MLN Connects for October 3, 2024
This edition includes information on resources and flexibilities with Hurricane Helene, how to detect breast cancer early...
Modifiers
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
MLN Connects for March 6, 2025
This edition includes information on therapy services, roster billing for hepatitis B, preventing claim denails for oral...
MLN Connects for February 28, 2025
Hospitals: Actions to Make Healthcare Prices Transparent
Update: On February 25, the White House issued an Executive Order to...
MLN Connects for February 24, 2025
This edition includes information on mechanical ventilation billing, discarded drugs and biologicals, an upcoming webinar, and...
MLN Connects for February 14, 2025
This edition includes information on the 2025 ambulance fee schedule, federally qualified health centers, home health...
Clinicians: Are you ordering urological supplies for your patients?
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8)...
View the following list of codes that may not be corrected using the reopening process in SPOT.
MDPP suppliers submit all claims for MDPP services to their MAC, regardless of where the patient is located.
The claims submission process will be the same for MDPP sessions delivered via distance learning as for MDPP sessions delivered in-person.
MDPP suppliers will use “Other” (99) as their place of service (POS) code for sessions delivered via distance learning and HCPCS code G9887.
For MDPP billing, claims may list the currently enrolled practice location (not the coach’s home address) as the POS.