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Medicare Learning Network Matters Articles

MLN (Medicare Learning Network) Matters Articles are a series of national articles designed to inform the physician, provider and supplier community about the latest changes to the Medicare Program. Please use the links below to review the articles released by CMS (Centers for Medicare & Medicaid Services) in 2018. The following MLN Matters articles issued in 2018 are relevant to our regions only. Visit the CMS MLN Matters page for a complete listing of all MLNs issued nationwide.

Listed here are the following archived MLN Matters articles for 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 20092008

All MLN links below will open in new browser windows.

A/B

Date

Subject

MM#

Part APart B

4/20/2018

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update

MM10624

Part B

4/16/2018

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.2 Effective July 1, 2018

MM10593

Part B

4/16/2018

Change in Type of Service (TOS) for Current Procedural Terminology (CPT) Code 77067

MM10607

Part APart B

4/16/2018

Ambulance Transportation for a SNF Resident in a Stay Not Covered by Part A – Medicare Benefit Policy Manual, Chapter 10, and Medicare Claims Processing Manual, Chapter 15

MM10550

Part APart B

4/12/2018

Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) (Revised)

MM10295

Part B

4/9/2018

New Waived Tests

MM10586

Part APart B

4/9/2018

Increased Ambulance Payment Reduction for Non-Emergency Basic Life Support (BLS) Transports to and from Renal Dialysis Facilities 

MM10549

Part APart B

4/9/2018

Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) (Revised)

MM10295

Part APart B

4/9/2018

Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System (Revised)

MM10397

Part APart B

4/9/2018

Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 (Revised)

MM10531

Part APart B

4/3/2018

Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)

SE17035

Part APart B

4/3/2018

Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires (Revised)

SE17037

Part A

4/2/2018

Institutional Billing for No Cost Items

MM10521

Part APart B

4/2/2018

Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN)

MM10567

Part APart B

4/2/2018

Proper Coding for Specimen Validity Testing Billed in Combination with Drug Testing

SE18001

Part A

4/2/2018

Skilled Nursing Facility Value-Based Purchasing Program Updated

SE18003

Part APart B

3/22/2018

Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911

MM10494

Part APart B

3/22/2018

April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 

MM10503

Part A

3/22/2018

April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 (Revised)

MM10514

Part A

3/22/2018

April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised)

MM10515

Part APart B

3/22/2018

Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (Revised)

SE1128

Part A

3/16/2018

Billing Requirements for OPPS Providers with Multiple Service Locations

SE18002

Part APart B

3/16/2018

Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018)

MM10512

Part A

3/16/2018

The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2016 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH)

MM10527

Part APart B

3/16/2018

Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment (Revised)

MM10445

Part B

3/14/2018

April 2018 Update of the Ambulatory Surgical Center (ASC) Payment System

MM10530

Part APart B

3/14/2018

Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 (Revised)

MM10433

Part APart B

3/12/2018

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - April 2018 Update (Revised)

MM10454

Part APart B

3/5/2018

Appropriate Use Criteria for Advanced Diagnostic Imaging – Voluntary Participation and Reporting Period - Claims Processing Requirements – HCPCS Modifier QQ

MM10481

Part A

3/5/2018

Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients (Revised)

MM10474

Part APart B

3/2/2018

ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) (Revised)

MM10473

Part A

2/27/2018

Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update (Revised)

MM10480

Part B

2/27/2018

Form CMS-855O Processing Guide

MM10355

Part APart B

2/20/2018

Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update

MM10402

Part APart B

2/20/2018

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update

MM10489

Part APart B

2/20/2018

Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2018 Update

MM10488

Part B

2/15/2018

Overview of the Repetitive Scheduled Non-emergent Ambulance Prior Authorization Model

SE1514

Part APart B

2/13/2018

Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services, and Addition of Anesthesia and Prolonged Preventive Services

MM10181

Part B

2/13/2018

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

MM10446

Part APart B

2/6/2018

E/M Service Documentation Provided By Students (Manual Update)

MM10412

Part B

2/6/2018

New “K” Code for Therapeutic Shoe Inserts

MM10436

Part B

2/6/2018

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.1, Effective April 1, 2018

MM10472

Part A

1/29/2018

Global Surgical Days for Critical Access Hospital (CAH) Method II

MM10425

Part APart B

1/25/2018

Next Generation Accountable Care Organization – Implementation (Revised)

SE1613

Part APart B

1/24/2018

Next Generation Accountable Care Organization (NGACO) Year Three Benefit Enhancements (Revised)

MM10044

Part A

1/22/2018

Update to the Medicare Benefit Policy Manual (Pub. 100-02, Chapter 11 - End Stage Renal Disease (ESRD), Section 100)

MM10366

Part APart B

1/22/2018

ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) (Revised)

MM10318

Part APart B

1/22/2018

Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims (Revised)

SE17034

Part APart B

1/18/2018

Medically Unlikely Edits (MUE) and Bilateral Surgical Procedures (Revised)

SE1422

Part B

1/16/2018

2018 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List

MM10416

Part B

1/16/2018

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

MM10446

Part A

1/12/2018

Implementation of the Transitional Drug Add-On Payment Adjustment for ESRD Drugs (Revised)

MM10065

Part A

1/11/2018

Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update (Revised )

MM10350

Part B

1/8/2018

New Waived Tests

MM10418

Part APart B

1/8/2018

Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

MM10395

Part APart B

1/8/2018

April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

MM10447

Part APart B

1/4/2018

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2018

MM10424

Part APart B

1/4/2018

Proper Use of Modifier 59

SE1418

Part B

1/3/2018

January 2018 Update of the Ambulatory Surgical Center (ASC) Payment System

MM10441

Part APart B

1/3/2018

Suppression of the Standard Paper Remittance Advice (SPR) in 45 days if also Receiving Electronic Remittance Advice (ERA) (Revised)

MM10151

Part APart B

1/3/2018

Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens

MM10448


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Last modified:  04/24/2018