2023 Part B Kentucky and Ohio Medicare News Archive
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December 2023
- The 1st Quarter 2024 Ambulatory Surgical Center fee schedule is now available – 12.28.23
- The 1st Quarter 2024 ASC Drug fees are now available – 12.28.23
- The 2023 ASC Drug fees have been revised – 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
- 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
- The 2024 Ambulance Fee Schedule is now available – 12.04.23
November 2023
- MLN Connects Newsletter: November 30, 2023 – 11.30.23
- CGS J15 Part B Educational Webinar: Behavioral Health Initiatives – 11.30.23
- 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
- Avoid Submitting Duplicate Redeterminations – 11.09.23
- The 2024 Physician Fee Schedule is now available in PDF, CSV, and searchable formats. – 11.08.23
- 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
- Small Provider Workshop – November 16, 2023 – 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
- IMPORTANT: The fees for CY 2024 Medicare Physician Fee Schedule (MPFSDB) will be posted to our website after the 2024 physician fee schedule regulation is put on display. – 10.24.23
- J15 Provider Contact Center (PCC) Training – November 2023 – 10.24.23
- MLN Connects Newsletter: October 19, 2023 – 10.19.23
- CGS J15 Part B Educational Webinar: Behavioral Health Initiatives – 10.18.23
- 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
- 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
- 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
- The 4th Quarter 2023 Ambulatory Surgical Center fee schedule is now available – 09.28.23
- The 4th Quarter 2023 ASC Drug fees are now available – 09.28.23
- The 2nd and 3rd Quarter 2023 ASC Drug fees have been revised – 09.28.23
- MLN Connects Newsletter: September 21, 2023 – 09.21.23
- J15 Provider Contact Center (PCC) Training – October 2023 – 09.19.23
- 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
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
- 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
- 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
- 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
- The 3rd Quarter 2023 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 07.03.23
- The 3rd Quarter 2023 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 07.03.23
June 2023
- The 3rd Quarter 2023 Ambulatory Surgical Center fee schedule is now available and the 2nd Quarter 2023 Ambulatory Surgical Center fee schedule has been revised – 06.29.23
- The 3rd Quarter 2023 ASC Drug fees are now available – 06.29.23
- The 3rd, and 4th Quarter 2022 and 1st and 2nd Quarter 2023 ASC Drug fees have been revised – 06.29.23
- MLN Connects Newsletter: June 29, 2023 – 06.29.23
- Billing and Coding: JW and JZ Modifier Guidelines – 06.27.23
- 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
- The 2nd Quarter 2023 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 06.15.23
- MLN Connects Newsletter: June 15, 2023 – 06.15.23
- 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
- The 1st and 2nd Quarter 2023 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 05.31.23
- Quarterly Update to the Medicare Physician Fee Schedule Database – July 2023 – 05.30.23
- Targeted Probe and Educate Program to Focus on Annual Wellness Visits – 05.25.23
- 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
- Education Article: COVID Serology Testing – 05.16.23
- The 1st and 2nd Quarter 2023 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 05.11.23
- MLN Connects Newsletter: May 11, 2023 – 05.11.23
- 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
- Update: Part B "Dark Day" on May 8 – 05.02.23
- Total Invoice Price and Overpayments – 05.01.23
- SPRAVATO™ (esketamine) nasal spray, CIII – 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
- CGS Medicare Round Table Event for Ambulance Suppliers, Providers and Health Professionals – 04.25.23
- 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
- "Dark Day" on May 8 – 04.24.23
- Physician Certification Statement Requirements for RSNAT – 04.24.23
- MLN Connects Newsletter: April 20, 2023 – 04.20.23
- CGS J15 Part B Medicare Webinar "Fundamentals of Global Surgery – Surgical Modifiers Part 2" – 04.17.23
- CGS J15 Part B Medicare Webinar "Fundamentals of Global Surgery – Surgical Modifiers Part 1" – 04.17.23
- CGS J15 Part B Medicare Webinar "Initial and Annual Wellness Visit Overview" – 04.14.23
- 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
- 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
- The 2nd Quarter 2023 ASC Drug fees are now available – 04.03.23
- The 2nd, 3rd, and 4th Quarter 2022 and 1st Quarter 2023 ASC Drug fees have been revised – 04.03.23
March 2023
- The 2nd Quarter 2023 Ambulatory Surgical Center fee schedule is now available – 03.31.23
- MLN Connects Newsletter: March 30, 2023 – 03.31.23
- The 2nd Quarter 2023 Payment Allowance Limits for Average Sales Price (ASP) Drugs are now available – 03.31.23
- The 2nd Quarter 2023 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs are now available – 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
- Invoice Claim Filing Instructions – 03.22.23
- Radiopharmaceutical Drugs – Billing Instructions – 03.22.23
- 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
- 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
- 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
- 2023 Medicare Participating Physicians/Suppliers Directory (MEDPARD) – 02.20.23
- 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
- Reminder: HCPCS Modifier JW "Drug or Biological Amount Discarded/Not Administered to Any Patient" – 02.13.23
- MLN Connects Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 – 02.10.23
- MLN Connects Newsletter: February 9, 2023 – 02.09.23
- Submit Your CMS-1500 Form through myCGS! – 02.02.23
- 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
- Attention Part B Providers! IVR Enhancement Update – Redetermination Status – 01.17.23
- The 1st Quarter 2023 Ambulatory Surgical Center fee schedule has been revised – 01.13.23
- The 2023 Medicare Physician Fee Schedule has been revised – 01.13.23
- 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
- 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
- Targeted Probe and Education Program to Focus on Spinal Pain Management Claims – 01.04.23
- Update to the Interest Paid on Clean Non-PIP Claims Not Paid Timely – 01.03.23