-
Posting Date: 04/19/2021
Billing and Coding: Removal of Benign Skin Lesions
Billing and Coding: Removal of Benign Skin Lesions cosmetic A54602 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54602 11200, 11201, 11300, 11301, 11302, 11303, 11305, 11306, 11307, 11308, 11310, 11311, 11312, [...]
Read More -
Posting Date: 04/19/2021
Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based - Medical Policy Article
Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based – Medical Policy Article N/A A53018 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=53018 [...]
Read More -
Posting Date: 04/19/2021
Process for Determining Self-Administered Drug Exclusions - Medical Policy Article
Process for Determining Self-Administered Drug Exclusions – Medical Policy Article SAD A53020 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=53020
Read More -
Posting Date: 04/19/2021
Polysomnography and Sleep Studies - Medical Policy Article
Polysomnography and Sleep Studies – Medical Policy Article N/A A53019 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=53019 95800, 95801, 95805, 95806, 95807, 95808, 95810, 95811, G0398, G0399, G0400
Read More -
Posting Date: 04/19/2021
New Local Coverage Determination (LCD) Request Process
New Local Coverage Determination (LCD) Request Process N/A A56198 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=56198
Read More -
Posting Date: 04/19/2021
Local Coverage Determination (LCD) Reconsideration Process - Medical Policy Article
Local Coverage Determination (LCD) Reconsideration Process - Medical Policy Article N/A A52842 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=52842
Read More -
Posting Date: 04/19/2021
Investigational Device Exemption Requests - Medical Policy Article
Investigational Device Exemption Requests - Medical Policy Article IDE, clinical, Q0 modifier A52841 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=52841
Read More -
Posting Date: 04/19/2021
CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique) - Medical Policy Article
CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique) - Medical Policy Article staph, MRSA A52379 [...]
Read More -
Posting Date: 12/26/2023
Tobacco Counseling via Telehealth
Tobacco Counseling via Telehealth Health equity in telehealth is the opportunity for everyone to receive the health care they need and deserve, regardless of social or economic status. Medicare Part B covers intermediate and intensive tobacco [...]
Read More -
Posting Date: 12/28/2023
Micro-invasive Glaucoma Surgery Update
Micro-invasive Glaucoma Surgery Update The MIGS LCD, L37244, and Billing and Coding Article, A56588, will not become final and therefore have been removed from the Medicare Coverage Database. Accordingly, at this time there will be no change [...]
Read More -
Posting Date: 12/28/2023
January 2024 Billing and Coding Articles Updates
January 2024 Billing and Coding Articles Updates Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) Coding Information #2 has been removed based on Transmittal 12397 (CR 13468), Payment of Codes for Chemotherapy Administration and [...]
Read More -
Posting Date: 01/02/2024
January Code Set Update for PC Print: January 2024
January Code Set Update for PC-Print: January 2024 The PC-Print January code set update will be available on our website 1/3/2024. The update contains the following enhancements: CR13303 Implement Operating Rules - Phase III Electronic [...]
Read More -
Posting Date: 12/28/2023
Improving Customer Experience
Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how we can [...]
Read More -
Posting Date: 01/02/2024
New Version of PC-ACE: January 2024
New Version of PC-ACE: January 2024 PC-ACE Version 6.1 contains several CMS mandates and product enhancements including but not limited to the items listed below. MLN Matters® MM13248 Revised: Processing Services During Disenrollment from [...]
Read More -
Posting Date: 01/02/2024
New Medicare Topic – Medicare Part B Final Rule 2024
New Medicare Topic – Medicare Part B Final Rule 2024 CMS issued the final rule on 11/2/2023, which announces finalized policy changes for Medicare payments under the PFS and other Medicare Part B issues, effective on or after 1/1/2024. There [...]
Read More -
Posting Date: 04/21/2022
CMS Region 2 Office Hours
CMS Region 2 Office Hours The CMS Region 2 Office recently began conducting a series of “Office Hours” calls. The purpose of these sessions is to provide brief updates on Medicare topics of current interest to Part A facilities, physicians and [...]
Read More -
Posting Date: 01/03/2024
Hospice Cap Self-Reporting Reminder for the 2023 Cap Year
Hospice Cap Self-Reporting Reminder for the 2023 Cap Year The Hospice Cap Self-Reporting for the 2023 Cap Year (10/1/2022-9/30/2023) is due no later than 2/29/2024. Hospice providers should submit the pro-forma calculation along with [...]
Read More -
Posting Date: 02/21/2022
Hospice Cap Self-Reporting
Hospice Cap Self-Reporting Table of Contents Hospice Cap Self-Reporting Cap Year (10/1/XXXX–9/30/XXXX) Completing the Pro-Forma Submitting the Pro-Forma Repaying an Overpayment Requesting an Extended Repayment Plan [...]
Read More -
Posting Date: 12/22/2022
Therapy Requirements for Inpatient Rehabilitation Facilities
Therapy Requirements for Inpatient Rehabilitation Facilities The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 1 is the primary source for inpatient [...]
Read More