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  • Posting Date: 06/01/2020
    MLN Connects® Special Edition for Monday, June 1, 2020

    MLN Connects® Special Edition for Monday, June 1, 2020 COVID-19: Using the CR Modifier and DR Condition Code CMS revised MLN Matters Special Edition Article SE20011 on Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on [...]

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  • Posting Date: 05/29/2020
    MLN Connects® Special Edition for Friday, May 29, 2020

    MLN Connects® Special Edition for Friday, May 29, 2020 New COVID-19 FAQs on Medicare Fee-for-Service Billing CMS released additional Frequently Asked Questions (FAQs) on our recent COVID-19-related waivers to help providers, including [...]

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  • Posting Date: 05/28/2020
    MLN Connects® for Thursday, May 28, 2020

    MLN Connects® for Thursday, May 28, 2020 COVID-19: Adjusting Operations to Manage Patient Surge MLN Connects® for Thursday, May 28, 2020 View this edition as a PDF News COVID-19: Adjusting Operations to Manage Patient Surge [...]

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  • Posting Date: 05/20/2020
    Reminder: Billing and Coding for Implantable Automatic Defibrillators

    Reminder: Billing and Coding for Implantable Automatic Defibrillators An implantable automatic defibrillator is an electronic device designed to diagnose and treat life threatening ventricular tachyarrhythmias. When you use specific ICD-10-CM [...]

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  • Posting Date: 05/19/2020
    MLN Connects® Special Edition for Tuesday, May 19, 2020

    MLN Connects® Special Edition for Tuesday, May 19, 2020 COVID-19: Payment for Lab Tests, Safely Reopening Nursing Homes, Lab & Ambulance Claims COVID-19: Payment for Diagnostic Laboratory Tests Trump Administration Issues Guidance to [...]

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  • Posting Date: 05/19/2020
    Submission Requirements for Investigational Device Exemption Claims

    Submission Requirements for Investigational Device Exemption Claims Effective for Category A and B IDE studies approved by the FDA on or after 1/1/2015, interested parties (i.e. study sponsors) seeking Medicare coverage must submit a request [...]

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  • Posting Date: 07/28/2022
    MLN Connects® Newsletter for Thursday, July 28, 2022

    MLN Connects® Newsletter for Thursday, July 28, 2022 Enhanced Nursing Home Rating System News CMS Enhances Nursing Home Rating System with Staffing & Turnover Data Clinical Laboratory Improvement Amendments Proposed Rule: Submit [...]

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  • Posting Date: 12/09/2019
    MLN Connects® Special Edition for Monday, December 9, 2019

    MLN Connects® Special Edition for Monday, December 9, 2019 HHAs: Get Help Registering for iQIES by December 23 Avoid payment delays. You need access to the upgraded Internet Quality Improvement and Evaluation System (iQIES) to submit [...]

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  • Posting Date: 12/10/2019
    MLN Connects® Special Edition for Tuesday, December 10, 2019

    MLN Connects® Special Edition for Tuesday, December 10, 2019 Most HICN Claims Reject – Regardless of Date Service Use Medicare Beneficiary Identifiers (MBIs) now to avoid claim and eligibility transaction rejects. Starting January 1, 2020, [...]

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  • Posting Date: 12/12/2019
    MLN Connects® for Thursday, December 12, 2019

    MLN Connects® for Thursday, December 12, 2019 Quality Payment Program: Your MIPS Eligibility Status MLN Connects® for Thursday, December 12, 2019 View this edition as a PDF News Open Payments: Review and Dispute Data by [...]

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  • Posting Date: 12/12/2019
    Livanta’s Memorandum of Agreement for Healthcare Providers

    Livanta’s Memorandum of Agreement for Healthcare Providers As of 6/8/2019, Livanta is the new Medicare Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for 27 states and territories, providing Medicare case [...]

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  • Posting Date: 12/12/2019
    Livanta’s Memorandum of Agreement for Healthcare Providers

    Livanta’s Memorandum of Agreement for Healthcare Providers As of 6/8/2019, Livanta is the new Medicare Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for 27 states and territories, providing Medicare case [...]

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  • Posting Date: 12/16/2019
    MLN Connects® Special Edition for Monday, December 16, 2019

    MLN Connects® Special Edition for Monday, December 16, 2019 HHAs: Avoid Payment Delays, Register for iQIES Now Why register in the upgraded internet Quality Improvement and Evaluation System (iQIES) by December 23? Claims that cannot be [...]

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  • Posting Date: 12/17/2019
    MLN Connects® Special Edition for Tuesday, December 17, 2019

    MLN Connects® Special Edition for Tuesday, December 17, 2019 New Medicare Card Transition Ends in 2 Weeks: Use MBIs Now to Get Paid January 1 The 21 month Medicare Beneficiary identifier (MBI) transition period ends in two weeks. Update your [...]

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  • Posting Date: 12/19/2019
    MLN Connects® for Thursday, December 19, 2019

    MLN Connects® for Thursday, December 19, 2019 MAC Operations: Provide Feedback at a Listening Session MLN Connects® for Thursday, December 19, 2019 View this edition as a PDF Editor's Note:  Happy holidays from the MLN [...]

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  • Posting Date: 12/23/2019
    LCD and Article Revisions: December 2019/January 2020

    LCD and Article Revisions: December 2019/January 2020 The medical policies and related articles can be found in our Medical Policy Center. LCD Revised in December and January EEG – Ambulatory Monitoring (L33399) Due to annual CPT/HCPCs [...]

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  • Posting Date: 12/24/2019
    New Version of PC-ACE: January 2020

    New Version of PC-ACE: January 2020 PC-ACE Version 4.5 contains several CMS mandates and product enhancements including but not limited to the items listed below. 10971 - Implementation of the MPA for the MD TCOC Model 11457 - October 2019 [...]

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  • Posting Date: 12/23/2019
    MLN Connects® Special Edition for Monday, December 23, 2019

    MLN Connects® Special Edition for Monday, December 23, 2019 New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1 Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use MBIs on claims (with [...]

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  • Posting Date: 12/24/2019
    New Version of PC Print: January 2020

    New Version of PC Print: January 2020 A new version of PC Print will soon be available on our website. This version contains the following enhancements: CR 11394 is to implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of [...]

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  • Posting Date: 12/27/2019
    Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020

    Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020 The Home Health Final Rule for calendar year 2020 finalized the guidelines for billing RAPs under the PDGM and some changes in the way RAPs are being [...]

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