2021 Part B Kentucky and Ohio Medicare News Archive
Click on a month to expand.
December 2021
- The 1st Quarter 2022 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page – 12.30.21
- The 1st Quarter 2022 ASC Drug fees are now available – 12.30.21
- The 1st, 3rd, and 4th Quarter 2021 ASC Drug fees have been revised – 12.30.21
- The 2022 Medicare Physician Fee Schedule has been revised. – 12.28.21
- January 2022 J15 Provider Contact Center (PCC) Training – 12.28.21
- MLN Connects® for Thursday, December 23, 2021 – 12.27.21
- The 1st Quarter 2022 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 12.17.21
- The 1st Quarter 2022 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 12.27.21
- Happy Holidays! Gifts from myCGS! – 12.21.21
- CMS Funding 1,000 New Residency Slots for Hospitals Serving Rural & Underserved Communities – 12.20.21
- The 3rd and 4th Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 12.17.21
- The 4th Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 12.17.21
- MLN Connects newsletter for Thursday, December 16, 2021 – 12.16.21
- A Message to Kentucky and Neighboring States – 12.13.21
- 2022 A/B Provider Outreach and Education (POE) Advisory Group Membership Drive – 12.09.21
- MLN Connects newsletter for Thursday, December 9, 2021 – 12.09.21
- The 3rd and 4th Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 12.09.21
- Cervical Fusion with Disc Removal – 12.07.21
- Provider Requirements Under the No Surprises Act Special ODF – December 8 – 12.07.21
- January 2022 Release "Dark Days" for the Common Working File (CWF) Host – 12.06.21
- CMS Encourages People with Medicare to Get COVID-19 Vaccine Booster Shot – 12.02.21
- J15 Post Pay Resumptive Review Status Update 04/01/2021 - 06/30/2021 – 12.03.21
- MLN Connects newsletter for Thursday, December 2, 2021 – 12.02.21
- December 6th-12th is National Influenza Vaccination Week – 12.02.21
November 2021
- World AIDS Day is December 1st – 11.30.21
- December 1st-7th is National Handwashing Awareness Week – 11.30.21
- MLN Connects newsletter for Wednesday, November 24, 2021 – 11.24.21
- Medicare Diabetes Prevention Program (MDPP) Service Period Change from 2 Years to 1 Year
– 11.23.21
- December 2021 J15 Provider Contact Center (PCC) Training – 11.23.21
- The 2022 Ambulance Fee Schedule is now available under Option 3 of the Fee Schedule page –11.22.21
- The 4th Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 11.22.21
- MLN Connects newsletter for Thursday, November 18, 2021 – 11.18.21
- Opioid Treatment Programs Payment Rates – January 2022 – 11.15.21
- Home Infusion Therapy (HIT) Payment Rates – January 2022 – 11.15.21
- November is Native American Heritage Month – 11.12.21
- November is Chronic Obstructive Pulmonary Disease Awareness Month – 11.11.21
- The 2022 Physician Fee Schedule is now available in PDF, CSV, and searchable formats. – 11.11.21
- MLN Connects newsletter for Thursday, November 11, 2021 – 11.11.21
- The 1st, 2nd, 3rd, and 4th Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 11.10.21
- Annual Participation Open Enrollment – 11.08.21
- November is National Home Care and Hospice Month – 11.08.21
- Qutenza (capsaicin 8% topical system) Billing and Coding Instructions – 11.08.21
- Abucanumab (Aduhelm) Billing and Coding Instructions – 11.05.21
- Biden-Harris Administration Issues Emergency Regulation Requiring COVID-19 Vaccination for Health Care Workers – 11.04.21
- MLN Connects newsletter for Thursday, November 4, 2021 – 11.04.21
- 3 Final Payment Rules – 11.03.21
- EDI Enrollment (Agreement) Form – 11.02.21
- 2022 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Reviews – 11.02.21
- CMS Takes Decisive Steps to Reduce Health Care Disparities Among Patients with Chronic Kidney Disease and End-Stage Renal Disease – 11.01.21
- Voluntary Refunds – Calendar Year 2021
– 11.01.21
October 2021
- Targeted Probe and Educate Program to Focus on Psychotherapy Service Claims – 10.28.21
- November 2021 J15 Provider Contact Center (PCC) Training – 10.28.21
- Implantation of Spinal Neurostimulator – 10.28.21
- MolDX: Predictive Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis Contractor Advisory Committee (CAC) Meeting Announcement – December 07, 2021 – Revised – 10.28.21
- MLN Connects Newsletter for Thursday, October 28, 2021 – 10.28.21
- The 1st, 2nd, 3rd, and 4th Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 10.26.21
- The 4th Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 10.26.21
- Who to Contact Regarding Your Applications! – 10.25.21
- COVID-19: Moderna & Jansen (J&J) Booster Shots – 10.22.21
- MLN Connects newsletter for Thursday, October 21, 2021 – 10.21.21
- Piflufolastat F-18 ("Pylarify")(18F-DCFPyl or PyL) Billing and Coding Instructions – 10.21.21
- IMPORTANT: The fees for CY 2022 Medicare Physician Fee Schedule (MPFSDB) will be posted to our website after the 2022 physician fee schedule regulation is put on display. – 10.14.21
- May Is National Osteoporosis Month – 10.14.21
- MLN Connects newsletter for Thursday, October 14, 2021 – 10.14.21
- From 90 to 360! – 10.12.21
- September 15-October 15 is Hispanic Heritage Month – 10.12.21
- June is Alzheimer’s and Brain Awareness Month – 10.12.21
- September is Healthy Aging Month – 10.12.21
- Asian American and Pacific Islander Health Awareness – 10.12.21
- Mental Health Awareness Month – 10.12.21
- Targeted Probe and Education Program to Focus on Ambulance Claims – 10.11.21
- The EDI Connection Fall 2021 Edition is now available – 10.11.21
- Annual Wellness Visits (AWVs) and Initial Preventive Physical Examinations (IPPEs) versus "Routine Examinations" – 10.11.21
- MLN Connects Newsletter for Thursday, October 7, 2021 – 10.07.21
- Flu Season and Influenza Vaccinations – 10.06.21
- The 4th Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 10.04.21
- The 4th Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 10.04.21
- October is Healthy Lung Month – 10.01.21
- October is National Breast Cancer Awareness Month – 10.01.21
September 2021
- The 2021 Medicare Physician Fee Schedule has been revised. – 09.30.21
- October 2021 Release "Dark" Days for the Common Working File (CWF) Hosts – 09.30.21
- MLN Connects Newsletter for Thursday, September 29, 2021 – 09.30.21
- The 4th Quarter 2021 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page – 09.30.21
- The 4th Quarter 2021 ASC Drug fees are now available – 09.30.21
- The 1st, 2nd, and 3rd Quarter 2021 ASC Drug fees have been revised – 09.30.21
- Flu & Pneumococcal Vaccines: Expanded SNF Enforcement Discretion for Certain Pharmacy Billing – 09.28.21
- CMS Will Pay for COVID-19 Booster Shots, Eligible Consumers Can Receive at No Cost – 09.24.21
- MLN Connects Newsletter for Thursday, September 23, 2021 – 09.23.21
- Help CMS Improve Your Experience with Provider Resources – 09.20.21
- October 2021 J15 Provider Contact Center (PCC) Training – 09.17.21
- MLN Connects Newsletter for Thursday, September 16, 2021 – 09.16.21
- Who to Contact Regarding Your EDI Applications! – 09.16.21
- MolDX: Molecular Testing for Risk Stratification of Upper Gastrointestinal Cancer Contractor Advisory Committee (CAC) Meeting Announcement – October 12, 2021 – 09.15.21
- September 15-October 15 is Hispanic Heritage Month – 09.13.21
- Kentucky & Ohio Joint Teleconference/Webinar Open Public Draft/Revised LCD Discussion Meeting: October 13th, 2021 – 09.13.21
- Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings – 09.10.21
- MLN Connects Newsletter for Thursday, September 9, 2021 – 09.09.21
- Chronic Care Management for Providers
– 09.08.21
- The 4th Quarter 2020 and the 1st, 2nd, and 3rd Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 09.03.21
- The 2nd and 3rd Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 09.03.21
- The 2nd and 3rd Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 09.03.21
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2021 Update – 09.02.21
- Multijurisdictional Contractor Advisory Committee Meeting: Evidentiary Discussion Regarding Transcranial Magnetic Stimulation (TMS) for Obsessive-Compulsive Disorder (OCD) – 09.02.21
- Targeted Probe and Educate (TPE) Process – 09.02.21
- MLN Connects Newsletter for Thursday, September 2, 2021 – 09.02.21
- September is Healthy Aging Month – 09.01.21
- September is National Prostate Cancer Awareness Month – 09.01.21
- September is National Cholesterol Education Month and September 29th is World Heart Day – 09.01.21
August 2021
- Use Google Authenticator for INSTANT Access to myCGS! – 08.30.21
- MLN Connects Newsletter for Thursday, August 26, 2021 – 08.26.21
- Modifications/Improvements to Value-Based Insurance Design (VBID) Model – Implementation
[MLN Matters MM12349] – 08.26.21
- Physicians! Are You Ordering Surgical Dressings for Your Patients? – 08.26.21
- CMS Expands Medicare Payments for At-Home COVID-19 Vaccinations – 08.24.21
- Clinicians! Are You Ordering PAP Devices and Related Accessories for Your Patients? – 08.23.21
- Physicians! Are You Ordering Positive Airway Pressure (PAP) Devices for Your Patient? – 08.19.21
- CGS Administrators Suspends In-Person Events – 08.19.21
- MLN Connects Newsletter for Thursday, August 19, 2021 – 08.19.21
- Internet Only Manual Updates to Pub. 100-01, 100-02, and 100-04 to Implement Consolidated Appropriations Act Changes and Correct Errors and Omissions (SNF)
[MLN Matters MM12009] – 08.19.21
- Internet Only Manual Updates to Publication (Pub.) 100-02 to Implement Updates to Policy and Correct Errors and Omissions (Inpatient Rehabilitation Facility (IRF))
[MLN Matters MM12353] – 08.19.21
- New Waived Tests
[MLN Matters MM12381] – 08.19.21
- COVID-19 Vaccines Additional Doses: Codes & Payment – 08.17.21
- COVID-19 Vaccine Additional Dose – 08.13.21
- MLN Connects Newsletter for Thursday, August 12, 2021 – 08.12.21
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2021
[MLN Matters MM12384] – 08.12.21
- 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 Health Care (CAQH) CORE
[MLN Matters MM12302] – 08.12.21
- October 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM12342] – 08.12.21
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.3, Effective October 1, 2021
[MLN Matters MM12340] – 08.12.21
- Section 50 in Chapter 30 of Publication (Pub.) 100-04 Manual Updates
[MLN Matters MM12242] – 08.12.21
- Revised: National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy – This CR Rescinds and Fully Replaces CR 11783
[MLN Matters MM12177] – 08.12.21
- July 28th is World Hepatitis Day – 08.10.21
- August 2021 J15 Provider Contact Center (PCC) Training – 08.05.21
- MLN Connects Newsletter for Thursday, August 5, 2021 – 08.05.21
- CMS Final Rule Improves Health Equity, Access to Treatment, Hospital Readiness, and COVID-19 Vaccination Data Reporting of Hospital Workers – 08.03.21
- Claims for Drug Administration Must Include the Drug Administered – 08.02.21
- August is National Immunization Awareness Month – 08.02.21
July 2021
- 4 Final FY 2022 Payment Rules – 07.30.21
- MLN Connects Newsletter for Thursday, July 29, 2021 – 07.29.21
- July 28th is World Hepatitis Day – 07.27.21
- Hospital Outpatient Department (OPD) Prior Authorization Exemption Process – 07.22.21
- MLN Connects Newsletter for Thursday, July 22, 2021 – 07.22.21
- Vein Ablation and Related Services – 07.21.21
- CMS Proposes Rule to Increase Price Transparency, Access to Care, Safety & Health Equity – 07.20.21
- MLN Connects Newsletter for Thursday, July 15, 2021 – 07.15.21
- CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access – 07.15.21
- Revised: October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
[MLN Matters MM12272] – 07.08.21
- July Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM12345] – 07.08.21
- MLN Connects Newsletter for Thursday, July 8, 2021 – 07.08.21
- July 2021 J15 Provider Contact Center (PCC) Training – 07.08.21
- Update to the Interest Paid on Clean Non-PIP Claims Not Paid Timely – 07.06.21
- The 3rd Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 07.06.21
- The 4th Quarter 2020 and 1st and 2nd Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised. – 07.06.21
- The 3rd Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 07.06.21
- The 1st and 2nd Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 07.06.21
- CMS Proposes Changes to Reduce Health Care Disparities Among Patients with Chronic Kidney Disease and End-Stage Renal Disease – 07.02.21
- The 3rd Quarter 2021 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page – 07.01.21
- The 3rd Quarter 2021 ASC Drug fees are now available – 07.01.21
- The 3rd and 4th Quarter 2020 and 1st and 2nd Quarter 2021 ASC Drug fees have been revised – 07.01.21
- The 2021 Medicare Physician Fee Schedule has been revised – 07.01.21
- MLN Connects Newsletter for Thursday, July 1, 2021 – 07.01.21
- The July 2021 J15 Medicare Bulletin is now available – 07.01.21
June 2021
- CGS J15 Medicare Part B Mid-Year Review – 06.30.21
- June is Alzheimer's and Brain Awareness Month – 06.30.21
- July 2021 Release "Dark" Days for the Common Working File (CWF) Hosts – 06.29.21
- CMS to Improve Home Health Services for Older Adults and People with Disabilities – 06.29.21
- National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs)
[MLN Matters MM12290] – 06.28.21
- Revised: Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM12285] – 06.28.21
- Revised: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2021
[MLN Matters MM12171] – 06.28.21
- Revised: National Coverage Determination (NCD) Removal
[MLN Matters MM12254] – 06.28.21
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2021 Update
[MLN Matters MM12289] – 06.28.21
- Revised: July 2021 Update of the Ambulatory Surgical Center [ASC] Payment System
[MLN Matters MM12341] – 06.28.21
- CGS is Retiring Policy L34089 Human Papillomavirus (HPV) Testing – 06.25.21
- The EDI Connection Summer 2021 Edition is now available – 06.24.21
- MLN Connects Newsletter for Thursday, June 24, 2021 – 06.24.21
- Kentucky & Ohio Joint Teleconference/Webinar Open Public Draft/Revised LCD Discussion Meeting: July 13th, 2021 – Revised 06/16/2021 – 06.22.21
- MLN Connects Newsletter for Thursday, June 17, 2021 – 06.17.21
- The 2nd 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 06.16.21
- The 2nd Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 06.16.21
- Cognitive Assessment: What's in the Written Care Plan? – 06.15.21
- Process Improvements Based on Your Feedback!! – 06.15.21
- Revised: Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
[MLN Matters MM12131] – 06.14.21
- Revised: July 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM12244] – 06.14.21
- Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 0240U, 0241U, and 87637
[MLN Matters MM12318] – 06.14.21
- Kentucky & Ohio Joint Teleconference/Webinar Open Public Draft/Revised LCD Discussion Meeting: July 13th, 2021 – 06.14.21
- myCGS: Respond to MR Post-Pay ADRs! – 06.14.21
- June is Pride Month – 06.11.21
- CTI System Changes! – 06.10.21
- Biden Administration Continues Efforts to Increase Vaccinations by Bolstering Payments for At-Home COVID-19 Vaccinations for Medicare Beneficiaries – 06.10.21
- MLN Connects Newsletter for Thursday, June 10, 2021 – 06.10.21
- Trilaciclib (Cosela™) Claim Filing Information – 06.08.21
- 277CA Report CGS ACE Smart Edits Listing – 06.08.21
- Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar – 06.03.21
- Asian American and Pacific Islander Health Awareness – 06.03.21
- MLN Connects Newsletter for Thursday, June 3, 2021 – 06.03.21
- The 1st and 2nd Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 06.02.21
- The June 2021 J15 Medicare Bulletin is now available – 06.01.21
May 2021
- June is Men's Health Month and June 14th-20th is National Men's Health Week – 05.28.21
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – July 2021 Update
[MLN Matters MM12289] – 05.27.21
- Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM12285] – 05.27.21
- National Coverage Determination (NCD) 210.3 – Screening for Colorectal Cancer (CRC)-Blood-Based Biomarker Tests
[MLN Matters MM12280] – 05.27.21
- National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy – This CR Rescinds and Fully Replaces CR 11783
[MLN Matters MM12177] – 05.27.21
- National Coverage Determination (NCD) Removal
[MLN Matters MM12254] – 05.27.21
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM12220] – 05.27.21
- Addition of the Shared System CWF to the Business Requirements for the Healthcare Common Procedure Coding System (HCPCS) codes U0002QW and 87635QW Mentioned in Change Request 11765
[MLN Matters MM12294] – 05.27.21
- MLN Connects Newsletter for Thursday, May 27, 2021 – 05.27.21
- Chimeric Antigen Receptor (CAR) T-Cell Therapy – 05.25.21
- June 2021 J15 Provider Contact Center (PCC) Training – 05.21.21
- MLN Connects Newsletter for Thursday, May 20, 2021 – 05.20.21
- International Classification of Diseases, 10th Revision (ICD10) and Other Coding Revisions to National Coverage Determination (NCDs)—July 2021
[MLN Matters MM12124] – 05.19.21
- 2021 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
[MLN Matters MM12134] – 05.13.21
- October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
[MLN Matters MM12272] – 05.13.21
- MLN Connects Newsletter for Thursday, May 13, 2021 – 05.13.21
- CMS Expanding Efforts to Grow COVID-19 Vaccine Confidence and Uptake Amongst Nation's Most Vulnerable – 05.12.21
- Electronic Data Interchange (EDI) Unavailable, Saturday May 15th – 05.10.21
- Updates to ACE Smart Edits – 05.10.21
- Multi-Jurisdictional CAC Regarding Amniotic Product Injections for Musculoskeletal Indications-Non-Wound – Update/Reminder – 05.07.21
- CMS Increases Medicare Payment for COVID-19 Monoclonal Antibody Infusions – 05.07.21
- MLN Connects Newsletter for Thursday, May 6, 2021 – 05.06.21
April 2021
- The May 2021 J15 Medicare Bulletin is now available – 04.30.21
- MLN Connects Newsletter for Thursday, April 29, 2021 – 04.29.21
- CMS Proposes to Enhance the Medical Workforce in Rural and Underserved Communities to Support COVID-19 Recovery and Beyond – 04.28.21
- Amniotic Product Injections for Musculoskeletal Indications-Non-Wound Contractor Advisory Committee (CAC) Meeting Agenda – 04.27.21
- Notification of Service Specific Post Payment Review for Psychotherapy: Codes 90832, 90834, 90837 – 04.26.21
- May 2021 Part B Provider Contact Center (PCC) Training – 04.26.21
- 277CA Report CGS ACE Smart Edits Listing – 04.26.21
- Vitamin D Deficiency Screening in Adults – 04.26.21
- May Is National Osteoporosis Month – 04.26.21
- May Is Mental Health Awareness Month – 04.26.21
- May 9th-15th Is National Women's Health Week – 04.26.21
- 277CA Report CGS ACE Smart Edits Listing – 04.22.21
- May 5th Is World Hand Hygiene Day – 04.22.21
- MLN Connects Newsletter for Thursday, April 22, 2021 – 04.22.21
- COVID-19 Update: FDA Revoked the EUA for Bamlanivimab When Administered Alone – 04.21.21
- Registration NOW open for CGS May 11 and 12, 2021 Virtual Road Show! – 04.20.21
- MLN Connects Newsletter for Friday, April 16, 2021 – 04.16.21
- The 2nd Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 04.16.21
- J&J COVID-19 Vaccine: Health Alert – 04.15.21
- New and Revised Policies – 04.14.21
- Contractor Advisory Committee Meeting Announcement – May 12, 2021 – 04.12.21
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.2, Effective July 1, 2021
[MLN Matters MM12226] – 04.12.21
- April 2021 Update of the Ambulatory Surgical Center (ASC) Payment System [MLN Matters MM12183] – 04.12.21
- Repayment of COVID-19 Accelerated and Advance Payments Began on March 30, 2021
[MLN Matters SE21004] – 04.12.21
- Revised: Common Working File (CWF) Edits for Medicare Telehealth Services and Manual Update
[MLN Matters MM12068] – 04.12.21
- 4 Proposed FY 2020 Payment Rules – 04.09.21
- COVID-19 Vaccine Administration – No Out-of-Pocket Cost to Patients – 04.08.21
- MLN Connects Newsletter for Thursday, April 8, 2021 – 04.08.21
- myCGS Part B Overpayment Recovery Request – 04.06.21
- The EDI Connection Spring 2021 Edition is now available – 04.06.21
- April is STD Awareness Month and April 11-17 is STD Awareness Week – 04.06.21
- April is Alcohol Awareness Month and April 7th Is National Alcohol Screening Day – 04.06.21
- April Is National Minority Health Month – 04.02.21
- The 2nd Quarter 2021 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page, and the 1st Quarter Ambulatory Surgical Center fee schedule has been revised. – 04.02.21
- The 2nd Quarter 2021 ASC Drug fees are now available – 04.02.21
- The 1st Quarter 2021 and the 2nd, 3rd, and 4th Quarter 2020 ASC Drug fees have been revised – 04.02.21
- MLN Connects Newsletter for Thursday, April 1, 2021 – 04.01.21
- CGS J15 Part A and Part B Presents: "An Evening Discussion on Facet Joint Intervention for Pain Management (L38773)" – 04.01.21
March 2021
- Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension – 03.31.21
- The April 2021 J15 Medicare Bulletin is now available – 03.31.21
- Update to the Manual for Telephone Services, Physician Assistant (PA) Supervision, and Medical Record Documentation for Part B Services
[MLN Matters MM11862] – 03.30.21
- Common Working File (CWF) Edits for Medicare Telehealth Services and Manual Update
[MLN Matters MM12068] – 03.30.21
- Claims Processing Instructions for National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)
[MLN Matters MM12104] – 03.30.21
- Revised: Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
[MLN Matters MM12131] – 03.30.21
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2021
[MLN Matters MM12171] – 03.30.21
- April 2021 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
[MLN Matters MM12212] – 03.30.21
- New Provider Enrollment Administrative Action Authorities
[MLN Matters SE21003] – 03.30.21
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) & PC Print Update
[MLN Matters MM12102] – 03.25.21
- Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After January 1, 2021
[MLN Matters MM12108] – 03.25.21
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2021 Update
[MLN Matters MM12155] – 03.25.21
- April Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM12193] – 03.25.21
- MLN Connects Newsletter for Thursday, March 25, 2021 – 03.25.21
- April 2021 Release "Dark Days" for the Common Working File (CWF) Hosts – 03.23.21
- Notification of Service Specific Post Payment Review for Physical Therapy/Occupational Therapy: CPT Codes 97110, 97112, 97140, 97530 – 03.22.21
- Split/Shared Services – 03.22.21
- April 2021 Part B Provider Contact Center (PCC) Training – 03.22.21
- MLN Connects Newsletter for Thursday, March 18, 2021 – 03.18.21
- Biden-Harris Administration Increases Medicare Payment for Life-Saving COVID-19 Vaccine – 03.15.21
- POE Virtual Road Show! Save the Dates! – 03.15.21
- The 2021 Medicare Physician Fee Schedule has been revised. – 03.11.21
- CMS Updates Nursing Home Guidance with Revised Visitation Recommendations – 03.11.21
- MLN Connects Newsletter for Thursday, March 11, 2021 – 03.11.21
- Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
[MLN Matters MM12140] – 03.10.21
- Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM12178] – 03.10.21
- Drug Administration Reminder – 03.05.21
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2021 Update – 03.04.21
- MLN Connects® Newsletter for Thursday, March 4, 2021 – 03.04.21
- March Is National Colorectal Cancer Awareness Month – 03.04.21
- Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
[MLN Matters MM12131] – 03.04.21
- April 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM12133] – 03.04.21
- Billing for Services when Medicare is a Secondary Payer
[MLN Matters SE21002] – 03.04.21
- J15 Post Pay Resumptive Review Status Update 08/17/2020–12/31/2020 – 03.03.21
February 2021
- The March 2021 J15 Medicare Bulletin is now available – 02.26.21
- MLN Connects® for Thursday, February 25, 2021 – 02.25.21
- March 2021 Part B Provider Contact Center (PCC) Training – 02.23.21
- Practitioners! Are You Ordering Lower Limb Orthoses for Your Patients? – 02.19.21
- Medicare Diabetes Prevention Program – 02.18.21
- MLN Connects® for Thursday, February 18, 2021 – 02.18.21
- The 3rd and 4th Quarter 2020 and 1st Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 02.12.21
- The 3rd and 4th Quarter 2020 and 1st Quarter 2021 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 02.12.21
- MLN Connects® for Thursday, February 11, 2021 – 02.11.21
- CGS J15 Contractor Advisory Committee (CAC) Meeting Regarding Platelet Rich Plasma for Non-Wound Care – 02.09.21
- February is American Heart Month – 02.09.21
- CGS EDI Enrollment Application Status Checker – 02.09.21
- myCGS Inbox Folders and Filtering are Now Available! – 02.04.21
- MLN Connects® for Thursday, February 4, 2021 – 02.04.21
January 2021
- Collaborative Lower Limb Orthoses Webinar – 01.29.21
- The February 2021 J15 Medicare Bulletin is now available – 01.29.21
- Registration and Meeting Materials Now Available for February 11, 2021, Multi-Jurisdictional Contractor Advisory Committee (CAC)/Subject Matter Expert Meeting Regarding Epidural Interventions for Chronic Pain Management – 01.28.21
- Revised: International Classification of Diseases, 10th Revision (ICD10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021
[MLN Matters MM12027] – 01.28.21
- Revised: Calendar Year (CY) 2021 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM12080] – 01.28.21
- The 1st Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.28.21
- The 2nd, 3rd, and 4th Quarter 2020 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.28.21
- MLN Connects® for Thursday, January 28, 2021 – 01.28.21
- February 2021 Part B Provider Contact Center (PCC) Training – 01.26.21
- Kentucky & Ohio Joint Teleconference/Webinar Open Public Draft/Revised LCD Discussion Meeting – February 23rd, 2021 – 01.21.21
- MLN Connects® for Thursday, January 21, 2021 – 01.21.21
- January Is National Glaucoma Awareness Month – 01.20.21
- January is Cervical Health Awareness Month – 01.20.21
- The 2021 Ambulance Fee Schedules are now available under Option 2 of the Fee Schedule page. – 01.19.21
- Which myCGS Did You Access? – 01.19.21
- Redetermination Submission Checklist – 01.19.21
- Wellness Visits (AWVs) and Initial Preventive Physical Examinations (IPPEs) versus "Routine Examinations" – 01.14.21
- MLN Connects® for Thursday, January 14, 2021 – 01.14.21
- Professional Services during a Patient Hospice Election – 01.12.21
- The 1st Quarter 2021 ASC Drug fees have been revised – 01.11.21
- Providers Making a Difference! – 01.11.21
- The 2021 Medicare Physician Fee Schedule has been revised. – 01.08.21
- Physician Fee Schedule Update – 01.07.21
- MLN Connects® for Thursday, January 7, 2021 – 01.07.21
- 2021 Annual Update to the Therapy Code List
[MLN Matters MM12126] – 01.06.21
- January 2021 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM12129] – 01.06.21
- Revised: Billing for Home Infusion Therapy Services on or After January 1, 2021
[MLN Matters MM11880] – 01.06.21
- 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. – 01.06.21
- The 1st Quarter 2021 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page. – 01.04.20
- The 1st Quarter 2021 ASC Drug fees are now available and the 4th Quarter ASC Drug fees have been revised – 01.04.21
- The 1st Quarter 2021, 2nd Quarter 2020, 3rd Quarter 2020, and 4th Quarter 2020 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 01.04.21
- The 1st Quarter 2021 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.04.21