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Posting Date: 02/08/2024
MLN Connects® Newsletter: February 8, 2024
MLN Connects® Newsletter: February 8, 2024 News Medicare Shared Savings Program: Application Deadlines for a January 1, 2025, Start Date New Dental Specialty Codes for Medicare Hospices & Skilled Nursing Facilities: Report All [...]
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Posting Date: 02/08/2024
National Government Services Proposed LCDs for Comment
National Government Services Proposed LCDs for Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 2/8/2024 through 3/23/2024. These [...]
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Posting Date: 02/08/2024
Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP
Reminder: Jurisdiction 6 and Jurisdiction K Providers Using Medicare Part B MSP Overpayment Request Form for Non-MSP Use the Medicare Part B MSP Overpayment Request Form for the following situations, not for non-MSP overpayments: 07–MSP [...]
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Posting Date: 01/25/2024
Pegfilgrastim (Fulphila; Neulasta; Neulasta Onpro; Nyvepria; Udenyca; Ziextenzo)
Pegfilgrastim (Fulphila; Neulasta; Neulasta Onpro; Nyvepria; Udenyca; Ziextenzo) A59661 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59661 J2506
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Posting Date: 02/14/2024
National Government Services Will Be Open On President's Day
National Government Services Will Be Open On President's Day National Government Services will be open on President's Day, Monday, 2/19/2024. The PCC will be open and available to take your calls. Posted 2/14/2024
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Posting Date: 02/15/2024
MLN Connects® Newsletter: February 15, 2024
MLN Connects® Newsletter: February 15, 2024 News CMS Roundup (Feb 9, 2024) Marriage and Family Therapists & Mental Health Counselors: New Specialty Codes for Medicare Medicare Physician Fee Schedule Database: April Update MLN [...]
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Posting Date: 02/08/2024
Navigating Medicare Part A Insights for Providers Podcast
Navigating Medicare Part A Insights for Providers Podcast Listen to our new podcast on Spotify and Apple Podcasts! Check out our new podcast, Navigating Medicare Part A Insights for Providers, now available on Spotify and Apple Podcasts! [...]
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Posting Date: 02/16/2024
[REVISED] Provisional Period of Enhanced Oversight for New Hospices
[REVISED] Provisional Period of Enhanced Oversight for New Hospices In an effort to reduce hospice fraud, waste and abuse, CMS is placing newly enrolling hospices located in Arizona, California, Nevada and Texas in a program called PPEO [...]
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Posting Date: 02/19/2024
Fee Schedules Description
Fee Schedule Lookup To initiate a search, select a fee schedule type from the drop-down menu, complete all required fields, then select Search. Note: If your search does not display the fee schedule or effective date (range) you enter, [...]
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Posting Date: 02/20/2024
Health Benefits of Quitting Smoking
Health Benefits of Quitting Smoking Help your Patients Kick the Habit! Smoking leads to multiple diseases and potentially death, but this is preventable – anyone at any age can benefit from quitting smoking. Medicare covers tobacco cessation [...]
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Posting Date: 12/20/2016
Change to Roster Claims Information Entry in the Fiscal Intermediary Standard System Direct Data Entry
Change to Roster Claims Information Entry in the FISS DDE Effective 1/28/2013, the FISS maintainer has made a change to the way roster claims are entered. After entering the required information into the FISS DDE, providers will have to hit [...]
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Posting Date: 02/15/2024
Reduction Mammaplasty
Reduction Mammaplasty breast reconstruction, cosmetic surgery L35001 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35001 A56837 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56837 19316, 19318
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Posting Date: 07/03/2023
Off-Label Use of Intravenous Immune Globulin (IVIG)
Off-Label Use of Intravenous Immune Globulin (IVIG) L39314 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39314 A59105 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59105 A59251 [...]
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Posting Date: 04/13/2023
Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms N/A L37810 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37810 A56867 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=5686[...]
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Posting Date: 06/01/2023
Urine Drug Testing
Urine Drug Testing L39611 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39611 A59416 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59416 A59581 [...]
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Posting Date: 02/21/2024
Common Working File (CWF) Host Dark Days for April 2024 Release
Common Working File (CWF) Host Dark Days for April 2024 Release For the upcoming April 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/28/2024 and Dark Days starting Friday, 3/29/2024 through Sunday, 3/31/2024 [...]
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Posting Date: 03/01/2022
Proper Billing for Patient Supplied Drugs
Proper Billing for Patient Supplied Drugs Drugs, including biologicals, must represent an expense to the physician or legal entity billing for the services or supplies. In some instances, the patient purchases the drug or, the physician [...]
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