MLN Connects® Newsletter for Thursday, September 22, 2022

MLN Connects® Newsletter for Thursday, September 22, 2022 Encourage Preferred Flu Vaccines for Patients 65+ News Flu Shot: Encourage Preferred Vaccines for Patients 65+ Cataract Surgery: Comparative Billing Report Do You Only Order or [...]

Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound

Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound National Government Services has received approval from CMS to deny related claims (modifier 26 and/or TC) in accordance to the CMS IOM Publication 100-08, Medicare Program [...]

Billing and Coding and Medical Policy Article Updates September/October 2022

Billing and Coding and Medical Policy Article Updates September/October 2022 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on Transmittal 11594, (CR 12885) October 2022 Update of the Hospital OPPS, HCPCS code C9142 has been [...]

Reminder: Documenting Physical Therapy Services

Reminder: Documenting Physical Therapy Services Insufficient documentation causes most improper payments. Visit our CERT Alerts webpage for Topic specific articles that provide instructions and resources for submitting appropriate [...]

Removal of HCPCS Code

Removal of HCPCS Code Prior Authorization Update Effective immediately, for claims with dates of service on or after 1/7/2022, the Centers for Medicare & Medicaid Services is removing current procedural terminology code 67911 (correction [...]

Appropriate Use Criteria

MLN Connects® Newsletter for Thursday, September 29, 2022

MLN Connects® Newsletter for Thursday, September 29, 2022​​​​​​​ News Resources & Flexibilities to Assist with Public Health Emergency in Puerto Rico Resources & Flexibilities to Assist with Public Health Emergency in Florida [...]

Diabetes Awareness

Drugs and Biologicals

Sleep Studies

Timely Filing

Free Medicare Home Health YouTube Videos

Free Medicare Home Health YouTube Videos National Government Services has a plethora of educational Medicare Home Health YouTube videos regarding billing and documentation. These videos are free, short in length and very informative. They [...]

Free Medicare Hospice YouTube Videos

Free Medicare Hospice YouTube Videos National Government Services has an array of educational Medicare Hospice YouTube videos regarding billing and documentation. These videos are free, short in length and very informative. They contain [...]

Home Health Benefit

Coding and Edits

Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1

Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1 The revised Enrollment for Eligible Ordering/Certifying Physicians and Other Eligible Professionals (Form CMS-855O) is required beginning 1/1/2023. We’ll [...]

MLN Connects® Newsletter for Thursday, October 6, 2022

MLN Connects® Newsletter for Thursday, October 6, 2022​​​​​​​ News Resources & Flexibilities to Assist with Public Health Emergency in South Carolina Implementation of Inflation Reduction Act Provision Addressing Medicare Payments [...]

Billing Medicare for a Denial - Condition Code 21

Billing Medicare for a Denial - Condition Code 21 Medicare will not pay for services excluded by statute. For claims submitted to Medicare, these excluded services that are not a Medicare benefit may be: Not submitted to Medicare at all [...]

Reminder on Deleting Revenue Code Line(s) in the Fiscal Intermediary Standard System Direct Data Entry System

Reminder on Deleting Revenue Code Line(s) in the Fiscal Intermediary Standard System Direct Data Entry System This notice is to remind providers on the correct process for deleting a revenue code line in FISS DDE. If providers have claim [...]