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Medicare News and Web Updates for JH Part A (2018)

April 25, 2018

Special Edition – Wednesday, April 25, 2018

CMS Proposes Changes to Empower Patients and Reduce Administrative Burden

Changes in IPPS and LTCH PPS would advance price transparency and interoperability

On April 24, CMS proposed changes to empower patients through better access to hospital price information, improve patients’ access to their electronic health records, and make it easier for providers to spend time with their patients. The proposed rule proposes updates to Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS).

“We seek to ensure the health care system puts patients first,” said Administrator Seema Verma. “Today’s proposed rule demonstrates our commitment to patient access to high quality care while removing outdated and redundant regulations on providers. We envision a system that rewards value over volume and where patients reap the benefits through more choices and better health outcomes. Secretary Azar has made such a value-based transformation in our health care system a top priority for HHS, and CMS is taking important, concrete steps toward achieving it.”

The policies in the IPPS and LTCH PPS proposed rule would further advance the agency’s priority of creating a patient-driven health care system by achieving greater price transparency and interoperability – essential components of value-based care – while also significantly reducing the burden for hospitals so they can operate with better flexibility and patients have the information they need to become active health care consumers.

While hospitals are already required under guidelines developed by CMS to either make publicly available a list of their standard charges, or their policies for allowing the public to view a list of those charges upon request, CMS is updating its guidelines to specifically require that hospitals post this information. The agency is also seeking comment on what price transparency information stakeholders would find most useful and how best to help hospitals create patient-friendly interfaces to make it easier for consumers to access relevant health care data so they can more readily compare providers.

The proposed policies begin implementing core pieces of the government-wide MyHealthEData initiative through steps to strengthen interoperability or the sharing of health care data between providers. Specifically, CMS is proposing to overhaul the Medicare and Medicaid Electronic Health Record Incentive Programs (also known as the “Meaningful Use” program) to:

Make the program more flexible and less burdensome
Emphasize measures that require the exchange of health information between providers and patients
Incentivize providers to make it easier for patients to obtain their medical records electronically

To better reflect this new focus, we are renaming the Meaningful Use program “Promoting Interoperability.” In addition, the proposed rule reiterates the requirement for providers to use the 2015 Edition of certified electronic health record technology in 2019 as part of demonstrating meaningful use to qualify for incentive payments and avoid reductions to Medicare payments. This updated technology includes the use of application programming interfaces, which have the potential to improve the flow of information between providers and patients. In the proposed rule, CMS is requesting stakeholder feedback through a Request for Information on the possibility of revising Conditions of Participation to revive interoperability as a way to increase electronic sharing of data by hospitals.

As part of its commitment to burden reduction, CMS is proposing in the FY 2019 IPPS/LTCH PPS proposed rule to remove unnecessary, redundant, and process-driven quality measures from a number of quality reporting and pay-for-performance programs. The proposed rule would eliminate a significant number of measures acute care hospitals are currently required to report and remove duplicative measures across the 5 hospital quality and value-based purchasing programs. This would remove 19 measures from the programs and de-duplicate another 21 measures while still maintaining meaningful measures of hospital quality and patient safety. Additionally, CMS is proposing a variety of other changes to reduce the number of hours providers spend on paperwork. CMS is proposing this new flexibility so that hospitals can spend more time providing care to their patients thereby improving the quality of care their patients receive.

In sum, this results in the elimination of 25 measures across the 5 programs with well over 2 million burden hours reduced for hospital providers impacted by the IPPS proposed rule, saving them $75 million.

For More Information:

See the full text of this excerpted CMS Press Release (issued April 24).


April 23, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10624 informs MACs of updated drug/biological HCPCS codes. The HCPCS code set is updated on a quarterly basis. The July 2018 HCPCS file includes 4 new HCPCS codes: Q9991, Q9992, Q9993 and Q9995. Please make sure your billing staffs are aware of these updates.

April 19, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, April 19, 2018

View this edition as a PDF

News & Announcements

New Medicare Card: New Numbers Are Confidential
Market Saturation and Utilization Data Tool
MIPS Study on Burdens Associated with Reporting Quality Measures: Apply by April 30
IMPACT Act Transfer of Health Measures: Public Comment Period Ends May 3
PEPPERs Available for Hospices, SNFs, IRFs, IPFs, CAHs, LTCHs
National Minority Health Month: Partnering for Health Equity

Provider Compliance

Ophthalmology Services: Questionable Billing and Improper Payments

Claims, Pricers & Codes

April 2018 OPPS Pricer File

Upcoming Events

Medicare Cost Report e-Filing System Webcast — May 1
LTCH Quality Reporting Program In-Person Training Event — May 8 and 9
IRF Quality Reporting Program In-Person Training Event — May 9 and 10

Medicare Learning Network® Publications & Multimedia

Quarterly Update to the NCCI PTP Edits, Version 24.2 MLN Matters Article — New
Change in Type of Service for CPT Code 77067 MLN Matters Article — New
Ambulance Transportation for SNF Resident in Stay Not Covered by Part A MLN Matters Article — New
Supervised Exercise Therapy for Symptomatic PAD MLN Matters Article — Revised
Guidelines for Teaching Physicians, Interns, and Residents Booklet — Revised
Billing Information for Rural Providers and Suppliers Booklet — Revised
ICD-10-CM/PCS: The Next Generation of Coding Booklet — Reminder
General Equivalence Mappings FAQs Booklet — Reminder
Critical Access Hospital Booklet — Reminder
Learn About Medicare Policy

Update Part A Open Issues Log

Claims that contained line items that were incorrectly denied for reason codes 59172/59173 and 59049-59052, prior to the temporary correction, have been identified. The claims will be automatically reprocessed and no provider action is necessary. For providers with access to view claims in the Fiscal Intermediary Shared System, the adjustments will include remarks on Page 4 (MAP1714) that will indicate which NCD denial is being corrected. 
 

Reason codes 59172/59173 are used for NCD 220.4

Reason codes 59049-59052 are used for NCD 220.13


April 18, 2018

Your Chance to Complete the 2018 MSI Survey Ends on Friday, April 20th

Friday, April 20th, will be the last day for this year's MAC Satisfaction Indicator (MSI) Survey.

We'd like to thank all of our customers who took the time to complete a survey this year.  If you have yet to do so, we would love to hear from you before the end of the day on Friday, April 20th.  The MSI shares your opinions about the services we provide to you with the Centers for Medicare and Medicaid Services and helps us gain valuable insights to determine process improvements.


Group Suffixes on Provider Transaction Access Numbers (PTANs)

Due to internal system changes, we will be ending the practice of appending suffixes to PTANs of group members.  Effective April 16, 2018, group suffixes will no longer be issued to newly enrolling group practices, and individuals reassigning benefits to a group will no longer be assigned a suffix. 

Note: Existing suffixes will not be deleted from enrollment records.  


April 16, 2018

New Medicare Insights Podcast

In this Medicare Insights Podcast episode, we repeat the discussion about the 2018 Medicare Satisfaction Indicator (MSI) Survey, due to its importance. If you who have already participated, we thank you. If you have not yet participated, we look forward to hearing from you.


Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10550 provides clarification on coverage of an ambulance transport for a SNF resident in a stay not covered by Part A, who has Part B benefits, to the nearest supplier of medically necessary services not available at the SNF, including the return trip. These clarifications relate to Chapter 10 of the Medicare Benefit Policy Manual, and Chapter 15, of the Medicare Claims Processing Manual. The revised manual sections are attachments to CR10550. Make sure your billing staffs are aware of these clarifications.

April 12, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, April 12, 2018

View this edition as a PDF

News & Announcements

Help Your Medicare Patients Avoid and Report Scams
2018 MIPS Eligibility Tool
Draft 2019 QRDA Category I Schematron: Submit Comments by April 20
Home Health Utilization and Payment Data
National Health Care Decisions Day is April 16

Provider Compliance

Provider Compliance Tips for Oral Anticancer Drugs and Antiemetic Drugs Used in Conjunction

Upcoming Events

Opioids Forum: Strategies and Solutions for Minority Communities — April 25
Medicare Cost Report e-Filing System Webcast — May 1

Medicare Learning Network® Publications & Multimedia

Increased Ambulance Payment Reduction for Non-Emergency BLS Transports to and from Renal Dialysis Facilities MLN Matters Article — New
New Waived Tests MLN Matters Article — New
Supervised Exercise Therapy for Symptomatic PAD MLN Matters Article — Revised
Modifications to the Implementation of the PWK Segment of the esMD System MLN Matters Article — Revised
Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 MLN Matters Article — Revised
Revised and New Modifiers for Oxygen Flow Rate MLN Matters Article — Revised
April 2018 MLN Catalog – Revised
Medicare Home Health Benefit Booklet - Revised

The following JH Local Coverage Determinations (LCDs) have been revised:

The following JH Local Coverage Articles have been revised:


Low Volume Appeals (LVA) Initiative is being extended to June 8, 2018

The deadline to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative is being extended to June 8, 2018. Appellants with either an odd or an even NPI, that meet the eligibility criteria, should submit an EOI between April 12, 2018 and June 8, 2018. Details about the process, including a fillable EOI, are available at http://go.cms.gov/LVA.


Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Change Request (CR) 10295 informs MACs that effective May 25, 2017; the Centers for Medicare & Medicaid Services (CMS) issued a National Coverage Determination (NCD) to cover Supervised Exercise Therapy (SET) for beneficiaries with Intermittent Claudication (IC) for the treatment of symptomatic Peripheral Artery Disease (PAD). Make sure your billing staffs are aware of these changes.

Issue: Claims billed with the Travel Allowance Healthcare Common Procedure Coding System (HCPCS) P9603 and/or P9604

Claims billed with the Travel Allowance Healthcare Common Procedure Coding System (HCPCS) P9603 and/or P9604 are not processing correctly. There may be coinsurance applied to the service line inappropriately and no actual payment is being made.

This issue was reported to the Fiscal Intermediary Shared System (FISS) maintainer. A correction has been developed that is tentatively scheduled for May 7, 2018. We will provide additional information for the reprocessing of impacted claims when it is available.


Clinical Laboratory Fee Schedule (CLFS) Billing for Dates of Service January 1, 2018 and After

Laboratory services receiving reason code 32402 for dates of service in 2018? Review this article for details.


Alcohol Misuse Screening and Counseling

About 38 million adults in the United States drink too much. Only one in six adults have talked to a health professional. Alcohol screening and brief counseling has been proven to work and talking to your patient is the first step! For more information please review this article.


April 11, 2018

March 2018 Part A Newsletter

The March 2018 Part A Newsletter is now available. Please take a moment to review.


Frequently Asked Questions (FAQs)

Have questions and not sure where to turn? Check out our FAQs for answers to your questions.


April 9, 2018

MSI Survey 2018 - There's Still Time!

There is still time to share your experiences with the Centers for Medicare and Medicaid Services (CMS) about the services we provide to you.  If you have a few moments to spare, your completion of the annual MAC Satisfaction Indicator (MSI) survey and help us gain valuable insights to determine process improvements.  Thanks in advance.  We look forward to your comments.


Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10549 provides instructions regarding Section 53108 of the Bipartisan Budget Act of 2018. This section reduces the ambulance payment by 23 percent for non-emergency Basic Life Support (BLS) transports of individuals with End-Stage Renal Disease (ESRD), to and from renal dialysis treatment (at both hospital-based and freestanding renal dialysis treatment facilities). Please make sure your billing staffs are aware of these changes.

Revised:

Change Request (CR) 10295 informs MACs that effective May 25, 2017; the Centers for Medicare & Medicaid Services (CMS) issued a National Coverage Determination (NCD) to cover Supervised Exercise Therapy (SET) for beneficiaries with Intermittent Claudication (IC) for the treatment of symptomatic Peripheral Artery Disease (PAD). Make sure your billing staffs are aware of these changes.
Change Request (CR) 10397updates the business requirements to enable MACs to receive unsolicited documentation (also known as paperwork (PWK)) via the Electronic Submission of Medical Documentation (esMD) system. CR10397 is for esMD purposes only. Please make sure your billing staffs are aware of these updates.
Change Request (CR) 10531 provides direction to MACs to reprocess claims related to several provisions of the Bipartisan Budget Act of 2018, referred to as Medicare Extenders. Specifically, the CR provides guidance to MACs regarding Medicare Fee For Service (FFS) claims reprocessing requirements and timeframes. Make sure your billing staffs are aware of these changes.

April 5, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, April 5, 2018

View this edition as a PDF

News & Announcements

New Medicare Card Project – Important Updates
Bipartisan Budget Act: CMS Reprocessing Impacted Claims
Reducing Provider Burden: Send us Your Feedback
MIPS Group Web Interface and CAHPS Survey: Register by June 30
MIPS APM: Resources for Performance Year 2018
Medicare Diabetes Prevention Program: New Resources
Administrative Simplification: Electronic Transactions
Opioids: CDC Online Training Series
Opioid Overdoses Treated in Emergency Departments: CDC Vital Signs Report
Help Prevent Alcohol Misuse or Abuse
Reduce the Risk of Falls in Elderly Patients

Provider Compliance

Hospice Election Statements Lack Required Information or Have Other Vulnerabilities — Reminder

Claims, Pricers & Codes

HCPCS Code Set Modifications

Upcoming Events

Cultural Competence: Meeting LTSS Needs of Beneficiaries Webinar — April 12
Safe and Effective Use of Medications in Older Adults Webinar — April 18
Managing Older Adults with Substance Use Disorders Webinar — May 16

Medicare Learning Network® Publications & Multimedia

Institutional Billing for No Cost Items MLN Matters Article — New
Proper Coding for Specimen Validity Testing Billed in Combination with Drug Testing MLN Matters Article — New
SNF ABN MLN Matters Article — New
SNF Value-Based Purchasing Program Updated MLN Matters Article — New
Dementia Care Call: Audio Recording and Transcript — New
Medicare FFS Response to the 2017 California Wildfires MLN Matters Article — Updated
Medicare FFS Response to the 2017 Southern California Wildfires MLN Matters Article — Updated
Inpatient Psychiatric Facility PPS Booklet — Revised
Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe Booklet — Revised
2018 Medicare Part C and Part D Reporting Requirements and Data Validation Web-Based Training Course — Revised
Medicare Parts A & B Appeals Process Booklet — Reminder

Part A Top Inquiries / Frequently Asked Questions (FAQs) for AR, CO, LA, MS, NM, OK, & TX 

The Part A Top Inquiries / FAQs, received by our Customer Contact Center, have been reviewed for March 2018. New questions / answers have been added to the General Information and Return to Provider categories. Please take time to review these and other FAQs for answers to your questions.


Part A Top Claims Submission / Reason Code Errors 

The March 2018 Top Claim Submission / Reason Code Errors and resolutions for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas are now available. Please take time to review these errors and avoid them on future claims.


April 3, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act, President Trump declared that, as a result of the effects of the 2017 Wildfires, a major disaster exists in the State of California.
On October 15, 2017, Acting Secretary Hargan of the Department of Health & Human Services declared that a public health emergency exists in the State of California retroactive to October 8, 2017, and authorized waivers and modifications under §1135 of the Social Security Act.
On October 17, 2017, the Administrator of the Centers for Medicare & Medicaid Services (CMS) authorized waivers under §1812(f) of the Social Security Act for the State of California retroactive to October 8, 2017 for those people who are evacuated, transferred, or otherwise dislocated as a result of the effect of wildfires. Providers can request an individual Section 1135 waiver by following the instructions available at https://www.cms.gov/About-CMS/Agency- Information/Emergency/Downloads/Requesting-an-1135-Waiver-Updated-11-16-2016.pdf. The Public Health Emergency declaration and Social Security Act waivers including the Section 1135 waiver authority expired on January 5, 2018.
Pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act, President Trump declared that, as a result of the effects of the December 2017 Wildfires, an emergency exists in the State of California.
On December 11, 2017, Acting Secretary Hargan of the Department of Health & Human Services declared that a public health emergency (PHE) exists in the State of California retroactive to December 4, 2017, and authorized waivers and modifications under §1135 of the Social Security Act.
On December 13, 2017, the Administrator of the Centers for Medicare & Medicaid Services (CMS) authorized waivers under §1812(f) of the Social Security Act for the State of California retroactive to December 4, 2017 for those people who are evacuated, transferred, or otherwise dislocated as a result of the effect of wildfires. Providers can request an individual Section 1135 waiver by following the instructions available at https://www.cms.gov/About-CMS/Agency- Information/Emergency/Downloads/Requesting-an-1135-Waiver-Updated-11-16-2016.pdf. The Public Health Emergency declaration and Social Security Act waivers including the Section 1135 waiver authority expired on March 3, 2018.

April 2, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

This article provides clarification of the billing instructions specific to drugs provided at no cost when claims processing edits prevent drug administration charges from being billed when the claim does not contain a covered/billable drug charge. This is not a new policy but a reminder of the policy in place. Please make sure your billing staffs are aware of this clarification.
This article advises that the Centers for Medicare & Medicaid Services (CMS) has revised the Skilled Nursing Facility Notice of Non-coverage, Form CMS-10055. With this revision, CMS is discontinuing the five Skilled Nursing Facility Denial Letters (namely, the Intermediary Determination of Noncoverage, the UR Committee Determination of Admission, the UR Committee Determination on Continued Stay, the SNF Determination on Admission and the SNF Determination on Continued Stay), and the Notice of Exclusion from Medicare Benefits (NEMB-SNF), Form CMS-20014. Please ensure that your billing staffs are aware of these changes.
This MLN Matters Special Edition article reminds laboratories and other providers about how to properly bill for specimen validity testing done in conjunction with drug testing. Please make sure your billing staffs are aware of these instructions.

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Special Edition article SE18003 informs providers about the SNF Value-Based Purchasing (VBP) Program. The VBP Program is one of many VBP programs that aim to reward quality and improve health care. Beginning October 1, 2018, SNFs will have an opportunity to receive incentive payments based on their performance in the program.

March 29, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, March 29, 2018

View this edition as a PDF

News & Announcements

Patients Over Paperwork: Empowering Patients Through Data
MIPS Data Submission Deadline: March 31
Transitions from Hospice Care, Followed by Death or Acute Care Draft Measure: Comment Period Ends April 25
Open Payments Review and Dispute Period: April 1 through May 15
Qualified Medicare Beneficiary Claims: Replacement RAs
MACRA Patient Relationship Categories and Codes
Advanced Diagnostic Laboratory Tests: Applications and Guidance
HIMSS18 Presentations
Hospice Quality Reporting Program Video Series: Navigating HQRP Websites
Hospice Item Set Coding Video Series
Physician Compare Quality Measure TEP Summary Report
Administrative Simplification: Reaching Compliance with ASETT Video

Provider Compliance

Provider Compliance Tips for Diabetic Test Strips

Upcoming Events

Comparative Billing Report on Spinal Orthoses Suppliers Webinar — May 2
LTCH Quality Reporting Program In-Person Training Event — May 8 and 9
IRF Quality Reporting Program In-Person Training Event — May 9 and 10

Medicare Learning Network® Publications & Multimedia

Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 MLN Matters Article — New
Adjustments to QMB Claims Processed under CR 9911 MLN Matters Article — New
April Quarterly Update for 2018 DMEPOS Fee Schedule MLN Matters Article — New
Low Volume Appeals Settlement Call: Audio Recording and Transcript — New
Open Payments Call: Audio Recording and Transcript — New
E/M Services Listening Session: Audio Recording and Transcript — New
Prohibition on Billing Dually Eligible Individuals Enrolled in the QMB Program MLN Matters Article — Revised
April 2018 I/OCE Specifications Version 19.1 MLN Matters Article — Revised
April 2018 Update of the Hospital OPPS MLN Matters Article — Revised

The following JH Local Coverage Determinations (LCDs) have been revised:


March 28, 2018

New Addition to the April 2018 Calendar of Events

We have added a new event to the April 2018 Calendar, Ability/PCACE, scheduled for Monday, April 23. Visit the Education and Training page of our website for additional information and registration opportunities.


March 27, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10531 provides direction to MACs to reprocess claims related to several provisions of the Bipartisan Budget Act of 2018, referred to as Medicare Extenders. Specifically, the CR provides guidance to MACs regarding Medicare Fee For Service (FFS) claims reprocessing requirements and timeframes. Make sure your billing staffs are aware of these changes.

Part A Open Issues update

For claims processed on or after July 2, 2018, CMS will reintroduce QMB information on the Medicare remittance with revised coding from what was implemented with CR9911. Refer to MM10433 for more information.

Claims that processed with the QMB information prior to December 8, 2017, will be identified and automatically reprocessed. No provider action will be necessary. Refer to MM10494 issued by CMS for additional details.


March 23, 2018

New Medicare Card

Beginning in April 2018, the Centers for Medicare & Medicaid Services (CMS) will mail new Medicare cards to all people with Medicare on a flow basis by geographic location and other factors. Additional details on timing will be available as the mailings progress.

Mailing Schedule 

April - June 2018
Jurisdiction L - Pennsylvania, Maryland, Delaware and the Washington D.C. Metro Area (Arlington and Fairfax counties in Virginia, the city of Alexandria, VA, the District of Columbia, and Montgomery and Prince George’s counties in Maryland)
After June 2018
Jurisdiction L - New Jersey, and
Jurisdiction H - Colorado, Oklahoma, New Mexico, Texas, Arkansas, Louisiana, Mississippi, Indian Health Service and Veterans Affairs

Additional details on timing will be available as mailings progress.

Starting in April 2018, beneficiaries can check the status of card mailings in their area on Medicare.gov.

For more information, please reference this article.


Medicare Learning Network® MLN Matters® Articles from CMS

New:

This article is based on Change Request (CR) 10494 which directs MACs to mass adjust QMB claims impacted by CR9911. Make sure that your billing staff is aware of these upcoming claims adjustments.
Change Request (CR) 10503 provides the April 2018 Medicare DMEPOS fee schedule quarterly update. It provides specific instructions to your DME MAC for implementing updated Oxygen Volume Adjustments. When necessary, the DMEPOS fee schedule is updated quarterly, to implement fee schedule amounts for new codes, to correct any fee schedule amounts for existing codes (as applicable) and to apply changes in payment policies. It contains fee schedule amounts for both non-rural and rural areas. Additionally, the parenteral and enteral nutrition (PEN) fee schedule file includes state fee schedule amounts for enteral nutrition items and national fee schedule amounts for parental nutrition items.

Revised

CR 10514 provides the Integrated Outpatient Code Editor (I/OCE) instructions and specifications for the I/OCE that will be used in the Outpatient Prospective Payment System (OPPS) and non-OPPS for hospital inpatient departments, Community Mental Health Centers (CMHCs), all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System (HH PPS) or to a hospice patient for the treatment of a non-terminal illness. Make sure your billing staffs are aware of these updates
CR 10515 describes changes to the OPPS to be implemented in the April 2018 update. Make sure your billing staffs are aware of these changes.
This Special Edition MLN Matters® Article from the Centers for Medicare & Medicaid Services (CMS) reminds all Medicare providers and suppliers, including pharmacies, that they may not bill beneficiaries enrolled in the QMB program for Medicare cost-sharing. Medicare beneficiaries enrolled in the QMB program have no legal obligation to pay Medicare Part A or Part B deductibles, coinsurance, or copays for any Medicare-covered items and services.
Implement key measures to ensure compliance with QMB billing requirements. Use HIPAA Eligibility Transaction System (HETS) (effective November 2017), CMS’ eligibility-verification system, and the provider RA (July 2018) to identify beneficiaries’ QMB status and exemption from cost-sharing prior to billing. Starting July 2018, look for QMB alerts messages in the Remittance Advice for FFS claims to verify QMB after claims processing.

March 22, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, March 22, 2018

View this edition as a PDF

News & Announcements

Coverage of Next Generation Sequencing Tests Ensures Enhanced Access for Cancer Patients
IMPACT Act Transfer of Health Measures: Public Comment Period Ends May 3
Hospice Quality Reporting Program: HART v1.4.0
Hospital VBP Program FY 2020 Baseline Measures Report

Provider Compliance

Billing for Stem Cell Transplants — Reminder

Upcoming Events

IMPACT Act and Improving Care Coordination Special Open Door Forum — March 28
Spinal Orthoses Referring Providers Comparative Billing Report Webinar — April 11
CMS National Provider Enrollment Conference — April 24 and 25

Medicare Learning Network® Publications & Multimedia

April 2018 Update: ASC Payment System MLN Matters Article — New
Internet Only Manual Update to Correct Errors and Omissions: SNF 2018 MLN Matters Article — New
SSI/Medicare Beneficiary Data for FY 2016: IPPS Hospitals, IRFs, LTCHs MLN Matters Article — New
Billing Requirements for OPPS Providers with Multiple Service Locations MLN Matters Article — New
Reinstating the QMB Indicator in the Medicare FFS Claims Processing System MLN Matters Article — Revised
Quarterly Update for CLFS and Laboratory Services Subject to Reasonable Charge Payment MLN Matters Article — Revised
Home Health Prospective Payment System Booklet — Revised
Federally Qualified Health Center Booklet — Revised
Medicare Parts A and B Appeals Process Booklet — Reminder
The Medicare Secondary Payer Provisions Web-Based Training Course — Reminder
CLIA Program and Medicare Laboratory Services — Reminder

March 21, 2018

Inclement Weather Update: Winter Storm Toby

Winter Storm Toby continues to bring hazardous weather conditions to our Mechanicsburg, PA offices. For the safety or our employees, our Contact Center will be closed for the remainder of the day on Wednesday, March 21, 2018.  

Normal business hours are expected to resume Thursday, March 22, 2018.  During the Contact Center closure, our IVR and Portal will remain available to address your self-service needs. We appreciate your patience as we address impacts caused by Winter Storm Toby.


March 20, 2018

Revision of Paperwork (PWK) Fax / Mail Cover Sheet

The PWK Fax / Mail cover sheet is being revised to remove the health insurance claim number (HICN) and replace it with "Medicare ID" as part of the Medicare Access and CHIP Re-authorization Act of 2015, requiring removal of the Social Security number-based HICN from Medicare cards.

As a result of this change, Medicare contractors will accept only the new PWK Fax / Mail cover sheets that contain "Medicare ID" beginning April 2, 2018. 


New Medicare Insights Podcast

In this Medicare Insights Podcast episode, we discuss the Medicare Satisfaction Indicator (MSI) Survey.


Part A Top Inquiries / Frequently Asked Questions (FAQs) for AR, CO, LA, MS, NM, OK, & TX 

The Part A Top Inquiries / FAQs, received by our Customer Contact Center, have been reviewed for February 2018. New questions / answers have been added to the Eligibility/Entitlement category. Please take time to review these and other FAQs for answers to your questions.


March 19, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

This article conveys enforcement editing requirements for the Medicare Claims Processing Manual, Chapter 1, and Section 170 which describes Payment Bases for Institutional Claims. These requirements are not new requirements. Make sure your billing staff is aware of these instructions.
This article is based on Change Request (CR) 10512 which informs MACs about an update to the Medicare manuals to correct various minor technical errors and omissions. Those changes are intended only to clarify the existing content and no policy, processing, or system changes are anticipated. Make sure your billing staff is aware of these instructions.
Change Request (CR) 10527 informs MACs about updated data for determining the disproportionate share adjustment for IPPS hospitals and the low-income patient adjustment for IRFs, as well as payments, as applicable, for LTCH discharges (for example, discharges paid the IPPS comparable amount under the short-stay outlier payment adjustment). Make sure that your billing staffs are aware of these changes.

Revised:

CR 10445 informs the MACs about the changes in the April 2018 quarterly update to the Clinical Laboratory Fee Schedule (CLFS). Make sure that your billing staffs are aware of these changes.

March 16, 2018

The April 2018 Calendar of Events is Now Available

The April 2018 Calendar of Events is currently available for your review. Visit the Education and Training page of our website for additional information and registration opportunities. Do not miss your chance to remain current and update on the latest Medicare news.


March 15, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, March 15, 2018

View this edition as a PDF

News & Announcements

MIPS Reporting Deadlines Approaching
EHR Incentive Program: Hospital Attestation Deadline Changed to March 16
Hospice Provider Preview Reports: Review Your Data by March 30
IRF and LTCH Provider Preview Reports: Review Your Data by April 5
Medicare Pharmaceutical and Technology Ombudsman
Updated QRDA III Implementation Guide with Advancing Care Information Identifier
Hospice QRP Timeliness Compliance Threshold Report: Footnote Update
Influenza Activity Continues: Are Your Patients Protected?

Provider Compliance

Provider Compliance Tips for Hospital Beds and Accessories

Claims, Pricers & Codes

Integrated OCE Files for April 2018

Upcoming Events

New Medicare Card Project Special Open Door Forum — March 20
Dementia Care: Person-Centered Care Planning and Practice Recommendations Call — March 20
E/M Services: Documentation Guidelines and Burden Reduction Listening Session — March 21
Interdisciplinary Team Building, Management, and Communication Webinar — March 21
Hospice Quality Reporting Program Webinar — March 27
IMPACT Act and Improving Care Coordination Special Open Door Forum — March 28
Managing Transitions with Adults with Disabilities Webinar — March 28
Building Partnerships: Health Plans and Community-based Organizations Webinar — April 4

Medicare Learning Network® Publications & Multimedia

Appropriate Use Criteria for Advanced Diagnostic Imaging: HCPCS Modifier QQ MLN Matters Article — New
April 2018 I/OCE Specifications Version 19.1 MLN Matters Article — New
April 2018 Update of the Hospital OPPS MLN Matters Article — New
Provider Compliance Tips for Enteral Nutrition Fact Sheet — New
Provider Compliance Tips for Walkers Fact Sheet — New
Provider Compliance Tips for Home Health Services Fact Sheet — New
Provider Compliance Tips for Respiratory Assistive Devices Fact Sheet— New
ICD-10 and Other Coding Revisions to NCDs MLN Matters Article — Revised
Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients MLN Matters Article — Revised
Supervised Exercise Therapy for Symptomatic PAD MLN Matters Article — Revised
Quarterly HCPCS Drug/Biological Code Changes MLN Matters Article — Revised
Provider Compliance Tips for Laboratory Tests: Other Fact Sheet – Revised
Provider Compliance Tips for Ordering Hospital Outpatient Services Fact Sheet — Revised
Provider Compliance Tips for Skilled Nursing Facility Services Fact Sheet — Revised
Provider Compliance Tips for Enteral Nutrition Therapy Pumps Fact Sheet — Revised
Provider Compliance Tips for IRF Fact Sheet — Revised
Ambulatory Surgical Center Payment System Fact Sheet — Revised
Beneficiaries in Custody under a Penal Authority Fact Sheet—Revised
Medicare Ambulance Transports Booklet — Revised
Medicare Provider-Supplier Enrollment National Educational Products Listing — Revised
Global Surgery Booklet — Reminder

The following JH Local Coverage Article which was posted for notice on January 25, 2018 is now effective:


March 14, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Effective with Change Request (CR) 10433, the Centers for Medicare & Medicaid Services (CMS) will reintroduce Qualified Medicare Beneficiary (QMB) information in the Medicare Remittance Advice (RA) and Medicare Summary Notice (MSN). CR 9911 modified the Fee-For-Service (FFS) systems to indicate the QMB status and zero cost-sharing liability of beneficiaries on RAs and MSNs for claims processed on or after October 2, 2017. CR 10433 reinstates all changes to the MSNs under CR 9911. Please make sure your billing staff is aware of these changes.

March 12, 2018

The 2018 MAC Satisfaction Indicator (MSI) Survey is Here!

The MSI is the best way to share your opinions directly with the Centers for Medicare & Medicaid Services (CMS) about your experience with us. These survey results will help us gain valuable insights and determine process improvements.  The survey will be available for a limited time and can be completed by clicking here.  Thank you in advance for your participation.


Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Change Request (CR) 10454 informs MACs of the April 2018 updates of specific biosimilar biological product HCPCS code, modifiers used with these biosimilar biologic products and an autologous cellular immunotherapy treatment. The HCPCS code set is updated on a quarterly basis. Be sure your staffs are aware of these updates.

March 9, 2018

The comment period is now closed for the following JH Draft Local Coverage Determinations (LCDs). Comments received will be reviewed by our Contractor Medical Directors and Response to Comments Articles will be posted to our website and related to the LCDs when they are posted for notice.


March 8, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, March 8, 2018

View this edition as a PDF

News & Announcements

MyHealthEData Initiative Puts Patients at the Center of the US Health Care System
New Medicare Card Transition Begins In Less Than a Month
MACRA Funding Opportunity: Measure Development for the Quality Payment Program
IRF and LTCH Compare Refresh
Quality Payment Program: Submit 2017 Participation Data through March 31
EHR Incentive Program: Hospitals Submit Proposals for New Measures until June 29
PEPPER for Short-term Acute Care Hospitals
DME Supplier Feedback on Telephone Discussion and Reopening Process Demonstration
EHR Incentive Programs FAQs
Antipsychotic Drug Use in Nursing Homes: Trend Update
Help Your Patients Go Further With Food

Provider Compliance

Bill Correctly for Device Replacement Procedures — Reminder

Claims, Pricers & Codes

April 2018 Average Sales Price Files

Upcoming Events

Low Volume Appeals Settlement Option Update Call — March 13
National Patient Safety Week Panel Discussion — March 13
Open Payments: The Program and Your Role Call — March 14
QRDA Category I Implementation Guide for CY 2018 Hospital Quality Reporting Webinar — March 19
Dementia Care: Person-Centered Care Planning and Practice Recommendations Call — March 20
E/M Services: Documentation Guidelines and Burden Reduction Listening Session — March 21

Medicare Learning Network® Publications & Multimedia

Provider Compliance Tips for Glucose Monitors Fact Sheet — New
Provider Compliance Tips for Manual Wheelchairs Fact Sheet — New
Provider Compliance Tips for Ordering Lower Limb Prostheses Fact Sheet — New
Provider Compliance Tips for Laboratory Tests – Bacterial Cultures Fact Sheet — New
Provider Compliance Tips for Wheelchair Options/Accessories Fact Sheet — New
Provider Compliance Tips for Ostomy Supplies Fact Sheet — New
Provider Compliance Tips for Ordering Oxygen Supplies and Equipment Fact Sheet — New
Provider Compliance Tips for Negative Pressure Wound Therapy Fact Sheet — New
Provider Compliance Tips for Surgical Dressings Fact Sheet — New
Provider Compliance Tips for Urological Supplies Fact Sheet — New
Low Volume Appeals Settlement Call: Video Presentation — New
ESRD QIP Call: Audio Recording and Transcript — New
Rural Health Clinic Fact Sheet — Revised

The following JH Local Coverage Determinations (LCDs) have been revised:

The following JH Local Coverage Articles have been revised:


Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10515 describes changes to the OPPS to be implemented in the April 2018 update. Make sure your billing staffs are aware of these changes.

March 7, 2018

February 2018 Part A Newsletter

The February 2018 Part A Newsletter is now available. Please take a moment to review


March 6, 2018

Clarification on the implementation of change request (CR) 10318, transmittal 2005 titled, “ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs)”

The Centers for Medicare & Medicaid Services (CMS) has received multiple inquiries related to instructions in CR10318 for NCDs 110.21 and 80.11, and provides clarification. Please read this article for details.


Update to Opt Out Page

Novitas has recently updated our Opt Out page to link users to the CMS Opt Out Listing. The CMS listing is the most efficient means to search for providers who have opted out of the Medicare program. For a list of all physicians and practitioners that are currently opted out of Medicare, please review the CMS Opt-Out Affidavit listing. The Opt-Out Listing is updated on a quarterly basis. Please make sure that your enrollment staff is aware of this change.

Note: There will no longer be downloadable spreadsheets from this page.


Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Change Request (CR) 10295 effective May 25, 2017, a National Coverage Determination (NCD) covers Supervised Exercise Therapy (SET) for beneficiaries with Intermittent Claudication (IC) for the treatment of symptomatic Peripheral Artery Disease (PAD). Make sure your billing staffs are aware of these changes.

March 5, 2018

Part A Top Claims Submission / Reason Code Errors 

The February 2018 Top Claim Submission / Reason Code Errors and resolutions for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas are now available. Please take time to review these errors and avoid them on future claims.


Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10481 informs the MACs of the appropriate Healthcare Common Procedure Coding System (HCPCS) modifier (QQ) that may be reported on the same claim line as the Current Procedural Terminology (CPT) code for an advanced diagnostic imaging service that is furnished in an applicable setting and paid for under an applicable payment system.
Change Request (CR) 10514 provides the Integrated Outpatient Code Editor (I/OCE) instructions and specifications for the I/OCE that will be used in the Outpatient Prospective Payment System (OPPS) and non-OPPS for hospital inpatient departments, Community Mental Health Centers (CMHCs), all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System (HH PPS) or to a hospice patient for the treatment of a non-terminal illness. Make sure your billing staffs are aware of these updates.

Revised:

Change Request (CR) 10474 provides updates to diagnosis codes required in order to allow add-on payments under the Inpatient Prospective Payment System (IPPS) for blood clotting factor administered to hemophilia inpatients. The add-on payment criteria for blood clotting factors administered to hemophilia inpatients will be updated July 1, 2018, by terminating International Classification of Diseases, Clinical Modification (ICD-CM) code D68.32, effective with that date. The list of ICD-CM codes that will continue to receive the add-on payment can be found in Section 20.7.3, of Chapter 3 of the “Medicare Claims Processing Manual”. Make sure your billing staffs are aware of this update.

March 2, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

CR 10473 constitutes a maintenance update of the International Classification of Diseases, Tenth Revision (ICD-10) conversions and other coding updates specific to National Coverage Determinations (NCDs). These NCD coding changes are the result of newly available codes, coding revisions to NCDs released separately, or coding feedback received.

March 1, 2018

Medicare Expired Legislative Provisions Extended and Other Bipartisan Budget Act of 2018 Provisions

On February 9, 2018, President Trump signed into law the Bipartisan Budget Act of 2018. This new law includes several provisions related to Medicare payment.

With regard to payment for outpatient therapy services, the law repeals application of the Medicare outpatient therapy caps but retains the former cap amounts as a threshold above which claims must include the KX modifier as a confirmation that services are medically necessary as justified by appropriate documentation in the medical record; and retains the targeted medical review process, but at a lower threshold amount. It also extends several recently expired Medicare legislative provisions affecting health care providers and beneficiaries, including the Medicare physician fee schedule work geographic adjustment floor, add-on payments for ambulance services and home health rural services, changes to the payment adjustment for low volume hospitals, and the Medicare dependent hospital program.

In addition, with regard to Section 53111 – Medicare Payment Update for Skilled Nursing Facilities, the Centers for Medicare & Medicaid Services has received questions from stakeholders about the impact of the FY 2019 Skilled Nursing Facility (SNF) update due to section 53111 of the BBA of 2018. To help answer these questions, we are providing information about the estimated market basket update for FY 2019 based on currently available data. This estimate may be updated in the Notice of Proposed Rulemaking for the FY 2019 SNF Prospective Payment System (PPS).

Read the full summary.


CMS Provider Education Message:

MLN Connects® for Thursday, March 1, 2018

View this edition as a PDF

News & Announcements

New Medicare Card: Video for Your Waiting Room
Patients over Paperwork Newsletter
CMS Launches Public Reporting of CAHPS® Hospice Survey Results
Hospice Compare Quarterly Refresh
Medicare Diabetes Prevention Program: Supplier Enrollment
Medicare EHR Incentive Program Hospital Attestation: Deadline Extended to March 16
Draft 2019 QRDA Category I Implementation Guide: Submit Comments by March 21
MIPS: Apply to Participate in Quality Measures Study by March 23
MIPS Reporting Deadlines
MIPS 2018 QCDR Measure Specifications
MIPS Claims Based Quality Measures Projections and Results Video
eCQM Annual Update Pre-Publication Document
What’s New with Physician Compare Webinar Materials
Are You Prepared for a Health Care Emergency?
March is National Colorectal Cancer Awareness Month

Provider Compliance

Provider Compliance Tips for Laboratory Blood Counts Fact Sheet — New

Upcoming Events

Low Volume Appeals Settlement Option Update Call — March 13
Open Payments: The Program and Your Role Call — March 14
Dementia Care: Person-Centered Care Planning and Practice Recommendations Call — March 20
E/M Services: Documentation Guidelines and Burden Reduction Listening Session — March 21

Medicare Learning Network Publications & Multimedia

Provider Compliance Tips for PAP Devices and Accessories Including CPAP Fact Sheet — New
Provider Compliance Tips for Oral Anticancer Drugs and Antiemetic Drugs Used in Conjunction Fact Sheet — New
Provider Compliance Tips for Bariatric Surgery Fact Sheet — New
Provider Compliance Tips for Diabetic Shoes Fact Sheet — New
Provider Compliance Tips for Lower Limb Orthoses Fact Sheet — New
Provider Compliance Tips for Enteral Nutrition Fact Sheet — New
Provider Compliance Tips for Immunosuppressive Drugs Fact Sheet — New
Provider Compliance Tips for Ambulance Services Fact Sheet — Revised
Provider Compliance Tips for Clinic ESRD Services (Part A Non-DRG) Fact Sheet — Revised
Provider Compliance Tips for CT Scans Fact Sheet — Revised
Medicare Part D Vaccines and Vaccine Administration Fact Sheet — Revised
Medicare Part B Immunization Billing Educational Tool — Revised
Screening Pap Tests and Pelvic Examinations Booklet — Revised
Medicare Enrollment for Physicians, NPPs, and Other Part B Suppliers Booklet — Revised
Hospital Outpatient Prospective Payment System Booklet — Revised

Part A Open Issues update

Update regarding claims for certain non-OPPS providers billed with observation services (revenue code 0762) that are incorrectly receiving reason code 32412. The correction installed on 2/19/18 did not resolve the issue. A new correction has been created and is tentatively scheduled for April 23, 2018.


Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Effective with Change Request (CR) 10433, the Centers for Medicare & Medicaid Services (CMS) will reintroduce Qualified Medicare Beneficiary (QMB) information in the Medicare Remittance Advice (RA) and Medicare Summary Notice (MSN). CR 9911 modified the Fee-For-Service (FFS) systems to indicate the QMB status and zero cost-sharing liability of beneficiaries on RAs and MSNs for claims processed on or after October 2, 2017. CR 10433 reinstates all changes to the MSNs under CR 9911. Please make sure your billing staff is aware of these changes.

February 28, 2017

Expressions of interest for low volume appeals settlement (LVA) process

On February 5, 2018, CMS started accepting Expressions of Interest for its low volume appeals settlement (LVA) process. The LVA settlement option is for providers, physicians, and suppliers (appellants) with fewer than 500 appeals pending at the Office of Medicare Hearing and Appeals (OMHA) and the Medicare Appeals Council (Council) at the Departmental Appeals Board, combined, as of November 3, 2017, with a total billed amount of $9,000 or less per appeal. If you are interested in participating in LVA to address your pending appeals, visit CMS’ website at go.cms.gov/LVA.


The comment period will close on March 8, 2018 for the following JH Draft Local Coverage Determinations (LCDs):

Submit Comments


February 27, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Change Request (CR) 10480 updates the Federally Qualified Health Center Prospective Payment System (FQHC PPS) grandfathered tribal FQHC base payment rate and the Geographic Adjustment Factors (GAFs) for the FQHC Pricer. Make sure your billing staffs are aware of these changes.

February 26, 2018

The Medicare Satisfaction Indicator (MSI) Survey - Coming in March 2018!

MSI Coming in March 2018!  The 2018 MAC Satisfaction Indicator (MSI), a survey administered by the Centers for Medicare & Medicaid Services (CMS), is coming in March. The MSI measures your satisfaction with our processes and service delivery so we can gain valuable insights and determine process improvements.

Thanks for your feedback in 2017. We used your feedback to make improvements to our services.

Here are some highlights of changes and enhancements we made to our website as a result of your feedback in 2017:

Added a "Was this page helpful?" interaction to all content pages
Designed and debuted new information centers for Enrollment, Appeals and Claims
Enhanced and expanded data provided by many of our self-service lookup tools 

Watch our website and eNews listserv for more details on how you can participate in the MSI survey next month.


February 23, 2018

The March 2018 Calendar of Events is Currently Available

The March 2018 Part A Calendar of Events is available for your immediate review. Visit the Education and Training page of our website for additional information and registration opportunities.


February 22, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, February 22, 2018

View this edition as a PDF

News & Announcements

Low Volume Appeals Settlement Process

Provider Compliance

Payment for Outpatient Services Provided to Beneficiaries Who Are Inpatients of Other Facilities — Reminder

Upcoming Events

Low Volume Appeals Settlement Option Update Call — March 13
Open Payments: The Program and Your Role Call — March 14
Dementia Care: Person-Centered Care Planning and Practice Recommendations Call — March 20
CMS National Provider Enrollment Conference — April 24 and 25

Medicare Learning Network Publications & Multimedia

CMS Provider Minute Video: Utilizing Your MAC to Prepare for CERT Review — New
Low Volume Appeals Settlement Call: Audio Recording and Transcript — New
Provider Compliance Tips for Hospital Beds and Accessories Fact Sheet — New
Provider Compliance Tips for Infusion Pumps and Related Drugs Fact Sheet — New
Provider Compliance Tips for Nebulizers and Related Drugs Fact Sheet — New
Provider Compliance Tips for Laboratory Tests – Blood Counts Fact Sheet — New
Provider Compliance Tips for Diabetic Test Strips Fact Sheet — Revised
Overview of the Repetitive Scheduled Non-emergent Ambulance Prior Authorization Model MLN Matters Article — Revised
Telehealth Services Booklet — Revised
Medicare Enrollment for Institutional Providers Booklet — Revised
PECOS for Physicians and NPPs Booklet — Revised
DMEPOS Information for Pharmacies Fact Sheet — Reminder
DMEPOS Accreditation Fact Sheet — Reminder
Mass Immunizers and Roster Billing Booklet — Reminder

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10473 constitutes a maintenance update of the International Classification of Diseases, Tenth Revision (ICD-10) conversions and other coding updates specific to National Coverage Determinations (NCDs). These NCD coding changes are the result of newly available codes, coding revisions to NCDs released separately, or coding feedback received.

February 21, 2018

CMS National Provider Enrollment Conference: April 24 - 25, 2018

Register for the CMS National Provider Enrollment Conference at the San Diego Convention Center, San Diego, California, on Tuesday, April 24 and Wednesday, April 25 from 8:00 a.m. to 5:00 p.m. PT. Take advantage of this opportunity to interact directly with CMS and Medicare Administrative Contractor provider enrollment experts.


Part A Top Inquiries / Frequently Asked Questions (FAQs) for AR, CO, LA, MS, NM, OK, & TX

The Part A Top Inquiries / FAQs, received by our Customer Contact Center, have been reviewed for January 2018. New questions / answers have been added to the Claim Denials and General Information categories. Please take time to review these and other FAQs for answers to your questions.


February 20, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10402 directs MACs to obtain the most recent Healthcare Provider Taxonomy Codes (HPTCs) code set and use it to update their internal HPTC tables and/or reference files. Make sure your billing staffs are aware of these changes.
Change Request (CR) 10489 updates the Remittance Advice Remark Codes (RARC) and Claims Adjustment Reason Code (CARC) lists and instructs Medicare Shared System Maintainers (SSMs) to update Medicare Remit Easy Print (MREP) and PC Print. Be sure your staffs are aware of these changes.
Change Request (CR) 10397updates the business requirements to enable MACs to receive unsolicited documentation (also known as paperwork (PWK)) via the Electronic Submission of Medical Documentation (esMD) system. CR10397 is for esMD purposes only. Please make sure your billing staffs are aware of these updates.
Change Request (CR) 10488 amends payment files issued to MACs based upon the calendar year 2018 Medicare Physician Fee Schedule (MPFS) Final Rule. Make sure your billings staffs are aware of these changes.

February 16, 2018

Revalidation and Application Development Tips

Provider Enrollment Services want to make 2018 a success with your enrollment needs. We would also like to remind you about the importance of complying with Revalidation and application development requests. Please take time to review the article we developed to share information on revalidation, keeping development down and fulfilling development requests. For more information, please visit our website.


February 15, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, February 15, 2018

View this edition as a PDF

News & Announcements

MIPS Reporting Deadlines Fast Approaching: 10 Things to Do and Know
Quality Payment Program: Performance Scores for 2017 Claims Data
Diabetic Self-Management Training Accreditation Program: New Webpage and Helpdesk
Measures of Hospital Harm: Comment by February 16
EHR Incentive Program: Accepting Proposals for New Measures by June 29
New Option for Submission of Medicare Cost Reports

Provider Compliance

Home Health Care: Proper Certification Required — Reminder

Claims, Pricers & Codes

January 2018 OPPS Pricer File

Upcoming Events

Improving Accessibility of Provider Settings Webinar — February 21
ESRD QIP: Final Rule for CY 2018 Call — February 22
2018 QCDR Measures Workgroup Webinar — February 27
Serving Adults with Disabilities on the Autism Spectrum Webinar — February 28
MIPS Quality Data Submission Webinar — February 28
Palliative and Hospice Care for Adults with Disabilities Webinar — March 7
Low Volume Appeals Settlement Option Update Call — March 13
Open Payments: The Program and Your Role Call — March 14
MIPS Attestation for Advancing Care Information and Improvement Activities Webinar — March 14

Medicare Learning Network Publications & Multimedia

Medicare Enrollment Resources Educational Tool — Revised
PECOS FAQs Booklet — Revised
PECOS for DMEPOS Suppliers Booklet — Revised
Safeguard Your Identity and Privacy Using PECOS Booklet —Revised
PECOS for Provider and Supplier Organizations Booklet — Revised
PECOS Technical Assistance Contact Information Fact Sheet — Revised
Health Professional Shortage Area Physician Bonus Program Fact Sheet — Revised
Medicare Secondary Payer Booklet – Reminder
Beneficiaries in Custody under a Penal Authority Fact Sheet — Reminder

New Medicare Insights Podcast

In this Medicare Insights Podcast episode, we discuss the new Medicare card.


Part A Open Issues Log updates

Outpatient claims billed with laboratory services on revenue code 030x or 031x are incorrectly receiving reason code 32404.

Update 2/15/18: The correction has been created and is tentatively scheduled to be installed on March 5, 2018. Claims will continue to be held in status location SMQ199.


February 14, 2018

Transcatheter Aortic Valve Replacement (TAVR) Coverage Reminder

TAVR became nationally covered in 2012 under Coverage with Evidence Development outlined in NCD 20.32. Therefore, the billing and processing of TAVR claims is different from Investigational Device Exemptions (IDEs) that require Novitas or the Centers for Medicare & Medicaid Services approval prior to billing for associated routine costs. Our claims department has seen an increase in claims being submitted by facilities that are not approved. It is important that prior to claim submission you verify your participation in an approved TAVR study location. Please review our article for more information.


February 13, 2018

Part A Open Issues Log Update- Q197 location and cosmetic SMQ update

Certain claims suspend for manual intervention. After the claims are reviewed, the reason codes are bypassed and the claim is allowed to continue processing. The bypass of several reason codes is no longer functioning and the claims are remaining suspended.

 

Update 2/13/18: The correction to the bypass was installed earlier than expected. Claims that were being held in this location have been processed.


Medicare Learning Network® MLN Matters® Articles from CMS

Revised:

Change Request (CR) 10181 provides for the replacement of HCPCS codes G0202, G0204, and G0206 with Current Procedural Terminology (CPT) codes 77067, 77066, and 77065, effective January 1, 2018. CR 10181 also applies the waiver of deductible and coinsurance to 76706, 77067, prolonged preventive services, and anesthesia services furnished in conjunction with and in support of colorectal cancer services. Make sure your billing staffs are aware of these changes.

February 12, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10474 provides updates to diagnosis codes required in order to allow add-on payments under the Inpatient Prospective Payment System (IPPS) for blood clotting factor administered to hemophilia inpatients. Make sure your billing staffs are aware of this update.
Change Request (CR) 10445 informs the MACs about the changes in the April 2018 quarterly update to the Clinical Laboratory Fee Schedule (CLFS). Make sure that your billing staffs are aware of these changes.
Change Request (CR) 10480 updates the Federally Qualified Health Center Prospective Payment System (FQHC PPS) grandfathered tribal FQHC base payment rate in the FQHC Pricer. Make sure your billing staffs are aware of these changes.

February 9, 2018

January 2018 Part A Newsletter

The January 2018 Part A Newsletter is now available. Please take a moment to review.


February 8, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, February 8, 2018

View this edition as a PDF

News & Announcements

Patients over Paperwork: January Newsletter
Open Payments Registration
MIPS: Call for Advancing Care Information Measures and Improvement Activities
Quality Payment Program: Advanced APM Table
Hospice Quality Reporting Program Resources
LTCH Quality Reporting Program: Materials from December Training
SNF QRP Quality Measure and Review and Correct Report: Calculation Error
Home Health Review and Correct Report: Correction
Influenza Activity Continues: Are Your Patients Protected?

Provider Compliance

Medicare Hospital Claims: Avoid Coding Errors — Reminder

Upcoming Events

Low Volume Appeals Settlement Option Call — February 13
What’s New with Physician Compare Webinar — February 21 or 22
Comparative Billing Report on Opioid Prescribers Webinar — February 21 or March 7
ESRD QIP: Final Rule for CY 2018 Call — February 22

Medicare Learning Network Publications & Multimedia

E/M Service Documentation Provided by Students MLN Matters Article — New
Medicare Enrollment Resources Educational Tool — Revised
Medicare Part B Immunization Billing Educational Tool — Reminder

The following JH Local Coverage Determinations (LCDs) have been revised:


Medicare Learning Network® MLN Matters® Articles from CMS

New:

Change Request (CR) 10295 informs MACs that effective May 25, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a National Coverage Determination (NCD) to cover Supervised Exercise Therapy (SET) for beneficiaries with Intermittent Claudication (IC) for the treatment of symptomatic Peripheral Artery Disease (PAD). Make sure your billing staffs are aware of these changes.

February 6, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

The HCPCS code set is updated on a quarterly basis. Change Request (CR) 10454 informs MACs of the April 2018 updates of specific biosimilar biological product HCPCS code, modifiers used with these biosimilar biologic products and an autologous cellular immunotherapy treatment. Be sure your staffs are aware of these updates.
Change Request (CR) 10412 revises the Medicare Claims Processing Manual to allow the teaching physician to verify in the medical record any student documentation of components of E/M services, rather than re-documenting the work. Make sure your billing staffs are aware of the changes.
Effective with Change Request (CR) 10433, the Centers for Medicare & Medicaid Services (CMS) will reintroduce Qualified Medicare Beneficiary (QMB) information in the Medicare Remittance Advice (RA) and Medicare Summary Notice (MSN).
CR 9911 modified the Fee-For-Service (FFS) systems to indicate the QMB status and zero cost-sharing liability of beneficiaries on RAs and MSNs for claims processed on or after October 2, 2017. On December 8, 2018, CMS suspended CR 9911 to address unforeseen issues preventing the processing of QMB cost-sharing claims by States and other secondary payers outside of the Coordination of Benefits Agreement (COBA) process.
CR 10433 remediates these issues by including revised “Alert” Remittance Advice Remark Codes (RARC) in RAs for QMB claims without adopting other RA changes that impeded claims processing by secondary payers. CR 10433 reinstates all changes to the MSNs under CR 9911. Please make sure your billing staff is aware of these changes.

February 5, 2018

Part A Top Claims Submission / Reason Code Errors

The January 2018 Top Claim Submission / Reason Code Errors and resolutions for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas are now available. Please take time to review these errors and avoid them on future claims.


Attention Home Health Agencies (HHAs)

Novitas is aware that the enrollment contractor ID was systematically changed for 61 of our HHAs in PECOS causing the records to show another contractor in PECOS. Affected HHAs may experience claims and payment issues because their enrollment records are showing as deactivated in the Fiscal Intermediary Shared System due to this accidental contractor ID change. CMS is working on the issue with a resolution expected on February 12, 2018. Stay tuned to our website (JH) (JL) for updates.


February 1, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, February 1, 2018

View this edition as a PDF

News & Announcements

Medicare Diabetes Prevention Program: Supplier Enrollment Open
Targeted Probe and Educate: New Resources
MIPS Clinicians: 2017 Extreme and Uncontrollable Circumstances Policy
Quality Payment Program: Patient-facing Encounters Resources
Eligible Hospitals and CAHs: Get Help with Attestation on QNet
Find Medicare FFS Payment Regulations
February is American Heart Month

Provider Compliance

Cochlear Devices Replaced Without Cost: Bill Correctly — Reminder

Upcoming Events

eCQM Reporting for Hospital IQR-EHR Incentive Program Webinar — February 6
Low Volume Appeals Settlement Option Call — February 13

Medicare Learning Network Publications & Multimedia

Next Generation Accountable Care Organization - Implementation MLN Matters® Article — Revised
DMEPOS Quality Standards Educational Tool — Revised
Home Oxygen Therapy Booklet — Revised
Looking for Educational Materials?

Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Specialty Page

We are pleased to announce the addition of Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) to the Part A Provider Specialties/Services page of our website.


January 30, 2018

2018 Medicare Participation Physicians/Suppliers Directory (MEDPARD) Now Available

The 2018 MEDPARD (Medicare Participation Physicians / Suppliers Directory) is now available. As in the past, there will be no hardcopy distributions. Beneficiaries can use the Internet or contact 1-800-MEDICARE for assistance in locating a participating supplier near their home. Also, the beneficiary's local Social Security Office(s), the Area Administration on Aging office(s), and other beneficiary advocacy organizations may be able to assist as well.


The February 2018 Calendar of Events is Currently Available

The February 2018 Part A Calendar of Events is available for your immediate review. Visit the Education and Training page of our website for additional information and registration opportunities.


January 29, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:


January 26, 2018

Special Edition – Friday, January 26, 2018

In this Edition:

Therapy Cap Claims Rolling Hold
New Medicare Card: Web Updates
New Medicare Card: When Will My Medicare Patients Receive Their Cards?

Therapy Cap Claims Rolling Hold

CMS is immediately releasing for processing held therapy claims with the KX modifier with dates of receipt beginning January 1-10; CMS will also implement a “rolling hold” to minimize impact if legislation to extend the outpatient therapy caps exceptions process is enacted.

New Medicare Card: Web Updates

To help you prepare for the transition to the Medicare Beneficiary Identifier (MBI) on Medicare cards beginning April 1, 2018, review the new information about remittance advices.

Beginning in October 2018, through the transition period, when providers submit a claim using a patient’s valid and active Health Insurance Claim Number (HICN), CMS will return both the HICN and the MBI on every remittance advice. Here are examples of different remittance advices:

Medicare Remit Easy Print (Medicare Part B providers and suppliers) 

Find more new information on the New Medicare Card provider webpage.

New Medicare Card: When Will My Medicare Patients Receive Their Cards?

Starting April 2018, CMS will begin mailing new Medicare cards to all people with Medicare on a flow basis, based on geographic location and other factors. Learn more about the Mailing Strategy.  Also starting April 2018, your patients will be able to check the status of card mailings in their area on Medicare.gov.

For More Information:

Questions from Patients? Guidelines
New Medicare Card  overview and provider webpages

January 25, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, January 25, 2018

View this edition as a PDF

News & Announcements

VA, HHS Announce Partnership to Strengthen Prevention of Fraud, Waste and Abuse Efforts
CMS Updates Open Payments Data
Improved Open Payments Data Website
IRF and LTCH Quality Reporting Programs: Submission Deadline February 15
Panel on Development of Potentially Preventable Hospitalization Measures for HHAs: Nominations due February 22
SNF Quality Reporting Program: Submission Deadline Extended to May 15
Hospice Quality Reporting Program: Quality Measure User’s Manual Version 2
Continue Seasonal Influenza Vaccination through January and Beyond

Provider Compliance

Reporting Changes in Ownership — Reminder

Upcoming Events

Low Volume Appeals Settlement Option Call — February 13
Home Health Review and Correct Reports Webinar — March 6

Medicare Learning Network Publications & Multimedia

Low Volume Appeals Settlement Call: Video Presentation — New
Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims MLN Matters Article — Updated
Swing Bed Services Fact Sheet — Revised

The following JH Local Coverage Determinations (LCDs) have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2018:

The following JH Local Coverage Determinations (LCDs) which were posted for notice on December 7, 2017 are now effective:

The following JH Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2018:

The following JH Local Coverage Article has been posted for notice and will become effective March 15, 2018:


Part A Open Issues Log Update

Certain claims suspend for manual intervention. After the claims are reviewed, the reason codes are bypassed and the claim is allowed to continue processing.

The bypass of the following reason codes is no longer functioning and the claims are remaining suspended.32411, 32412, 31616, 31617, 32296, 31817, 32413, 31740, 32148
A correction is tentatively scheduled for February 19, 2018. No provider action will be needed. The claims will be suspended in status location SMQ197 until the correction is installed.
Claims for certain non-OPPS providers billed with observation services (revenue code 0762) are incorrectly receiving reason code 32412.
A correction is tentatively scheduled for February 19, 2018. No provider action will be needed. The claims will be suspended in status location SMQ198 until the correction is installed.
Outpatient claims billed with laboratory services on revenue code 030x or 031x are incorrectly receiving reason code 32404.
This has been reported to the Fiscal Intermediary Shared System maintainer. They have identified the problem and are working on a resolution. The claims will remain suspended in status location SMQ199. No provider action will be needed.

Medicare Learning Network® MLN Matters® Articles from CMS

Revised:


January 24, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

Revised:


January 23, 2018

Observer Online Registration for February 1, 2018 Open Meeting Now Closed

Observer online registration for the February 1, 2018 Open Meeting is now closed. Due to limited room capacity, registered presenters will be given priority for seating and registered observers are accepted until remaining seats are filled. Since the maximum seating capacity for observers has been reached, online registrations for observers are no longer being accepted.


January 22, 2018

Special Edition – Monday, January 22, 2018

MAC Operations Continue During Shutdown

During the time that the partial government shutdown is in effect, Medicare Administrative Contractors will continue to perform all functions related to Medicare fee-for-service claims processing and payment.


Part A Top Inquiries / Frequently Asked Questions (FAQs) for AR, CO, LA, MS, NM, OK, & TX

The Part A Top Inquiries / FAQs, received by our Customer Contact Center, have been reviewed for December 2017. New questions / answers have been added to the General Information and Return to Provider categories. Please take time to review these and other FAQs for answers to your questions.


Medicare Learning Network® MLN Matters® Articles from CMS

New:

Revised:


January 19, 2018

Medicare Symposium: Houston, Texas - Friday, January 26, 2018

Don't forget to join us on Friday, January 26, 2018, at the Crowne Plaza Houston Reliant/Medical Center in Houston, Texas for our 2017 Medicare Symposium rescheduled from September 14, 2017 due to Hurricane Harvey.

This event is for Part A and Part B Medicare providers, and their billing and compliance representatives. Classes will highlight the tools and information you need to avoid billing pitfalls and remain compliant with the Medicare program. Spend the day with us or attend as many classes that interest you. Seats are still available, so register today.


New Medicare Insights Podcast

In this Medicare Insights Podcast episode, we provide guidance on subscribing to our email list and staying up-to-date on Medicare news.


January 18, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, January 18, 2018
View this edition as a PDF

News & Announcements

2018 Value Modifier Results and Payment Adjustment Factor
Final DMEPOS Quality Standards for Therapeutic Shoe Inserts
Glaucoma Awareness Month: Make a Resolution for Healthy Vision

Provider Compliance

CMS Provider Minute Video: CT Scans — Reminder

Upcoming Events

New Medicare Card Project Special Open Door Forum — January 23
ESRD QIP: Final Rule for CY 2018 Call — January 23
MIPS Annual Call for Measures and Activities Webinar — February 5
Comparative Billing Report on Opioid Prescribers Webinar — February 21

Medicare Learning Network Publications & Multimedia

QRUR Video Presentation — New
Low Volume Appeals Settlement Call: Audio Recording and Transcript — New
Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians Web-based Training — Revised
How to Use the Medicare Coverage Database Booklet — Revised
Behavioral Health Integration Services Fact Sheet — Revised

The following JH Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period will end on March 8, 2018:

Submit Comments


Medicare Learning Network® MLN Matters® Articles from CMS

Revised:


Online Registration Available for February 1, 2018 Open Meeting and Draft LCDs Now Posted

Online registration for the February 1, 2018 Open Meeting is now available and will close at 3:00PM Eastern Time (ET) on Monday, January 29, 2018. The Novitas Solutions’ draft LCDs are also now posted. IMPORTANT: The Open Meeting will be held at Novitas Solutions, 2020 Technology Parkway, Mechanicsburg, PA 17050 at 10:00AM ET. Due to limited room capacity, registered presenters will be given priority for seating and registered observers will be accepted until remaining seats are filled.

Open Meetings are for the specific purpose of discussing the draft LCDs. Anyone is welcome to present information related to the draft LCDs that are in the 45-day draft comment period. Interested parties may also request to attend as an observer. If you are interested in attending as a presenter or observer, please view our Draft Local Coverage Determination Open Meetings page for specific guidelines and other helpful information.


January 16, 2018

Part A Open Issues Log- Update to rc 59172/59173 and 59049-59052

The reason code logic for 59172-59173 and 59049-59052 will be updated with CR10318 to accept the replacement diagnosis codes for N63. National Coverage Determinations 220.4 - Mammograms and 220.13 - Percutaneous Image-Guided Breast Biopsy will be updated on April 2, 2018. Until the logic is updated, a temporary correction has been implemented that will allow the new ICD-10 diagnosis codes to be submitted for these services until the permanent correction is implemented.


January 12, 2018

Medicare does not pay acute-care hospitals for outpatient services they provide to beneficiaries in a covered Part A inpatient stay at other facilities

Generally, Medicare should not pay an acute-care hospital for services (outpatient surgery or lab work) furnished to a beneficiary that is still an inpatient of another facility. Acute-care hospitals, under arrangements with the Long-Term Care Hospital (LTCH), Inpatient Rehabilitation Facility (IRF), Inpatient Psychiatric Facility (IPF), and/or Critical Access Hospital (CAH), should look to the LTCH, IRF, IPF, and/or CAH for payment of outpatient services it provides to inpatients of those facilities. Additionally, acute-care hospitals should not charge beneficiaries for outpatient deductibles and coinsurance payments as a result of such services.


Medicare Learning Network® MLN Matters® Articles from CMS

Revised:


Registration for February 1, 2018 Open Meeting

Registration for the February 1, 2018 Open Meeting will be available starting on Thursday, January 18, 2018 and will be closed at 3:00PM Eastern Time (ET) on Monday, January 29, 2018. Novitas Solutions’ draft LCDs will be posted on January 18, 2018. IMPORTANT: The Open Meeting will be held at Novitas Solutions, 2020 Technology Parkway, Mechanicsburg, PA 17050 at 10:00AM ET. Once available, all registrations must be submitted via the provided online form and no registrations will be accepted prior to January 18th. Due to limited room capacity, registered presenters will be given priority for seating and registered observers will be accepted until remaining seats are filled.  If you are interested in attending as a presenter or observer, please view our Draft Local Coverage Determination Open Meetings page for specific guidelines and other helpful information.


January 11, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, January 11, 2018

View this edition as a PDF

News & Announcements

New Payment Model to Improve Quality, Coordination, and Cost-effectiveness for Both Inpatient and Outpatient Care
SNF Quality Reporting Program Confidential Feedback Reports
Hospital Quality Reporting: Updated CY 2018 QRDA I Schematron
January is Cervical Health Awareness Month

Provider Compliance

Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims — Reminder

Upcoming Events

New Medicare Card Project Special Open Door Forum — January 23
ESRD QIP: Final Rule for CY 2018 Call — January 23

Medicare Learning Network Publications & Multimedia

Major Joint Replacement (Hip or Knee) Booklet — New
Medicare-Required SNF PPS Assessments Educational Tool — Revised

Medicare Learning Network® MLN Matters® Articles from CMS

Revised:


New Format for Novitas’ Local Coverage Determinations (LCDs)

There are three new sections included in our LCDs that provide insight into the rationale for indications and limitations of coverage:

1. Summary of Evidence - Contains a summary of the pertinent literature and/or guidelines that were used to determine covered indications and limitations.
2. Analysis of Evidence (Rationale for Determination) - A high level overview and conclusion based on all of the literature and guidelines reviewed. This section provides the reasoning or basis for the indications and limitations of coverage.
3. Bibliography - A new subsection under the “Sources of Information” that includes all sources used to write the LCD.

For details, please review this article in its entirety.


January 10, 2018

Frequently Asked Questions (FAQs)

Have questions and not sure where to turn? Check out our FAQs for answers to your questions.


January 8, 2018

December 2017 Part A Newsletter

The December 2017 Part A Newsletter is now available. Please take a moment to review.


Medicare Learning Network® MLN Matters® Articles from CMS

New:


January 4, 2018

CMS Provider Education Message:

MLN Connects® for Thursday, January 4, 2018

View this edition as a PDF

News & Announcements

CMS Launches Data Submission System for Clinicians in the Quality Payment Program
CMS Updates Website to Compare Hospital Quality
Patients over Paperwork: Get Updates on Burden Reduction
Quality Payment Program: Qualified Registries and QCDRs
Quality Payment Program Resources
EHR Incentive Program Hospitals: Use QNet to Attest
Medicare Diabetes Prevention Program Resources
Post-Acute Care Quality Reporting Program Section GG Web-based Training
Hospice Compare Update
Are You Prepared for a Health Care Emergency?
Get Your Patients Off to a Healthy Start in 2018

Provider Compliance

Hospice Election Statements Lack Required Information or Have Other Vulnerabilities — Reminder

Upcoming Events

Low Volume Appeals Settlement Option Call — January 9
ESRD QIP: Final Rule for CY 2018 Call — January 23

Medicare Learning Network Publications & Multimedia

Dementia Care Call: Audio Recording and Transcript — New
Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians Booklet — Revised

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Revised:


January 3, 2018

Medicare Learning Network® MLN Matters® Articles from CMS

New:

Revised:


Looking for news archives?

Archived Part A News - 2017

Archived Part A News - 2016

Archived Part A News - 2015

Archived Part A News - 2014

Archived Part A News - 2013


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Last modified:  04/25/2018