03/09/

• Update to the Self-Administered Drug (SAD) List (A48903) - J10 MAC

03/04/10

• The March 2010 Medicare A Newsline is Now Available

03/03/10

• Critical Access Hospital (CAH) Method II Unlisted Healthcare Common Procedure Coding System (HCPCS) Code for Professional Services

02/26/10

• Electronic Funds Transfer (EFT) Authorization Agreement Processing

02/25/10

• LCD - J10 MAC A - Draft Local Coverage Determinations (LCDs) Comment Period
• Reporting Hospice Services Provided by Physicians Under Part A that Could be Described by Current Procedural Terminology (CPT) Consultation Codes
• Reporting Inpatient Hospital Evaluation and Management (E/M) Services that Could be Described by Current Procedural Terminology (CPT) Consultation Codes

02/24/10

• Probe Review Results - HCPCS A0429 Ambulance BLS Emergency Transport
• Probe Notification - Review of DRG 641 Nutritional and Miscellaneous Metabolic Disorders w/o MCC
• Medicare Inpatient Skilled Nursing Facility No Payment Claim's Processing Issue

02/19/10

• Medicare Mammography Services Claims Process Issue- Reason Code 36440
• Medicare Non-Covered Claims with Professional Component Claims Process Issue- Reason Code 31387

02/17/10

• Medicare Claims Crossover to Supplemental Payer Problem

02/15/10

• Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual Code List (MM6801)
• Medicare Systems Edit Refinements Related to Hospice Services (MM6778)
• Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims (MM6736)

02/12/10

• Program for Evaluating Payment Patterns Electronic Report (PEPPER) Is Back

02/11/10

• Integrated Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write (MM6709)

02/10/10

• LCD - J10 MAC A - Drugs and Biologicals: Bevacizumab (AVASTIN®) (L29992)
• LCD - J10 MAC A - Medicine: Dysphagia/Swallowing Therapy (L30005)
• LCD - J10 MAC A - Medicine: Occupational Therapy - Outpatient (L30007)
• LCD - J10 MAC A - Medicine: Physical Therapy - Outpatient (L30009)
• LCD - J10 MAC A - Medicine: Speech Language Pathology - Outpatient (L30010)
• LCD - J10 MAC A - Drugs and Biologicals: Gemcitabine Hydrochloride (Gemzar ®) (L29995)
• LCD - J10 MAC A - Medicine: Inpatient Rehabilitation (L30006) - Retired
• Probe Notification - Notice to Providers of Upcoming Review of Diagnosis Code 428.23

20/08/10

• Widespread Probe Review for AL-A Providers for CPTs 99291 and 99292
• Widespread Probe Review for TN-A Providers for DRG 690
• Probe/Targeted Review Results-HCPCS A0428 Ambulance BLS Non-Emergency Transport

02/05/10

• Coverage of Inpatient Rehabilitation Services (MM6699)
• Correction to Processing of Non-Covered Revenue Codes (MM6774)
• Billing and Processing for Healthy Control Group Volunteers in a Qualified Clinical Trial (MM6776)
• Dialysis Adequacy, Infection and Vascular Access Reporting (MM6782)
• April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (MM6804)
• Revision of Definition of Compendia as Authoritative Source for Use in the Determination of a Medically-Accepted Indication of Drugs/Biologicals Used Off-label in Anti-Cancer Chemotherapeutic Regimens (MM6806)
• Healthcare Provider Taxonomy Codes (HPTC) Update April 2010 (CR6840)
• The February 2010 Medicare A Newsline is Now Available

02/01/10

• Widespread Targeted Review Results Notification - J10 Mac A - Notice to Georgia providers of review results from Widespread Probe Review of DRG 552 Medical Back Problems w/o MCC for Bill Type 11X

01/26/10

• Billing for Services Related to Voluntary Uses of Advance Beneficiary Notices of Noncoverage (ABNs) (MM6563)
• Medicare Outpatient Prospective Payment System Claims Process Issue For Q0139- Ferumoxytol Injection

01/21/10

• Expiration of Increased Medicare Payments for Ground Ambulance Services and Air Ambulance Payment Improvements Provisions

01/20/10

• Submitting Claims to Medicare When There Is an Accident Medicare Secondary Payer Record on the Common Working File
• Billing and Medicare Secondary Payer- Revised Flow Chart
• Important Notice Regarding Due Date for September 30, 2009 Medicare Cost Reports for Providers Not Yet Registered in IACS
• Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment (MM6657)
• Implementation of Home Health Agency Program Safeguard Provisions (MM6750)
• Expansion of Medicare Telehealth Services for Calendar Year (CY) 2010 (MM6705)
• Positron Emission Tomography (PET) (FDG) for Cervical Cancer (MM6753)
• Pharmacogenomic Testing for Warfarin Response (MM6715)

01/19/10

• Widespread Probe Review Results Notification Article - J10 MAC A - Notice to providers of review results from Widespread Probe Review of CPT 85025 for Bill Type 13X

01/13/10

• Medically Unlikely Edits (MUEs)

01/08/10

• Recent Comprehensive Error Rate Testing (CERT) Findings
• LCD - J10 MAC A - Drugs and Biologicals: Oxaliplatin (Eloxatin®) (L29999)
• Widespread Probe Review Results Notification - J10 MAC A - Notice to Tennessee providers of review results from Widespread Probe Review of CPT 99291, TOB 13X
• Widespread Probe Review Results Notification - J10 MAC A - Notice to providers of review results from Widespread Probe Review of CPT 85025 for Bill Type 13X

01/07/10

• Summary of Policies in the 2010 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount (MM6756)
• 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions (CR 6765)
• January 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.0 (MM6761)
• Coverage of Kidney Disease Patient Education Services (MM6557)
• Pharmacogenomic Testing for Warfarin Response (MM6715)
• Emergency Update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB) (MM6796)

01/05/10

• Expiration of Moratorium That Allowed Independent Laboratories to Bill for the Technical Component of Physician Pathology Services Furnished to Hospital Patients AND Expiration of Therapy Cap Exceptions