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Posting Date: 04/16/2021
MLN Connects® for Friday, April 16, 2021
MLN Connects® for Friday, April 16, 2021 2% Payment Adjustment (Sequestration) Suspended Through December View this edition as a: Webpage | PDF News Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December [...]
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Posting Date: 04/08/2021
MLN Connects® for Thursday, April 8, 2021
MLN Connects® for Thursday, April 8, 2021 More FY20 PEPPERs Available View this edition as a: Webpage | PDF News PEPPERs for LTCHs, CAHs, IRFs, IPFs, Hospices, & SNFs Preparedness Resources: Cybersecurity & Post-Acute [...]
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Posting Date: 03/30/2021
MLN Connects® Special Edition for Tuesday, March 30, 2021
MLN Connects® Special Edition for Tuesday, March 30, 2021 Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension In anticipation of possible Congressional action to extend the 2% sequester reduction [...]
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Posting Date: 01/07/2021
MLN Connects® Special Edition for Thursday, January 7, 2021
MLN Connects® Special Edition for Thursday, January 7, 2021 Physician Fee Schedule Update On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a [...]
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Posting Date: 01/07/2021
MLN Connects® for Thursday, January 7, 2021
MLN Connects® for Thursday, January 7, 2021 COVID-19 Vaccines: CDC Long-Term Care Facility Toolkit View this edition as a: Webpage | PDF News COVID-19 Vaccines: CDC Long-Term Care Facility Toolkit MLN Web-Based Training: Complete [...]
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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 imaging is performed with 55700, NCCI lists [...]
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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; unilateral or bilateral). In the CY 2021 [...]
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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 Documentation Requirements for [...]
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Posting Date: 06/09/2021
MLN Connects® Special Edition for Wednesday, June 9, 2021
MLN Connects® Special Edition for Wednesday, June 9, 2021 Biden Administration Continues Efforts to Increase Vaccinations by Bolstering Payments for At-Home COVID-19 Vaccinations for Medicare Beneficiaries As part of President Biden’s [...]
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Posting Date: 03/15/2021
MLN Connects® Special Edition for Monday, March 15, 2021
MLN Connects® Special Edition for Monday, March 15, 2021 Biden-Harris Administration Increases Medicare Payment for Life-Saving COVID-19 Vaccine On March 15, CMS increased the Medicare payment amount for administering the COVID-19 vaccine. [...]
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