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MLN Matters®

Modified: 9/28/2020
This table of MLN Matters articles includes articles released by CMS (Centers for Medicare & Medicaid Services) July 1-September 30, 2020.
Modified: 9/18/2020
This table of MLN Matters articles includes articles released by CMS (Centers for Medicare & Medicaid Services) March 1-June 30, 2020.
Modified: 9/16/2020
This table of MLN Matters articles includes articles released by CMS (Centers for Medicare & Medicaid Services) January 1-March 31, 2020.
Modified: 9/28/2020
This article informs you of new physician specialty codes for micrographic dermatologic surgery (MDS) (D7), and adult congenital heart disease (ACHD) (D8), and a new supplier specialty code for home infusion therapy services (D6). The article was revised to reflect the revised CR 11750, issued on September 25. In the article, the CR release date, transmittal numbers, and the web addresses of the transmittals were revised. All other information remains the same. [MM 11750]
Modified: 9/28/2020
Change request (CR) 11729 provides instructions to pay inpatient hospital allogeneic stem cell acquisition services on a reasonable cost basis. This article was revised to reflect the revised CR 11729 issued on September 24. The CR revision did not impact the substance of the article. In the article, the CR release date, transmittal number, and the web address of the CR were revised. All other information remains the same. [MM 11729]
Modified: 9/28/2020
Change request (CR) 11984 provides the quarterly update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits. [MM 11984]
Modified: 9/25/2020
This article is based on change request (CR) 11963 that informs you about the changes to and billing instructions for various payment policies implemented in the October 2020 ASC payment system update. CMS revised this article due to an updated CR that revised HCPCS code C9066 in Table 2 in the CR. That change is reflected in the article on page 3 (Table 2). The CR release date, transmittal number and link to the transmittal were also revised. All other information remains the same. [MM11963]
Modified: 9/25/2020
This MLN Matters Article is for clinical diagnostic laboratories that submit claims to Medicare Administrative Contractors (MACs) for laboratory services provided to Medicare beneficiaries. CMS revised the article to add a new COVID 19 code (86413) and ADLT code (0090U). Also, the CR release date, transmittal number, and web address of the CR were revised. All other information remains the same. [MM11937]
Modified: 9/23/2020
This article provides the Fiscal Year (FY) 2021 update to the Inpatient Prospective Payment System (IPPS) and LTCH Prospective Payment System (PPS). [MM11879]
Modified: 9/21/2020
This MLN Matters Article is for physicians, other providers, and suppliers submitting claims to Medicare Administrative Contractors (MACs), including Home Health & Hospice (HH&H) MACs and Durable Medical Equipment (DME) MACs, for services provided to Medicare beneficiaries who are in a Part A covered Skilled Nursing Facility (SNF) stay. [MM11968]
Modified: 9/21/2020
This article, based on change request (CR) 11837, informs you about National Coverage Determination (NCD) 90.2, Next Generation Sequencing (NGS) for Medicare Beneficiaries with germline (inherited) cancer. [MM 11837]
Modified: 9/21/2020
[SE20015]
Modified: 9/21/2020
Change request (CR) 11958 updates the Medicare Claims Processing Manual, Chapters 12 and 23. [MM11958]
Modified: 9/8/2020
This article informs you that the Centers for Medicare & Medicaid Services (CMS) is modifying and streamlining the model admission questions for providers to ask Medicare beneficiaries or authorized representatives upon admission or start of care. No other updates have been made to the hospital admissions or billing process. [MM11945]
Modified: 9/8/2020
Change request (CR)11935 removes the reference to Electrocardiogram (EKG) services in the Medicare Claims Processing Manual, Chapter 16, Section 60.1.2 and, Chapter 26, Section 10.4, Item 19. This change only clarifies existing content and no policy, processing, or system changes are anticipated. [MM11935]
Modified: 8/26/2020
CMS revised this article to reflect a revised CR 11859, issued on August 19, 2020 The CR revision shows that effective for Fiscal Year (FY) 2021, a 5 percent cap will be adopted and applied to all Skilled Nursing Facility providers on any decrease to a provider’s FY 2021 final wage index from that provider’s final wage index of the prior fiscal year (FY 2020). Language was added to the article. Also, the CR release date, transmittal number, and the web address of the CR were revised. All other information remains the same [MM11859]
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.