08/27/10
- Follow-Up National Provider Call regarding ICD-10 Implementation in a 5010 Environment
- Provider and Supplier Organizations: Have You tried Internet-based PECOS For Your Medicare Enrollment Actions?
- Upcoming Home Health, DME, and Hospice Open Door Forums (ODF) Regarding Pharmacies
08/26/10
- MM6838
– Payment for Replacement of Oxygen Equipment in Bankruptcy Situations
- SE1025
– Consumer Assessment of Health Providers and Systems (CAHPS) Update
for Home Health Agencies (HHA)
- Closing in on 120 Days and Counting Until January 2011 Target Testing for Version 5010
08/24/10
- September Newsline Available
- MM6807
- Change in Provider Enrollment Timeliness Standards for Certain Paper
Applications
08/23/10
08/19/10
08/17/10
- Update from the Medicare Learning Network: Social Media
- Reminder: Point of Origin Codes B and C Have Been Eliminated
08/13/10
- Centers for Medicare & Medicaid Services Special Open Door Forum: Developing Outpatient Therapy Payment Alternatives (DOTPA) - Data Collection Update
- Internet-based PECOS Creates Custom Applications Tailored to Your Enrollment Scenario – Try it Today!
08/11/10
- Ninth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions
- CMS Is Here to Help in the Transitions to Version 5010 and ICD-10
08/10/10
- Recently Released MLN Matters Articles of Particular Interest
- Updates from the Medicare Learning Network
08/09/10
- August is National Immunization Awareness Month
- Special Open Door Forum: Developing Outpatient Therapy Payment Alternatives (DOTPA)
- MM6625
– Common Working File (CWF) Unsolicited Response Adjustments for
Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP)
Group Health Plan (GHP) Record Where the GHP Record was Subsequently
Deleted or Terminated
- MM7006
(Revised) –Medicare Contractor Annual Update of the International
Classification of Diseases, Ninth Revision, Clinical Modification
(ICD-9-CM)
- MM6978
(Revised) – Common Working File (CWF) Override Edit for Kidney Transplant
Donor Claims When the Kidney Recipient is Deceased
08/03/10
- MM6978
- Common Working File (CWF) Override Edit for Kidney Transplant
Donor Claims When the Kidney Recipient is Deceased
- MM7014
- Home Health Agencies (HHAs) Providing Durable Medical Equipment
(DME) in Competitive Bidding Areas
- MM7080
- Timely Claims Filing: Additional Instructions
- SAVE THE DATE! ICD-10 Implementation in a 5010 Environment Follow-Up National Provider Call
- Outpatient Prospective Payment System Pricer Updates
- Online Registration Opens August 13 for the September 15 Meeting on ACA Requirements for ICD-10 Crosswalk Revisions
- Updated Calendar Year (CY) 2010 Home Health PPS (HH PPS) PC Pricer
07/29/10
07/28/10
- MM7070 – October Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
- MM7077 – Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for Fiscal Year (FY) 2011
07/26/10
07/22/10
07/21/10
07/19/10
- July 2010 Quarterly Provider Specific File Update
- CMS Proposes Payment Changes to Medicare Home Health Services for 2011
- CMS Announces Final Wage Index Changes for the Medicare Hospice Benefit
- CY 2010 Home Health PPS (HH PPS) PC Pricer - July Provider Data Updates
07/15/10
07/14/10
07/13/10
- ICD-9-CM C&M Committee to Meet September 15 on PPACA Requirements for ICD-10 Crosswalk Revisions
- Eighth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions
- REMINDER: CMS has Released MLN Matters Special Edition Article SE1019 - ICD-10 Implementation Information
- Now Available from CMS – The Audio Transcript of the June 15 ICD-10 Implementation in a 5010 Environment Teleconference
- MLN Matters Article #SE1023 - Provisions in the Affordable Care Act of 2010 (ACA)
- Preventive Services to Help Keep Your Medicare Patients Healthy This Summer!
- Talking About Version 5010 and ICD-10 – Vendors and Providers, Get the Conversation Started
07/12/10
07/09/10
- SE1023
– Provisions in the Affordable Care Act of 2010 (ACA)
- MM6905
– New Hospice Site of Service Code
- Revised: MM6945 – July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics,Orthotics and Supplies (DMEPOS) Fee Schedule
07/02/10
07/01/10
-
MM7007 - October 2010 Quarterly Average Sales Price (ASP) Medicare Part Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- MM6974
- July Update to the 2010 Medicare Physician Fee Schedule Database
(MPFSDB)
- Revised:
MM6757 - Coding Patient Transfers under the Home Health Prospective
Payment System (HH PPS)
06/29/10
06/28/10
06/25/10
- Audio Transcript of the June 15 ICD-10 Implementation in a 5010 Environment Teleconference
- PECOS Ordering and Referring Report Containing Physician National Provider Identifier (NPI)
06/24/10
06/23/10
- Update to Calendar Year (CY) 2010 Home Health Prospective Payment System PC Pricer
- Version 5010 and ICD-10 are coming. Will you be ready?
- Reminder: Changes on How to Code Patient Transfers under the Home Health Prospective Payment System (HH PPS)—Effective July 1, 2010
- SE1019 – ICD-10 Implementation Information
06/22/10
- July 2010 Average Sales Price (ASP) Files Are Now Available
- Calendar Year (CY) Outpatient Prospective Payment System (OPPS) Pricer File Updates
06/21/10
- 7th National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions
- 2010 Medicare Physician Fee Schedule
06/18/10
- MM6990 – Clarification of the Date of Service for Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2010
- MM6698 (Revised) – Signature Guidelines for Medical Review Purposes
- MM6954 (Revised) – Clinical Review Judgment
06/17/10
- MM6958 – Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Appeals via Facsimile and/or via a Secure Internet Portal/Application
- MM6911 (Revised) – Enhancements to Home Health (HH) Consolidated Billing Enforcement
06/15/10
- June 14-20th is National Men’s Health Week and June 20th is Father’s Day
- Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months
06/14/10
06/08/10
- MM6975
– Additional Instruction for Implementation of Health Insurance Portability
and Accountability Act of 1996 (HIPAA) Version 5010 for Transaction
835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit
(SPR)
- MM6967
(Revised) – July 2010 Integrated Outpatient Code Editor (I/OCE) Specifications
Version 11.2
- MM6996
(Revised) – July 2010 Update of the Hospital Outpatient Prospective
Payment System (OPPS)
06/07/10
- New From the Medicare Learning Network: Medicare Preventive Services Resources CD
- SE1017
– Preparing for a Transition from an FI/Carrier to a Medicare Administrative
Contractor (MAC) or from one Durable Medical Equipment (DME) MAC to
another DME MAC
- MM6996
– July 2010 Update of the Hospital Outpatient Prospective Payment System
(OPPS)
- SE0837
– Preparing for a Transition from an FI/Carrier to a Medicare Administrative
Contractor (MAC) or from one Durable Medical Equipment (DME) MAC to another
DME MAC
06/01/10
- New From The Medicare Learning Network
- ICD-10 Implementation in a 5010 Environment National Provider Conference Call
- Frequently Asked Questions (FAQ) About the ICD-10 Implementation
05/28/10
05/27/10
- Information Regarding the Holding of June 2010 Claims for Services Paid Under the 2010 Medicare Physician Fee Schedule
- MM6809
– Quarterly Healthcare Common Procedure Coding System (HCPCS) Code
Changes – July 2010 Update
- MM6907 – Internet Only Manual (IOM) Chapter 25 Revisions (Medicare Claims Processing Manual, Chapter 25 - Completing and Processing the Form CMS-1450 Data Set)
05/25/10
- There Is No ‘One-Size-Fits-All’ in Building a Nationwide Health Information Network — A Message from Dr. David Blumenthal, National Coordinator for Health Information Technology
- Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months (MM6960)
- May 26 is National Senior Health and Fitness Day!
- The Latest on the Centers for Medicare & Medicaid Services (CMS) ICD-10 Web Site Section
- Banking Transaction Update
- MM6967
– July 2010 Integrated Outpatient Code Editor (I/OCE) Specifications
Version 11.2
- June Newsline Available
05/20/10
- MM6954
- Clinical Review Judgment
- Changes to Cahaba’s Address and the Delivery of Additional Development Requests (ADRs)
05/19/10
05/17/10
- Implementation of the Patient Protection and Affordable Care Act and Health Care and Education Reconciliation Act of 2010
- MM6945
- July
Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics
and Supplies (DMEPOS) Fee Schedule
05/12/10
05/11/10
- Time Is Running Out – Have You Responded?
- Medicare’s Home Health Pay for Performance Demonstration Year 1 Incentive Payments Issued
- New From The Medicare Learning Network
- May 9-15 is National Women’s Health Week!
- A Health Information Technology Update
- MM6960 - Systems
Changes Necessary to Implement the Patient Protection and Affordable
Care Act (PPACA) Section 6404 - Maximum Period for Submission of
Medicare Claims Reduced to Not More Than 12 Months
05/10/10
- Affordable Care Act – Provisions Impacting Outpatient Prospective Payment System (OPPS) Hospitals
- SE1014
- Medicare Policy Regarding Pressure Reducing Support Surfaces
- MM6750:
Rescinded - Implementation
of Home Health Agency Program Safeguard Provisions
05/07/10
- MM6911
- Enhancements to Home Health (HH) Consolidated Billing Enforcement
- Sixth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions
- Special Open Door Forum: Medicare Provider & Supplier Enrollment
05/06/10
- MM6901
- Claim
Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update
- MM6910
- New
Medicare Summary Notice (MSN) Message for Higher than Expected Prospective
Payment System (PPS) Payments
- SE1008
Revised - Medicare
Coverage of Blood Glucose Monitors and Testing Supplies
- MM6955
Revised - Temporary 3 Percent Rural Add-On for the Home Health Prospective
Payment System (HH PPS)
05/04/10
- New From The Medicare Learning Network
- Medicare-Certified Home Health Agencies: HHCAHPS Requirements
- Home Health Prospective Payment System (HH PPS) Personal Computer (PC) Pricer Updates
05/03/10
- MM6856 - Expansion
of the Current Scope of Editing for Attending Physician Providers
for free-standing and provider-based Home Health Agency (HHA) claims
processed by Medicare Regional Home Health Intermediaries (RHHIs)
- MM6899
- Removal
of the Provider Reporting Requirement for Total Number of Therapy Visits
using Value Codes 50-53
- MM6897
- Remittance Advice Coding to Identify Claims Subject to the Limitation
on Home Health Prospective Payment System (HH PPS) Outlier Payments
04/29/10
04/27/10
- Important Information for Freestanding Home Health Facilities — Documentation Required by May 21, 2010
- MM6698
Revised - Signature
Guidelines for Medical Review Purposes
04/26/10
04/22/10
04/21/10
04/19/10
- Medicare Fraud and Abuse Web-based Training Course
- The Continuing Extension Act of 2010 Extends Zero Percent Medicare Physician Fee Schedule (MPFS) Update
04/15/10
04/14/10
04/13/10
- Fifth National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010
- MM6870
- Reporting
of Recoupment for Overpayment on the Remittance Advice (RA)
- SE0931
Revised - Sections
3103 and 3104 of the Patient Protection and Affordable Care Act (PPACA)
Extends Certain Payment Provisions Under the Medicare Program Related
to Therapy Cap Exceptions and the Billing by Independent Laboratories
for the Technical Component of Physician Pathology Services Furnished
to Hospital Patients
04/09/10
- Change Request 6698: Signature Guidelines for Medical Review Purposes
- Reminder: Hospice Billing Changes Impacting April Claims
- Health Information Technology for Economic and Clinical Health (HITECH) Update
- April is National Cancer Control Month
- CMS Issues Final 2011 Payment Policies for Medicare Advantage and Prescription Drug Plans
04/05/10
04/01/10
- Medicare Home Health Rural Add-on
- New Data Format for Medicare National Correct Coding initiative Edit Files
- Timely Filing Requirements for Medicare Fee-For-Service Claims
- Announcements Related to The Patient Protection and Affordable Care Act (PPACA) for Health Care Provider
03/30/10
- Temporarily Suspending Hospice Claims With HCPCS Codes G0420 or G0421
- The Patient Protection and Affordable Care Act (PPACA)
- MM6859
- Claim
Status Category Code and Claim Status Code Update
03/29/10
-
Medicare Preventive Services Quick Reference Information Chart
-
Upcoming Centers for Medicare & Medicaid Services ICD-10 Vendor Conference
-
Safety Announcement From FDA - High-Dose Zocor and Increased Risk of Muscle Injury
- The Medicare Learning Network Video is Now on You Tube!
03/26/10
03/24/10
- Medicaid Coverage of Medicare Beneficiaries (Dual Eligibles) At a Glance Fact Sheet
- The Medicare Learning Network (MLN) Marketing Brochure is Now Available in Print Format!
03/23/10
03/22/10
- April 2010 Average Sales Price (ASP) Files Are Now Available
- Revised “Guided Pathways to Medicare Resources” from the Medicare Learning Network
- Revised Medicare Fraud & Abuse Fact Sheet
03/19/10
03/18/10
03/17/10
- MM6882
- April
2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version
11.0
- MM6801
Revised - Point
of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450)
Manual Code List
- Medicare Home Health Claims Processing Issue Corrected
03/16/10
- Rescheduled: Fourth National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010
- Revised Medicare Learning Network Publications
- Revised CMS Website Wheel
- New from the Medicare Learning Network
- Hospice
Widespread Probe Review—HCPCS Q5003 or Q5004
03/11/10
- Revised Medicare Physician Fee Schedule Fact Sheet
- MM6851
- Additional ICD-9 Codes Analysis and Processing Direction (Institutional
Claims Only)
- MM6857 - April
2010 Update of the Hospital Outpatient Prospective Payment System
(OPPS)
- MM6805
- July 2010 Quarterly Average Sales Price (ASP) Medicare Part B
Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- MM6774
Revised - Correction to Processing of Non-Covered Revenue Codes
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
- SE1010
- Questions
and Answers on Reporting Physician Consultation Services
- MM6750
Revised - Implementation of Home Health Agency Program Safeguard
Provisions
- 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
- MM6806
Revised - 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
- 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
- MM6736
- Instructions on How to Process Negative Claim Adjustment
Reason Code (CARC) Adjustment Amounts when Certain CARCs
Appear on Medicare Secondary Payer Claims
- MM6801
- Point of Origin for Admission or Visit Codes Update to
the UB-04 (CMS-1450) Manual Code List
- MM6792
- Maintenance
and Servicing Payments for Certain Oxygen Equipment after
July 1, 2010
- MM6778
- Medicare Systems Edit Refinements Related to Hospice Services
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
- MM6804
- April 2010 Quarterly Average Sales Price (ASP) Medicare Part
B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
(MM6804)
- MM6774
- Correction
to Processing of Non-Covered Revenue Codes
- MM6791-
Associating Hospice Visits to the Level of Care
- MM6709
Revised - Integrated
Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write
- 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
- SE1005
- Providers
Randomly Selected to Participate in the Medicare Contractor Provider
Satisfaction Survey (MCPSS) Urged to Respond
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
- MM6721
Revised - Implementation of the Health Insurance Portability and
Accountability Act (HIPAA) Version 5010 276/277 Claim Status Second
Phase
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
- MM6750
- Implementation of Home Health Agency Program Safeguard Provisions
- MM6440
Revised - Additional
Data Collection on Hospice Claims
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
- MM6557
- Coverage
of Kidney Disease Patient Education Services
- MM6759
- Limitation
on Home Health Prospective Payment System (HH PPS) Outlier Payments
- MM6540
Revised - Tracking
the Hospice Attending Physician’s National Provider Identifier
(NPI) for Validating Hospice Part B Payments