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Posting Date: 02/16/2023
MLN Connects® Newsletter: February 16, 2023
MLN Connects® Newsletter: February 16, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Unprecedented Efforts to Increase Transparency of Nursing Home Ownership CMS Proposes [...]
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Posting Date: 02/17/2023
New Service Added to the Hospital Outpatient Department Prior Authorization Program
New Service Added to the Hospital Outpatient Department Prior Authorization Program Effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the HOPD services requiring prior authorization as a [...]
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Posting Date: 02/23/2023
MLN Connects® Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023
MLN Connects®Newsletter: Public Health Emergency 1135 Waivers: Updated Guidance for Providers - February 23, 2023 News Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers Posted 2/23/2023
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Posting Date: 02/28/2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023
MLN Connects® Newsletter: COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet — Feb 27, 2023 News COVID-19 Public Health Emergency (PHE) New Overview Fact Sheet Posted 2/28/2023
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Posting Date: 03/02/2023
MLN Connects® Newsletter: March 2, 2023
MLN Connects® Newsletter: March 2, 2023 News The Future of Medicare Enrollment: Save Time with PECOS's Consolidated Application Voluntary Prior Authorization Process for Certain Power Mobility Device Accessory Items Expanded Home [...]
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Posting Date: 03/09/2023
MLN Connects® Newsletter: March 9, 2023
MLN Connects® Newsletter: March 9, 2023 News Nutrition-Related Health Conditions: Recommend Medicare Preventive Services Compliance Advance Care Planning: Bill Correctly for Services Claims, Pricers and Codes Medicare [...]
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Posting Date: 01/27/2022
E/M Coding: Medical Decision Making Moderate Point Scoring for Data Elements
Evaluation and Management Coding: Medical Decision Making Moderate Point Scoring for Data Elements On 1/1/2021, CMS approved and issued modifications to E/M coding guidelines that were originally developed and adopted by the AMA. This change [...]
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Posting Date: 03/23/2023
DDE Logon ID and Password Reminders
DDE Logon ID and Password Reminders CMS’ information security policy strictly prohibits the sharing or loaning of Medicare assigned IDs and passwords. Users should take appropriate measures to prevent unauthorized disclosure or modification of [...]
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Posting Date: 03/23/2023
Knee Orthosis: A/B and DME Collaborative Presentation
Knee Orthosis: A/B and DME Collaborative Presentation View the A/B and DME Knee Orthosis YouTube video for information on knee orthosis. Posted 3/23/2023
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Posting Date: 03/23/2023
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220 Some home health NOAs and claims were incorrectly hitting reason codes U5210 and U5220. These reason codes state there is no Medicare entitlement for the dates of service when [...]
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Posting Date: 12/23/2020
(SE20024) FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients
MLN Matters®: SE20024 FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients
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Posting Date: 03/31/2023
CR12669 - Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement
CR12669 - Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement
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Posting Date: 03/31/2023
CR13122 - Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments
CR13122 - Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments
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Posting Date: 07/27/2020
Modifiers Used During the COVID-19 Public Health Emergency
Modifiers Used During the COVID-19 Public Health Emergency Modifier Part A Billed on UB04? Part B Billed on 1500? Details References Exceptions/Special Usage CS Exception Yes Waives [...]
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Posting Date: 04/14/2023
CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual
CR13105 - Technical Revisions Only to the National Coverage Determination (NCD) Manual
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Posting Date: 04/19/2023
Telehealth Frequently Asked Questions are Updated
Telehealth Frequently Asked Questions are Updated We’ve updated our telehealth frequently asked questions to include changes and flexibilities due to the end of the PHE on 5/11/2023. Please view these FAQs for the answers you need to common [...]
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Posting Date: 11/15/2023
Fraud Awareness Week and National Rural Health Day
Fraud Awareness Week and National Rural Health Day Since this week is Fraud Awareness Week and National Rural Health Day is tomorrow on 11/16/2023, we wanted to share these valuable resources with you. Fraud Awareness Week Traditional [...]
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Posting Date: 12/08/2023
CR13468 - Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions
CR13468 - Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions Posted 12/8/2023
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Posting Date: 07/13/2022
A/B MACs Team Up with DME MACs for Glucose Monitor and Supplies Webinar on August 25
A/B MACs Team Up with DME MACs for Glucose Monitor and Supplies Webinar on August 25 Local A/B MACs and the DME MACs are excited to announce a collaboration webinar coming Thursday, August 25. This webinar will focus on what providers need to [...]
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Posting Date: 03/29/2022
Molecular Pathology Procedures Reminder
Molecular Pathology Procedures Reminder National Government Services has been receiving many claims submitted for redetermination that were submitted for Group 3 Molecular Pathology Procedures. The Group 3 codes from LCD (L35000/A56199) are [...]
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