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Medicare Monthly Review

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January 2018, Issue 2018-01

In This Issue

National Government Services – Articles for Part A and Part B Providers
New, Retired, and Revised LCDs and Articles: December 2017-January 2018
CMS Articles for Part A and Part B Providers CR/MM/SE #
Medicare Fee-for-Service Response to the 2017 Southern California Wildfires SE17037
Inpatient Rehabilitation Facility Medical Review Changes SE17036
Medicare Does Not Pay Acute-Care Hospitals for Outpatient Services They Provide to Beneficiaries in a Covered Part A Inpatient Stay at Other Facilities SE17033 Revised
Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims SE17024 Revised
Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims SE17022 Revised
Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary Program SE1128 Revised
Calendar Year 2018 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment MM10409
Update to Medicare Deductible, Coinsurance and Premium Rates for 2018 MM10405
Summary of Policies in the Calendar Year 2018 Medicare Physician Fee Schedule Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List MM10393
Elimination of the GT Modifier for Telehealth Services MM10152
Suppression of the Standard Paper Remittance Advice in 45 days if also Receiving Electronic Remittance Advice MM10151 Revised
CMS Articles for Part A Providers CR/MM/SE #
January 2018 Update of the Hospital Outpatient Prospective Payment System MM10417
January 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.0 MM10385
Fiscal Year 2014 and 2015 Worksheet S-10 Revisions: Further Extension for All Inpatient Prospective Payment System Hospitals MM10378
Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans MM10238 Revised
Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization MM10167 Revised
CMS Articles for Part B Providers CR/MM/SE #
Updated Editing of Always Therapy Services - MCS MM10176 Revised
CMS MLN Connects® Weekly Provider eNews
MLN Connects® Provider e-News for December 21, 2017
MLN Connects® Provider e-News for December 14, 2017
MLN Connects® Provider e-News for December 7, 2017

This bulletin should be shared with all health care practitioners and managerial members of the provider staff. Bulletins are available at no cost from our website.

CMS publishes the Quarterly Provider Update (QPU) at the beginning of each quarter to inform providers and suppliers about the following:

  • Regulations and major policies under development during the quarter
  • Regulations and major policies completed or cancelled
  • New or revised manual instructions

Article Key: CR = Change Request; MM = Medicare Learning Network Matters article; SE = Medicare Learning Network Matters Special Edition article

Contact information can be found in the Contact Us section of our website.

Medicare policies can be accessed from the Medical Policy Center section of our website.

Providers without Internet access may request hard copies of this newsletter and medical policies from National Government Services.

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