2019 Part B Kentucky and Ohio Medicare News Archive
Click on a month to expand.
December 2019
- Provider Enrollment Application Fee Amount for CY 2020 – 12.31.19
- Manual Update to Publication (Pub.) 100-04, Chapter 20, to Revise the Subsection 10 - Where to Bill Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Parenteral and Enteral Nutrition (PEN) Items and Services
[MLN Matters MM11554 – 12.31.19
- Internet Only Manual Update to Pub 100-04, Chapter 16, Section 40.8 – Laboratory Date of Service Policy
[MLN Matters MM11574 – 12.31.19
- The January 2020 Part B Medicare Bulletin is now available – 12.31.19
- Feedback on Scope of Practice – 12.26.19
- Calendar Year (CY) 2020 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11598 – 12.26.19
- The 4th Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 12.23.19
- New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1 – 12.23.19
- Micro-Invasive Glaucoma Surgery (MIGS) L37578 Update – 12.19.19
- Policy Billing and Coding Articles Updated During Annual HCPCS and ICD-10 Updates – 12.19.19
- January 2020 Part B Provider Contact Center (PCC) Training – 12.19.19
- MLN Connects® for Thursday, December 19, 2019 – 12.19.19
- New Medicare Card Transition Ends in 2 Weeks: Use MBIs Now to Get Paid January 1 – 12.17.19
- January 2020 Release "Dark" Days for the Common Working File (CWF) Hosts – 12.17.19
- Update to Medicare Claims Processing Manual, Chapters 1, 23 and 35
[MLN Matters MM10882 – 12.17.19
- CY 2020 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11570 – 12.17.19
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2020
[MLN Matters MM11593 – 12.17.19
- Revised: Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging – Educational and Operations Testing Period - Claims Processing Requirements
[MLN Matters MM11268 – 12.17.19
- 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 – 12.17.19
- Revised: Medicare Part B Home Infusion Therapy Services With The Use of Durable Medical Equipment
[MLN Matters SE19029 – 12.17.19
- What Physicians Need to Know: Home Health Patient-Driven Groupings Model (PDGM) – 12.17.19
- Documentation Reminder for TAVR – 12.16.19
- Reminder: myCGS Status Button! – 12.12.19
- MLN Connects® for Thursday, December 12, 2019 – 12.12.19
- Most HICN Claims Reject – Regardless of Date Service – 12.10.19
- Summary of Policies in the Calendar Year (CY) 2020 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 MM11560 – 12.10.19
- Share Your Experience Today! – 12.05.19
- MLN Connects® for Thursday, December 5, 2019 – 12.05.19
- Small Provider and Medicare Update Workshop: Free! – 12.05.19
- The 4th Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 12.04.19
- MBI Transition Ends This Month: Will You Be Paid On January 1? – 12.03.19
- Revised: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2020
[MLN Matters MM11485 – 12.03.19
November 2019
- MLN Connects® for Wednesday, November 27, 2019 – 11.27.19
- The December 2019 Part B Medicare Bulletin is now available – 11.26.19
- December 2019 Part B Provider Contact Center (PCC) Training – 11.26.19
- New Medicare Card: Claim Reject Codes After January 1 News From CMS – 11.26.19
- Claim Status Category and Claim Status Codes Update
[MLN Matters MM11467 – 11.26.19
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11489 – 11.26.19
- 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 – 11.26.19
- Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2020
[MLN Matters MM11542 – 11.26.19
- Overview of the Patient Driven Groupings Model
[MLN Matters SE19027 – 11.26.19
- Payments and Payment Adjustments under the Patient-Driven Groupings Model
[MLN Matters SE19028 – 11.26.19
- MLN Connects® for Thursday, November 21, 2019 – 11.21.19
- Update: Issue with Medicare Secondary Payer (MSP) Information – 11.21.19
- The 4th Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 11.21.19
- New Medicare Card: If an MBI Changes – 11.21.19
- 2020 Annual Update to the Therapy Code List
[MLN Matters MM11501 – 11.19.19
- 2020 Annual Update of Per-Beneficiary Threshold Amounts
[MLN Matters MM11532 – 11.19.19
- Medicare Physician Fee Schedule Database (MPFSDB) Update to Status Indicators
[MLN Matters MM11453 – 11.19.19
- New Medicare Card: Get Paid January 1, 2020 – Use MBIs Now – 11.19.19
- Physicians! Collaborative Surgical Dressings and Supplies Webinar Scheduled for December 12th! – 11.19.19
- What You Need to Know: myCGS MBI Look-Up Tool! – 11.19.19
- Hospital Price Transparency Requirements – 11.15.19
- MLN Connects® for Thursday, November 14, 2019 – 11.14.19
- Health Professional Shortage Area (HPSA) Bonus Payments for All Mental Health Specialties
[MLN Matters MM11327] – 11.14.19
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) – April 2020 Update
[MLN Matters MM11491] – 11.14.19
- The 2020 Physician Fee Schedule is now available in PDF, CSV, and searchable formats. – 11.14.19
- 2020 A/B Provider Outreach and Education (POE) Advisory Group Membership Drive – 11.12.19
- HICN Claims Reject – 11.12.19
- Influenza Vaccine Invoice – 11.12.19
- Information about Calendar Year (CY) 2020 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures – 11.08.19
- IMPORTANT: The fees for CY 2020 Medicare Physician Fee Schedule (MPFSDB) will be posted to our website after the 2019 physician fee schedule regulation is put on display. – 11.08.19
- Livanta's Memorandum of Agreement (MOA) for Healthcare Providers – 11.07.19
- November 2019 Part B Medicare Bulletin Review – 11.07.19
- MLN Connects® for Thursday, November 7, 2019 – 11.07.19
- Issue with Medicare Secondary Payer (MSP) Information – 11.06.19
- Medicare Telehealth Services – 11.05.19
- Protect Your Patients' Identities: Use the MBI Now! – 11.05.19
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.0, Effective January 1, 2020
[MLN Matters MM11523] – 11.05.19
- 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] – 11.05.19
- Revised: Overview of the Repetitive, Scheduled Non-emergent Ambulance Prior Authorization Model
[MLN Matters SE1514] – 11.05.19
- Physician Fee Schedule and OPPS/ASC Final Rules Call – November 6 – 11.04.19
- Voluntary Refunds – Calendar Year 2019
– 11.04.19
- MLN Connects® Special Edition – Friday, November 1, 2019: Physician Fee Schedule, Hospital OPPS, and ASC Final Rules – 11.04.19
- Final Payment Rules for HH, ESRD, and DMEPOS – 11.01.19
October 2019
- 277CA Report CGS ACE Smart Edits Enhancements – 10.31.19
- The November 2019 Part B Medicare Bulletin is now available – 10.31.19
- MLN Connects® for Thursday, October 31, 2019 – 10.31.19
- 4th Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 10.30.19
- The 1st, 2nd, 3rd, and 4th Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 10.30.19
- NEW ACE Informational Edit Informs You of YOUR Approaching Revalidation Requirement – 10.29.19
- Updated 2020 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Appeals – 10.29.19
- New Medicare Card: Claim Reject Codes After January 1 – 10.29.19
- MLN Connects® for Thursday, October 24, 2019 – 10.24.19
- The 1st, 2nd, 3rd, and 4th Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 10.23.19
- Updating Calendar Year (CY) 2020 Medicare Diabetes Prevention Program (MDPP) Payment Rates
[MLN Matters MM11455] – 10.22.19
- Is Your Vendor/Clearinghouse Submitting Your Claims with the MBI? – 10.22.19
- November 2019 Part B Provider Contact Center (PCC) Training – 10.22.19
- MLN Connects® for Thursday, October 17, 2019 – 10.17.19
- Update: Common Working File (CWF) Missing Beneficiary Eligibility Information – 10.15.19
- Medicare MBI Look-Up Tool Users – 10.15.19
- It's Time to Start Submitting Claims With the MBI – 10.15.19
- 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] – 10.15.19
- Revised: October 2019 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11457] – 10.15.19
- MLN Connects® for Thursday, October 10, 2019 – 10.10.19
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2020
[MLN Matters MM11485] – 10.08.19
- January 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11495] – 10.08.19
- Ambulance Inflation Factor for Calendar Year (CY) 2020 and Productivity Adjustment
[MLN Matters MM11497] – 10.08.19
- Revised: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) – January 2020 Update
[MLN Matters MM11392] – 10.08.19
- New and Retired Local Policies – 10.08.19
- Notify Us If You File Bankruptcy – 10.08.19
- The 4th Quarter ASC Drug fees are now available and the 2nd and 3rd Quarter ASC Drug fees have been revised – 10.07.19
- MLN Connects® for Thursday, October 3, 2019 – 10.03.19
- Revised: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) – January 2020 Update
[MLN Matters MM11392] – 10.01.19
- Ohio Open Public LCD Discussion Meeting: Draft Local Coverage Determinations – Wednesday, October 30th, 2019 – 10.01.19
- Kentucky Open Public LCD Discussion Meeting: Draft Local Coverage Determinations – October 29th, 2019 – 10.01.19
- Special Edition MLN Connects Monday, September 30, 2019 – 10.01.19
September 2019
- The 2019 Physician Fee Schedule has been revised – 09.30.19
- The October 2019 Part B Medicare Bulletin is now available – 09.30.19
- Special Edition MLN Connects – Thursday, September 26, 2019 – 09.27.19
- October 2019 Part B Provider Contact Center (PCC) Training – 09.26.19
- MLN Connects® for Thursday, September 26, 2019 – 09.26.19
- myCGS Registration and Password Tips – 09.26.19
- October 2019 Release "Dark" Days for the Common Working File (CWF) Hosts – 09.26.19
- Revised: October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11343] – 09.24.19
- Revised: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2019 Update
[MLN Matters MM11422] – 09.24.19
- If You Don't Have It, Get It, Then Use It! – 09.24.19
- MLN Connects® for Thursday, September 19, 2019 – 09.19.19
- October 2019 Update of the Ambulatory Surgical Center (ACS) Payment System
[MLN Matters MM11457] – 09.17.19
- 2019-2020 Influenza (Flu) Resources for Health Care Professionals
[MLN Matters SE19022] – 09.17.19
- Ambulance Crew Member Signatures – 09.13.19
- MLN Connects® for Thursday, September 12, 2019 – 09.12.19
- A Clear Path to Clean Claims – CGS Advance Communication Engine (ACE) Smart Edits – 09.12.19
- Physicians! Are You Ordering a Spinal Orthosis for Your Patient? – 09.11.19
- Invoice Filing Instructions for Skin Substitutes/Wound Care Products – 09.10.19
- 2020 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update
[MLN Matters MM11441] – 09.10.19
- Annual Clotting Factor Furnishing Fee Update 2020
[MLN Matters MM11435] – 09.10.19
- Influenza Vaccine Payment Allowances - Annual Update for 2019-2020 Season
[MLN Matters MM11428] – 09.10.19
- October Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11433] – 09.10.19
- Revised: 2020 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
[MLN Matters MM11437] – 09.10.19
- Revised: Medicare Part B Clinical Laboratory Fee Schedule: Revised Information for Laboratories on Collecting and Reporting Data for the Private Payor Rate-Based Payment System
[MLN Matters SE19006] – 09.10.19
- MLN Connects® for Thursday, September 5, 2019 – 09.05.19
- New Documentation Requirements for Filing Medicare Cost Reports
[MLN Matters SE19015] – 09.03.19
- Claim Status Category and Claim Status Codes Update
[MLN Matters MM11393] – 09.04.19
- 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 MM11394] – 09.03.19
- Healthcare Provider Taxonomy Codes (HPTCs) October 2019 Code set Update
[MLN Matters MM11418] – 09.03.19
- 2020 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
[MLN Matters MM11437] – 09.03.19
- 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] – 09.03.19
- ACE Smart Edits – 09.03.19
- New Medicare Card: Open Door Forum – September 11 – 09.03.19
August 2019
- The September 2019 Part B Medicare Bulletin is now available – 08.30.19
- Medicare MBI Look-Up Tool Users – 08.29.19
- MLN Connects® for Thursday, August 29, 2019 – 08.29.19
- The 3rd Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 08.29.19
- Coming Soon: ACE Smart Edits! – 08.28.19
- Announcing – The Fall 2019 Medicare Road Show! – 08.27.19
- Fall 2019 Medicare Road Show Course Descriptions – 08.27.19
- Medicare Coverable Services for Integrative and Nonpharmacological Chronic Pain Management
[MLN Matters SE19008] – 08.27.19
- Reissued: New Medicare Beneficiary Identifier (MBI) Get It, Use It
[MLN Matters SE18006] – 08.27.19
- September 2019 Part B Provider Contact Center (PCC) Training – 08.27.19
- Ambulance Fee Schedule and Medicare Transports Booklet – 08.22.19
- MLN Connects® for Thursday, August 22, 2019 – 08.22.19
- The 3rd and 4th Quarter 2018 and the 1st, 2nd, and 3rd Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 08.20.19
- Manual Update to Sections 1.2 and 10.2.1 in Chapter 18 of the Medicare Claims Processing Manual
[MLN Matters MM11403] – 08.20.19
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2019 Update
[MLN Matters MM11422] – 08.20.19
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2019 Update
[MLN Matters MM11402] – 08.20.19
- MLN Connects® for Thursday, August 15, 2019 – 08.15.19
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) – January 2020 Update
[MLN Matters MM11392] – 08.13.19
- Bypassing Payment Window Edits for Donor Post-Kidney Transplant Complication Services
[MLN Matters MM11312] – 08.13.19
- The 2nd and 3rd Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 08.12.19
- MLN Connects® for Thursday, August 8, 2019 – 08.08.19
- Home Health Review Choice Demonstration (RCD) Program
– 08.08.19
- Physicians! Collaborative Spinal Orthosis Webinar Scheduled for September 19! – 08.07.19
- MLN Connects® Special Edition – Wednesday, August 7, 2019 – 08.07.19
- Medicare Shared Savings Program (Shared Savings Program) Skilled Nursing Facility (SNF) Affiliates' Requirement to Include Demonstration Code 77 on SNF 3-Day Rule Waiver Claims
[MLN Matters MM11290] – 08.06.19
- Instructions for Use of Informational Remittance Advice Remark Code Alert on Laboratory Service Remittance Advices
[MLN Matters MM11369] – 08.06.19
- October Quarterly Update to 2019 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
[MLN Matters MM11381] – 08.06.19
- Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11406] – 08.06.19
- MLN Connects® Special Edition - Friday, August 2, 2019 – 08.05.19
- MLN Connects® for Thursday, August 1, 2019 – 08.01.19
July 2019
- The August 2019 Part B Medicare Bulletin is now available – 07.31.19
- New Customer Service Resource: How Do I…? – 07.30.19
- CMS Provider Education Message: Special Edition – Monday, July 29, 2019 – 07.30.19
- Revised: Documentation of Medical Necessity of the Home Visit; and Physician Management Associated with Superficial Radiation Treatment
[MLN Matters MM11273] – 07.30.19
- Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging – Educational and Operations Testing Period – Claims Processing Requirements
[MLN Matters MM11268] – 07.30.19
- New Waived Tests
[MLN Matters MM11354] – 07.30.19
- Independent Diagnostic Testing Facility (IDTF) Web Page Update – 07.30.19
- The Summer 2019 edition of the EDI Connection is now available – 07.29.19
- MLN Connects® for Thursday, July 25, 2019 – 07.25.19
- August 2019 Part B Provider Contact Center (PCC) Training – 07.23.19
- MODIFIER 22: Increased/Unusual Procedural Services – 07.23.19
- Is Your Vendor/Clearinghouse Submitting Your Claims with the MBI? – 07.23.19
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.3 Effective October 1, 2019
[MLN Matters MM11357] – 07.23.19
- Update to Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home
[MLN Matters MM11295] – 07.23.19
- July 2019 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11328] – 07.23.19
- Register Today for the J15 Part B and DME POE Kentucky and Ohio Mega Workshops – 07.23.19
- MLN Connects® for Thursday, July 18, 2019 – 07.18.19
- The 1st, 2nd, and 3rd Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 07.17.19
- October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11343] – 07.16.19
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2019
[MLN Matters MM11344] – 07.16.19
- Pre-Diabetes Services: Referring Patients to the Medicare Diabetes Prevention Program
[MLN Matters SE19001] – 07.16.19
- Reduce Risk of Opioid Overdose Deaths by Avoiding and Reducing Co-Prescribing Benzodiazepines
[MLN Matters SE19011] – 07.16.19
- Emergency Medical Treatment and Labor Act (EMTALA) and the Born-Alive Infant Protection Act
[MLN Matters SE19012] – 07.16.19
- Revised: Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare Beneficiary (QMB) Program
[MLN Matters MM11230] – 07.16.19
- The 3rd Quarter 2019 Ambulatory Surgical Center Fee Schedule has been updated – 07.12.19
- HHAs: CY 2020 and 2021 New Home Infusion Therapy Benefit and Payment and Policy Changes – 07.12.19
- MLN Connects® for Thursday, July 11, 2019 – 07.11.19
- Medicare Part B Evaluation and Management (E/M) Documentation Guideline Webinar – 07.10.19
- Revised: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2019 Update
[MLN Matters MM11296] – 07.09.19
- Revised: July Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11334] – 07.09.19
- Revised: Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11280] – 07.09.19
- Upcoming myCGS Medicare Beneficiary Identifier (MBI) Look-Up Tool Outage – 07.03.19
- The 2019 Physician Fee Schedule has been revised – 07.01.19
- The 3rd Quarter 2019 ASC Drug fees are now available. – 07.01.19
- The 3rd Quarter 2019 Ambulatory Surgical Center fee schedule is now available under Option 2 of the Fee Schedule page. – 07.01.19
- The 1st Quarter 2019 Ambulatory Surgical Center fee schedule has been revised and is available under Option 2 of the Fee Schedule page. – 07.01.19
June 2019
- The July 2019 Part B Medicare Bulletin is now available – 06.28.19
- The 2nd and 3rd Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 06.28.19
- The 3rd Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 06.28.19
- MLN Connects® for Thursday, June 27, 2019 – 06.27.19
- Upcoming myCGS Portal Outage – 06.25.19
- July 2019 Part B Provider Contact Center (PCC) Training – 06.25.19
- MLN Connects® for Thursday, June 20, 2019 – 06.20.19
- July 2019 Release "Dark" Days for the Common Working File (CWF) Hosts – 06.20.19
- Additional Ways to Drive YOUR Reopenings with Automation! – 06.18.19
- Home Health Referrals – 06.18.19
- Upcoming myCGS Portal Outages – 06.18.19
- MLN Connects® for Thursday, June 13, 2019 – 06.14.19
- Fraud Alert: Genetic Testing Scam – 06.13.19
- 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 MM11321] – 06.11.19
- The 1st and 2nd Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 06.11.19
- Multijurisdictional Contractor Advisory Committee (CAC) Meeting Regarding Pharmacogenomics - Wednesday, June 26th, 2019 – 06.11.19
- Medicare MBI Look-Up Tool Outages – 06.11.19
- CMS Seeks Public Input on Patients over Paperwork Initiative to Further Reduce Administrative, Regulatory Burden to Lower Healthcare Costs – 06.07.19
- MLN Connects® for Thursday, June 6, 2019 – 06.06.19
- Kentucky & Ohio Joint Onsite Open/Public Discussion/Meeting on Draft/Revised LCDs: Draft Local Coverage Determinations – Tuesday, June 18th, 2019 – 06.04.19
- Documentation of Medical Necessity of the Home Visit; and Physician Management Associated with Superficial Radiation Treatment
[MLN Matters MM11273] – 06.04.19
May 2019
- MLN Connects® for Thursday, May 30, 2019 – 05.30.19
- The June 2019 Part B Medicare Bulletin is now available – 05.30.19
- The 4th Quarter 2018 and 1st and 2nd Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 05.29.19
- June 2019 Part B Provider Contact Center (PCC) Training – 05.28.19
- New Revised J15 DDE PPTN Application/Reactivation Form – 05.28.19
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11252] – 05.28.19
- Claim Status Category and Claim Status Codes Update
[MLN Matters MM11292] – 05.28.19
- Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2019 Update
[MLN Matters MM11296] – 05.28.19
- Additional Processing Instructions to Update the Standard Paper Remit (SPR)
[MLN Matters MM11289] – 05.28.19
- Revised: Proper Use of Modifier 59
[MLN Matters SE1418] – 05.28.19
- MLN Connects® for Thursday, May 23, 2019 – 05.23.19
- Physicians! Collaborative A/B/DME MAC Lower Limb Orthoses Webinar on June 20, 2019! – 05.21.19
- Medicare Coverage for Chiropractic Services – Medical Record Documentation Requirements for Initial and Subsequent Visits
[MLN Matters SE1601] – 05.21.19
- Use of the AT modifier for Chiropractic Billing (New Information Along with Information in MM3449)
[MLN Matters SE1602] – 05.21.19
- Educational Resources to Assist Chiropractors with Medicare Billing
[MLN Matters SE1603] – 05.21.19
- Reporting the HCPCS Level II Modifiers of the Patient Relationship Categories and Codes
[MLN Matters MM11259] – 05.21.19
- The 2nd Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 05.20.19
- The 2nd, 3rd, and 4th Quarter 2018 and 1st and 2nd Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 05.20.19
- MLN Connects® for Thursday, May 16, 2019 – 05.16.19
- What to Expect When Enrolling – 05.16.19
- Medicare MBI Look-Up Tool Outages – 05.14.19
- Registering for myCGS? Check here first! – 05.14.19
- Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11280] – 05.14.19
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)
[MLN Matters MM11229] – 05.14.19
- Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare Beneficiary (QMB) Program
[MLN Matters MM11230] – 05.14.19
- The 4th Quarter 2018 and 1st and 2nd Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 05.13.19
- The 2nd Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 05.13.19
- MLN Connects® for Thursday, May 9, 2019 – 05.09.19
- Re-implementation of the AMCC Lab Panel Claims Payment System Logic
[MLN Matters MM11248] – 05.07.19
- Documentation of Evaluation and Management Services of Teaching Physicians
[MLN Matters MM11171] – 05.07.19
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2019 Update
[MLN Matters MM11293] – 05.07.19
- Medicare Physician Fee Schedule Database File Record Layout
[MLN Matters MM11191] – 05.07.19
- MLN Connects® for Thursday, May 2, 2019 – 05.02.19
April 2019
- The May 2019 Part B Medicare Bulletin is now available – 04.30.19
- MLN Connects® for Thursday, April 25, 2019 – 04.25.19
- May 2019 Part B Provider Contact Center (PCC) Training – 04.25.19
- New MolDX Policy – 04.25.19
- CMS Urgent and Time Sensitive MLN Connects Special Edition Article – 04.24.19
- National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS)
[MLN Matters MM10878] – 04.23.19
- Implementation to Exchange the List of Enrollment in Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System
[MLN Matters MM11003] – 04.23.19
- Kentucky and Ohio Joint Special Open Public Meeting: Local Coverage Determinations (LCD) Development Discussion – May 7th, 2019 – 04.23.19
- The 1st Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 04.19.19
- MLN Connects® for Thursday, April 18, 2019 – 04.18.19
- The 2nd Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs have been revised – 04.17.19
- Attention myCGS Medicare Beneficiary Identifier (MBI) Look-Up Tool Users – 04.16.19
- New Waived Tests
[MLN Matters MM11231] – 04.16.19
- Pub. 100-04, Chapter 29 – Appeals of Claims Decisions - Revisions
[MLN Matters MM11042] – 04.16.19
- Code Migration in Local Coverage Determinations (LCDs) – 04.11.19
- The 1st and 2nd Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 04.11.19
- MLN Connects® for Thursday, April 11, 2019 – 04.11.19
- Another myCGS Claims Tab Enhancement! – 04.09.19
- myCGS Enhancement: Hepatitis B Screening – 04.09.19
- myCGS Enhancement: Smoking Cessation/Counseling Services – 04.09.19
- myCGS Enhancement: End Stage Renal Disease (ESRD) – 04.09.19
- MLN Connects® for Thursday, April 4, 2019 – 04.04.19
- July 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11225] – 04.02.19
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2019
[MLN Matters MM11224] – 04.02.19
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.2 Effective July 1, 2019
[MLN Matters MM11227] – 04.02.19
- Revised: Evaluation and Management (E/M) When Performed with Superficial Radiation Treatment
[MLN Matters MM11137] – 04.02.19
- myCGS Medicare Beneficiary Identifier (MBI) Look-Up Tool Outages – 04.02.19
- The 2nd Quarter 2019 ASC Drug fees are now available and the 3rd and 4th Quarter 2018 ASC Drug Fees have been revised. – 04.01.19
- The 2019 Physician Fee Schedule has been revised. – 04.01.19
March 2019
- The April 2019 Part B Medicare Bulletin is now available – 03.29.19
- Electronic Data Interchange (EDI) Unavailable Saturday, April 27th – 03.28.19
- MLN Connects® for Thursday, March 28, 2019 – 03.28.19
- The 3rd Quarter 2018 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 03.27.19
- Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
[MLN Matters MM11204] – 03.26.19
- April 2019 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11232] – 03.26.19
- Revised: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2019 Update
[MLN Matters MM11163] – 03.26.19
- April 2019 Part B Provider Contact Center (PCC) Training – 03.26.19
- April 2019 Release "Dark" Days for the Common Working File (CWF) Hosts – 03.21.19
- New Local Coverage Determination Policy – 03.21.19
- MLN Connects® for Thursday, March 21, 2019 – 03.21.19
- Evaluate Our Services! – 03.21.19
- myCGS Medicare Beneficiary Identifier (MBI) Look-Up Tool Outages – 03.21.19
- Medicare Part B Psychiatric Webinar – 03.19.19
- Revised: National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS)
[MLN Matters MM10878] – 03.19.19
- MLN Connects® for Thursday, March 14, 2019 – 03.14.19
- Evaluate Our Services! – 03.14.19
- Update: Medicare Administrative Contractors (MACs) Will Host A Multi-jurisdictional Contractor Advisory Committee (CAC) Teleconference Regarding Vertebral Augmentation on March 20, 2019, 1-4 P.M. EST – 03.13.19
- Don't Forget to Log In! – 03.12.19
- Revised: New Medicare Beneficiary Identifier (MBI) Get It, Use It
[MLN Matters SE18006] – 03.12.19
- Revised: Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visit HCPCS
[MLN Matters MM10907] – 03.12.19
- Temporary Disabling MCS Edits 088L and 089L – 03.11.19
- MLN Connects® for Thursday, March 7, 2019 – 03.07.19
- Process Improvements Based On Your 2018 MSI Survey Feedback! – 03.07.19
- The 3rd and 4th Quarter 2018 and the 1st Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 03.07.19
- Coming in March! – 03.05.19
- Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
[MLN Matters MM11135] – 03.05.19
- Evaluation and Management (E/M) When Performed with Superficial Radiation Treatment
[MLN Matters MM11137] – 03.05.19
- NCD 20.4 Implantable Cardiac Defibrillators (ICDs)
[MLN Matters MM10865] – 03.05.19
- Medicare Part B Clinical Laboratory Fee Schedule: Revised Information for Laboratories on Collecting and Reporting Data for the Private Payor Rate-Based Payment System
[MLN Matters SE19006] – 03.05.19
- New myCGS Status Button! – 03.05.19
- The Winter 2019 edition of the EDI Connection is now available – 03.01.19
February 2019
- The March 2019 Part B Medicare Bulletin is now available – 02.28.19
- MLN Connects® for Thursday, February 28, 2019 – 02.28.19
- "New to myCGS" - Administrator Unlock Feature – 02.28.19
- The 3rd and 4th Quarter 2018 and the 1st Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs and the 4th Quarter 2018 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 02.27.19
- March 2019 Part B Provider Contact Center (PCC) Training – 02.26.19
- Healthcare Provider Taxonomy Codes (HPTCs) April 2019 Code Set Update
[MLN Matters MM11121] – 02.26.19
- April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11179] – 02.26.19
- Modification of the MCS Claims Processing System Logic for Modifier 59, XE, XS, XP, and XU Involving the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Column One and Column Two Codes
[MLN Matters MM11168] – 02.26.19
- 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] – 02.26.19
- CMS National Provider Compliance Conference Adding Clarity to Compliance – 02.21.19
- MLN Connects® for Thursday, February 21, 2019 – 02.21.19
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2019 Update [MLN Matters MM11163] – 02.19.19
- Local Coverage Determinations (LCDs) [MLN Matters MM10901] – 02.19.19
- FREE Medicare Part A and Part B Workgroup Meeting – 02.18.19
- Medicare Administrative Contractors (MACs) Will Host a Multi-jurisdictional Contractor Advisory Committee (CAC) via WebEx on March 20, 2019, 1-4 pm EST – 02.18.19
- MLN Connects® for Thursday, February 14, 2019 – 02.14.19
- Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)–Clarification of Payment Rules and Expansion of International Classification of Diseases Tenth Edition (ICD-10) Diagnosis Codes
[MLN Matters MM11022] – 02.12.19
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)
[MLN Matters MM11134] – 02.12.19
- Update to Intensive Cardiac Rehabilitation (ICR) Programs
[MLN Matters MM11117] – 02.12.19
- 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] – 02.12.19
- Independent Laboratory Billing of Laboratory Tests for End-Stage Renal Disease (ESRD) Beneficiaries and the Sunset of the CB Modifier
[MLN Matters MM11061] – 02.12.19
- Processing Instructions to Update the Standard Paper Remit (SPR)
[MLN Matters MM11112] – 02.12.19
- New LCD Article – 02.07.19
- MLN Connects® for Thursday, February 7, 2019 – 02.07.19
- Need a Duplicate Electronic Remittance or Claim Response Report? Online Ordering is Available and Easy with the EDI Report Request Tool! – 02.07.19
- 2019 Part B Provider Outreach and Education (POE) Advisory Groups Membership Drive – 02.05.19
- February 2019 Part B Provider Contact Center (PCC) Training – 02.05.19
- The 1st-4th Quarter 2018 and 1st Quarter 2019 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 02.05.19
- Revised: Local Coverage Determinations (LCDs)
[MLN Matters MM10901] – 02.05.19
- Revised: Guidance on Coding and Billing Date of Service on Professional Claims
[MLN Matters SE17023] – 02.05.19
January 2019
- The February 2019 Part B Medicare Bulletin is now available – 01.31.19
- Updates to Reflect Removal of Functional Reporting Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018
[MLN Matters MM11120] – 01.31.19
- April 2019 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
[MLN Matters MM11151] – 01.31.19
- MLN Connects® for Thursday, January 31, 2019 – 01.31.19
- Provider Contact Center (PCC) Reminders – 01.29.19
- Kentucky and Ohio Joint Open Public Meeting: Local Coverage Determinations (LCD) Development Discussion – February 12th, 2019 – 01.29.19
- MLN Connects® for Thursday, January 24, 2019 – 01.24.19
- The 1st Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs and the 4th Quarter 2018 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.24.19
- Revised: Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
[MLN Matters MM11064] – 01.24.19
- Revised: Calendar Year (CY) 2019 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
[MLN Matters MM11076] – 01.24.19
- Medicare Part A/B and DME CERT Taskforce Webinar – 01.24.19
- January 2019 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11108] – 01.22.19
- MLN Connects® for Thursday, January 17, 2019 – 01.17.19
- New Medicare Card Mailing Complete, 58% of Claims Submitted with MBI – 01.17.19
- 2019 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
[MLN Matters MM11085] – 01.15.19
- New Waived Tests
[MLN Matters MM11080] – 01.15.19
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.1 Effective April 1, 2019
[MLN Matters MM11126] – 01.15.19
- Medicare Claims Processing Manual, Chapter 30 Revisions
[MLN Matters MM10848] – 01.15.19
- Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
[MLN Matters MM11146] – 01.15.19
- Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN)
[MLN Matters MM10567] – 01.15.19
- Local Coverage Determinations (LCDs)
[MLN Matters MM10901] – 01.15.19
- Website Search Enhancements – 01.15.19
- The 1st Quarter Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.14.19
- Webinar Physician Responsibility for Patient Care When Ordering Home Health Services – 01.11.19
- MLN Connects® for Thursday, January 10, 2019 – 01.10.19
- The 1st Quarter 2019 Payment Allowance Limits for Not Otherwise Classified (NOC) Drugs and the 4th Quarter 2018 Payment Allowance Limits for Average Sales Price (ASP) Drugs have been revised – 01.10.19
- Announcing – The Spring 2019 Medicare Road Show! – 01.10.19
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)
[MLN Matters MM11005] – 01.08.19
- January 2019 Update of the Ambulatory Surgical Center (ASC) Payment System
[MLN Matters MM11108] – 01.08.19
- Updates to Immunosuppressive Guidance
[MLN Matters MM11072] – 01.08.19
- The January 2019 1st Quarter ASC Drug Fees are now available under Option 3 of the Fee Schedule page – 01.07.19
- The 2019 Ambulance Fee Schedule is now available under Option 3 of the Fee Schedule page – 01.07.19
- Identify Line Item on Reopening Forms – 01.03.19
- The 1st Quarter 2019 Ambulatory Surgical Center Fee Schedule is now available under Option 2 of the Fee Schedule page – 01.03.19
- Claim Status Category and Claim Status Codes Update
[MLN Matters MM11073] – 01.03.19
- The 2019 Physician Fee Schedule has been revised. – 01.03.19
- "J15 Medicare Part B Podiatry" Ask the Contractor Teleconference (ACT) – 01.03.19
- MLN Connects® for Thursday, January 3, 2019 – 01.03.19
- 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. – 01.02.19