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Posting Date: 06/25/2020
Incorrect Billing of HCPCS L8679 - Implantable Neurostimulator, Pulse Generator, Any Type
Incorrect Billing of HCPCS L8679 - Implantable Neurostimulator, Pulse Generator, Any Type An MLN Matters® Article SE20001 on Incorrect Billing of HCPCS L8679 - Implantable Neurostimulator, Pulse Generator, Any Type is available. Reminder [...]
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Posting Date: 07/27/2020
Implementation of Pre-Payment Editing for Psychiatric Inpatient Hospital Services
Implementation of Pre-Payment Editing for Psychiatric Inpatient Hospital Services Inpatient psychiatric hospitalization provides 24 hours of daily care in a structured, intensive and secure setting for patients who cannot be safely and/or [...]
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Posting Date: 04/13/2020
Immediate Infusion of $30 Billion into Health Care System
Immediate Infusion of $30 Billion into Health Care System Recognizing the importance of delivering funds in a fast and transparent manner, $30 billion is being distributed immediately through a program administered by the Department of Health [...]
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Posting Date: 06/26/2020
MLN Connects® Special Edition for Friday, June 26, 2020
MLN Connects® Special Edition for Friday, June 26, 2020 COVID-19: SNF Benefit Period Waiver, HHAs Proposed Rule, Ending Nursing Home Blanket Waiver HHAs: Proposed Payment and Policy Changes and Home Infusion Therapy Benefit for CY 2021 [...]
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Posting Date: 06/22/2020
MLN Connects® Special Edition for Friday, June 19, 2020
MLN Connects® Special Edition for Friday, June 19, 2020 Medicare Coverage of COVID-19 Testing for Nursing Home Residents and Patients Today, the CMS has instructed Medicare Administrative Contractors and notified Medicare Advantage plans to [...]
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Posting Date: 08/03/2020
MLN Connects® Special Edition for Friday, July 31, 2020
MLN Connects® Special Edition for Friday, July 31, 2020 FY 2021 Medicare Payment Policies for IPFs, SNFs, and Hospices CMS Updates Medicare Payment Policies for IPFs, SNFs, and Hospices COVID-19: Coverage of Physician Telehealth Services [...]
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Posting Date: 07/20/2020
MLN Connects® Special Edition for Friday, July 17, 2020
MLN Connects® Special Edition for Friday, July 17, 2020 COVID-19: Nursing Home Testing, SNF Benefit Period Waiver MLN Matters Special Edition Article SE20011 Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the [...]
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Posting Date: 12/18/2020
MLN Connects® Special Edition for Friday, December 18, 2020
MLN Connects® Special Edition for Friday, December 18, 2020 COVID-19: Add-on Payment for New Treatments CMS issued an Interim Final Rule with Comment Period, which established the New COVID-19 Treatments Add-on Payment (NCTAP) under the [...]
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Posting Date: 08/28/2020
MLN Connects® Special Edition for Friday, August 28, 2020
MLN Connects® Special Edition for Friday, August 28, 2020 CMS Offers Comprehensive Support for Louisiana and Texas with Hurricane Laura On August 27, CMS announced efforts underway to support Louisiana and Texas in response to Hurricane [...]
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Posting Date: 08/05/2020
MACs Resume Medical Review on a Post-Payment Basis
MACs Resume Medical Review on a Post-Payment Basis To protect the Medicare Trust Fund against inappropriate payments, Medicare Administrative Contractors (MACs) are resuming fee-for-service medical review activities. Beginning August 17, the [...]
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Posting Date: 11/23/2020
LCD and Article Updates for December 2020
LCD and Article Updates for December 2020 New LCDs/Articles effective 12/1/2020 Implantable Continuous Glucose Monitors (I-CGM) (L38623/A58116) National Government Services considers Implantable Continuous Glucose Monitors medically [...]
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Posting Date: 10/23/2020
LCD and Article Updates for October/November 2020
LCD and Article Updates for October/November 2020 Revised LCD, Billing and Coding Articles October 2020 Botulinum Toxins(L33646) The following CMS IOM sections have been corrected: CMS IOM Publication 100-02, Medicare [...]
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Posting Date: 04/01/2020
LCD and Article Updates: March–April 2020
Local Coverage Determinations and Article Updates March/April 2020 The medical policies and related articles can be found in our Medical Policy Center. New LCDs/Articles effective April 1, 2020 Hypoglossal Nerve Stimulation for the Treatment [...]
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Posting Date: 04/27/2020
LCD and Article Revisions: May 2020
Local Coverage Determinations and Article Revisions May 2020 The medical policies and related articles can be found in our Medical Policy Center. Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH) (L38367) The Notice [...]
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Posting Date: 07/23/2020
MLN Connects® Special Edition for Thursday, July 23, 2020
MLN Connects® Special Edition for Thursday, July 23, 2020 Trump Administration Announces New Resources to Protect Nursing Home Residents Against COVID-19 As part of the unprecedented efforts taken by the Trump Administration, President [...]
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Posting Date: 12/03/2020
MLN Connects® Special Edition for Thursday, December 3, 2020
MLN Connects® Special Edition for Thursday, December 3, 2020 COVID-19 Antibody Treatment and Enforcement Discretion Reminder COVID-19 Vaccines and Monoclonal Antibody Infusion: Enforcement Discretion Relating to SNF Consolidated Billing [...]
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Posting Date: 12/11/2020
MLN Connects® Special Edition for Thursday, December 10, 2020
MLN Connects® Special Edition for Thursday, December 10, 2020 CMS Proposes New Rules to Address Prior Authorization and Reduce Burden on Patients and Providers On December 10, under President Trump’s leadership, CMS issued a proposed rule [...]
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Posting Date: 07/07/2020
MLN Connects® Special Edition for Monday, July 6, 2020
MLN Connects® Special Edition for Monday, July 6, 2020 ESRD PPS CY 2021 Proposed Rule; COVID-19: New and Expanded Flexibilities for RHCs & FQHCs ESRD PPS CY 2021 Proposed Rule COVID-19: New and Expanded Flexibilities for RHCs [...]
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Posting Date: 12/28/2020
MLN Connects® Special Edition for Monday, December 28, 2020
MLN Connects® Special Edition for Monday, December 28, 2020 Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment [...]
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Posting Date: 12/15/2020
MLN Connects® Special Edition for Monday, December 14, 2020
MLN Connects® Special Edition for Monday, December 14, 2020 COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech On December 11, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for [...]
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Posting Date: 04/27/2020
MLN Connects® Special Edition for Monday, April 27, 2020
MLN Connects® Special Edition for Monday, April 27, 2020 CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program On April 26, the Centers for Medicare & Medicaid Services (CMS) announced that it is reevaluating [...]
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Posting Date: 09/21/2020
MLN Connects® Special Edition for Friday, September 18, 2020
MLN Connects® Special Edition for Friday, September 18, 2020 New COVID-19 Nursing Home Visitation Guidance, Kidney Disease Care Model, & Radiation Oncology Payment Model CMS Announces Transformative New Model of Care for Medicare [...]
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Posting Date: 09/11/2020
MLN Connects® Special Edition for Friday, September 11, 2020
MLN Connects® Special Edition for Friday, September 11, 2020 Community Health Access and Rural Transformation Model The CMS Innovation Center announced the Community Health Access and Rural Transformation (CHART) Model. The approximately 57 [...]
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Posting Date: 10/16/2020
MLN Connects® Special Edition for Friday, October 16, 2020
MLN Connects® Special Edition for Friday, October 16, 2020 Enforcement Discretion Relating to Certain Pharmacy Billing The Centers for Medicare & Medicaid Services (“CMS”) appreciates its long-standing partnership with immunizers, [...]
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Posting Date: 05/08/2020
MLN Connects® Special Edition for Friday, May 8, 2020
MLN Connects® Special Edition for Friday, May 8, 2020 COVID-19: Nursing Home Reporting, Updated Telehealth Video, Pharmacies & Other Suppliers Can Enroll as Labs, IRF Flexibilities New Guidance Available on Requirements for [...]
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Posting Date: 05/18/2020
MLN Connects® Special Edition for Friday, May 15, 2020
MLN Connects® Special Edition for Friday, May 15, 2020 COVID-19: Deadlines, New Releases, and Important Calls COVID-19: Office Hours Call — May 21 COVID-19: Lessons from the Front Lines Call — May 22 Deadline Approaching: [...]
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Posting Date: 12/10/2020
MLN Connects® Special Edition for Wednesday, December 9, 2020
MLN Connects® Special Edition for Wednesday, December 9, 2020 In Case You Missed It: CMS Announces Guidance for Medicare Coverage of COVID-19 Antibody Treatment On December 9, CMS posted updates to FAQs and an infographic about coverage and [...]
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Posting Date: 12/02/2020
MLN Connects® Special Edition for Wednesday, December 2, 2020
MLN Connects® Special Edition for Wednesday, December 2, 2020 Trump Administration Finalizes Policies to Give Medicare Beneficiaries More Choices around Surgery Outpatient Prospective Payment System and Ambulatory Surgical Center final rule [...]
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Posting Date: 10/28/2020
MLN Connects® Special Edition for Tuesday, October 27, 2020
MLN Connects® Special Edition for Tuesday, October 27, 2020 New CMS Proposals Streamline Medicare Coverage, Payment, and Coding for Innovative New Technologies and Provide Beneficiaries with Diabetes Access to More Therapy Choices Durable [...]
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Posting Date: 11/11/2020
MLN Connects® Special Edition for Tuesday, November 10, 2020
MLN Connects® Special Edition for Tuesday, November 10, 2020 Coverage Available at No Cost to Beneficiaries Across Variety of Settings in Health Care System CMS announced that starting November 10, Medicare beneficiaries can receive coverage [...]
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Posting Date: 05/12/2020
MLN Connects® Special Edition for Tuesday, May 12, 2020
MLN Connects® Special Edition for Tuesday, May 12, 2020 COVID-19: Additional Waivers, Price Transparency, and CMS Letter to Nursing Homes CMS Releases Additional Waivers for Hospitals and Other Facilities Price Transparency: [...]
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Posting Date: 12/22/2020
MLN Connects® Special Edition for Tuesday, December 22, 2020
MLN Connects® Special Edition for Tuesday, December 22, 2020 COVID-19 Vaccine Codes: Updated Effective Date for Moderna On December 18, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Moderna [...]
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Posting Date: 12/02/2020
MLN Connects® Special Edition for Tuesday, December 1, 2020
MLN Connects® Special Edition for Tuesday, December 1, 2020 Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients On December 1, CMS released the annual Physician Fee [...]
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Posting Date: 08/05/2020
MLN Connects® Special Edition for Tuesday, August 4, 2020
MLN Connects® Special Edition for Tuesday, August 4, 2020 PFS, OPPS, and IRF: FY 2021 Payment Rules Trump Administration Proposes to Expand Telehealth Benefits Permanently for Medicare Beneficiaries Beyond the COVID-19 Public Health [...]
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Posting Date: 09/18/2020
MLN Connects® Special Edition for Thursday, September 17, 2020
MLN Connects® Special Edition for Thursday, September 17, 2020 Nursing Home COVID-19 Commission Findings, Oregon Wildfires, & Flu CMS Offers Comprehensive Support for Oregon due to Wildfires Protect Yourself & Your Patients from [...]
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Posting Date: 10/09/2020
MLN Connects® Special Edition for Thursday, October 8, 2020
MLN Connects® Special Edition for Thursday, October 8, 2020 CMS Announces New Repayment Terms for Medicare Loans Made to Providers During COVID-19 New recoupment terms allow providers and suppliers one additional year to start loan payments. [...]
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Posting Date: 10/09/2020
MLN Connects® Special Edition for Thursday, October 15, 2020
MLN Connects® Special Edition for Thursday, October 15, 2020 Trump Administration Drives Telehealth Services in Medicaid and Medicare On October 14, CMS expanded the list of telehealth services that Medicare Fee-for-Service will pay for [...]
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Posting Date: 11/13/2020
MLN Connects® Special Edition for Thursday, November 12, 2020
MLN Connects® Special Edition for Thursday, November 12, 2020 COVID-19 Vaccine Codes and PC-ACE Software Update In anticipation of the availability of a vaccine(s), for the novel coronavirus (SARS-CoV-2) in response to the coronavirus disease [...]
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Posting Date: 07/30/2020
MLN Connects® Special Edition for Thursday, July 30, 2020
MLN Connects® Special Edition for Thursday, July 30, 2020 Payment for COVID-19 Counseling, Reporting Hospital Therapeutics, Out-of-Pocket Drug Costs CMS and CDC Announce Provider Reimbursement Available for Counseling Patients to [...]
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Posting Date: 11/03/2020
MLN Connects® Special Edition for Tuesday, November 3, 2020
MLN Connects® Special Edition for Tuesday, November 3, 2020 ESRD & Home Health Payment Rules ESRD PPS: CY 2021 Payment Policies and Rates Home Health Agencies: CY 2021 Payment and Policy Changes and Home Infusion Therapy Benefit [...]
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Posting Date: 12/03/2020
MLN Connects® for Thursday, December 3, 2020
MLN Connects® for Thursday, December 3, 2020 Register for Physician Fee Schedule Call on 12/10 MLN Connects® for Thursday, December 3, 2020 View this edition as a: Webpage | PDF News Comprehensive Strategy to Enhance Hospital [...]
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Posting Date: 12/17/2020
MLN Connects® for Thursday, December 17, 2020
MLN Connects® for Thursday, December 17, 2020 Physician Fee Schedule Final Rule Summary: Telehealth, Preventive Services & More MLN Connects® for Thursday, December 17, 2020 View this edition as a: Webpage | PDF News MLN [...]
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Posting Date: 12/10/2020
MLN Connects® for Thursday, December 10, 2020
MLN Connects® for Thursday, December 10, 2020 Flu & Pneumonia Vaccines: Protect Your Patients MLN Connects® for Thursday, December 10, 2020 View this edition as a: Webpage | PDF News Flu & Pneumonia Vaccines: Protect [...]
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Posting Date: 08/06/2020
MLN Connects® for Thursday, August 6, 2020
MLN Connects® for Thursday, August 6, 2020 Physician Fee Schedule Proposed Rule Listening Session: Register Now MLN Connects® for Thursday, August 6, 2020 View this edition as a PDF News Electronic Prescribing of Controlled [...]
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Posting Date: 08/27/2020
MLN Connects® for Thursday, August 27, 2020
MLN Connects® for Thursday, August 27, 2020 COVID-19: Training to Strengthen Nursing Home Infection Control Practices MLN Connects® for Thursday, August 27, 2020 View this edition as a PDF News Trump Administration Launches [...]
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Posting Date: 08/20/2020
MLN Connects® for Thursday, August 20, 2020
MLN Connects® for Thursday, August 20, 2020 Routine Provider Inspections Resume MLN Connects® for Thursday, August 20, 2020 View this edition as a PDF News CMS Announces Resumption of Routine Inspections of All Provider and [...]
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Posting Date: 08/13/2020
MLN Connects® for Thursday, August 13, 2020
MLN Connects® for Thursday, August 13, 2020 COVID-19: CMS/CDC Nursing Home Training Series Webcast – August 13 MLN Connects® for Thursday, August 13, 2020 View this edition as a PDF News Trump Administration Announces [...]
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Posting Date: 04/30/2020
MLN Connects® for Thursday, April 30, 2020
MLN Connects® for Thursday, April 30, 2020 COVID-19: Lessons from the Front Lines MLN Connects® for Thursday, April 30, 2020 View this edition as a PDF News Infection Control Guidance to Home Health Agencies on COVID-19 Now [...]
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Posting Date: 04/23/2020
MLN Connects® for Thursday, April 23, 2020
MLN Connects® for Thursday, April 23, 2020 Report Clinical Trial Data to Fight COVID-19 & Earn MIPS Credit MLN Connects® for Thursday, April 23, 2020 View this edition as a PDF News Trump Administration Champions [...]
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Posting Date: 05/21/2020
MLN Connects® for Thursday May 21, 2020
MLN Connects® for Thursday May 21, 2020 Join Upcoming COVID-19 Calls MLN Connects® for Thursday, May 21, 2020 View this edition as a PDF News CMS Releases Additional Waivers for Hospitals and Ground Ambulance Organizations Hospice [...]
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Posting Date: 05/14/2020
MLN Connects® for Thursday May 14, 2020
MLN Connects® for Thursday May 14, 2020 IPPS/LTCH PPS: FY 2021 Proposed Rule MLN Connects® for Thursday, May 14, 2020 View this edition as a PDF News IPPS and LTCH PPS: FY 2021 Proposed Rule Medicare FFS 2nd [...]
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Posting Date: 09/03/2020
MLN Connects® Special Edition for Wednesday, September 2, 2020
MLN Connects® Special Edition for Wednesday, September 2, 2020 CMS Advancing Seniors’ Access to Cutting-edge Therapies and Technology in Medicare Hospital Rule Finalized policy changes expand new technology add-on payment pathway for certain [...]
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Posting Date: 10/29/2020
MLN Connects® Special Edition for Wednesday, October 28, 2020
MLN Connects® Special Edition for Wednesday, October 28, 2020 Trump Administration Acts to Ensure Coverage of Life-Saving COVID-19 Vaccines & Therapeutics Under President Trump’s leadership, CMS is taking steps to ensure all Americans, [...]
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Posting Date: 03/26/2020
MLN Connects® for Thursday, March 26, 2020
MLN Connects® for Thursday, March 26, 2020 COVID-19: New Targeted Plan for Health Care Facility Inspections MLN Connects® for Thursday, March 26, 2020 View this edition as a PDF News CMS Announces Findings at Kirkland Nursing [...]
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Posting Date: 06/04/2020
MLN Connects® for Thursday, June 4, 2020
MLN Connects® for Thursday, June 4, 2020 ICD-10-PCS Procedure Codes: FY 2021 MLN Connects® for Thursday, June 4, 2020 View this edition as a PDF News Trump Administration Unveils Enhanced Enforcement Actions Based on Nursing Home [...]
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Posting Date: 06/25/2020
MLN Connects® for Thursday, June 25, 2020
MLN Connects® for Thursday, June 25, 2020 MLN Connects® for Thursday, June 25, 2020 View this edition as a PDF News Trump Administration Issues Call to Action Based on New Data Detailing COVID-19 Impacts on Medicare Beneficiaries [...]
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Posting Date: 06/18/2020
MLN Connects® for Thursday, June 18, 2020
MLN Connects® for Thursday, June 18, 2020 COVID-19 Diagnostic Laboratory Tests: Billing for Clinician Services MLN Connects® for Thursday, June 18, 2020 View this edition as a PDF News Hospitals: Submit Medicare GME Affiliation [...]
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Posting Date: 06/11/2020
MLN Connects® for Thursday, June 11, 2020
MLN Connects® for Thursday, June 11, 2020 COVID-19: Reopening Health Care Facilities MLN Connects® for Thursday, June 11, 2020 View this edition as a PDF News Nursing Home COVID-19 Data and Inspections Results Available on [...]
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Posting Date: 07/09/2020
MLN Connects® for Thursday, July 9, 2020
MLN Connects® for Thursday, July 9, 2020 ICD-10-CM Diagnosis Codes: FY 2021 MLN Connects® for Thursday, July 9, 2020 View this edition as a PDF News Open Payments: Program Year 2019 Data LTCH Provider Preview Reports: Review [...]
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Posting Date: 07/30/2020
MLN Connects® for Thursday, July 30, 2020
MLN Connects® for Thursday, July 30, 2020 MLN Connects® for Thursday, July 30, 2020 View this edition as a PDF News CMS Updates Data on COVID-19 Impacts on Medicare Beneficiaries Short-Term Acute Care [...]
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