2020 Home Health & Hospice News and Articles Archive
Click on a month to expand.
December
- The January 2021 J15 Medicare Bulletin is now available – 12.31.20
- Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March – 12.28.20
- Your Feedback Matters! – 12.28.20
- January 2021 Home Health and Hospice Provider Contact Center (PCC) Training – 12.28.20
- The EDI Connection Winter 2020 Edition is now available – 12.28.20
- MLN Connects® for Wednesday, December 23, 2020 – 12.23.20
- COVID-19 Vaccine Codes: Updated Effective Date for Moderna – 12.22.20
- CMS COVID-19 Vaccine Resources – 12.22.20
- January 2021 Release "Dark Days" for the Common Working File (CWF) Hosts – 12.22.20
- COVID-19: Add-on Payment for New Treatments – 12.18.20
- Monitoring for Hospital Price Transparency – 12.18.20
- MLN Connects® for Thursday, December 17, 2020 – 12.17.20
- COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech – 12.15.20
- Introducing the NEW CGS EDI Application Status Check Tool! – 12.15.20
- 2021 Provider Enrollment Application Fee Amount – 12.14.20
- Introducing…myCGS Account Linking! – 12.11.20
- CMS Proposes New Rules to Address Prior Authorization and Reduce Burden on Patients and Providers – 12.11.20
- In Case You Missed It: CMS Announces Guidance for Medicare Coverage of COVID-19 Antibody Treatment – 12.10.20
- The Medicare Home Infusion Therapy (HIT) Benefit and Home Health Agencies – 12.10.20
- 2021 Annual Update of Per-Beneficiary Threshold Amounts [MLN Matters MM12014] – 12.10.20
- CY 2021 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM12063] – 12.10.20
- Summary of Policies in the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List [MLN Matters MM12071] – 12.10.20
- MLN Connects® for Thursday, December 10, 2020 – 12.10.20
- COVID-19 Antibody Treatment and Enforcement Discretion Reminder – 12.03.20
- Trump Administration Finalizes Policies to Give Medicare Beneficiaries More Choices around Surgery – 12.03.20
- MLN Connects® for Thursday, December 3, 2020 – 12.03.20
- Provider Enrollment Application Fee Amount for CY 2021 – 12.02.20
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM11943] – 12.02.20
- Claim Status Category and Claim Status Codes Update [MLN Matters MM11957] – 12.02.20
- Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE [MLN Matters MM11988] – 12.02.20
- Revised: Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2021 [MLN Matters MM12017] – 12.02.20
- Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients – 12.02.20
November 2020
- The December 2020 J15 Medicare Bulletin is now available – 11.30.20
- MLN Connects® for Thursday, November 25, 2020 – 11.25.20
- Influenza and Pneumonia Vaccinations in the Home Health and/or Hospice Setting – 11.24.20
- VBID Hospice Benefit Component Information Now Available – 11.24.20
- December 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 11.23.20
- CR12026; Internet Only Manual Update, Pub. 100-04, Chapter 11 - This CR Rescinds and Fully Replaces CR 11807 (REVISED) – 11.20.20
- MLN Connects® for Thursday, November 19, 2020 – 11.19.20
- Hospice Self-Determined Cap Changes – 11.18.20
- CR12045; Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, Value-Based Insurance Design (VBID) Model, for Participating Medicare Advantage Organizations (MAOs) – 11.17.20
- Voluntary Refunds – Calendar Year 2020 – 11.16.20
- COVID-19 Vaccine Codes and PC-ACE Software Update – 11.13.20
- MLN Connects® for Thursday, November 12, 2020 – 11.12.20
- Manual Updates Related to the Hospice Election Statement and the Implementation of the Election Statement Addendum [MLN Matters MM12015] – 11.12.20
- Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2021 [MLN Matters MM12017] – 11.12.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 11.12.20
- CMS Takes Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment – 11.11.20
- Clarification to the New Eligibility From and Through Date Fields – 11.10.20
- Top Claim Submission Errors: Duplicate Claims and Requests for Anticipated Payment (RAPs) – 11.10.20
- Hospice End of Life (EOL) Service Intensity Add-on (SIA) Payment – 11.10.20
- How can you recognize an SMRC audit? The SMRC has begun mailing all additional document request (ADR) letters in green envelopes to assist with proper notification of review. Please notify your mail department of this change to allow SMRC requests to be received by the appropriate departments to be handled timely. – 11.05.20
- MLN Connects® for Thursday, November 5, 2020 – 11.05.20
- Change Request 12026: Internet Only Manual Update, Pub. 100-04, Chapter 11 - This CR Rescinds and Fully Replaces CR 11807 – 11.04.20
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update [MLN Matters MM11939] – 11.04.20
- Revised: October Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM11956] – 11.04.20
- ESRD & Home Health Payment Rules – 11.03.20
- CGSMedicare.com to Be Updated for Improved Mobile Responsiveness – 11.03.20
October 2020
- The November 2020 J15 Medicare Bulletin is now available – 10.30.20
- Trump Administration Acts to Ensure Coverage of Life-Saving COVID-19 Vaccines & Therapeutics – 10.29.20
- MLN Connects® for Thursday, October 29, 2020 – 10.29.20
- Revised: Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementat [MLN Matters MM11855] – 10.28.20
- New CMS Proposals Streamline Medicare Coverage, Payment, and Coding for Innovative New Technologies and Provide Beneficiaries with Diabetes Access to More Therapy Choices – 10.28.20
- November 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 10.27.20
- Friendly Reminder: Reason Code 37253 – 10.27.20
- MLN Connects® for Thursday, October 22, 2020 – 10.22.20
- The Fall 2020 edition of the EDI Connection is now available – 10.20.20
- Updated 2021 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Appeals – 10.20.20
- Home Health Ordering/Referring Requirements – 10.20.20
- Medicare Credit Balance Quarterly Reminder – 10.19.20
- January 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM12020] – 10.19.20
- Revised: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2021 [MLN Matters MM11876] – 10.19.20
- Revised: October 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.3 [MLN Matters MM11944] – 10.19.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 10.19.20
- Enforcement Discretion Relating to Certain Pharmacy Billing – 10.16.20
- Trump Administration Drives Telehealth Services in Medicaid and Medicare – 10.15.20
- MLN Connects® for Thursday, October 15, 2020 – 10.15.20
- myCGS Now Offers MORE Hospice Information! – 10.15.20
- Renewal of the Public Health Emergency (PHE) – 10.15.20
- Google Authenticator: A New Way to Access myCGS! – 10.15.20
- CMS Announces New Repayment Terms for Medicare Loans Made to Providers During COVID-19 – 10.09.20
- MLN Connects® for Thursday, October 8, 2020 – 10.08.20
- Reminder: When to Submit a Corrected Notice of Termination/Revocation (NOTR) – 10.06.20
- Revised: October 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11960] – 10.06.20
- New Hospice Election Requirements – 10.01.20
- MLN Connects® for Thursday, October 1, 2020 – 10.01.20
September 2020
- Revised: Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation [MLN Matters MM11855] – 09.29.20
- MLN Connects® for Thursday, September 24, 2020 – 09.24.20
- October 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 09.23.20
- Website Updates: New G-Codes for Home Health Therapy Assistants – 09.21.20
- October 2020 Release "Dark Days" for the Common Working File (CWF) Hosts – 09.21.20
- 2021 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update [MLN Matters MM11968] – 09.21.20
- New COVID-19 Nursing Home Visitation Guidance, Kidney Disease Care Model, & Radiation Oncology Payment Model – 09.18.20
- Nursing Home COVID-19 Commission Findings, Oregon Wildfires, & Flu – 09.18.20
- MLN Connects® for Thursday, September 17, 2020 – 09.17.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes – 09.16.20
- Revised: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2021 [MLN Matters MM11876] – 09.15.20
- Hospices Wage Index and Counties That Must Use 50xxx Code CBSA for Fiscal Year (FY) 2021 – 09.14.20
- Community Health Access and Rural Transformation Model – 09.11.20
- MLN Connects® for Thursday, September 10, 2020 – 09.10.20
- September 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 09.09.20
- CMS Advancing Seniors' Access to Cutting-edge Therapies and Technology in Medicare Hospital Rule – 09.03.20
- MLN Connects® for Thursday, September 3, 2020 – 09.03.20
- Claim Status Category and Claim Status Codes Updates [MLN Matters MM11796] – 09.03.20
- Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE [MLN Matters MM11881] – 09.03.20
- October 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.3 [MLN Matters MM11944] – 09.03.20
- October Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM11956] – 09.03.20
- October 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11960] – 09.03.20
- Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2021 [MLN Matters MM11876] – 09.03.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 09.01.20
August 2020
- Reminder: How to Correct an Erroneously Submitted Hospice Election Date – 08.31.20
- CMS Offers Comprehensive Support for Louisiana and Texas with Hurricane Laura – 08.28.20
- Home Health and Hospice Postpayment Review Resources – 08.27.20
- MLN Connects® for Thursday, August 27, 2020 – 08.27.20
- Revised: October 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM11854] – 08.25.20
- UPDATED ALERT: The J15 Provider Contact Center telephone lines are now operational. – 08.25.20
- ALERT: The J15 Provider Contact Center telephone lines are experiencing technical difficulties. No estimated time for resolution is available. CGS will provide you with an update as soon as one is available. We apologize for the inconvenience. – 08.24.20
- MLN Connects® for Thursday, August 20, 2020 – 08.20.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update [MLN Matters MM11939] – 08.18.20
- Update to Osteoporosis Drug Codes Billable on Home Health Claims [MLN Matters MM11846] – 08.18.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update [MLN Matters MM11939] – 08.18.20
- Update to Osteoporosis Drug Codes Billable on Home Health Claims [MLN Matters MM11846] – 08.18.20
- MLN Connects® for Thursday, August 13, 2020 – 08.13.20
- MACs Resume Medical Review on a Post-Payment Basis – 08.11.20
- Update: Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 Renewal – 08.06.20
- MLN Connects® for Thursday, August 6, 2020 – 08.06.20
- PFS, OPPS, and IRF: FY 2021 Payment Rules – 08.05.20
- CGS Office Has a New Address! – 08.04.20
- Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation [MLN Matters MM11855] – 08.04.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 08.04.20
- FY 2021 Medicare Payment Policies for IPFs, SNFs, and Hospices – 08.03.20
July 2020
- Payment for COVID-19 Counseling, Reporting Hospital Therapeutics, Out-of-Pocket Drug Costs – 07.30.20
- Renewal of the Public Health Emergency (PHE) – 07.30.20
- MLN Connects® for Thursday, July 30, 2020 – 07.30.20
- August 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 07.29.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 07.28.20
- Trump Administration Announces New Resources to Protect Nursing Home Residents Against COVID-19 – 07.23.20
- MLN Connects® for Thursday, July 23, 2020 – 07.23.20
- Reason Code 34982: Occurrence Code 50 Reminder – 07.21.20
- Revised: July 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11814] – 07.21.20
- Revised: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 07.21.20
- COVID-19: Nursing Home Testing, SNF Benefit Period Waiver – 07.20.20
- MLN Connects® for Thursday, July 16, 2020 – 07.16.20
- Rescinded: Claim Status Category Codes and Claim Status Codes Update [MLN Matters MM11669] – 07.14.20
- Medicare Credit Balance Quarterly Reminder – 07.14.20
- The Summer 2020 edition of the EDI Connection is now available – 07.14.20
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2020 Update [MLN Matters MM11769] – 07.09.20
- October 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM11854] – 07.09.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 07.09.20
- Revised: July 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11814] – 07.09.20
- MLN Connects® for Thursday, July 9, 2020 – 07.09.20
- ESRD PPS CY 2021 Proposed Rule; COVID-19: New and Expanded Flexibilities for RHCs & FQHCs – 07.07.20
- MLN Connects® for Thursday, July 2, 2020 – 07.02.20
June 2020
- The Role of Therapy under the Home Health Patient-Driven Groupings Model (PDGM) – 06.30.20
- The July 2020 Home Health and Hospice Medicare Bulletin is now available – 06.30.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 06.29.20
- COVID-19: SNF Benefit Period Waiver, HHAs Proposed Rule, Ending Nursing Home Blanket Waiver – 06.26.20
- July 2020 Release "Dark" Days for the Common Working File (CWF) Hosts – 06.25.20
- MLN Connects® for Thursday, June 25, 2020 – 06.25.20
- July 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 06.24.20
- CGS Interactive Voice Response (IVR) System Changes – 06.24.20
- Medicare Coverage of COVID-19 Testing for Nursing Home Residents and Patients – 06.22.20
- Beneficiary Eligibility Enhancements to myCGS – 06.19.20
- MLN Connects® for Thursday, June 18, 2020 – 06.18.20
- Quarterly Update to Home Health (HH) Grouper [MLN Matters MM11839] – 06.18.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes – 06.18.20
- Revised: Value-Based Insurance Design (VBID) Model – Implementation of the Hospice Benefit Component [MLN Matters MM11754] – 06.15.20
- New Defined Thresholds for Medicare Low Utilization Cost Reports – 06.11.20
- MLN Connects® for Thursday, June 11, 2020 – 06.11.20
- July 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11814] – 06.11.20
- July Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM11810] – 06.11.20
- July 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.2 [MLN Matters MM11792] – 06.11.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 06.09.20
- Home Health Plans of Care: NPs, CNSs and PAs Allowed to Certify – 06.04.20
- MLN Connects® for Thursday, June 4, 2020 – 06.04.20
- COVID-19: Using the CR Modifier and DR Condition Code – 06.02.20
- Claim Status Category Codes and Claim Status Codes Update [MLN Matters MM11699] – 06.01.20
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM11708] – 06.01.20
- Summary of Policies in the Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) Public Health Emergency (PHE) Interim Final Rules [MLN Matters MM11805] – 06.01.20
- Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE [MLN Matters MM11709] – 06.01.20
- Value-Based Insurance Design (VBID) Model – Implementation of the Hospice Benefit Component [MLN Matters MM11754] – 06.01.20
- Revised: Therapy Codes Update [MLN Matters MM11791] – 06.01.20
- Revised: Supplier Education on Use of Upgrades for Multi-Function Ventilators [MLN Matters SE20012] – 06.01.20
- The June 2020 Home Health and Hospice Medicare Bulletin is now available – 06.01.20
May 2020
- New COVID-19 FAQs on Medicare Fee-for-Service Billing – 05.29.20
- June 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 05.28.20
- MLN Connects® for Thursday, May 28, 2020 – 05.28.20
- The Spring 2020 edition of the EDI Connection is now available – 05.21.20
- MLN Connects® for Thursday, May 21, 2020 – 05.21.20
- COVID-19: Payment for Lab Tests, Safely Reopening Nursing Homes, Lab & Ambulance Claims – 05.20.20
- Top Claim Submission Errors For Home Health and Hospice: Data and Resources! – 05.19.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – July 2020 Update [MLN Matters MM11788] – 05.19.20
- Therapy Codes Update [MLN Matters MM11791] – 05.19.20
- Manual Update to Pub. 100-04, Chapter 38, to Remove Identification of Items or Services Related to the 2010 Oil Spill in the Gulf of Mexico Section [MLN Matters MM11778] – 05.19.20
- COVID-19: Deadlines, New Releases, and Important Calls – 05.18.20
- MLN Connects® for Thursday, May 14, 2020 – 05.14.20
- COVID-19: Additional Waivers, Price Transparency, and CMS Letter to Nursing Homes – 05.13.20
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update [MLN Matters MM11661] – 05.12.20
- Reason Code 37253: Internet Quality Improvement and Evaluation System (iQIES) Known Issues – 05.12.20
- COVID-19: Nursing Home Reporting, Updated Telehealth Video, Pharmacies & Other Suppliers Can Enroll as Labs, IRF Flexibilities – 05.08.20
- MLN Connects® for May 7, 2020 – 05.07.20
- Common Working File (CWF) Dark Day for Annual History Archive – 05.06.20
- FISS DDE Access and Resources – 05.05.20
- Determining Homebound – 05.05.20
- Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration) – 05.04.20
- New Codes for Therapist Assistants Providing Maintenance Programs in the Home Health Setting [MLN Matters MM11721] – 05.04.20
- Kentucky & Ohio Joint Open Public Draft/Revised LCD Discussion Meeting: Draft Local Coverage Determinations – Tuesday, June 23, 2020 – 05.01.20
- COVID-19: Second Round of Sweeping Changes, RHC & FQHC Flexibilities, EMTALA – 05.01.20
April 2020
- The May 2020 Home Health and Hospice Medicare Bulletin is now available – 04.30.20
- MLN Connects® for Thursday, April 30, 2020 – 04.30.20
- May 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 04.28.20
- Revised: Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE [MLN Matters MM11490] – 04.28.20
- CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program – 04.27.20
- MLN Connects® for Thursday, April 23, 2020 – 04.23.20
- Revised: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM11489] – 04.21.20
- Revised: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM11638] – 04.21.20
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update [MLN Matters MM11661] – 04.21.20
- Revised: April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1 [MLN Matters MM11680] – 04.21.20
- COVID-19: Nursing Home Transparency, Recommendations for Areas with Low Incidence of Disease – 04.20.20
- COVID-19: RHC & FQHC Flexibilities, Increased Payment for Lab Tests, Hospital Waivers, Call Audio and Transcript – 04.17.20
- MLN Connects® for Thursday, April 16, 2020 – 04.16.20
- COVID-19: Reprocessing Hospital Claims, Essential Diagnostic Services, Non-Invasive Ventilators – 04.15.20
- April 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11691] – 04.14.20
- Revised: Claim Status Category and Claim Status Codes Update [MLN Matters MM11467] – 04.14.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 04.14.20
- Immediate Infusion of $30 Billion into Health Care System – 04.13.20
- COVID-19: Infection Control, Maximizing Workforce, Updated Q&A, CS Modifier for Cost-Sharing, Payment Adjustment Suspended – 04.10.20
- Medicare Credit Balance Quarterly Reminder – 04.10.20
- MLN Connects® for Thursday, April 9, 2020 – 04.09.20
- July 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM11745] – 04.07.20
- Supplier Education on Use of Upgrades for Multi-Function Ventilators [MLN Matters SE20012] – 04.07.20
- Revised: Update to the Home Health Grouper for New Diagnosis Codes for Vaping Related Disorder and COVID-19 [MLN Matters MM11656] – 04.07.20
- Revised: April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1 [MLN Matters MM11680] – 04.07.20
- COVID-19: Telehealth Video, Coinsurance and Deductible Waived, ASC Attestations, Ambulance Modifiers, Lessons From Front Lines, MLN Call Today – 04.07.20
- COVID-19: Telehealth Billing Correction, Nursing Home Recommendations, Billing for Multi-Function Ventilators, New ICD-10-CM Diagnosis Code – 04.03.20
- Telehealth Services – 04.02.20
- MLN Connects® for Thursday, April 2, 2020 – 04.02.20
- Medical Review Update – 04.01.20
March 2020
- COVID-19: Regulatory Changes, Telehealth Billing, and Specimen Collection Codes – 03.31.20
- Medical Review Denial Reason Codes – 03.21.20
- The April 2020 Home Health and Hospice Medicare Bulletin is now available – 03.31.20
- COVID-19: Financial Relief, Nursing Home Telehealth, Quality Reporting, Clinical Laboratories, Hospital Data Sharing – 03.30.20
- Telehealth Services During the Public Health Emergency – 03.30.20
- COVID-19: Enrollment Relief, Open Payments, Beneficiary Notices – 03.27.20
- MLN Connects® for Thursday, March 26, 2020 – 03.26.20
- Reason Code 37253: What to Look For – 03.25.20
- April 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 03.25.20
- Cost Report: Delay Filing Deadline For Part A, Home Health, and Hospice Providers – 03.25.20
- April 2020 Release "Dark Days" for the Common Working File (CWF) Hosts – 03.24.20
- Part A East (PAE) Appeal Demonstration: Summary of Results – 03.24.20
- April 2020 Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files [MLN Matters MM11701] – 03.24.20
- April Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule [MLN Matters MM11702] – 03.24.20
- Revised: New Medicare Beneficiary Identifier (MBI) Get It, Use It [MLN Matters SE18006] – 03.24.20
- Revised: Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS [MLN Matters MM11335] – 03.24.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 03.24.20
- COVID-19: Relief for Quality Reporting Programs and Provider Enrollment – 03.24.20
- COVID-19: Telehealth and Non-Essential Procedures – 03.23.20
- Revised: Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 03.19.20
- MLN Connects® for Thursday, March 19, 2020 – 03.19.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes – 03.18.20
- President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak – 03.17.20
- Coronavirus (COVID-19) Resources – 03.17.20
- Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) [MLN Matters SE20011] – 03.17.20
- COVID-19: FFS Response and Nursing Home Visitor Guidance – 03.16.20
- COVID-19: Test Pricing, Diagnostic Lab Tests, Pricing & Codes, and EHB Coverage – 03.16.20
- Ensure Required Patient Assessment Information for Home Health Claims [MLN Matters SE20010] – 03.12.20
- MLN Connects® for Thursday, March 12, 2020 – 03.12.20
- Process Improvements Based On Your 2019 MSI Survey Feedback! – 03.11.20
- Reminder: Where to Send Refund Checks – 03.11.20
- Hospice Certification of Terminal Illness Resources – 03.11.20
- Section 1876 and 1833 Cost Plan Enrollee Access to Care through Original Medicare [MLN Matters SE20009] – 03.10.20
- April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1 [MLN Matters MM11680] – 03.10.20
- COVID-19 Response: CMS Issues FAQs to Assist Medicare Providers – 03.09.20
- CMS Develops Additional Code for Coronavirus Lab Tests – 03.06.20
- CMS Announces Actions to Address Spread of Coronavirus – 03.05.20
- MLN Connects® for Thursday, March 5, 2020 – 03.05.20
- Update to myCGS Administrator Unlock Feature! – 03.04.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update [MLN Matters MM11661] – 03.04.20
- Standard Elements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Order, and Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Orders Prior to Delivery and, or Prior Authorization Requirements [MLN Matters SE20007] – 03.03.20
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update [MLN Matters MM11638] – 03.03.20
- Updated Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Website Resources – 03.03.20
- Evaluate Our Services! – 03.02.20
February 2020
- The March 2020 Home Health and Hospice Medicare Bulletin is now available – 02.28.20
- MLN Connects® for Thursday, February 27, 2020 – 02.27.20
- Process Improvements Based On Your 2019 MSI Survey Feedback! – 02.27.20
- Attending NHPCO's 2020 Leadership & Advocacy Conference in National Harbor, MD? J15 Provider Outreach & Education (POE) & Medical Review (MR) Representatives Will Be Onsite! – 02.27.20
- Changes are Coming to Electronic Data Interchange (EDI) Forms – 02.26.20
- Targeted Probe and Educate Progress Update – 02.26.20
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2020 Update [MLN Matters MM11661] – 02.25.20
- Revised: January 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.0 [MLN Matters MM11564] – 02.25.20
- March 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 02.24.20
- MLN Connects® for Thursday, February 20, 2020 – 02.20.20
- Additional Way to Submit Self-Determined Aggregate Cap – 02.19.20
- Coming in March 2020! – 02.18.20
- Reason Code 37253 and the OASIS Assessment – 02.17.20
- FISS DDE Resources – 02.17.20
- Update to the Home Health Grouper for New Diagnosis Code for Vaping Related Disorder [MLN Matters MM11656] – 02.17.20
- The Role of Therapy under the Home Health Patient-Driven Groupings Model (PDGM) [MLN Matters SE20005] – 02.17.20
- Revised: What New Home Health Agencies (HHAs) Need to Know About Being Placed in a Provisional Period of Enhanced Oversight [MLN Matters SE19005] – 02.17.20
- Revised: New Medicare Beneficiary Identifier (MBI) Get It, Use It [MLN Matters SE18006] – 02.17.20
- New Home Health Patient-Driven Groupings Model (PDGM) Tool – 02.17.20
- MLN Connects® for Thursday, February 13, 2020 – 02.13.20
- Just Have a General Question? – 02.12.20
- Provider Enrollment Appeals Procedure [MLN Matters MM11210] – 02.11.20
- Quarterly Influenza Virus Vaccine Code Update - July 2020 [MLN Matters MM11603] – 02.11.20
- Revised: January 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11605] – 02.11.20
- 2019 Hospice Self-Determined Aggregate Cap Reminder – 02.11.20
- Remittance Advice Provider Resources – 02.06.20
- MLN Connects® for Thursday, February 6, 2020 – 02.06.20
- Resource for the Internet Quality Improvement and Evaluation System (iQIES) Issues – 02.04.20
- Did You Know??? – 02.03.20
- Revised: 2020 Annual Update to the Therapy Code List [MLN Matters MM11501] – 02.03.20
January 2020
- The February 2020 Home Health and Hospice Medicare Bulletin is now available – 01.31.20
- MLN Connects® for Thursday, January 30, 2020 – 01.30.20
- The Self-Administered Drug Exclusion List and Biologicals Excluded from Coverage – Medical Policy Article (A52527) has been revised. – 01.30.20
- February 2020 Home Health and Hospice Provider Contact Center (PCC) Training – 01.29.20
- Making it Easy to Submit Your Credit Balance Report Using myCGS – 01.27.20
- January 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS) [MLN Matters MM11605] – 01.27.20
- Revised: Implementation to Exchange the list of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System [MLN Matters MM11003] – 01.27.20
- Revised: Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS [MLN Matters MM11335] – 01.27.20
- How To Reduce Errors for Hospice Sequential Billing: Reason Code 37402 – 01.27.20
- MLN Connects® for Thursday, January 23, 2020 – 01.23.20
- Top Home Health and Hospice Medical Review Denial Resources – 01.22.20
- How Can You Reduce Errors for Reason Codes (RC) 38107? – 01.22.20
- Revised: Home Health (HH) Patient-Driven Groupings Model (PDGM) - Split Implementation [MLN Matters MM11081 – 01.21.20
- Hospice Interdisciplinary Review/Plan of Care Update Reminder – 01.21.20
- Upcoming MBI Look-Up Tool Outage – 01.16.18
- MLN Connects® for Thursday, January 16, 2020 – 01.16.20
- Kentucky & Ohio Joint Onsite Open Public Draft/Revised LCD Discussion Meeting: Draft Local Coverage Determinations – Tuesday, February 18th, 2020 – 01.15.20
- 2020 Home Health & Hospice Provider Outreach and Education (POE) Advisory Group Membership Drive – 01.14.20
- January 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.0 [MLN Matters MM11564 – 01.13.20
- Manual Updates Related to Calendar Year (CY) 2020 Home Health Payment Policy Changes, Maintenance Therapy, and Remote Patient Monitoring [MLN Matters MM11577 – 01.13.20
- Revised: CY 2020 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule [MLN Matters MM11570] – 01.13.20
- Reissued: New Medicare Beneficiary Identifier (MBI) Get It, Use It [MLN Matters SE18006] – 01.13.20
- Medicare Credit Balance Quarterly Reminder – 01.13.20
- MLN Connects® for Thursday, January 9, 2020 – 01.09.20
- myCGS Availability – 01.09.20
- Home Health PDGM Frequently Asked Questions (FAQs) – 01.07.20
- myCGS Multi-Factor Authentication (MFA) Email Reminder – 01.07.20
- Hospice Self-Determined Aggregate Cap Reminder – 01.07.20
- Home Health RAPs: Hold Starting January 1, 2020 – 01.07.20
- January 2020 EDI Edit Spreadsheet Changes – 01.02.20
- Home Health PDGM Billing Resources – 01.02.20
- The acceptance of a voluntary refund as repayment for the claim specified in no way affects or limits the rights of the Federal Government, or any of its agencies or agents, to pursue any appropriate criminal, civil, or administrative remedies arising from or relating to these or any other claims. – 01.02.20