-
Posting Date: 03/23/2023
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220
Resolved: Home Health Claims Editing for Reason Codes U5210/U5220 Some home health NOAs and claims were incorrectly hitting reason codes U5210 and U5220. These reason codes state there is no Medicare entitlement for the dates of service when [...]
Read More -
Posting Date: 03/27/2023
Changes in G2066 Pricing Effective April 1, 2023
Changes in G2066 Pricing Effective April 1, 2023 After reviewing Medicare claims data for G2066 (Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder [...]
Read More -
Posting Date: 03/30/2023
Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023
Change in Pricing for Electroencephalogram Long-Term Monitoring Effective 4/1/2023 After reviewing Medicare claims data for EEG continuous recording (CPT codes 95700 through 95718) as well as seeking input from providers, industry, [...]
Read More -
Posting Date: 12/23/2020
(SE20024) FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients
MLN Matters®: SE20024 FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients
Read More -
Posting Date: 03/31/2023
MLN Connects® Newsletter: March 30, 2023
MLN Connects® Newsletter: March 30, 2023 News COVID-19: Booster Dose for Children 6 months – 4 years Identity & Access Management System: Easier for Surrogates Medicare Advantage Value-Based Insurance Design Model Extended [...]
Read More -
Posting Date: 03/31/2023
CR12669 - Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement
CR12669 - Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement
Read More -
Posting Date: 03/31/2023
CR13122 - Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments
CR13122 - Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments
Read More -
Posting Date: 03/31/2023
EDI Enrollment Spotlights Top Rejections
EDI Enrollment Spotlights Top Rejections Part A, Part B and DDE Periodically, EDI enrollment will publish articles to help eliminate the number of EDI applications that are denied. This month we are spotlighting the denial for [...]
Read More