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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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