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Posting Date: 09/17/2021
Review for codes 0207T and 0563T
Review for codes 0207T and 0563T Services for CPT 0207T (Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral), and CPT 0563T (Evacuation of meibomian glands, automated, using heat delivered through [...]
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Posting Date: 04/14/2021
MLN Connects® Special Edition for Wednesday, April 14, 2021
MLN Connects® Special Edition for Wednesday, April 14, 2021 J&J COVID-19 Vaccine: Health Alert The CDC issued a Health Alert, about the CDC and FDA’s recommended pause in the use of the J&J COVID-19 vaccine, in part, to ensure that [...]
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Posting Date: 04/20/2021
MLN Connects® Special Edition for Tuesday, April 20, 2021
MLN Connects® Special Edition for Tuesday, April 20, 2021 COVID-19 Update: FDA Revoked the EUA for Bamlanivimab When Administered Alone On April 16, the FDA revoked the Emergency Use Authorization (EUA) for bamlanivimab, when administered [...]
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Posting Date: 05/20/2021
MLN Connects® for Thursday, May 20, 2021
MLN Connects® for Thursday, May 20, 2021 Mental Health: Medicare Covers Preventive Services View this edition as a: Webpage | PDF News Hospice Outcomes & Patient Evaluation: Submit Beta Test Application by June 14 Mental [...]
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Posting Date: 06/03/2021
MLN Connects® for Thursday, June 3, 2021
MLN Connects® for Thursday, June 3, 2021 MACs Resume Medical Review View this edition as a: Webpage | PDF News Medicare Shared Savings Program: Submit Notice of Intent to Apply by June 7 Clinical Diagnostic Laboratories: Key Dates [...]
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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: Updated FAQs COVID-19 Snapshot: [...]
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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 Antibody Product Medicare Ground [...]
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Posting Date: 01/14/2021
MLN Connects® for Thursday, January 14, 2021
MLN Connects® for Thursday, January 14, 2021 Ensuring our Nation’s Seniors Have Access to Latest Advancements View this edition as a: Webpage | PDF News Ensuring our Nation’s Seniors Have Access to Latest Advancements Opioid [...]
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Posting Date: 03/18/2021
MLN Connects® for Thursday, March 18, 2021
MLN Connects® for Thursday, March 18, 2021 Open Payments & You – Register for March 25 Call View this edition as a: Webpage | PDF News Clinical Laboratory Data Reporting Delayed Until 2022: Reminder Comprehensive Eye [...]
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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 & Educate Program Compliance [...]
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Posting Date: 04/28/2021
NGSConnex: Initiate and View Confirmation of Part A Quarterly Credit Balance Reports
NGSConnex: Initiate and View Confirmation of Part A Quarterly Credit Balance Reports Did you know as a Part A, HH+H and FQHC provider, you are able to use our secure self-service portal, NGSConnex, to submit your quarterly credit balance [...]
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Posting Date: 01/21/2021
MLN Connects® for Thursday, January 21, 2021
MLN Connects® for Thursday, January 21, 2021 Give Flu Shots through January & Beyond View this edition as a: Webpage | PDF News Hospital IPPS: FAQs on Market-Based MS-DRG Relative Weights MLN Web-Based Training: Complete Training [...]
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Posting Date: 02/11/2021
MLN Connects® for Thursday, February 11, 2021
MLN Connects® for Thursday, February 11, 2021 PFS Payment for Office & Outpatient E/M Visits View this edition as a: Webpage | PDF News Flu & Pneumococcal Shots: Protect Your Patients Compliance Hospices: Create an [...]
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Posting Date: 06/24/2021
MLN Connects® Newsletter for Thursday, June 24, 2021
MLN Connects® Newsletter for Thursday, June 24, 2021 2019 Quality Payment Program: Performance Information on Care Compare View this edition as a: Webpage | PDF News 2019 Quality Payment Program: Performance Information on Care Compare [...]
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Posting Date: 03/11/2021
MLN Connects® Special Edition for Wednesday, March 10, 2021
MLN Connects® Special Edition for Wednesday, March 10, 2021 CMS Updates Nursing Home Guidance with Revised Visitation Recommendations On March 10, CMS, in collaboration with the CDC, issued updated guidance for nursing homes to safely expand [...]
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Posting Date: 04/09/2021
MLN Connects® Special Edition for Thursday, April 8, 2021
MLN Connects® Special Edition for Thursday, April 8, 2021 4 Proposed FY 2020 Payment Rules SNF Prospective Payment System: FY 2022 Proposed Rule Hospice Payment Rate Update for FY 2022 IRF Prospective Payment System: FY 2022 Proposed Rule [...]
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Posting Date: 04/22/2021
MLN Connects® for Thursday, April 22, 2021
MLN Connects® for Thursday, April 22, 2021 COVID-19: Partnership to Vaccinate Dialysis Patients & Health Care Personnel View this edition as a: Webpage | PDF News Dialysis Facilities: Partnership to Vaccinate Dialysis Patients [...]
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Posting Date: 07/01/2021
MLN Connects® Newsletter for Thursday, July 1, 2021
MLN Connects® Newsletter for Thursday, July 1, 2021 Quality Payment Program: 2021 APM Incentive Payments View this edition as a: Webpage | PDF News Quality Payment Program: 2021 APM Incentive Payments Compliance Inhalant Drugs: [...]
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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 mark Innovation Center’s first direct [...]
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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 Resources Coverage to Care & [...]
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Posting Date: 12/20/2021
MLN Connects® Special Edition for Friday, December 17, 2021
MLN Connects® Special Edition for Friday, December 17, 2021 CMS Funding 1,000 New Residency Slots for Hospitals Serving Rural & Underserved Communities Administration takes action to address access to care, workforce shortages in [...]
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Posting Date: 06/17/2021
MLN Connects® Newsletter for Thursday, June 17, 2021
MLN Connects® Newsletter for Thursday, June 17, 2021 COVID-19: EUAs for Monoclonal Antibody Products View this edition as a: Webpage | PDF News COVID-19: EUA for Sotrovimab Monoclonal Antibody Product COVID-19: EUA for Regeneron [...]
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Posting Date: 06/10/2021
MLN Connects® Newsletter for Thursday, June 10, 2021
MLN Connects® Newsletter for Thursday, June 10, 2021 Cognitive Assessment: What’s in the Written Care Plan? View this edition as a: Webpage | PDF News Cognitive Assessment: What’s in the Written Care Plan? Hospital Outpatient [...]
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Posting Date: 06/29/2021
MLN Connects® Special Edition for Monday, June 28, 2021
MLN Connects® Special Edition for Monday, June 28, 2021 CMS to Improve Home Health Services for Older Adults and People with Disabilities Proposed rule would accelerate shift from volume-based incentives to quality-based incentives CMS [...]
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Posting Date: 05/27/2021
MLN Connects® for Thursday, May 27, 2021
MLN Connects® for Thursday, May 27, 2021 Critical Care E/M Services: Comparative Billing Report View this edition as a: Webpage | PDF News Critical Care Evaluation & Management Services: Comparative Billing Report in May [...]
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Posting Date: 05/13/2021
MLN Connects® for Thursday, May 13, 2021
MLN Connects® for Thursday, May 13, 2021 Cognitive Impairment: Medicare Provides Opportunities to Detect & Diagnose View this edition as a: Webpage | PDF News Cognitive Impairment: Medicare Provides Opportunities to Detect & [...]
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Posting Date: 05/11/2021
MLN Connects® Special Edition for Tuesday, May 11, 2021
MLN Connects® Special Edition for Tuesday, May 11, 2021 CMS Expanding Efforts to Grow COVID-19 Vaccine Confidence and Uptake Amongst Nation’s Most Vulnerable CMS Builds on Whole-of-Government COVID-19 Response with Vaccination Education, [...]
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Posting Date: 05/06/2021
MLN Connects® for Thursday, May 6, 2021
MLN Connects® for Thursday, May 6, 2021 COVID-19: Ambulance Treatment in Place Waiver View this edition as a: Webpage | PDF News New Program: HRSA COVID-19 Coverage Assistance Fund Ground Ambulance Services: Waiver for Treatment in [...]
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Posting Date: 04/29/2021
MLN Connects® for Thursday, April 29, 2021
MLN Connects® for Thursday, April 29, 2021 NPI: What You Need to Know View this edition as a: Webpage | PDF News Clinical Diagnostic Laboratories: Resources about the Private Payor Rate-Based CLFS Compliance Cardiac Device [...]
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Posting Date: 04/28/2021
MLN Connects® Special Edition for Tuesday, April 27, 2021
MLN Connects® Special Edition for Tuesday, April 27, 2021 CMS Proposes to Enhance the Medical Workforce in Rural and Underserved Communities to Support COVID-19 Recovery and Beyond Proposed rule would require hospitals to report vaccination [...]
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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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