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Posting Date: 08/17/2021
Care Management Services for Behavioral Health Conditions
Care Management Services for Behavioral Health Conditions Primary care physicians who are treating Medicare patients with depression diagnoses can utilize this service without a behavioral health mana...
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Posting Date: 08/17/2021
MLN Connects® Special Edition for Monday, August 16,2021
MLN Connects® Special Edition for Monday, August 16, 2021 COVID-19 Vaccines Additional Doses: Codes & Payment The FDA amended the emergency use authorizations (EUAs) for both the Pfizer BioNTech COVID...
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Posting Date: 08/13/2021
MLN Connects® Special Edition for Friday, August 13, 2021
MLN Connects® Special Edition for Friday, August 13, 2021 COVID-19 Vaccine Additional Dose Medicare stands ready to pay for administering an additional dose of COVID-19 vaccine consistent with the FDA...
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Posting Date: 08/12/2021
MLN Connects® Newsletter for Thursday, August 12, 2021
MLN Connects® Newsletter for Thursday, August 12, 2021 COVID-19: Vaccinate Your Patients View this edition as a: Webpage | PDF News COVID-19: Vaccinate Your Patients CMS Resumes Targeted Probe & Educa...
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Posting Date: 08/10/2021
Provider Action To Be Taken Following the Provider-Based Mid-Build Audit
Provider Action To Be Taken Following the Provider-Based Mid-Build Audit The off-campus PBDs that were “mid-build” prior to 11/2/2015 received mid-build determination letters in January from CMS mid-b...
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Posting Date: 08/09/2021
Behavioral Health Integration Services for Primary Care Providers
Behavioral Health Integration Services for Primary Care Providers Medicare BHI service for your patients that do not require the use of a behavioral health care team. Primary care physicians who are t...
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Posting Date: 08/09/2021
Important Information on How to Resolve NGSConnex Account Suspensions
Important Information on How to Resolve NGSConnex Account Suspensions If you are an NGSConnex user and not the LSO for your provider organization and your NGSConnex account has been suspended for one ...
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Posting Date: 08/05/2021
MLN Connects® Newsletter for Thursday, August 5, 2021
MLN Connects® Newsletter for Thursday, August 5, 2021 Coverage to Care & Connected Care View this edition as a: Webpage | PDF News Clinical Diagnostic Laboratories: Private Payor Rate-Based CLFS Resou...
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Posting Date: 08/03/2021
MLN Connects® Special Edition for Monday, August 2, 2021
MLN Connects® Special Edition for Monday, August 2, 2021 CMS Final Rule Improves Health Equity, Access to Treatment, Hospital Readiness, and COVID-19 Vaccination Data Reporting of Hospital Workers Hos...
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Posting Date: 07/30/2021
MLN Connects® Special Edition for Thursday, July 29, 2021
MLN Connects® Special Edition for Thursday, July 29, 2021 4 Final FY 2022 Payment Rules Hospice Payment Rate Update: FY 2022 Final Rule IRF Prospective Payment System: FY 2022 Final Rule IPF Prospecti...
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Posting Date: 07/29/2021
MLN Connects® Newsletter for Thursday, July 29, 2021
MLN Connects® Newsletter for Thursday, July 29, 2021 Hospital Price Transparency Stakeholder Webinar — August 11 View this edition as a: Webpage | PDF Compliance Ambulance Services & SNF Consolidated ...
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Posting Date: 07/29/2021
Billing and Coding: Complex Drug Administration Coding for Subcutaneous and Intramuscular Routes (A58620) Reminder
Billing and Coding: Complex Drug Administration Coding for Subcutaneous and Intramuscular Routes (A58620) Reminder National Government Services identified claim billing errors for complex drug adminis...
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Posting Date: 07/29/2021
Correct Coding of Molecular Testing Panels (Revised)
Correct Coding of Molecular Testing Panels (Revised) The submission of claims using individual gene CPT codes, when either 5-50 or >50 gene panels are ordered, is considered incorrect coding. Correct ...
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Posting Date: 07/26/2021
Incorrect Billing of CPT 76942 with Prostate Biopsy CPT 55700 When 76872 Billed for Same Session
Incorrect Billing of CPT 76942 with Prostate Biopsy CPT 55700 When 76872 Billed for Same Session Although AMA Guidelines state it is appropriate to bill CPT codes 76942, 77002, 77012 or 77021 if imagi...
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Posting Date: 07/23/2021
LCD and Associated Billing and Coding Article Updates for July/August 2021
LCD and Associated Billing and Coding Article Updates for July/August 2021 July 2021 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The following clarification has been added to the Docume...
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Posting Date: 07/23/2021
CPT Code 92229
CPT Code 92229 For CY 2021, Medicare began making payment for CPT code 92229 (Imaging of retina for detection or monitoring of disease; with point-of-care automated analysis with diagnostic report; un...
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Posting Date: 07/22/2021
MLN Connects® Newsletter for Thursday, July 22, 2021
MLN Connects® Newsletter for Thursday, July 22, 2021 COVID-19: EUA for Tocilizumab Monoclonal Antibody Product View this edition as a: Webpage | PDF News COVID-19: EUA for Tocilizumab Monoclonal Antib...
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Posting Date: 07/20/2021
MLN Connects® Special Edition for Monday, July 19, 2021
MLN Connects® Special Edition for Monday, July 19, 2021 CMS Proposes Rule to Increase Price Transparency, Access to Care, Safety & Health Equity CMS is proposing actions to address the health equity g...
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Posting Date: 07/15/2021
MLN Connects® Newsletter for Thursday, July 15, 2021
MLN Connects® Newsletter for Thursday, July 15, 2021 View this edition as a: Webpage | PDF News Cognitive Assessment: Resources for Providers CMS Opens National Coverage Determination Analysis on Trea...
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Posting Date: 07/15/2021
Proper Billing Units for HCPCS Code J7320
Proper Billing Units for HCPCS Code J7320 National Government Services has noticed improper billing units used for HCPCS code J7320, Hyaluronan or derivative, GenVisc 850, for intra-articular injectio...
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Posting Date: 07/14/2021
MLN Connects® Special Edition for Tuesday, July 13, 2021
MLN Connects® Special Edition for Tuesday, July 13, 2021 CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access CMS is proposing changes to address the widening gap in health equ...
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Posting Date: 07/09/2021
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as Unprocessable
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as Unprocessable This notice is being published as a reminder to all Medicare Part B providers. ...
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Posting Date: 07/08/2021
Psychiatric Collaborative Care Education for the Provider and Beneficiary
Psychiatric Collaborative Care Education for the Provider and Beneficiary Did you know that the psychiatric CoCM integrates primary and behavioral health care and is considered an effective strategy i...
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Posting Date: 07/08/2021
MLN Connects® Newsletter for Thursday, July 8, 2021
MLN Connects® Newsletter for Thursday, July 8, 2021 COVID-19 Accelerated and Advance Payments: Updated FAQs View this edition as a: Webpage | PDF News COVID-19 Accelerated and Advance Payments: Update...
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Posting Date: 07/08/2021
Integrating Behavioral Health Care with Primary Care
Integrating Behavioral Health Care with Primary Care What is BHI? Medicare Behavioral Health Integration is a service for your patient that does not require the use of a behavioral health care team. P...
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Posting Date: 07/08/2021
Attention Home Health Agencies Receiving C7010 Billing Error
Attention Home Health Agencies Receiving C7010 Billing Error Over the past several months one of the top RTP reason codes for home health claims is C7010 – overlap with a hospice election period. The ...
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Posting Date: 07/07/2021
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators Alert
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators Alert Implanted Spinal Neurostimulator Prior Authorization National Government Services Medical Review initiated prior a...
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Posting Date: 07/07/2021
Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert
Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert Implanted Spinal Neurostimulator Prior Authorization National Government Services Medical Review initiated a prior aut...
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Posting Date: 07/06/2021
MLN Connects® Special Edition for Thursday, July 1, 2021
MLN Connects® Special Edition for Thursday, July 1, 2021 CMS Proposes Changes to Reduce Health Care Disparities Among Patients with Chronic Kidney Disease and End-Stage Renal Disease Proposed changes ...
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