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Medicare Monthly Review

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April 2018, Issue 2018-04

In This Issue

National Government Services – Articles for Part A Part B Providers
New, Retired, and Revised LCDs and Articles: March–April 2018
National Government Services – Articles for Part A Providers
Clarification of Mental Health Billing and Services in an FQHC Setting
CMS Articles for Part A and Part B Providers CR/MM/SE #
Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary Program SE1128 Revised
Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 MM10531
Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) MM10512
April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule MM10503
Adjustments to Qualified Medicare Beneficiary Claims Processed Under CR 9911 MM10494
Appropriate Use Criteria for Advanced Diagnostic Imaging – Voluntary Participation and Reporting Period - Claims Processing Requirements – HCPCS Modifier QQ MM10481
Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients MM10474 Revised
ICD-10 and Other Coding Revisions to National Coverage Determinations MM10473 Revised
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - April 2018 Update MM10454 Revised
Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment MM10445 Revised
Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 MM10433 Revised
Supervised Exercise Therapy for Symptomatic Peripheral Artery Disease MM10295 Revised
CMS Articles for Part A Providers CR/MM/SE #
Billing Requirements for OPPS Providers with Multiple Service Locations SE18002
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2016 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals MM10527
April 2018 Update of the Hospital Outpatient Prospective Payment System MM10515 Revised
April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 MM10514 Revised
CMS Articles for Part B Providers CR/MM/SE #
April 2018 Update of the Ambulatory Surgical Center Payment System MM10530
CMS MLN Connects® Weekly Provider eNews
MLN Connects® Provider e-News for Thursday, March 29, 2018
MLN Connects® Provider e-News for Thursday, March 22, 2018
MLN Connects® Provider e-News for Thursday, March 15, 2018
MLN Connects® Provider e-News for Thursday, March 8, 2018
MLN Connects® Provider e-News for Thursday, March 1, 2018
Medicare Expired Legislative Provisions Extended and Other Bipartisan Budget Act of 2018 Provisions

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.

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