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Posting Date: 04/11/2024
MLN Connects® Newsletter: April 11, 2024
MLN Connects® Newsletter: April 11, 2024 Proposed Payment Rules CMS Proposes New Policies to Support Underserved Communities, Ease Drug Shortages, and Promote Patient Safety News CMS Roundup (Apr. 5, 2024) Medicare Shared Savings [...]
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Posting Date: 04/15/2024
NGSConnex Medicare Part B Remittances
NGSConnex Medicare Part B Remittances We’ve added an enhancement that offers providers the option to view/print remittance advices in NGSConnex for up to 24 months from the date of search. You are required to complete the EDI enrollment to [...]
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Posting Date: 04/15/2024
Social Security Income Ratios
Social Security Income Ratios The federal fiscal year 2022 SSI ratios for IPPS hospitals, IRFs and LTCHs were posted on the CMS website. IPPS IRF LTCH We will update the latest published 2022 SSI ratios in the Provider Specific File of [...]
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Posting Date: 04/16/2024
Reimbursing Place of Service 10 at the Nonfacility Rate for Medicare Telehealth Services
In CY 2024, CMS issued a change to processing for telehealth services billed with POS 10. As of 1/1/2024, these claims are to be paid at the nonfacility PFS rate. A system processing issue resulted in incorrect payments at the facility rate and [...]
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Posting Date: 02/02/2021
Submit Supporting Documentation
Submit Supporting Documentation We encourage you to submit cost reports and supporting documentation electronically whenever possible. In addition to the environmental benefits of this approach, it is also more time and cost efficient. The [...]
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Posting Date: 04/17/2024
Part B Top Claim Errors Updated
Part B Top Claim Errors Updated Using data analysis we update the Top Claim Errors on a quarterly basis and provide: the error reason code; a description of the error; the error type; details that include steps you can take to [...]
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Posting Date: 12/14/2018
Hospice Pricer Tool
Hospice Pricer Tool The CMS Web Pricer will assist in evaluating your hospice claim reimbursement. Revised 4/18/2024
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Posting Date: 04/18/2024
MLN Connects® Newsletter: April 18, 2024
MLN Connects® Newsletter: April 18, 2024 News PrEP for HIV: Prepare for Potential Medicare Part B Coverage Events Clinical Laboratory Fee Schedule Upcoming Meetings: Register to Present, Speak, or Attend in Person by June 1 [...]
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Posting Date: 06/26/2023
Helpful Reminders on Advance Care Planning
Helpful Reminders on Advance Care Planning ACP billing codes: 99497: Advance care planning, including the first 30 minutes of face-to-face explanation and discussion (when performed) of advance directives such as standard forms. 99498: [...]
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Posting Date: 04/19/2024
Reminders for the New Hospice Certifying Physician Claim Edit Effective 5/1/2024
Reminders for the New Hospice Certifying Physician Claim Edit Effective 5/1/2024 Effective for hospice claim "From" dates on or after 5/1/2024, CMS implemented edits to enforce a new rule that would deny hospice claims if the certifying [...]
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