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Posting Date: 06/09/2022
MLN Connects® Newsletter for Thursday, June 9, 2022
MLN Connects® Newsletter for Thursday, June 9, 2022 Learn about the CMS National Quality Strategy News CMS National Quality Strategy: A Person-Centered Approach to Improving Quality Strategy to Streng...
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Posting Date: 06/07/2022
Modifier KX on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims
Modifier KX on Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Claims Reminders Providers report modifier KX on a claim line(s) to confirm the medical records contain sp...
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Posting Date: 06/03/2022
Remote Monitoring Services
Remote Monitoring Services In response to provider inquiries about the use of remote monitoring, National Government Services has developed a comprehensive summary of information for Remote Monitoring...
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Posting Date: 06/03/2022
July 2022 Release "Dark Days" for the Common Working File Hosts
July 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming July 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, 6/30/2022 and Dark Days starting Fri...
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Posting Date: 06/02/2022
MLN Connects® Newsletter for Thursday, June 2, 2022
MLN Connects® Newsletter for Thursday, June 2, 2022 ICD-10-PCS Procedure Codes: Fiscal Year 2023 News Medicare Shared Savings Program: Application Deadlines for January 1 Start Date Claims, Pricers, &...
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Posting Date: 05/31/2022
Billing and Coding and SAD Article Updates for May/June 2022
Billing and Coding and SAD Article Updates for May/June 2022 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The article has been corrected to remove the following statement: (calcium 1000 ...
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Posting Date: 05/31/2022
Modifier KX for use with Physical Therapy, Occupational Therapy or Speech Language Pathology Claims
Modifier KX for use with Physical Therapy, Occupational Therapy or Speech Language Pathology Claims What you need to know Modifier KX is used to confirm specific required documentation is on file in a...
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Posting Date: 05/26/2022
MLN Connects® Newsletter for Thursday, May 26, 2022
MLN Connects® Newsletter for Thursday, May 26, 2022 Biosimilars: Interchangeable Products May Increase Patient Access News COVID-19: New Administration Code for Pfizer Pediatric Vaccine Booster Dose B...
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Posting Date: 05/19/2022
MLN Connects® Newsletter for Thursday, May 19, 2022
MLN Connects® Newsletter for Thursday, May 19, 2022 Biosimilars: Safe, Effective, & May Reduce Patient Costs News Biosimilars: Safe, Effective, & May Reduce Patient Costs PECOS Scroll Functionality Cl...
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Posting Date: 05/13/2022
Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services
Revised Evaluation and Management Frequently Asked Question for Teaching Environment Services We’ve revised an FAQ within the Teaching Environment section of our E/M FAQs to further define documentati...
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Posting Date: 05/12/2022
Outpatient Claims with Reason Code W7120 Returned in Error
Outpatient Claims with Reason Code W7120 Returned in Error A system error caused the CMS to return the following outpatient claims with reason code W7120: Bill types 13X and 85X Designated surgical ra...
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Posting Date: 05/12/2022
MLN Connects® Newsletter for Thursday, May 12, 2022
MLN Connects® Newsletter for Thursday, May 12, 2022 Biosimilars Curriculum: Resources for Teaching Your Students News Comprehensive Error Rate Testing Documentation Center Moved on April 13 Physicians...
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Posting Date: 05/11/2022
New Evaluation and Management Frequently Asked Question for Time-Based Services
New Evaluation and Management Frequently Asked Question for Time-Based Services We’ve added a new FAQ for E/M time-based services. Please define rules for using time to level-set a service in the inpa...
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Posting Date: 05/11/2022
Early Bird Registration is Now Available for the Home Health and Hospice MAC Collaborative Summit "One Program, One Voice"
Early Bird Registration is Now Available for the Home Health and Hospice MAC Collaborative Summit "One Program, One Voice" The 2022 HH+H MAC Collaborative Summit: One Program, One Voice is now availab...
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Posting Date: 05/11/2022
New Evaluation and Management Frequently Asked Question for Emergency Department
New Evaluation and Management Frequently Asked Question for Emergency Department We’ve added a new frequently asked question to the Emergency Department section of our E/M FAQs to further define how t...
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Posting Date: 05/10/2022
Are You Registered? The Spring 2022 Virtual Conference Medicare for You Begins Tomorrow!
Are You Registered? The Spring 2022 Virtual Conference Medicare for You Begins Tomorrow! Medicare for You offers valuable information that is fundamental for you, as a provider, to submit claims with ...
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Posting Date: 05/06/2022
Low and No Medicare Utilization Cost Report
Low and No Medicare Utilization Cost Report No Utilization Cost Reports To comply with program cost reporting requirements, a provider that has not furnished any covered Medicare services during a cos...
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Posting Date: 05/05/2022
Chronic Disease Management and Preventive Services Learning and Action Series
Chronic Disease Management and Preventive Services Learning and Action Series A Collaborative Learning Opportunity with the Medicare Administrative Contractors National Government Services, Novitas So...
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Posting Date: 05/05/2022
MLN Connects® Newsletter for Thursday, May 5, 2022
MLN Connects® Newsletter for Thursday, May 5, 2022 COVID-19 Patients Can Get Free Over-the-Counter Tests from Participating Providers News COVID-19: Patients Can Get Free Over-the-Counter Tests from P...
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Posting Date: 05/03/2022
National Government Services: Raising Awareness about Care Management
National Government Services: Raising Awareness about Care Management According to the CDC, six in ten adults in the U.S. have a chronic disease and four in ten adults have two or more. As your Medica...
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Posting Date: 04/29/2022
Proper Claim Submission for Repetitive, Scheduled, Non-Emergent Ambulance Transports
Proper Claim Submission for Repetitive, Scheduled, Non-Emergent Ambulance Transports The CMS implemented the prior authorization of RSNAT. NGS J6 states Illinois, Minnesota, and Wisconsin were added t...
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Posting Date: 04/28/2022
MLN Connects® Newsletter for Thursday, April 28, 2022
MLN Connects® Newsletter for Thursday, April 28, 2022 Get Patient Eligibility Information for Additional Services News Patient Eligibility Information for Additional Services — Now Available Physician...
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Posting Date: 04/26/2022
April and May 2022 Billing and Coding Article Updates
April/May 2022 Billing and Coding Article Updates Billing and Coding Articles Billing and Coding: Complex Drug Administration Coding (A58620) J0248 remdesivir (Veklury®) was added under Infusions Non-...
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Posting Date: 04/21/2022
MLN Connects® Newsletter for Thursday, April 21, 2022
MLN Connects® Newsletter for Thursday, April 21, 2022 Medicare Provider Compliance News News Hospice Quality Reporting Program: Key Dates & Measure Change Ambulance Ground Transport: Comparative Billi...
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Posting Date: 04/21/2022
CMS Region 2 Office Hours
CMS Region 2 Office Hours The CMS Region 2 Office recently began conducting a series of “Office Hours” calls. The purpose of these sessions is to provide brief updates on Medicare topics of current in...
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Posting Date: 04/19/2022
MLN Connects® Special Edition for Monday, April 18, 2022
MLN Connects® Special Edition for Monday, April 18, 2022 CMS Proposes Policies to Advance Health Equity & Maternal Health, Support Hospitals On April 18, CMS issued a proposed rule for inpatient and l...
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Posting Date: 04/19/2022
Ambulatory Surgical Center Pass-Through Devices
Ambulatory Surgical Center Pass-Through Devices What is a Pass-Through Device? Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Drugs and devic...
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Posting Date: 04/18/2022
2022 Home Health and Hospice Medicare Administrative Contractors Collaborative Summit
Early Bird Registration is Now Open for the 2022 Home Health and Hospice Medicare Administrative Contractors Collaborative Summit The 2022 HH+H MACs Collaborative Summit: One Program, One Voice is now...
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Posting Date: 04/15/2022
Increased Volume of Appeal Status Inquiries
Increased Volume of Appeal Status Inquiries National Government Services has seen an increase in pending reopenings and redetermination levels, resulting in cases being completed beyond the 60 calenda...
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Posting Date: 04/14/2022
MLN Connects® Newsletter for Thursday, April 14, 2022
MLN Connects® Newsletter for Thursday, April 14, 2022 COVID-19: New Codes for Moderna Vaccine Booster Doses News Launch of the Cross-Cutting Initiatives Value-Based Insurance Design Model: Medicare Ad...
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Posting Date: 04/12/2022
MLN Connects® Special Edition for Monday, April 11, 2022
MLN Connects® Special Edition for Monday, April 11, 2022 HHS Takes Actions to Promote Safety & Quality in Nursing Homes On April 11, CMS issued its FY 2023 SNF PPS proposed rule, which includes asking...
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Posting Date: 04/11/2022
Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport
Prior Authorization Process for Repetitive Scheduled Nonemergent Ambulance Transport The Repetitive, Scheduled Nonemergent Ambulance Transport Prior Authorization Model establishes a process through w...
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Posting Date: 04/08/2022
MLN Connects® Special Edition for Thursday, April 7, 2022
MLN Connects® Special Edition for Thursday, April 7, 2022 Returning to Certain Pre-COVID-19 Policies & Coverage of Monoclonal Antibodies for Alzheimer's Disease Stakeholder Call CMS Returning to Certa...
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Posting Date: 04/07/2022
MLN Connects® Newsletter for Thursday, April 7, 2022
MLN Connects® Newsletter for Thursday, April 7, 2022 Improve the Health of Minority Populations with Covered Preventive Services News Fiscal Year 2021 Program for Evaluating Payment Patterns Electroni...
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Posting Date: 04/07/2022
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 2021 from the ...
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Posting Date: 04/06/2022
MLN Connects® Special Edition for Wednesday, April 6, 2022
MLN Connects® Special Edition for Monday, April 6, 2022 Eligible Individuals Can Receive Second COVID-19 Booster Shot at No Cost On April 6, CMS announced it will pay for a second COVID-19 booster sho...
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Posting Date: 04/06/2022
Tips to Find Local Coverage Determinations and Billing and Coding Instructions (REVISED 4/6/2022)
Tips to Find Local Coverage Determinations and Billing and Coding Instructions (REVISED 4/6/2022) We often receive suggestions through our website surveys to make it easier to find LCDs and the associ...
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Posting Date: 04/04/2022
MLN Connects® Special Edition for Monday, April 4, 2022
MLN Connects® Special Edition for Monday, April 4, 2022 Biden-Harris Administration Announces a New Way for Medicare Beneficiaries to Get Free Over-the-Counter COVID-19 Tests On April 4, The Biden-Har...
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Posting Date: 04/01/2022
MLN Connects® Special Edition for Thursday, March 31, 2022
MLN Connects® Special Edition for Thursday, March 31, 2022 IPF & IRF Proposed FY 2023 Payment Rules Inpatient Psychiatric Facilities: Fiscal Year 2023 Proposed Rule — Submit Comments by May 31 Inpatie...
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Posting Date: 04/01/2022
New Evaluation and Management Frequently Asked Questions for Prolonged Services
New Evaluation and Management Frequently Asked Questions for Prolonged Services We’ve added new frequently asked questions to the Prolonged Services section of our E/M FAQs to clarify proper billing f...
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Posting Date: 03/31/2022
MLN Connects® Newsletter for Thursday, March 31, 2022
MLN Connects® Newsletter for Thursday, March 31, 2022 Continuous Glucose Monitor: Provide Supplies for a Calendar Month News Home Health Providers: Services Provided Data for April 2022 Refresh Contin...
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Posting Date: 03/31/2022
MLN Connects® Special Edition for Wednesday, March 30, 2022
MLN Connects® Special Edition for Wednesday, March 30, 2022 Fiscal Year 2023 Hospice Payment Rate Update Proposed Rule - Comment by May 31 On March 30, CMS issued a proposed rule (CMS-1773-P) that wou...
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Posting Date: 03/31/2022
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes
Medicare Fee-for-Service Claims and the Sequestration Payment Adjustment Changes Just a reminder: The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare...
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