Send
this page to a colleague
2009 Part B Medicare News Archive
December 2009
- The January 2010 Medicare Bulletin is now available - 1.04.10
- CMS and ONC Issue
Regulations Proposing a Definition of 'Meaningful Use' and Setting Standards
for Electronic Health Record Incentive Program -
12.31.09
- Upcoming North Carolina
Provider Contact Center Closure - 12.30.09
- Upcoming Idaho
Provider Contact Center Training Closure -
12.30.09
- NC - Upper Gastrointestinal
Endoscopy and ID - Diagnostic and Therapeutic Esophagogastroduodenoscopy
- Upper GI - 12.29.09
- REVISED: Instructions
Regarding Processing Claims Rejecting for Gender/Procedure Conflict - MLN
Matters PDF Document MM6638 - 12.28.09
- REVISED 01.19.2010: Positron
Emission Tomography (PET) (FDG) for Cervical Cancer - MLN
Matters PDF Document MM6753 - 12.28.09
- Payment
for Implantable Tissue Markers: Healthcare Common Procedure Coding System
(HCPCS) Code A4648 - MLN Matters PDF Document
MM6579 - 12.28.09
- Place
of Service (POS) and Date of Service (DOS) Instructions for Interpretation
of Diagnostic Tests - MLN Matters PDF Document
ME6375 - 12.28.09 -
CR6375 and
MM6375 have been RESCINDED
- Expiration of Moratorium
That Allowed Independent Laboratories to Bill for the TC of Physician
Pathology Services Furnished to Hospital Patients -
12.28.09
- Expiration of Therapy
Cap Exceptions Process - 12.28.09
- New--Special Edition
MLN Matters Article #SE0931 - Expiration of Various Payment Provisions
Under the Medicare Program - 12.28.09
- REVISED: 2010
Annual Participation Enrollment Program Extension - MLN
Matters PDF Document SE0929 - 12.28.09
- Expiration
of Various Payment Provisions Under the Medicare Program - MLN
Matters PDF Document SE0931 - 12.28.09
- January 2010 Average
Sales Price & ASP& File Is Now Available -
12.28.09
- Updated Information
Regarding the Holding of Claims for Services Paid Under The 2010
Medicare Physician Fee Schedule - 12.28.09
- RESCINDED 03.12.10
- Signatures -
12.23.09
- Administrative Simplification
Compliance Act (ASCA) 2 Year Reviews - 12.22.09
- REVISED: Claim
Status Category Code and Claim Status Code Update - MLN
Matters PDF Document MM6723 - 12.21.09
- Security Changes
for Home Health OASIS Users - 12.21.09
- Information Regarding
the Holding of Claims for Services Paid Under the 2010 Medicare Physician
Fee Schedule - 12.21.09
- FY 2010 Hospice
Wage Index and Security Changes for Home Health OASIS Users -
12.21.09
- Modification to
the Healthcare Common Procedure Coding System (HCPCS) Code Set -
12.21.09
- 2011 Physician Quality
Reporting Initiative Listening Session -
12.21.09
- Centers for Medicare & Medicaid
Services Special Open Door Forum: 2010 Physician Quality Reporting Initiative
(PQRI) and Electronic Prescribing (eRx) Incentive Programs: Group Practice
Reporting Option (GPRO) - 12.21.09
- January 2010 Average
Sales Price (ASP) File Is Now Available -
12.21.09
- Idaho Frequently
Asked Questions Webinar - 12.21.09
- North Carolina
Frequently Asked Questions Webinar - 12.21.09
- North Carolina
Comprehensive Error Rate Testing (CERT) Program Webinar -
12.21.09
- Idaho Comprehensive
Error Rate Testing (CERT) Program Webinar -
12.21.09
- 2010 Idaho Medicare
Program Updates Webinar - 12.21.09
- REVISED: Expansion
of the Current Scope of Editing for Ordering / Referring Providers for
claims processed by Medicare Carriers and Part B Medicare Administrative
Contractors (MACs) - MLN Matters PDF Document
MM6417 - 12.21.09
- REVISED: Revisions
to Consultation Services Payment Policy - MLN
Matters PDF Document MM6740 - 12.18.09
- MM6740 - Revisions
to Consultation Services Payment Policy -
12.17.09
- REVISED: MIPPA
Section 139 Teaching Anesthesiologists - MLN
Matters PDF Document MM6706 - 12.17.09
- Revisions
to Consultation Services Payment Policy - MLN
Matters PDF Document MM6740 - 12.17.09
- Ask the Contractor
(ACT) Teleconference - 12.16.09
- Claim
Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update - MLN
Matters PDF Document MM6742 - 12.16.09
- Hospice Providers:
OIG Alert - 12.16.09
- 2010 Physician Quality
Reporting Initiative (PQRI) Program Announcement -
12.15.09
- Providers Must Wait
for Medicare Claim Crossover Process to Work -
12.15.09
- A new Medicare Minute video is now available: Medicare
Fee-for-Services Billing for the Administration of the H1N1 Virus Vaccine -
12.15.09
- January
2010 Update of the Ambulatory Surgical Center (ASC) Payment System - MLN
Matters PDF Document MM6746 - 12.14.09
- REVISED 01.08.2010 Positron
Emission Tomography (PET) (FDG) for Cervical Cancer - MLN
Matters PDF Document MM6753 - 12.14.09
- CMS To Conduct Fifth
Annual Medicare Contractor Provider Satisfaction Survey -
12.11.09
- REVISED Guided Pathways
(NOV 2009) Booklets Now Available - 12.11.09
- Fiscal Year (FY)
2010 Inpatient Prospective Payment System (PPS) Personal Computer (PC)
Pricer Updated - 12.11.09
- NEW MLN Booklet — How
to Use the Medicare Coverage Database Search Tool -
12.11.09
- Attention North
Carolina & Idaho Part B Providers! Mark your calendars for the upcoming
quarterly Ask the Contractor (ACT) Teleconference -
12.11.09
- Update on the Outbound Electronic File Problem: Electronic
Remittance Advices (ERAs) created November 23, through November 30, 2009
are being resent to your Stratus Mailbox. A system issue was reported
and files have been corrected, and should be available for download beginning
the afternoon of Wednesday December 9th. We anticipate having all recreated
files sent to your mailbox by Friday December 11th. We apologize for any
inconvenience this may have caused you. - 12.09.09
- Accreditation Time
Frame for Pharmacies is January 1, 2010 -
12.08.09
- Medicare Learning
Network (MLN) Products Catalog - 12.08.09
- Requirements
to Prevent the Misuse of Modifiers PA, PB, and PC on Incoming Claims - MLN
Matters PDF Document MM6718 - 12.08.09
- 2010
Annual Update to the Therapy Code List - MLN
Matters PDF Document MM6719 - 12.08.09
- Upcoming Idaho Provider
Contact Center Training Closure - 12.07.09
- Upcoming North Carolina
Provider Contact Center Training Closure -
12.07.09
- Important Information
About Accessing 2007 Re-Run and 2008 Physician Quality Reporting Initiative
(PQRI) Feedback Reports - 12.07.09
- The 2010 Medicare Physician
Fee Schedule is now available - 12.07.09
- Outcome and Assessment
Information Set (OASIS-C): Quality Measurement and Reporting National
Provider Call with Question & Answer Session -
12.07.09
- How to Read and Understand Your Medicare
Remittance Advice (MRN)
-
12.04.09
- Tracking
the Hospice Attending Physician's National Provider Identifier (NPI)
for Validating Hospice Part B Payments - MLN
Matters PDF Document MM6540- 12.04.09
- The
December 2009 Medicare Bulletin is now available -
12.04.09
- Electronic Remittance
Advice - 12.03.09
- The following 2010 Idaho and North Carolina fee schedules are now available
under Option 3 of the Fee Schedule
page: - 12.03.09
- Ambulance
- Clinical Psychologist
- Clinical Social Worker
- 2010 Medicare Contractor
Provider Satisfaction Survey (MCPSS) - 12.02.09
- Mini-Poster To Help
Educate Medicare Beneficiaries About Flu Vaccines -
12.02.09
- The Revised Hospice
Payment System Fact Sheet - 12.02.09
- Ambulance
Inflation Factor (AIF) for Calendar Year (CY) 2010 - MLN
Matters PDF Document MM6631 - 12.02.09
- Quarterly
Update to Correct Coding Initiative (CCI) Edits, Version 16.0, Effective
January 1, 2010 - MLN Matters PDF Document
MM6728 - 12.02.09
- Annual
Update of HCPCS Codes Used for Home Health (HH) Consolidated Billing
Enforcement - MLN Matters PDF Document MM6662 -
12.02.09
- The 2010 Anesthesia Conversion
Factors for Idaho and North Carolina are now available under Option
3 of the Fee Schedule page - 12.02.09
- The 2010 Immunizations Vaccines
Fee Schedules for Idaho and North Carolina are now available under
Option 3 of the Fee Schedule page - 12.02.09
- The 2010 Chiropractic Fee
Schedules for Idaho and North Carolina are now available under Option
3 of the Fee Schedule page - 12.02.09
- 2010 Healthcare Common
Procedure Coding System (HCPCS) Update -
12.01.09
November 2009
- Upcoming North
Carolina Contact Center Training Closure -
11.30.09
- Upcoming Idaho
Provider Contact Center Training Closure -
11.30.09
- New
Waived Tests - M6685 - MLN Matters PDF
Document MM6685 -11.30.09
- Revised:
Therapy Cap Values for Calendar Year (CY) 2010 - MLN
Matters PDF Document MM6606 - 11.30.09
- Outcome and Assessment
Information Set (OASIS-C) National Provider Call with Question & Answer
Session - 11.30.09
- Suggestions for
Potential 2011 Physician Quality Reporting Initiative Quality Measures
and/or Measures Groups - 11.24.09
- Delay in Implementing
Phase 2 of CRs 6417 and 6421 - 11.24.09
- Medicare Home
Health Prospective Payment System Outlier Policy FAQs -
11.24.09
- MIPPA
Section 139 Teaching Anesthesiologists - MLN
Matters PDF Document MM6706 - 11.24.09
- Message for Providers
on H1N1 Outreach - 11.24.09
- Tips to Consider
When Performing a Self-Audit of Evaluation & Management Services -
11.24.09
- Physician and
Non-Physician Practitioners: Validation of NPI in PECOS Enrollment
Now Available on the IVR - 11.24.09
- 2010 Medicare
Physician Fee Schedule (MPFS) Update/Disclosure and Extension of
the Annual Participation Enrollment Program -
11.23.09
- Upcoming Idaho
Provider Contact Center Closure - 11.20.09
- Upcoming North
Carolina Provider Contact Center Closure -
11.20.09
- Until further notice, CMS has advised that the hard copy paper Fee
Schedules are currently unavailable. Requests for hard copy disclosures
will be completed as soon as they are available. CGS will post the
latest fee schedules to the Part
B Fee Schedules page as soon as they are available. -
11.20.09
- Five-Star Quality
Rating System – November News -
11.19.09
- Retirement of
PET Scan Articles - 11.19.09
- 2010 Annual Participation
Enrollment Program Extension - 11.19.09
- HHS Employs New
Tougher Standards in Calculation of Improper Medicare Payment Rates
for 2009 - 11.19.09
- Idaho Webinar:
E-Prescribing Incentive Program -
11.19.09
- 2010
Annual Participation Enrollment Program Extension - MLN
Matters PDF Document SE0929 - 11.18.09
- Outpatient
Mental Health Treatment Limitation - MLN Matters
PDF Document MM6686 - 11.18.09
- January
2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files - MLN
Matters PDF Document MM6708 - 11.18.09
- Claim
Status Category Code and Claim Status Code Update - MLN
Matters PDF Document MM6723 - 11.18.09
- Calendar
Year (CY) 2010 Fee Schedule Update for Durable Medical Equipment,
Prosthetics, Orthotics and Supplies (DMEPOS) - MLN
Matters PDF Document MM6720 - 11.18.09
- Ambulance
Services - MLN Matters PDF Document MM6707 -
11.18.09
- Update
to Medicare Deductible, Coinsurance, and Premium Rates for 2010 - MLN
Matters PDF Document MM6690 - 11.18.09
- Therapy
Cap Values for Calendar Year (CY) 2010 - MLN
Matters PDF Document MM6660 - 11.18.09 -
Note: The previous change request and article have been revised.
- Intravitreal Avastin -
11.18.09
- Healthcare Common
Procedure Coding System (HCPCS) Code Q2024 for Small Dose Bevacizumab
(Avastin®) – Provider Instructions -
11.18.09
- November 19th is
the Great American Smokeout! - 11.16.09
- Reminder - ICD-10-CM/PCS
National Provider Conference Call - 11.16.09
- Medicare Paid Over
$92 Million in Incentives for 2008 Under the Physician Quality Reporting
Initiative - 11.16.09
- Centers for Medicare & Medicaid
Services Special Open Door Forum: 2009 Physician Quality Reporting
Initiative (PQRI) Program with the American College of Emergency
Physicians (ACEP)/CEP America - 11.12.09
- Changes
to the Laboratory National Coverage Determination (NCD) Edit Software
for January 2010 - MLN Matters PDF Document
MM6717 - 11.11.09
- Reminders for submitting
documentation - 11.11.09
- Ensuring
the Denial of Claims for Ambulance Services Rendered to Beneficiaries
in Part A Skilled Nursing Facility Stays - MLN
Matters PDF Document MM6700 - 11.11.09
- Instructions
for Processing Claims Containing Anti-Markup Services but with Partial
Information Completed in Item 20 of the CMS-1500 Claim Form - MLN
Matters PDF Document MM6670 - 11.11.09
- Outcome and Assessment
Information Set (OASIS-C) National Provider Call with Question & Answer
Session - 11.10.09
- Customer Alert: CGS
updates processes for receiving faxed information -
11.10.09
- How to Access 2007
Re-Run and 2008 Physician Quality Reporting Initiative (PQRI) Feedback
Reports - 11.09.09
- Information Discussion
from Department of Health and Human Services on H1N1 -
11.09.09
- 2010 Medicare Physician
Fee Schedule (MPFS) - 11.09.09
- 2009 Physician Quality
Reporting Initiative National Provider Call with Question & Answer
Session - 11.05.09
- ICD-10-CM/PCS Medicare
Severity - Diagnosis Related Group Conversion Project National Provider
Conference Call - 11.05.09
- Validating
the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier - MLN
Matters PDF Document MM6683 - 11.05.09
- Medicare Policy
Regarding Replacement of Oxygen Equipment Lost as a Result of Supplier
Bankruptcy - 11.05.09
- LCD for Non-Invasive
Vascular Testing Revised - 11.05.09
- Information Discussion
from Department of Health and Human Services on H1N1 -
11.05.09
- Instructions
Regarding Processing Claims Rejecting for Gender/Procedure Conflict - MLN
Matters PDF Document MM6638 - 11.04.09
- New
Physician Specialty Code for Geriatric Psychiatry - MLN
Matters PDF Document MM6533 - 11.04.09
- The
November 2009 Medicare Bulletin is now available -
11.04.09
- Publishing Update
for Minimum Data Set (MDS) 3.0 Data Item Set, Data Specifications,
and Resident Assessment Instrument (RAI) Manual - 11.03.09
- November is American
Diabetes Month - 11.03.09
- CMS Announces Policy
and Payment Updates for Medicare Home Health - 11.03.09
- Centers for Medicare & Medicaid
Services (CMS) Updates Medicare Hospice Statistics - 11.03.09
- Outcome and Assessment
Information Set (OASIS-C) National Provider Call with Question & Answer
Session - 11.03.09
- REVISED: Surgery
for Diabetes National Coverage Determination (NCD) - MLN
Matters PDF Document MM6419 - 11.03.09
- Reasonable
Charge Update for 2010 for Splints, Casts, Dialysis Supplies, Dialysis
Equipment, and Certain Intraocular Lenses - MLN
Matters PDF Document MM6691 - 11.03.09
- CMS Announces Payment,
Policy Changes for Physicians' Services to Medicare Beneficiaries
in 2010 - 11.02.09
- CMS Adopts Policy,
Payment Rate Changes for Services in Hospital Outpatient Departments
and Ambulatory Surgical Centers for 2010 -
11.02.09
- H1N1 - Requesting
an 1135 Waiver - 11.02.09
- The 4th Quarter
2009 Customer Service Frequently Asked Questions have been posted. -
11.02.09
October 2009
September 2009
August 2009
- REVISED: SE0916 – Medicare
Parts A and B Coverage and Prior Authorization - MLN
Matters PDF Document SE0916 - 08.31.09
- The Centers for
Medicare & Medicaid Services (CMS) Updates Ambulatory Surgery Center
Payment Information for Value-Driven Health Care -
08.31.09
- ICD-10-CM/PCS Bookmark - 08.31.09
- Registration System
and Help Desk Closed Labor Day Weekend - 08.31.09
- Medicare Fee-for-Service
Emergency Preparedness Questions and Answers - 08.31.09
- REVISED: Upcoming
Provider Contact Center Training Closure - 08.28.09
- Important Update
on Status of the Revised HHABN, Form CMS-R-296 - 08.27.09
- New
Waived Tests - MLN Matters PDF Document MM6570 - 08.26.09
- Special Open Door
Forum: DMEPOS Competitive Bidding Program Bidders' Conference: -
08.26.09
- Health Care Provider
Taxonomy Code Set - 08.25.09
- ICD-10-CM/PCS:
An Introduction Fact Sheet - 08.25.09
- 5010: Taking EDI
to the Next Level Second National Medicare Fee-For-Service (FFS) Education
Call on HIPAA Version 5010 - 08.25.09
- 5010: Taking EDI
to the Next Level Third National Medicare Fee-For-Service (FFS) Education
Call on HIPAA Version 5010 - 08.24.09
- "Analysis
of 2006-2007 Home Health Case-Mix Change" Final Report - 08.24.09
- CORRECTION: Appropriate
Use of Modifier 50 and Add-On Current Procedural Terminology Codes
(CPT) for Facet Joint Injection Services - MLN
Matters PDF Document MM6518 - 08.24.09
- REVISED: Medicare
Claims Processing Manual Clarifications for Skilled Nursing Facility
(SNF) and Therapy Billing - MLN Matters PDF
Document MM6407 - 08.24.09
- Clinical
Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection
of Specimens - MLN Matters PDF Document MM6524 - 08.24.09
- October
2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files - MLN
Matters PDF Document MM6585 - 08.24.09
- Upcoming Provider
Contact Center Training Closures - 08.21.09
- Upcoming North
Carolina Provider Contact Center Training Closure - 08.21.09
- Vice President
Biden Announces Availability of Nearly $1.2 Billion in Grants to Help
Hospitals and Doctors Use Electronic Health Records - 08.21.09
- Medicare Demonstrations
Show Paying for Quality Health Care Pays Off - 08.21.09
- Electronic Health
Records and the 21st Century Health Care System: A Message from Dr.
David Blumenthal, National Coordinator for Health Information Technology - 08.21.09
- Calendar Year (CY)
2009 Home Health PPS (HH PPS) Personal Computer (PC) Pricer Update - 08.21.09
- Additional
Instructions on Processing Claims for Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS) Items Submitted Under the Guidelines
Established in Change Request (CR) 5917 - MLN
Matters PDF Document MM6573 - 08.20.09
- Legible Identifier
(Signature) Requirements for Appropriate Billing to Medicare - 08.20.09
- Reporting
Non-Tax Withholding Due to Federal Payment Levy Program (FPLP) - MLN
Matters PDF Document MM6228 - 08.20.09
- Revised Skilled
Nursing Facility Prospective Payment System Fact Sheet - 08.19.09
- 2010
Annual Update for the Health Professional Shortage Area (HPSA) Bonus
Payments - MLN Matters PDF Document MM6581 - 08.19.09
- 2009 Physician
Quality Reporting Initiative National Provider Call with Question & Answer
Session - 08.19.09
- The
Use of the CR Modifier and DR Condition Code on Disaster/Emergency-Related
Claims - MLN Matters PDF Document MM6451 - 08.18.09
- Information Exchange
with HHS on H1N1 Healthcare System Preparedness and Response - 08.18.09
- REVISED: Appropriate
Use of Modifier 50 and Add-On Current Procedural Terminology Codes
(CPT) for Facet Joint Injection Services - MLN
Matters PDF Document MM6518 - 08.17.09
- Diabetes
Self-Management Training (DSMT) Certified Diabetic Educator - MLN
Matters PDF Document MM6510 - 08.17.09
- Important Reminders
for Tennessee Providers - 08.17.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closure -
08.14.09
- Upcoming North
Carolina Provider Contact Center Training Closure -
08.14.09
- Rural Provider
Workshops Coming to Southern and Southeastern North Carolina! -
08.14.09
- Important Reminder
for Idaho Providers- Upcoming Payment Floor Drop and Dark Days -
08.13.09
- CMS Seeks Experts
for Developing Measures about Transitions of Care -
08.12.09
- Follow-Up: Internet
Only Manuals Not Available -
08.12.09
- Internet Only Manuals
Not Available - 08.12.09
- August is Immunization
Awareness Month! - 08.11.09
- New from the Medicare
Learning Network - 08.11.09
- Medicare Provider
Enrollment Reminder - 08.11.09
- Medicare Provider
Enrollment Reminder for Suppliers of Durable Medical Equipment, Prosthetics,
Orthotics and Supplies - 08.11.09
- Department of Health & Human
Services (HHS) Delegates Authority for the Health Insurance Portability & Accountability
Act of 1996 (HIPAA) Security Rule to Office for Civil Rights - 08.11.09
- Four DMEPOS Message
Reminders - 08.11.09
- ICD-10-CM/PCS Publications - 08.11.09
- 2009 Physician
Quality Reporting Initiative National Provider Call with Question & Answer
Session- 08.11.09
- RESCINDED: Manual
Update to Include Billing Instructions for Professional Component (PC)
and Technical Component (TC) in Regards to One Line Global Billing
for Pathology Services - MLN Matters PDF
Document MM6457 - 08.10.09
- Guidance
on Using Internet-based Provider Enrollment, Chain and Ownership System
(PECOS) - MLN Matters PDF Document SE0914 - 08.10.09
- Quarterly
Update to Correct Coding Initiative (CCI) Edits, Version 15.3, Effective
October 1, 2009 - MLN Matters PDF Document
MM6587 - 08.10.09
- Fractional
Mileage Amounts Submitted on Ambulance Claims - MLN
Matters PDF Document MM6543 - 08.10.09
- Additional Clarification
of Physician Signature - 08.07.09
- Important J10 Transition
Information for Tennessee Providers Regarding Sending Refunds to Medicare - 08.07.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures - 08.07.09
- Upcoming North
Carolina Provider Contact Center Training Closure - 08.07.09
- The August 2009 Medicare
Bulletin is now available - 08.05.09
- Telehealth
Services in Indian Health Service (IHS) or Tribal Providers - MLN
Matters PDF Document MM6493 - 08.05.09
- Telehealth Services
Fact Sheet - 08.04.09
- Rural Provider
Workshops Coming to Northern and Northeastern North Carolina! -
08.04.09
- NPPES Update Announcement
for Physicians - 08.04.09
- 2009
Durable Medical Equipment Prosthetics, Orthotics, and Supply (DMEPOS)
Healthcare Common Procedure Coding System (HCPCS) Codes Jurisdiction
List - MLN Matters PDF Document MM6522 -
08.04.09
- CMS Announces Final
Wage Index Changes For The Medicare Hospice Benefit -
08.04.09
- Revised National
Correct Coding Initiative (NCCI) Edits for Physicians File -
08.03.09
- North Carolina
Telephone Reopenings Webinar - 08.03.09
- Important J10
Transition Information for Tennessee Providers Regarding EDI Applications -
08.01.09
July 2009
- Special "Dark
Days" Ask the Contractor Teleconference (ACT) for Idaho Providers -
07.31.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
07.31.09
- Upcoming North
Carolina Provider Contact Center Training Closure -
07.31.09
- MLN Article Revised 09/21/2009: Wrong
Surgical or Other Invasive Procedure Performed on a Patient; Surgery
or Other Invasive Procedure Performed on the Wrong Body Part; and Surgical
or Other Invasive Procedure Performed on the Wrong Patient - MLN
Matters PDF Document MM6405 - 07.29.09
- Stratus Password
Changes - 07.28.09
- Tennessee Ask the
Contractor Teleconference - J10 Transition (Including Changes to Payment
Floor) - 07.28.09
- Transcript Summaries
- Introduction to ICD-10-CM/PCS for Physician Specialty Group Representatives
Conference Call - 07.28.09
- RESCINDED: CR6457 - Manual Update to Include Billing Instructions for
Professional Component PC) and Technical Component (TC) in Regards to
One Line Global Billing for Pathology Services NOTE: CR 6457, sent
via CI-6006, on May 22, 2009 is rescinded and will not be replaced at
this time. - 07.28.09
- 2009
Reminder for Roster Billing and Centralized Billing for Influenza and
Pneumococcal Vaccinations - MLN Matters PDF
Document MM6539 - 07.28.09
- Important J10 Transition
Information for Tennessee Providers - 07.27.09
- Rural Provider Workshops
Coming to Northern and Northeastern North Carolina! -
07.27.09
- Attention Idaho
Part B Medicare Providers: Important Information About Dark Days -
07.24.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
07.24.09
- Upcoming North
Carolina Provider Contact Center Closure -
07.24.09
- New Interest Rates
Prompt Payment Interest Rate - 07.24.09
- Sleep
Testing for Obstructive Sleep Apnea (OSA) -
MLN Matters PDF Document MM6534 - 07.23.09
- 3rd Quarter 2009
Part B Customer Service Frequently Asked Questions -
07.23.09
- Changes
to the Laboratory National Coverage Determination (NCD) Edit Software
for October 2009 - MLN Matters PDF Document
MM6548 - 07.23.09
- Medicare
Contractor Annual Update of the International Classification of Diseases,
Ninth Revision, Clinical Modification (ICD-9-CM) -
MLN Matters PDF Document MM6520 - 07.21.09
- Medicare Learning
Network (MLN) Video Now Available for Download -
07.21.09
- CMS' Dedicated
Website for Information & Education on Versions 5010, D.0 and 3.0
Now Available! 5010: Taking EDI to the Next Level -
07.20.09
- Medicare Remit
Easy Print (MREP) Software Codes Update -
07.20.09
- Now Available -
Report on Health Care Costing: Data, Methods, Future Directions -
07.20.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
07.17.09
- Upcoming North
Carolina Provider Contact Center Closure -
07.17.09
- The Summer 2009 EDI
Connection is now available - 07.17.09
- Coding
and Reporting Principles for the Physician Quality Reporting Initiative
(PQRI) and the Electronic Prescribing (E-Prescribing) Incentive Programs -
MLN Matters PDF Document MM6514 - 07.17.09
- New Medicare Nursing
Home Guidelines for Quality of Life and Environment Requirements Conference
Call on Friday, July 17, 2009 - 07.16.09
- Upcoming North
Carolina Provider Contact Center Closure -
07.15.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
07.15.09
- REVISED: Placement
of a List of Diagnostic Tests that are Considered End Stage Renal Disease
(ESRD) Related in Publication 100-04, Chapter 16 -
MLN Matters PDF Document MM6515 - 07.15.09
- Feraheme™ (Ferumoxytol)
Injection - 07.15.09
- The 3rd Quarter 2009 Part
B Not Otherwise Classified Drug Fee Schedule has been updated -
07.14.09
- Five-Star Quality
Rating System - July News - 07.14.09
- Take
Action Now to Prepare for the Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies Competitive Bidding Program -
MLN Matters PDF Document SE0915 - 07.13.09
- Centers for Medicare & Medicaid Services Special Open Door Forum: Quality
Improvement Organizations: Next Steps towards Transforming Beneficiary
Protection - 07.13.09
- New Ratings for
America's Hospitals Now Available on Hospital Compare Website -
07.13.09
- CMS Expands Information
for Consumers About Outcomes of Care in America's Hospitals -
07.13.09
- The Medicare Durable
Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive
Bidding Program Round 1 Rebid is Coming Soon! -
07.13.09
- DMEPOS Supplier
Accreditation and Surety Bond Requirement Deadlines Coming In October -
07.13.09
- Revised Clinical
Laboratory Improvement Amendment Brochure -
07.13.09
- Rural Provider
Workshops Coming to Northern and Northeastern North Carolina! -
07.10.09
- Medicare 102 Webinar/Teleconference -
07.10.09
- ICD-10-Clinical
Modification (CM)/Procedure Coding System (PCS) Educational Products
from the Medicare Learning Network (MLN) -
07.09.09
- REVISED: Review
of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
(DMEPOS) - MLN Matters PDF Document MM6468 -
07.08.09
- New and Revised
Medicare Learning Network Publications -
07.07.09
- Revised National
Correct Coding Initiative (NCCI) Edits for Physicians from July 1st -
07.07.09
- REVISED: Billing
Routine Costs of Clinical Trials - MLN Matters
PDF Document MM6431 - 07.07.09
- MLN Article Revised 09/21/2009: Wrong
Surgical or Other Invasive Procedure Performed on a Patient; Surgery
or Other Invasive Procedure Performed on the Wrong Body Part; and Surgical
or Other Invasive Procedure Performed on the Wrong Patient -
MLN Matters PDF Document MM6405 - 07.07.09
- Physician Signature
Clarification - 07.07.09
- REVISED: Expansion
of the Current Scope of Editing for Ordering/Referring Providers for
claims processed by Medicare Carriers and Part B Medicare Administrative
Contractors (MACs) - MLN Matters PDF Document
MM6417 - 07.06.09
- Revisions
to Certain Items in CMS Change Request 6310 -
MLN Matters PDF Document MM6491 - 07.06.09
- Claim
Status Category Code and Claim Status Code Update -
MLN Matters PDF Document MM6525 - 07.06.09
- Get Ready for DMEPOS
Competitive Bidding! - 07.06.09
- DMEPOS Supplier
Accreditation and Surety Bond Requirement Deadlines Coming In October -
07.06.09
- Proposed DMEPOS
Regulatory Updates - 07.06.09
- CMS Proposes Policy,
Payment Rate Changes for Services in Hospital Outpatient Departments
and Ambulatory Surgical Centers in 2010 -
07.06.09
- Healthcare Common
Procedure Coding System (HCPCS) Quarterly Update -
07.06.09
- LCD for Skin Lesion Removal Revised -
07.02.09
- The July 2009 Medicare
Bulletin is now available - 07.02.09
- The 3rd Quarter 2009 Not Otherwise Classified Drug Fee Schedule and
Payment Allowance Limits for Medicare Part B Drugs are now available
under Option 3 of the Fee Schedule
page - 07.01.09
- The 3rd Quarter 2009 ASC
Drug Fee Schedule has been posted and the 1st Quarter 2009 schedule
has been revised - 07.01.09
- Rural Provider
Workshops Coming to Western North Carolina! -
07.01.09
June 2009
- MLN Article Revised 09/21/2009: Wrong
Surgical or Other Invasive Procedure Performed on a Patient; Surgery
or Other Invasive Procedure Performed on the Wrong Body Part; and Surgical
or Other Invasive Procedure Performed on the Wrong Patient -
MLN Matters PDF Document MM6405 - 06.30.09
- LCD for Skin Lesion
Removal Revised - 06.30.09
- Expiration of Medicare
Processing of Certain Indian Health Service (IHS) Part B Claims -
06.30.09
- Expiration
of Medicare Processing of Certain Indian Health Service (IHS) Part
B Claims - Sunset of Section 630 of the Medicare Modernization Act
(MMA) of 2003 for Payment of Indian Health Services (IHS) -
MLN Matters PDF Document SE0912 - 06.29.09
- CMS Website on
Recovery Act and Health Information Technology Now Available! -
06.29.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
06.26.09
- Upcoming North
Carolina Provider Contact Center Closure -
06.26.09
- New Idaho Webinars -
06.26.09
- Urgent Important
Alert for All CIGNA Government Services' Medicare Providers -
06.25.09
- CERT (Comprehensive
Error Rate Testing): Insufficient Documentation & Medical Necessity
Errors - 06.25.09
- Healthcare Common
Procedure Coding System; HCPCS Code Q4115 (Skin substitute, alloskin,
per square centimeter) - 06.24.09
- 2009 Physician
Quality Reporting Initiative (PQRI) Program Reminder -
06.24.09
- REVISED: July
2009 Update to the Ambulatory Surgical Center (ASC) Payment System;
Summary of Payment Policy Changes - MLN Matters
PDF Document MM6496 - 06.24.09
- Concerning Crossover
Claims - 06.23.09
- Medicare Dependent
Hospital Fact Sheet - 06.23.09
- Get Ready for DMEPOS
Competitive Bidding! - 06.22.09
- Reassignment
and Ambulatory Surgical Centers (ASCs) -
MLN Matters PDF Document MM6470 - 06.22.09
- Rural Provider
Workshops Coming to Western North Carolina! -
06.19.09
- Important Information
for Idaho Providers - 06.19.09
- ICD-10-CM/PCS Implementation
and GEMs Conference Call Transcripts - 06.18.09
- *Scam Alert* -
06.18.09
- Revised Rural
Referral Center Fact Sheet (April 2009) -
06.17.09
- 2009 Physician
Quality Reporting Initiative (PQRI) Reporting Qualified Registries
Announcement - 06.17.09
- FDA Consumer Alert:
Warning Consumers of a Tainted Skin Sanitizer -
06.17.09
- Revised Certificate
of Medical Necessity (CMN) Web-Based Training Course -
06.17.09
- Revised Rural Health
Fact Sheets - 06.17.09
- July 2009 Average
Sales Price (ASP) Files Are Now Available -
06.17.09
- June 15th-21st
is National Men's Health Week and June 21st is Father's Day! -
06.16.09
- North Carolina
Part B Summer 2009 Rural/Small Provider Workshops -
06.15.09
- Important Information
Concerning Crossover Claims Impacted by Common Working File (CWF) Pacific
Host Site Problem - 06.15.09
- Clarification
for Billing Part B versus Part D for the Anti-emetic Aprepitant (Emend®) -
MLN Matters PDF Document SE0910 - 06.15.09
- Information for
Eligible Professionals Who Participated in the 2007 Physician Quality
Reporting Initiative (PQRI) - 06.15.09
- The Medicare Durable
Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive
bidding program Round 1 Rebid is coming soon! -
06.15.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
06.12.09
- Upcoming North
Carolina Provider Contact Center Closure -
06.12.09
- North Carolina Draft Local Coverage Determination: The
draft version of the Paravertebral Facet Joint Nerve Block/Denervation
and Sacroiliac Joint Injection Local Coverage Determinations is now
available. - 06.11.09
- Healthcare Common
Procedure Coding System (HCPCS) Coding Decision and Preliminary Medicare
Payment Decision for Negative Pressure Wound Therapy (NPWT) Devices -
06.11.09
- Tennessee Draft Local Coverage Determinations: The
draft version of the Skin Substitutes Local Coverage Determinations
is now available. - 06.10.09
- Idaho Draft Local Coverage Determinations: Draft
versions of the Skin Substitutes, Cataract Extraction Surgery, and
K-ras Testing Required Before Epidermal Growth Factor Receptor Antibody
Use in Colorectal Cancer Codes Local Coverage Determinations are now
available. - 06.10.09
- North Carolina Draft Local Coverage Determinations: Draft
versions of the Skin Substitutes, Cataract Extraction Surgery, and
K-ras Testing Required Before Epidermal Growth Factor Receptor Antibody
Use in Colorectal Cancer Codes Local Coverage Determinations are now
available. - 06.10.09
- New
Drug/Biological Health Care Procedure Code System (HCPCS) Codes for
July 2009 Update - MLN Matters PDF Document
MM6477 - 06.10.09
- Manual
Update to Include Billing Instructions for Professional Component (PC)
and Technical Component (TC) in Regards to One Line Global Billing
for Pathology Services - MLN Matters PDF
Document MM6457 - 06.10.09
- New
Waived Tests - MLN Matters PDF Document
MM6459 - 06.10.09
- 2009 Physician
Quality Reporting Initiative National Provider Call with Question & Answer
Session - 06.10.09
- July
Quarterly Update for 2009 for Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) - MLN Matters
PDF Document MM6511 - 06.10.09
- 2007 Physician
Quality Report Initiative Program Re-Run Frequently Asked Questions -
06.09.09
- National Cancer
Survivors Day - 06.09.09
- Revised Rural Health
Fact Sheets - 06.09.09
- Get Ready for DMEPOS
Competitive Bidding! - 06.09.09
- North Carolina
Open Pre-Carrier Advisory Committee Meeting -
06.09.09
- Upcoming Provider
Contact Center Training Closures - Tennessee/Idaho -
06.05.09
- Upcoming North
Carolina Provider Contact Center Closure -
06.05.09
- Comprehensive Error
Rate Testing (CERT) Program Physician Signatures -
06.05.09
- The June 2009 Medicare
Bulletin is now available - 06.05.09
- REVISED: Discontinuance
of the Unique Physician Identification Number (UPIN) Registry -
MLN Matters PDF Document MM5584 - 06.04.09
- July
Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) -
MLN Matters PDF Document MM6484 - 06.04.09
- North Carolina -
Upper Gastrointestinal Endoscopy LCD - (Revised) - 06.03.09
- Claim
Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update -
MLN Matters PDF Document MM6453 - 06.03.09
- July
2009 Update to the Ambulatory Surgical Center (ASC) Payment System;
Summary of Payment Policy Changes - MLN Matters
PDF Document MM6496 - 06.03.09
- Ask the Contractor
Teleconference on Section 1011 - 06.03.09
- Second in Series:
General Equivalence Mappings - ICD-9-CM to and from ICD-10-CM and ICD-10-PCS
Fact Sheet - 06.03.09
- CMS to Host First
National Medicare Fee-For-Service (FFS) Provider Education Call on
HIPAA Version 5010 - June 9, 2009 - 06.03.09
- PET Myocardial
Perfusion Scans - 06.03.09
- REVISED: Billing
Routine Costs of Clinical Trials - MLN Matters
PDF Document MM6431 - 06.03.09
- REVISED: Expansion
of the Current Scope of Editing for Ordering/Referring Providers for
claims processed by Medicare Carriers and Part B Medicare Administrative
Contractors (MACs) - MLN Matters PDF Document
MM6417 - 06.03.09
- RESCINDED: Influenza
Pandemic Emergency -- The Medicare Program Prepares -
MLN Matters PDF Document SE0836 - 06.03.09
- NC/ID ACT Announcement - 06.02.09
- New Idaho Webinars - 06.02.09
- The 1st and 2nd 2009 Quarter
Not Otherwise Classified Drug Fee Schedules have been updated - 06.02.09
- Get Ready for Competitive
Bidding! - 06.01.09
- Quarterly
Update to Correct Coding Initiative (CCI) Edits, Version 15.2, Effective
July 1, 2009 - MLN Matters PDF Document MM6469 - 06.01.09
- A Drop-In Item for
Your Membership News Vehicles Regarding Medicare Contractor Listservs - 06.01.09
- DMEPOS Supplier
Accreditation – Time is Running Out! - 06.01.09
- Tennessee-only Ask
the Contractor Teleconference - 06.01.09
- REVISED: Expansion
of the Current Scope of Editing for Ordering/Referring Providers for
claims processed by Medicare Carriers and Part B Medicare Administrative
Contractors (MACs) - MLN Matters PDF Document
MM6417 - 06.01.09
- REVISED: Billing
Routine Costs of Clinical Trials - MLN Matters
PDF Document MM6431 - 06.01.09
- Final Agenda for
the Next Meeting of the Program Advisory and Oversight Committee (PAOC) - 06.01.09
May 2009
April 2009
March 2009
- ICD-10-CM/PCS Conference
Call Transcripts - 03.31.09
- RESCINDED: MM6211
- Instructions for Utilizing 837 Professional Claim Adjustment (CAS)
Segments for Medicare Secondary Payer (MSP) Part B Claims - 03.31.09
- A Drop-In Item for
Your Membership News Vehicles - 03.30.09
- 2009 Physician Quality
Reporting Initiative National Provider Call with Question & Answer
Session - 03.30.09
- Upcoming Provider
Contact Center Training Closures - 03.27.09
- Upcoming North Carolina
Provider Contact Center Closure - 03.27.09
- Stratus Modem Updates - 03.27.09
- Incorporation
of Physician Fee Schedule Regulatory Changes into Chapter 10 of the
Program Integrity Manual (PIM) - MLN Matters
PDF Document MM6310 - 03.26.09
- REVISED: Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier
Accreditation - SE0903 - MLN Matters PDF
Document SE0903 - 03.26.09
- Health Care Provider
Taxonomy Code Set - 03.26.09
- DMEPOS Supplier
Accreditation – Time is Running Out Deadline is September 30,
2009 - 03.26.09
- CDC Updates for
Clinicians -
03.26.09
- CDC Health Advisory:
Invasive Haemophilus influenzae Type B Disease in Young Children and
Importance for All Young Children to Receive 3 Dose Primary Series
with Available Hib-containing Vaccine -
03.26.09
- REVISED: New
Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers'
Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional
Payments - MLN Matters PDF Document MM5371 - 03.26.09
- Program
Overview: 2009 Physician Quality Reporting Initiative (PQRI) And The
2009 Electronic Prescribing (E-Prescribing) Incentive Program -
MLN Matters PDF Document MM6394 - 03.26.09
- Department of Health & Human
Services (HHS) Makes $268 Million in Recovery Act Funding Available
to Support Hospitals - 03.24.09
- April
2009 Update to the Ambulatory Surgical Center (ASC) Payment System;
Summary of Payment Policy Changes/Manual Revisions -
MLN Matters PDF Document MM6424 - 03.23.09
- MLN Matters Article
Now Available On DMEPOS Accreditation! -
03.23.09
- Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier
Accreditation - MLN Matters PDF Document
SE0903 - 03.20.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
03.20.09
- Upcoming North Carolina
Provider Contact Center Closure - 03.20.09
- Centers for Medicare & Medicaid
Services Special Open Door Forum: Nursing Home Value-Based Purchasing
Demonstration - 03.18.09
- Five-Star Quality
Rating System - 03.18.09
- Important Notice to Providers: AED
Recall - 03.18.09
- March 24th is Diabetes
Alert Day - 03.17.09
- Update on Final
Rules Regarding ICD-10 Code Sets and Standards Governing Electronic
Transactions - 03.17.09
- Preparing for a
Transition from an FI/Carrier to a Medicare Administrative Contractor
(MAC) - 03.17.09
- Quarterly
Update to Correct Coding Initiative (CCI) Edits, Version 15.1, Effective
April 1, 2009 - MLN Matters PDF Document
MM6388 - 03.17.09
- Updates
to the Medicare Claims Processing Manual (Publication 100-04), Chapter
15, Ambulance Services - MLN Matters PDF
Document MM6347 - 03.17.09
- REVISED: Heartsbreath
Test for Heart Transplant Rejection - MLN
Matters PDF Document MM6366 - 03.16.09
- Disclosure
of Physician Ownership in Hospitals - MLN
Matters PDF Document MM6306 - 03.16.09
- National Patient
Safety Awareness Week - March 8-14, 2009 -
03.16.09
- REVISED: Preparing
for a Transition from an FI/Carrier to a Medicare Administrative Contractor
(MAC) - MLN Matters PDF Document SE0837 -
03.16.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
03.13.09
- Upcoming North Carolina
Provider Contact Center Closure - 03.13.09
- REVISED: Outpatient
Therapy Caps with Exceptions in Calendar Year (CY) 2009 -
MLN Matters PDF Document MM6321 - 03.12.09
- March 12th is
World Kidney Day - 03.12.09
- Centers for Medicare & Medicaid
Services Announces New Webpage on the Electronic Prescribing Incentive
Program (E-Prescribing) - 03.11.09
- DMEPOS Supplier
Accreditation – Get It Now - 03.10.09
- Section 1011: Ask
the Contractor Teleconference on March 26, 2009 -
03.10.09
- New
Waived Tests - MLN Matters PDF Document MM6287 -
03.10.09
- New Part B EDI Customer
Profile - 03.10.09
- Physician Documentation
Requirements - Blood Glucose Strips and Lancets -
03.10.09
- Revised Outpatient
Maintenance Dialysis - End-Stage Renal Disease Fact Sheet -
03.10.09
- March is National
Colorectal Cancer Awareness Month! - 03.10.09
- Special Open Door
Forum: 2009 Physician Quality Reporting Initiative with the American
College of Cardiology - 03.10.09
- 2009 Physician Quality
Reporting Initiative National Provider Question & Answer Session -
03.09.09
- Idaho Webinars:
Common Claim Submission Errors and Medicare Updates -
03.09.09
- Instructions
for the Implementation of the Internet-Based Provider Enrollment, Chain
and Ownership System (PECOS) - MLN Matters
PDF Document MM6231 - 03.09.09
- April
Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) - MLN
Matters PDF Document MM6397 - 03.09.09
- Upcoming Change
to Provider Enrollment's Telephone Number Effective April 6, 2009 -
03.09.09
- Upcoming Provider
Contact Center Training Closures - 03.06.09
- Upcoming North Carolina
Provider Contact Center Closure - 03.06.09
- Special Open Door:
Surety Bond Requirement for Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS) Suppliers -
03.05.09
- Revised Acute Inpatient
Prospective Payment System Fact Sheet -
03.05.09
- Outpatient
Therapy Caps with Exceptions in Calendar Year (CY) 2009 - MLN
Matters PDF Document MM6321 - 03.05.09
- Important
Information for Providers Serving Medicare Beneficiaries Enrolled in
Private Fee-for-Service Plans - MLN Matters
PDF Document SE0902 - 03.05.09
- New
Waived Tests MLN Matters PDF Document MM6370 -
03.05.09
- Reporting
the National Provider Identifier (NPI) on Claims for Reference Laboratory
and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction MLN
Matters PDF Document MM6362 - 03.05.09
- Claims
Processing Instructions for Diagnostic Tests Subject to the Anti-Markup
Pricing Limitation - MLN Matters PDF Document
MM6371 - 03.05.09
- March is National
Nutrition Month ® - 03.05.09
- CIGNA Medicare Part B Carrier
for Idaho, North Carolina, and Tennessee Usually Self Administered
Drug Report Revised 01/01/2009 - 03.05.09
- The March 2009 Medicare
Bulletin is now available - 03.05.09
- REVISED 03/05/2009: Implementation
of New Provider Authentication Requirements for Medicare Contractor
Provider Telephone and Written Inquiries -
MLN Matters PDF Document MM6139 - 03.04.09 Revised
03/05/2009
- REVISED: Implantable
Automatic Defibrillator - 03.04.09
- 2009 Physician Quality
Reporting Initiative Program Update - 03.03.09
- Psychotherapy Services -
03.03.09
- Facet Joint Injections
and Fluoroscopy - 03.03.09
- Implantable Automatic
Defibrillator - 03.03.09
- Remittance
Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update -
MLN Matters PDF Document MM6336 - 03.02.09
- Enhancements/Updates
to NPPES effective March 7, 2009 - 03.02.09
- CMS Releases Preliminary
2010 Medicare Advantage Growth Trend and 2010 Payment Policies for
Medicare Advantage and Prescription Drug Plans -
03.02.09
- A Message from CMS:
Sign Up for Your Contractor's ListServ -
03.02.09
- CMS Implementation
of Certain Medicare Provisions of The American Recovery and Reinvestment
Act (ARRA) of 2009 - 03.02.09
February 2009
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
02.27.09
- Upcoming North Carolina
Provider Contact Center Closure - 02.27.09
- Changes
to the Laboratory National Coverage Determination (NCD) Edit Software
for April 2009 - MLN Matters PDF Document
MM6383 - 02.26.09
- REVISED: Individuals
Authorized Access to CMS Computer Services (IACS) -Provider/Supplier
Community: THE FIRST IN A SERIES OF ARTICLES -
02.26.09
- REVISED: SE0753
- Individuals Authorized Access to CMS Computer Services (IACS) - Provider/Supplier
Community: THE SECOND IN A SERIES OF ARTICLES ON IACS -
02.26.09
- REVISED: SE0754
- Individuals Authorized Access to CMS Computer Services (IACS) -Provider/Supplier
Community: THE THIRD IN A SERIES OF ARTICLES ON IACS -
02.26.09
- Updates
to the Internet Only Manual Publication 100-02, Chapter 10 (of the
Medicare Benefit Policy Manual) - MLN Matters
PDF Document MM6318 - 02.26.09
- April
2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files -
MLN Matters PDF Document MM6380 - 02.26.09
- Adding
a New Specialty Code for Speech Language Pathologists (SLP) -
MLN Matters PDF Document MM6292 - 02.26.09
- Healthcare
Common Procedure Coding System (HCPCS) Codes Subject to and Excluded
from Clinical Laboratory Improvement Amendments (CLIA) Edits -
MLN Matters PDF Document MM6356 - 02.26.09
- Five-Star Quality
Rating System Helpline - 02.26.09
- Medicare Part B
Competitive Acquisition Program (CAP) – Reminder about Unused
CAP Drugs and CAP Emergency Restocking -
02.25.09
- Revised Skilled
Nursing Facility (SNF) Spell of Illness Quick Reference Chart -
02.24.09
- Tri-state Ask the
Contractor (ACT) Teleconference - 02.24.09
- DMEPOS Supplier
Accreditation – Get It Now - 02.24.09
- Availability of
Five Star Preview Reports - 02.23.09
- Payment
for Repair, Maintenance and Servicing of Oxygen Equipment as a Result
of the Medicare Improvements for Patients and Providers Act (MIPPA)
of 2008 - MLN Matters PDF Document MM6296 -
02.23.09
- Oxaliplatin for
Injection (Eloxatin™) - 02.23.09
- REVISED: Medicare
Fraud and Abuse Fact Sheet - 02.23.09
- Revised Clinical
Laboratory Fee Schedule Fact Sheet - 02.23.09
- Upcoming Tennessee
and Idaho Provider Contact Center Training Closures:
Friday, March 6, 2009, from 8:30 a.m. to 10:30 a.m. CST -
02.20.09
- Upcoming North Carolina
Provider Contact Center Closure:
Friday, March 6, 2009, from 8:30 a.m. to 10:30 a.m. EST -
02.20.09
- Medicare Physicians
and Non-Physician Practitioners Internet-Based Medicare Enrollment -
02.20.09
- REVISED: Implementation
of New Provider Authentication Requirements for Medicare Contractor
Provider Telephone and Written Inquiries - MM6139 -
02.20.09
- Joint Part B and
DME MAC Survival Guide Workshops - 02.20.09
- Shipboard Services
Billed to the Carrier and Services Not Provided Within the United States
Note: - Rescinded - MM6217 -
02.19.09
- CERT (Comprehensive
Error Rate Testing) Tips - 02.19.09
- Heartsbreath
Test for Heart Transplant Rejection - MLN
Matters PDF Document MM6366 - 02.18.09
- Clarification
of Date of Service (DOS) of Ambulance Services -
MLN Matters PDF Document MM6372 - 02.18.09
- Shipboard
Services Billed to the Carrier and Services Not Provided Within the
United States. - MLN Matters PDF Document
MM6327 - 02.18.09
- Medicare DMEPOS
Competitive Bidding Program Announcement -
02.18.09
- Medicare Physician
Fee Schedule (MPFS) Status Indicator Change for Several Healthcare
Common Procedure Coding System (HCPCS) Codes -
02.16.09
- Rural Health
Bookmark is Now Available in Print -
02.16.09
- Medicare Fee-for-Service
Provider/Supplier Web Pages Bookmark - 02.16.09
- REMINDER: 2009 Physician
Quality Reporting Initiative National Provider Call to be held February
18, 2009 and other important PQRI information -
02.13.09
- REVISED: Medicare
Part B Drug Competitive Acquisition Program (CAP) Postponed for 2009
- SE0833 - 02.12.09
- Revised Medicare
Learning Network Publications - 02.11.09
- January
2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files -
MLN Matters PDF Document MM6288 - 02.11.09
- Implementation
of an Ambulatory Surgical Center (ASC) Healthcare Common Procedure
Coding System (HCPCS) Payment Indicator File -
MLN Matters PDF Document MM6184 - 02.11.09
- Are You Filing Your
Medicare Part B Claims Electronically? -
02.11.09
- Medical Review New
Progressive Corrective Action Forms - 02.11.09
- Medicare Part B
Competitive Acquisition Program (CAP) – Reminder about Unused
CAP Drugs and CAP Emergency Restocking -
02.11.09
- Medicare Fee-for-Service
Professional Providers and Suppliers - 02.10.09
- Understanding the
Remitance Advice: A Guide for Medicare Providers, Physicians, Suppliers,
and Billers - 02.10.09
- Revised Payment
System Fact Sheets - 02.10.09
- Independent Labs
Billing Reference Lab and Purchased Pathology Services -
02.10.09
- CMS Seeks Public
Comment on Extending the Effective Date of the DMEPOS Competitive Bidding
Interim Final Rule - 02.09.09
- 2009 Physician Quality
Reporting Initiative National Provider Question & Answer Session -
02.09.09
- February is American
Heart Month - 02.09.09
- Skilled Nursing
Facility Consolidated Billing Web-Based Training Course -
02.09.09
- Tennessee Open Pre-Carrier Advisory Committee Meeting Update:
The Tennessee Open Meeting for Thursday, February 12, 2009 has been cancelled. -
02.09.09
- The Centers for
Medicare & Medicaid Services is Accepting Suggestions for Potential
2010 Physician Quality Reporting Initiative Measures and/or Measures
Groups - 02.09.09
- Upcoming Idaho Events -
02.09.09
- REVISED: Physician
Signature Requirements for Diagnostic Tests - MM6100 -
02.09.09
- Shipboard
Services Billed to the Carrier and Services Not Provided Within the
United States - MLN Matters PDF Document
MM6217 - 02.06.09
- Changes
in Payment for Oxygen Equipment as a Result of the Medicare Improvements
for Patients and Providers Act (MIPPA) of 2008 and Additional Instructions
Regarding Payment for Durable Medical Equipment Prosthetics Orthotics & Supplies
(DMEPOS) - MLN Matters PDF Document MM6297 -
02.06.09
- Change
in the Amount in Controversy Requirement for Administrative Law Judge
Hearings and Federal District Court Appeals -
MLN Matters PDF Document MM6295 - 02.06.09
- Annual
Clotting Factor Furnishing Fee Update - MLN
Matters PDF Document MM6277 - 02.06.09
- Standard
System Change to Allow Claims Processing Contractors Flexibility with
9-Digit ZIP Codes - MLN Matters PDF Document
MM6293 - 02.06.09
- The North Carolina
Open Meeting for Monday, February 9, 2009 has been cancelled -
02.05.09
- North Carolina Provider
Outreach and Education Calendar of Events -
02.04.09
- Therapeutic
Shoes for Diabetics - Physician Documentation Requirements for DME
Reimbursement (37K)
- 02.04.09
- Revised Payment
System Fact Sheets - 02.04.09
- CERT (Comprehensive
Error Rate Testing) Resources - 02.04.09
- Frequently Asked
Questions (FAQ) Webinar - 02.03.09
- FY 2009 Inpatient
Prospective Payment System (IPPS) Personal Computer (PC) Pricer Release
-- 01/30/2009 and Special Open Door Forum -
02.03.09
- Fax number updated: Medicare
Part B Telephone Reopenings- 02.03.09
- Top EDI Errors/Edits -
02.03.09
- REVISED: Skilled
Nursing Facility Consolidated Billing As It Relates to Ambulance Services -
MLN Matters PDF Document SE0433 - 02.03.09
- February Flu Shot
Reminder - It's Not Too Late to Give and Get the Flu Shot! -
02.03.09
- Important
Information for Providers Serving Medicare Beneficiaries Enrolled in
Private Fee-for-Service Plans - MLN Matters
PDF Document SE0902 - 02.03.09
- Electronic Prescribing
(E-Prescribing) Incentive Program: New Educational Product is now available -
02.03.09
- 2009 Physician
Quality Reporting Initiative (PQRI): New Educational Products Now Available -
02.03.09
- Documentation for
Adjustments on Underpayments and Overpayments -
02.03.09
- Idaho Medicare 102
Webinar Series - 02.02.09
- Paclitaxel Protein
Bound (Abraxane) (J9264) Billing Guidelines for Diagnosis of Non Small
Cell Lung Cancer - 02.02.09
- North Carolina Open
Pre- Carrier Advisory Committee Meeting -
02.02.09
- The Medicare Participating
Physician Directory (MEDPARD) - Updated -
02.02.09
- The 1st Quarter
2009 Part B Customer Service Frequently Asked Questions have been updated -
02.02.09
- Shipboard
Services Billed to the Carrier and Services Not Provided Within the
United States - MLN Matters PDF Document
MM6217 - 02.02.09
- Now Available to
Order! The Expanded Benefits Brochure (January 2009) -
02.02.09
- IPPE Resource Now
Available in a Laminated Chart or Tear Off Pad -
02.02.09
- Centers for Medicare & Medicaid
Services Special Open Door Forum: Medicare Classification Criteria
for Inpatient Rehabilitation Facilities -
02.02.09
January 2009
- The Medicare Participating
Physician Directory (MEDPARD) - Updated -
02.02.09
- The 1st Quarter
2009 Part B Customer Service Frequently Asked Questions have been updated -
02.02.09
- Shipboard
Services Billed to the Carrier and Services Not Provided Within the
United States - MLN Matters PDF Document
MM6217 - 02.02.09
- Now Available to
Order! The Expanded Benefits Brochure (January 2009) -
02.02.09
- IPPE Resource Now
Available in a Laminated Chart or Tear Off Pad -
02.02.09
- Centers for Medicare & Medicaid
Services Special Open Door Forum: Medicare Classification Criteria
for Inpatient Rehabilitation Facilities -
02.02.09
- The Medicare Participating
Physicians/Suppliers Database has been updated. -
01.29.09
- Tennessee Open Pre-Carrier
Advisory Committee Meeting - 01.29.09
- 1st Quarter 2009
Part B Customer Service Frequently Asked Questions -
01.28.09
- Now Available to
Order Free of Charge from the CMS Medicare Learning Network (CMS)! -
01.28.09
- Medicare Physician
Fee Schedule - Carrier Specific Pricing Files -
01.28.09
- Medicare Solicits
Nominees for the Advisory Panel on Ambulatory Payment Classification
Groups - 01.27.09
- Medicare Physicians
and Non-Physician Practitioners Internet-Based Medicare Enrollment
is Available - 01.27.09
- Upcoming Tennessee/Idaho
Provider Contact Center Closure - 01.26.09
- Upcoming North Carolina
Provider Contact Center Closure - 01.26.09
- Important News Regarding
MSP EMC Claims - 01.26.09
- Medicare Part B
Competitive Acquisition Program (CAP) - Reminder about CAP Claims Submission
Deadlines and Unused CAP Drugs - 01.26.09
- Prothrombin Time
(PT/INR) Monitoring for Home Anticoagulation Management - MM6138 Superceded -
01.26.09
- Upcoming Training
for the Medicare Part B Drugs Competitive Acquisition Program (CAP):
Transitioning Out of the CAP - 01.26.09
- Claim
Status Category Code and Claim Status Code Update -
MLN Matters PDF Document MM6325 - 01.26.09
- The 2009 Ambulatory Fee Schedule
has been updated, and is available via Option 2 of the Fee Schedule
page - 01.26.09
- CMS Issues Three
National Coverage Determinations to Protect Patients from Preventable
Surgical Errors - 01.26.09
- North Carolina Medicare
Part B Intermediate (102) Workshop - 01.23.09
- Idaho Advance Beneficiary
Notice of Noncoverage Webinar - 01.23.09
- Idaho Medicare Updates
Webinar series - 01.23.09
- Idaho Medicare 101
Webinar series - 01.23.09
- Failure to Update
Your Medicare Enrollment Record may Lead to Deactivation of Medicare
Billing Privileges - 01.23.09
- Department of Health & Human
Services (HHS) Issues Final ICD-10 Code Sets and Updated Electronic
Transaction Standards Rules - 01.22.09
- Medicare Solicits
Nominees for the Advisory Panel on Ambulatory Payment Classification
Groups Members to Advise CMS on the Clinical Integrity of the APC Groups
and Their Payment Weights - 01.22.09
- New
Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers'
Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional
Payments - MLN Matters PDF Document MM5371 -
01.22.09
- The Winter 2009 EDI Connection
is now available - 01.22.09
- CMS Announces Implementation
of Renal CROWNWeb System - 01.21.09
- E-Prescribing Incentive
Program Update - 01.21.09
- Expansion
of Medicare Telehealth Services - MLN Matters
PDF Document MM6130 - 01.21.09
- Medicare DMEPOS
Competitive Bidding Program Announcements -
01.20.09
- January
2009 Update of the Ambulatory Surgical Center (ASC) Payment System -
MLN Matters PDF Document MM6323 - 01.20.09
- Skilled
Nursing Facility Consolidated Billing As It Relates to Ambulance Services -
MLN Matters PDF Document SE0433 - 01.20.09
- REVISED: Reporting
Withholding Due to IRS Federal Payment Levy Program (FPLP) on the Remittance
Advice - MLN Matters PDF Document MM6125 -
01.20.09
- Correction
to Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management -
MLN Matters PDF Document MM6313 - 01.20.09
- DMEPOS Accreditation
Deadline is September 30, 2009 - 01.15.09
- End
Stage Renal Dialysis (ESRD) Medicare Claims Processing Manual Clarification -
MLN Matters PDF Document MM6245 - 01.15.09
- Upcoming North Carolina
Provider Contact Center Closure - 01.15.09
- Upcoming Tennessee/Idaho
Provider Contact Center Training Closures -
01.15.09
- Attention Physicians,
Non-Physician Practitioners and Group Practices: Reporting Responsibilities -
01.14.09
- DMEPOS Accreditation
Application Deadline (January 31, 2009) -
01.13.09
- Clarification
of Medicare Payment for Routine Costs in a Clinical Trial -
MLN Matters PDF Document SE0822 - 01.13.09
- Summary
of Policies in the 2009 Medicare Physician Fee Schedule (MPFS) and
the Telehealth Originating Site Facility Fee Payment Amount -
MLN Matters PDF Document MM6349 - 01.12.09
- REVISED: Calendar
Year (CY) 2009 Annual Update for Clinical Laboratory Fee Schedule and
Laboratory Services Subject to Reasonable Charge Payment -
MLN Matters PDF Document MM6070 - 01.12.09
- 2009 Physician Quality
Reporting Initiative National Provider Call with Question & Answer
Session - 01.12.09
- Adjustment
for Medicare Mental Health Services - MLN
Matters PDF Document MM6208 - 01.12.09
- Medicare Part
B Drugs Competitive Acquisition Program (CAP) – Reminder about
CAP Claims Submission Deadlines and Unused CAP Drugs -
01.12.09
- Review of Negative
Pressure Wound Therapy (NPWT) Devices -
01.12.09
- Medicare Billing
Information for Rural Providers, Suppliers, and Physicians -
01.12.09
- Medicare Part B
Telephone Reopenings - 01.09.09
- Emergency
Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) -
MLN Matters PDF Document MM6351 - 01.07.09
- Update to the Medicare
Preventive Services (January 2009) Quick Reference Information -
01.07.09
- Updates to The Expanded
Benefits Brochure (January 2009) - 01.07.09
- 2009 Physician Quality
Reporting Initiative National Provider Call with Question & Answer
Session - 01.07.09
- Quarterly
Update to Correct Coding Initiative (CCI) Edits, Version 15.0, Effective
January 1, 2009 - MLN Matters PDF Document
MM6290 - 01.07.09
- Signature
and Date Stamps for DME Supplies-Certificates of Medical Necessity
(CMNs) and DME MAC Information Forms (DIFs) -
MLN Matters PDF Document MM6261 - 01.07.09
- The 1st Quarter 2009 ASC Drug Fee Schedule has been posted, and the
2nd - 4th Quarter 2008 schedules have been updated. You can access these
fee schedules under Option 3 of our Fee
Schedule page. - 01.06.09
- Claim
Status Category Code and Claim Status Code Update -
MLN Matters PDF Document MM6328 - 01.06.09
- Oxaliplatin for
Injection (Eloxatin™) - 01.06.09
- Glaucoma Awareness
Month - 01.06.09
- CMS Strengthens
Efforts To Fight Medicare Waste, Fraud And Abuse -
01.06.09
- Medicare Contractor
Inpatient and Long Term Care Hospital Medical Review Initiatives -
01.06.09
- Updated -- The ABCs
of Providing the Initial Preventive Physical Examination (January 2009)
Quick Reference Resource - 01.05.09
- The Medicare Learning
Network (MLN) Resources for Indian Health Care Professionals CD Rom
is Now Available - 01.05.09
- SE0843: Providers
Urged to Participate in Annual Medicare Contractor Satisfaction Survey
(MCPSS) - 01.05.09
- The 2009 Physician Fee Schedule
has been updated - 01.05.09
- Idaho Medicare 101
Webinar Series - 01.05.09
- The January 2009 Medicare
Bulletin is now available - 01.05.09
- The 1st Quarter 2009 Not Otherwise Classified and ASP Payment Allowance
Limits fee schedules are now available uder Option 3 of the Fee
Schedule page - 01.05.09
- Annual Certification
for CR3274 - 01.02.09
- Idaho PQRI Teleconference -
01.02.09
2004-2008 Archives
