- The 3rd Quarter 2020 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page. – 07.06.20
- The 1st Quarter 2020 Ambulatory Surgical Center fee schedule has been revised and is available under Option 2 of the Fee Schedule page. – 07.06.20
- MLN Connects® for Thursday, July 2, 2020 – 07.02.20
- The 3rd Quarter 2020 ASC Drug fees are now available, and the 1st and 2nd Quarter ASC Drug fees have been revised – 07.02.20
- The 3rd and 4th Quarter 2019 ASC Drug fees have been revised – 07.02.20
June 2020
- Incorrect Billing of HCPCS L8679 – Implantable Neurostimulator, Pulse Generator, Any Type – 06.30.20
- The July 2020 Part B Medicare Bulletin is now available – 06.30.20
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.3, Effective October 1, 2020
[MLN Matters MM11840] – 06.29.20
- July 2020 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11842] – 06.29.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
[MLN Matters SE20011] – 06.29.20
- Revised: 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 Release "Dark" Days for the Common Working File (CWF) Hosts – 06.25.20
- July 2020 Part B Provider Contact Center (PCC) Training – 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
- COVID-19 Diagnostic Laboratory Tests: Billing for Clinician Services – 06.18.20
- 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
- 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
- MLN Connects® for Thursday, June 11, 2020 – 06.11.20
- July Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11810] – 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
- Kentucky & Ohio Joint Open Public Draft/Revised LCD Discussion Meeting: Draft Local Coverage Determinations – Tuesday, June 23, 2020 – 06.03.20
- MLN Connects® for Thursday, June 4, 2020 – 06.04.20
- 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 B Medicare Bulletin is now available – 06.01.20
May 2020
- New COVID-19 FAQs on Medicare Fee-for-Service Billing – 05.29.20
- New Self-Service Option – 05.28.20
- MLN Connects® for Thursday, May 28, 2020 – 05.28.20
- CGS is Retiring Policy L34370 Category III CPT Codes – 05.27.20
- June 2020 Part B Provider Contact Center (PCC) Training – 05.27.20
- Guidelines for Use of Critical Care Codes (CPT codes 99291 and 99292) – 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
- The 1st Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 05.21.20
- COVID-19: Payment for Lab Tests, Safely Reopening Nursing Homes, Lab & Ambulance Claims – 05.20.20
- 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
- COVID-19: Additional Waivers, Price Transparency, and CMS Letter to Nursing Homes – 05.13.20
- Home Health Plans of Care: NPs, CNSs and PAs Allowed to Certify – 05.12.20
- 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
- Medicare Clarifies Recognition of Interstate License Compacts
[MLN Matters SE20008] – 05.12.20
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
[MLN Matters MM11661] – 05.12.20
- 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
- Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) code U0002 and 87635
[MLN Matters MM11765] – 05.04.20
- The 2020 Physician Fee Schedule has been revised – 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: Second Round of Sweeping Changes, RHC & FQHC Flexibilities, EMTALA – 05.01.20
April 2020
- The May 2020 Part B Medicare Bulletin is now available – 04.30.20
- 277CA Report CGS ACE Smart Edits Enhancements – 04.30.20
- MLN Connects® for Thursday, April 30, 2020 – 04.30.20
- May 2020 Part B Provider Contact Center (PCC) Training – 04.28.20
- 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
- CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program – 04.27.20
- MLN Connects® for Thursday, April 23, 2020 – 04.23.20
- 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 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11694] – 04.21.20
- New Waived Tests
[MLN Matters MM11747] – 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
- Written Orders for Inhalation Drugs – 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
- 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
- MLN Connects® for Thursday, April 9, 2020 – 04.09.20
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.2, Effective July 1, 2020
[MLN Matters MM11734] – 04.07.20
- 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
- Reduce your Appeal Requests for CPT MODIFIER 22 – 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
- The 2020 Physician Fee Schedule has been revised – 04.01.20
- The 1st Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 04.01.20
- The 2nd Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 04.01.20
- The 2nd Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 04.01.20
- Medical Review Update – 04.01.20
March 2020
- COVID-19: Regulatory Changes, Telehealth Billing, and Specimen Collection Codes – 03.31.20
- The 2nd Quarter 2020 ASC Drug fees are now available – 03.31.20
- The 1st Quarter 2020 and 3rd and 4th Quarter 2019 ASC Drug fees have been revised – 03.31.20
- The 1st Quarter 2020 Ambulatory Surgical Center fee schedule has been revised and is available under Option 2 of the Fee Schedule page. – 03.31.20
- NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR)
[MLN Matters MM11660] – 03.31.20
- Revised: Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendment (CLIA) Edits
[MLN Matters MM11640] – 03.31.20
- Revised: Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.1, Effective April 1, 2020
[MLN Matters MM11628] – 03.31.20
- The April 2020 Part B 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 B Provider Contact Center (PCC) Training – 03.25.20
- Submitting Claims When the Billed Amount Exceeds $99,999.99 – 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
- 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
- Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11681] – 03.17.20
- April 2020 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11694] – 03.17.20
- Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
[MLN Matters MM11640] – 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
- 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
- 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
- Evaluate Our Services! – 03.02.20
February 2020
- The March 2020 Part B 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
- Revised: Accepting Payment from Patients with a Medicare Set-Aside Arrangement
[MLN Matters SE17019] – 02.25.20
- March 2020 Part B 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
- 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
- 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
- J15 Targeted Probe and Educate Status Update October 1, 2019 – December 31, 2019 – 02.04.20
- Updated Podiatry Edits – 02.04.20
- Did You Know??? – 02.03.20
- The 2020 Physician Fee Schedule has been revised – 02.03.20
- 2020 Jurisdiction List for DMEPOS HCPCS Codes
– 02.03.20
- Revised: 2020 Annual Update to the Therapy Code List
[MLN Matters MM11501] – 02.03.20
- Revised: 2020 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
[MLN Matters MM11596] – 02.03.20
January 2020
- The February 2020 Part B 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
- The 1st Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.29.20
- The 1st Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 01.29.20
- February 2020 Part B Provider Contact Center (PCC) Training – 01.29.20
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.1, Effective April 1, 2020
[MLN Matters MM11628] – 01.27.20
- 2020 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
[MLN Matters MM11596] – 01.27.20
- Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
[MLN Matters MM11641] – 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: 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
- 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
- Provider Compliance Tips for Polysomnography (Sleep Studies) – 01.23.20
- MLN Connects® for Thursday, January 23, 2020 – 01.23.20
- 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
- The 1st Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.14.20
- Revised: CY 2020 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11570] – 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 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11607 – 01.07.20
- The 1st Quarter 2020 Ambulatory Surgical Center Fee Schedule is now available under Option 2 of the Fee Schedule page – 01.06.20
- The 2020 ASC Drug Fee Schedule is now available under Option 3 of the Fee Schedule page – 01.06.20
- The 2020 Medicare Physician Fee Schedule has been revised. – 01.06.20
- The 2020 Ambulance Fee Schedule is now available under Option 3 of the Fee Schedule page – 01.02.20
- The 4th Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 01.02.20
- The 1st Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 01.02.20
- The 1st Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 01.02.20
- 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