Medicare Monthly Review

In This Issue

National Government Services Articles for Part A and Part B Providers

A new topic has been added to the enrollment section of our website. Visit Protect Your Identity and Privacy to learn what steps you can take to prevent Medicare fraud and protect your identity.
We’ve added a new Frequently Asked Questions category on our website. Visit our Help and FAQs web page for LCD and NCD common questions and answers.
We’ve added a new Frequently Asked Questions category on our website. Visit our Help and FAQs web page for PC-ACE common questions and answers.
We’ve added a new Frequently Asked Questions category on our website. Visit our Help and FAQs web page for EDI common questions and answers.
LCD Open Meeting Transcript for 10/20/2021
EDI Monthly Bulletin December 2021
Payment for CPT codes 99421-99423 for Optometrists
LCD and Associated Billing and Coding Article Updates for November/December 2021
New Local Coverage Determination: Respiratory Pathogen Panel Testing
Provider Enrollment - COVID-19 Waiver Update on Application Fee
Provider Enrollment: Multi-Factor Authentication Requirement for PECOS
Clarification on the Proper Use of the CS Modifier

National Government Services Articles for Part A Providers

National Government Services Articles for Part B Providers

Announcement About Medicare Participation for Calendar Year 2022
Common Denials Guide for Diabetes Self-Management Training and Medical Nutrition Therapy
We recently added information specific to submitting a request for correction of 25 or more, for the same or similar situation, to our website. Visit the Reopenings versus Redeterminations web page for details on the Part B Reopening Request Form and the Large Various Adjustment Macro (LVAM) form which are used for submitting requests for this situation.
We’ve added a new Frequently Asked Questions category on our website. Visit the Appeals section of our Help and FAQs web page for common questions and answers.
We’ve updated the Nonphysician Practitioners Evaluation and Management Services article to further define National Government Services' commitment to reducing provider burden associated with Medicare claim denials and appeals. Read all about it at Nonphysician Practitioners: Reduce Costly Appeals; Increase Provider Revenue.
We’ve updated our Immunization Roster Billing article to explain claim submission options and guidelines. View this article to ensure you are submitting your roster claims accurately the first time.
We’ve added a new Frequently Asked Questions category on our website. Visit our Help and FAQs web page for Medical Review common questions and answers.

CMS MLN Connects® Weekly Provider eNews

Medical Review Focus Area Latest Articles

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

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

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