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Medicare Monthly Review

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June 2018, Issue 2018-06

In This Issue

National Government Services – Articles for Part A and Part B Providers
Revised LCDs and Articles- April–May 2018
CMS Articles for Part A and Part B Providers CR/MM/SE #
New Medicare Beneficiary Identifier (MBI) Get It, Use It SE18006
July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files MM10667
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2018 Update MM10644
Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update MM10624 Revised
International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) MM10622
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update MM10620
Updates to Publication 100-04, Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N382 MM10619
Medicare Cost Report E-Filing (MCReF) MM10611
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 MM10566
Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients MM10474 Revised
Comprehensive ESRD Care (CEC) Model Telehealth – Implementation MM10314
Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) MM10295 Revised
Changes to the End-Stage Renal Disease (ESRD) Facility Claim (Type of Bill 72X) to Accommodate Dialysis Furnished to Beneficiaries with Acute Kidney Injury (AKI) MM9598
CMS Articles for Part A Providers CR/MM/SE #
Enhancements to Processing of Hospice Routine Home Care Payments MM10573
The Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) July 2018 MM10556
Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Extensions per the Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act Included in the Bipartisan Budget Act of 2018 MM10547
CMS MLN Connects® Weekly Provider eNews
MLN Connects® Provider e-News for Thursday, May 31, 2018
MLN Connects® Provider e-News for Thursday, May 24, 2018
MLN Connects® Provider e-News for Thursday, May 17, 2018
MLN Connects® Provider e-News for Thursday, May 10, 2018
MLN Connects® Provider e-News for Thursday, May 3, 2018
CMS Proposes 4 Rules Affecting FY19 Payment & Quality Programs

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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