3/11/10
- Revised Medicare Physician Fee Schedule Fact Sheet
- Additional
ICD-9 Codes Analysis and Processing Direction (Institutional Claims
Only) (MM6851)
- April
2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)
(MM6857)
- July
2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files (MM6805)
- Correction
to Processing of Non-Covered Revenue Codes (MM6774 - Revised)
03/10/10
- DMEPOS Fact Sheet
- Internet-Based PECOS
- March is National Nutrition Month®
- Medicare Preventive Services Quick Reference Information Charts
03/09/10
03/05/10
- Reminder: Comment Period Closing on Proposed Rule for Medicare and Medicaid Electronic Health Record (HER) Incentive Program/Meaningful Use
- Proposed Rule for the Establishment of Certification Programs for Health Information Technology
03/03/10
- The Therapy Cap Exception Process Extended Under the "Temporary Extension Act of 2010"
- The “Temporary Extension Act of 2010” Extends the Zero Percent Medicare Physician Fee Schedule Update and the Therapy Cap Exception Process
03/02/10
02/26/10
02/25/10
- Questions
and Answers on Reporting Physician Consultation Services (SE1010)
- Implementation
of Home Health Agency Program Safeguard Provisions (MM6750-Revised)
- 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
- 2010 Part D Data Symposium Invitation
- Revised Medicare Appeals Process
- Influenza Pandemic of 1918 Documentary—New from the Medicare Learning Network
02/24/10
02/22/10
02/19/10
- 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
- Revised)
- There Is Information. And Then There Is Quality Information You Can Trust From The Medicare Learning Network.
02/17/10
-
Coding
Patient Transfers under the Home Health Prospective Payment System (HH
PPS) (MM6757)
- Medicare Claims Crossover to Supplemental Payer Problem
02/16/10
- The National Provider Identifier (NPI): What You Need to Know—Now Available
- Instructions
on How to Process Negative Claim Adjustment Reason Code
(CARC) Adjustment Amounts when Certain CARCs Appear on
Medicare Secondary Payer Claims(MM6736)
- Point
of Origin for Admission or Visit Codes Update to the UB-04
(CMS-1450) Manual Code List (MM6801)
- Maintenance
and Servicing Payments for Certain Oxygen Equipment after
July 1, 2010 (MM6792)
- Medicare
Systems Edit Refinements Related to Hospice Services (MM6778)
02/05/10
02/04/10
- Centers for Medicare & Medicaid Services Special Open Door Forum: Medicare Provider & Supplier Enrollment
- 5010: Taking EDI to the Next Level — Your Latest 5010 Updates
02/03/10
- April
2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files (MM6804)
- Correction
to Processing of Non-Covered Revenue Codes (MM6774)
- Associating Hospice Visits to the Level of Care (MM6791)
-
Integrated
Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write (MM6709
- Revised)
- February is American Heart Month!
- Healthcare Provider Taxonomy Codes (HPTC) Update April 2010
02/02/10
- Revised Medicare Physician Fee Schedule Fact Sheet
- Calendar Year 2009 Home Health Prospective Payment System (HH PPS) Personal Computer Pricer Updated
02/01/10
- Medicare Home Health System Claims Process Issue
- New from the Medicare Learning Network
- “DR” Condition Code and the “CR” Modifier on Medicare Fee-for-Service Claims
- Resolving Reason Code U538F (Home Health)
01/29/10
01/26/10
- Revised Medicare Physician Fee Schedule Fact Sheet
- 5010: Taking EDI to the Next Level -- Fourth National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010
- CERT Data Identifies Increase in Home Health Certification Errors
01/25/10
- Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond
- Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond (SE1005)
01/22/10
01/21/10
- New Reason Codes for Additional Data Required on Hospice Claims
- Did You Resolve To Learn Something New This Year? New Information Is Just A Click Away
- Implementation
of the Health Insurance Portability and Accountability Act (HIPAA)
Version 5010 276/277 Claim Status Second Phase (MM6721 – Revised)
01/19/10
- Medicare Learning Network (MLN)—New Quick Reference Charts
- Hospice Payment System Fact Sheet
- Medicare Learning Network (MLN)—New Web-Based Training Courses
01/15/10
01/14/10
- Implementation
of Home Health Agency Program Safeguard Provisions (MM6750)
- Additional
Data Collection on Hospice Claims (MM6440 - Revised)
01/13/10
01/12/10
01/09/10
- New from the Medicare Learning Network -- Adult Immunizations Brochure
- CMS Launches Fifth Annual Medicare Contractor Provider Satisfaction Survey
- Scheduled Release of Modifications to the HCPCS Code Set
- January is National Glaucoma Awareness Month
01/06/10
01/05/10
01/04/10
- ICD-10-CM/PCS Conference Call Transcript Summaries
- Educational Products Related to Medicare-covered Preventive Services
- CMS News from the Medicare Learning Network
- Issued Regulations: Proposing a Definition of “Meaningful Use” and Setting Standards for Electronic Health Record Incentive Program
- Coverage
of Kidney Disease Patient Education Services (MM6557)
- Limitation
on Home Health Prospective Payment System (HH PPS) Outlier Payments
(MM6759)
- Tracking
the Hospice Attending Physician’s National Provider Identifier
(NPI) for Validating Hospice Part B Payments (MM6540 - Revised)
12/28/09
- Updated Information Regarding the Holding of Claims for Services Paid Under The 2010 Medicare Physician Fee Schedule
- Expiration
of Various Payment Provisions Under the Medicare Program (SE0931)
12/23/09
- Implementation
of the Health Insurance Portability and Accountability Act (HIPAA) Version
5010 276/277 Claim Status Second Phase (MM6721)
- January
2010 Update of the Hospital Outpatient Prospective Payment System
(OPPS) (MM6751- Revised)
12/21/09
- Information Regarding the Holding of Claims for Services Paid Under the 2010 Medicare Physician Fee Schedule
- January Newsline Available
12/18/09
12/17/09
- January
2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)
(MM6751)
- Claim
Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update (MM6742)
- Tracking
the Hospice Attending Physician’s National Provider Identifier
(NPI) for Validating Hospice Part B Payments (MM6540 - Revised)
- Claim
Status Category Code and Claim Status Code Update (MM6723 - Revised)
12/11/09
- AdvanceMed Corporation will be the Zone 5 Zone Program Integrity Contractor
- Guided Pathways Booklets Revised
- CMS To Conduct Fifth Annual Medicare Contractor Provider Satisfaction Survey
- New MLN Booklet How to Use the Medicare Coverage Database Search Tool
12/08/09
- Medicare Learning Network (MLN) Products Catalog
- Providers Must Wait for Medicare Claim Crossover Process to Work
- 2010
Annual Update to the Therapy Code List (MM6719)
- Home
Health Prospective Payment System Rate Update for Calendar Year
2010 (MM6747)
12/04/09
- Tracking the Hospice Attending Physician’s National Provider Identifier (NPI) for Validating Hospice Part B Payments (MM6540)
- Mini-Poster To Help Educate Medicare Beneficiaries About Flu Vaccine
- Update to Home Health Local Coverage Determination—Physical Therapy
12/02/09
- Annual
Update of HCPCS Codes Used for Home Health (HH) Consolidated Billing Enforcement
(MM6662)
- Revised Hospice Payment System Fact Sheet
11/30/09
- Outcome and Assessment Information Set (OASIS-C) National Provider Call with Question & Answer Session
- Medicare Home Health Prospective Payment System Outlier Policy FAQs
- Integrated Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write (MM6709)
11/20/09
11/19/09
11/18/09
- Update
to Medicare Deductible, Coinsurance, and Premium Rates for 2010 (MM6690)
- Calendar
Year (CY) 2010 Fee Schedule Update for Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS) (MM6720)
- Claim
Status Category Code and Claim Status Code Update (MM6723)
- January
2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files (MM6708)
11/17/09
11/13/09
11/06/09
- Continuation
of Maintenance and Servicing Payments in CY 2010 for Certain Oxygen
Equipment as a Result of the Medicare Improvements for Patients and
Providers Act (MIPPA) of 2008 (MM6716)
- Further
Clarification of Instructions on Using 837 Institutional Claim Adjustment
Segments (CAS) for Medicare Secondary Payer (MSP) Part A Claims (SE0928)
11/03/09
11/02/09
- CMS Announces Policy and Payment Updates for Medicare Home Health
- Centers for Medicare & Medicaid Services (CMS) Updates Medicare Hospice Statistics
- Outcome and Assessment Information Set (OASIS-C) National Provider Call to be held on November 12, 2009!
10/30/09
10/23/09
10/21/09
- Revised—October 2009 Quarterly Provider Specific File Update
- Protect your patients and yourself from influenza: Get Vaccinated!
- Annual
Clotting Factor Furnishing Fee Update (MM6673)
- Immunization Educational Products and Resources
- October is Healthy Lung Month
10/16/09
- Revised—October 2009 Quarterly Provider Specific File Update
- Outcome and Assessment Information Set (OASIS-C) National Provider Call with Question & Answer Session
- Flu Season is upon us!
- October 2009 Quarterly Provider Specific File Update
10/15/09
- Important Clarification for Submitting Medicare Secondary Payer Claims/Adjustments
- Direct Data Entry Medicare Secondary Payer Claims/Adjustments No Longer Accepted
10/14/09
-
2009
- 2010 Seasonal Influenza (Flu) Resources for Health Care Professionals
(SE0926 - Revised)
- Important Clarification for Submitting Medicare Secondary Payer Claims/Adjustments
10/09/09
10/02/09
10/01/09
09/30/09
- Direct Data Entry Medicare Secondary Payer Claims/Adjustments No Longer Accepted
- Revised Medicare Learning Network Product
09/23/09
- 2009
- 2010 Seasonal Influenza (Flu) Resources for Health Care Professionals
(SE0926)
- Claim
Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update (MM6604)
- Revised
Processing of Osteoporosis Drugs under the Home Health Benefit (MM6512
- Revised)
09/18/09
09/16/09
09/14/09
- Enhancements/Updates to NPPES effective on/after September 13, 2009
- Medicare
Fee-for-Services (MFFS) Billing for the Administration of the Influenza
A (H1N1) Virus Vaccine (SE0920 -Revised)
09/11/09
09/07/09
09/04/09
09/02/09
- October
2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version
10.3 (MM6618)
-
Claim Status Category Code and Claim Status Code Update (MM6609)
- October
2009 Update of the Hospital Outpatient Prospective Payment System
(OPPS) (MM6626)
- Update to Home Health Local Coverage Determination— Speech-Language Pathology
08/31/09
08/27/09
- ICD-10-CM/PCS Bookmark
- Medicare Fee-for-Service Emergency Preparedness Questions and Answers
- Important Update on Status of the Revised HHABN, Form CMS-R-296
08/25/09
- Special Open Door Forum: DMEPOS Competitive Bidding Program Bidders’ Conference: Learn the Rules to Submit a Bid Successfully
- Analysis of 2006-2007 Home Health Case-Mix Change Final Report
- ICD-10-CM/PCS: An Introduction Fact Sheet
- Electronic Health Records and the 21st Century Health Care System
- Medicare Demonstrations Show Paying For Quality Health Care Pays Off
08/24/09
- September Newsline Available
-
(MM6606) Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2010
-
October 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (MM6585)
08/20/09
08/11/09
- Department of Health & Human Services (HHS) Delegates Authority for the Health Insurance Portability & Accountability Act of 1996 (HIPAA) Security Rule to Office of Civil Rights (OCR)
- Medicare Provider Enrollment Reminder for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies
- Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Reminders from the Centers for Medicare & Medicaid Services (CMS)
08/10/09
-
The Use of the CR Modifier and DR Condition Code on Disaster/Emergency-Related Claims (MM6451)
-
Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Round One Rebid in Calendar Year (CY) 2009 (MM6571)
-
File Transfer Protocol Server Upgrades for Home Health & Hospice Providers—Revised 8/5/2009
-
Guidance on Using Internet-based Provider Enrollment, Chain and Ownership System (PECOS)(SE0914)
- Summary of Changes in the Hospice Physician Certification Requirement
07/31/09
- File Transfer Protocol Server Upgrades for Home Health & Hospice Providers - Revised 7/31/2009
- CMS Announces Final Wage Index Changes for the Medicare Hospice Benefit
- CMS Proposes Payment Changes for Home Health Services to Protect Beneficiaries and Medicare
07/29/09
- Point
of Origin Codes Update to the UB-04 (CMS-1450) Manual Code List (MM6478)
- Revised
Processing of Osteoporosis Drugs Under the Home Health Benefit (MM6512)
07/28/09
07/22/09
- Important Information for PC-ACE Pro32™ Home Health & Hospice Users
- File Transfer Protocol Server Upgrades for Home Health & Hospice Providers- REVISED
07/21/09
07/20/09
- CMS' Dedicated Web site for Information & Education on Versions 5010, D.0 and 3.0 Now Available!
- Release of the Draft Outcome and Assessment Information Set (OASIS-C) Data Specifications Version 2.00
07/15/09
07/13/09
- DMEPOS Supplier Accreditation and Surety Bond Requirement Deadlines Coming In October
- Clarification
on Use of National Drug Codes (NDCs) in 837 I Billing (MM6330-Revised)
- Take
Action Now to Prepare for the Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies Competitive Bidding Program (SE0915)
- Change in How to Access Upcode/Downcode/Line Item Information via Direct Data Entry (DDE)
- Medicare Learning Network Publications
07/07/09
- Update to the ‘HOME’ Key Function and the Process for Deleting Revenue Code Lines
- Healthcare Common Procedure Coding System (HCPCS) Quarterly Update
- Proposed DMEPOS Regulatory Updates
- DMEPOS Supplier Accreditation and Surety Bond Requirement Deadlines Coming In October
07/06/09
- Crossover Claims Impacted by Common Working File (CWF) Southeast Host Site Problem
- Claim
Status Category Code and Claim Status Code Update (MM6525)
- Instructions
on utilizing 837 Institutional Claim Adjustment Segments (CAS) for
Medicare Secondary Payer (MSP) Part A Claims. (This CR Rescinds and
Fully Replaces CR 6275)(MM6426 - Revised)
06/24/09
- Implementation of the Redesigned Provider Statistical and Reimbursement (PS&R) System (MM6519)
- Web Site on Recovery Act and Health Information Technology Now Available!
06/15/09
- FDA Consumer Alert: Warning Consumers of a Tainted Skin Sanitizer
- July 2009 Average Sales Price (ASP) Files Now Available
06/12/09
06/11/09
06/10/09
- ICD-10-CM/PCS Implementation and General Equivalence Mapping Conference Call Transcripts
New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for July 2009 Update (MM6477)
- Crossover Claims Impacted by Common Working File (CWF) Pacific Host Site Problem
06/08/09
06/04/09
06/03/09
- ‘HOME’ Key Function: Resolution for Deleting Revenue Code Lines
- Update on the Temporary Change to the ‘HOME’ Key Function
- Temporary Change to ‘HOME’ Key Functionality in Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE)
- July
Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
(MM6484)
- Payment
for Maintenance and Servicing of Certain Oxygen Equipment as a
Result of the Medicare Improvements for Patients and Providers
Act (MIPPA) of 2008 - CR 6509 RESCINDS AND FULLY REPLACES CR 6404
(MM6509)
- Claim
Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update (MM6453)
- Influenza
Pandemic Emergency -- The Medicare Program Prepares (SE0836 - Revised)
- Payment
for Maintenance and Servicing of Certain Oxygen Equipment as a
Result of the Medicare Improvements for Patients and Providers
Act (MIPPA) of 2008 (MM6404 - Revised)
- Discontinuance
of the Unique Physician Identification Number (UPIN) Registry (MM5584
- Revised)
- DMEPOS Supplier Accreditation - Time is Running Out!
05/29/09
- Get Ready for Competitive Bidding!
- Delayed Implementation of 2009 Therapy Cap Limitation
- July
2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
(MM6492)
05/27/09
05/26/09
05/21/09
- July
2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files (MM6471)
- Additional
Data Collection on Hospice Claims (MM6440 - Revised)
- The
ICD-10 Clinical Modification/Procedure Coding System (CM/PCS)-The Next
Generation of Coding (SE0832 - Revised)
05/20/09
- July
2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version
10.2 (MM6480)
- The
ICD-10 Clinical Modification/Procedure Coding System (CM/PCS)-The
Next Generation of Coding (SE0832 - Revised)
05/18/09
05/15/09
05/13/09
- Modification
of the Common Working File (CWF) Copybook to Transmit “WC” Qualifier
Alpha Codes to Various Systems (Supplement to CR 5371) (MM6438)
- Clarification
about the Medical Privacy of Protected Health Information (SE0726 -
Revised)
05/12/09
05/11/09
05/06/09
- April 2009 Quarterly Provider Specific File Update
- Clarification
on Use of National Drug Codes (NDCs) in 837 I Billing (MM6330 - Revised)
- Revision
to Processing Hospice Visit Charges on Remittance Advices and Medicare
Summary Notices (MSNs) (MM6386 - Revised)
- Preventive Services Quick Reference Information
05/05/09
05/04/09
04/29/09
- Swine Flu Information from the Centers for Medicare & Medicaid Services (CMS)
- Important
Information Regarding the Centers for Medicare & Medicaid Services
(CMS) National Claims Crossover Process (SE0909)
- New
Patient Discharge Status Code 21 to Define Discharges or Transfers
to Court/Law Enforcement (MM6385)
- Revision
to Processing Hospice Visit Charges on Remittance Advices and Medicare
Summary Notices (MSNs) (MM6386)
04/28/09
- An
Introductory Overview of the HIPAA 5010 (SE0904)
- Correction
to the Editing of Health Insurance Prospective Payment System (HIPPS)
Codes on Home Health Prospective Payment System (HH PPS) Claims (MM6393)
- Additional
Data Collection on Hospice Claims (MM6440)
04/24/09
04/23/09
04/20/09
04/15/09
04/14/09
- Hospice
Cap Calculations Letters and Administrative Appeals (MM6400)
- Payment
for Maintenance and Servicing of Certain Oxygen Equipment as a Result
of the Medicare Improvements for Patients and Providers Act (MIPPA)
of 2008 (MM6404)
04/13/09
04/07/09
- Response to Public Comments on the Revised OASIS-C
- ICD-10-CM/PCS Medicare Learning Network Publication and FAQs Now Available
04/06/09
- Medicare Payment Policy Publications — Available in Print Format
- Healthcare Common Procedure Coding System (HCPCS) Update
04/01/09
- Internet-based Medicare Enrollment is Available in All States and the District of Columbia for Medicare Provider and Supplier Organizations
- Instructions
on utilizing 837 Institutional Claim Adjustment Segments (CAS)
for Medicare Secondary Payer (MSP) Part A Claims. (This CR Rescinds
and Fully Replaces CR 6275) (MM6426)
- Instructions
on Utilizing ANSI X12 837 Institutional CAS segments for Medicare
Secondary Payer (MSP) Part A Claims (MM6275 - Rescinded)
-
Medicare Part B Drug and Biological Average Sales Price Files—April 2009