December 2019 - CGS Medicare...Quarterly Pricing Files .....December 2019, p. 19 July 2019 Quarterly...

Home Health & Hospice Medicare Bulletin Index

January – December 2019

© 2019 Copyright, CGS Administrators, LLC. 1

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A Appeals

Appeals/Redeterminations: What You Need to Know ..................................... April 2019, p. 7 Part A East Qualified Independent Contractor (QIC)

Telephone Discussion and Reopening Process Demonstration................................................................................. October 2019, p. 33

Pub. 100-04, Chapter 29 – Appeals of Claims Decisions – Revisions .......... June 2019, p. 13 Updated 2019 Amount in Controversy (AIC) for Administrative

Law Judge Hearings or Federal District Court Appeals ................. January 2019, p. 48 Updated 2020 Amount in Controversy (AIC) for Administrative

Law Judge Hearings or Federal District Court Appeals ............. December 2019, p. 27

Average Sales Price

April 2019 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files .................................. March 2019, p. 38

January 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ................................................................ December 2019, p. 19

July 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files .................................................................. May 2019, p. 22

October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ............................................................... September 2019, p. 13

October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (Revised) .................................................. November 2019, p. 6




B Top Bankruptcy

Notify Us If You File bankruptcy ........................................................... December 2019, p. 20

Billing

2019-2020 Influenza (Flu) Resources for Health Care Professionals .......................................................... November 2019, p. 37

April 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.1 .................................................................. May 2019, p. 12

Be AWARE of the January 1, 2020 Requirement to Submit Medicare Beneficiary Identifiers (MBIs) ........................................ December 2019, p. 6

Certifying Patients for the Medicare Home Health Benefit (Revised) ................................................................. January 2019, p. 10

Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device (Revised) ............................................................. August 2019, p. 5

CMS Guidance for No Matching OASIS ........................................................... July 2019, p. 3 Common Working File (CWF) Provider Queries National Provider

Identifier (NPI) and Submitter Identification (ID) Verification .......... January 2019, p. 27 Common Working File (CWF) Provider Queries National Provider

Identifier (NPI) and Submitter Identification (ID) Verification (Revised) ........................................................................ March 2019, p. 15

Common Working File (CWF) Provider Queries National Provider Identifier (NPI) and Submitter Identification (ID) Verification (Revised) ........................................................................... April 2019, p. 15

Don’t Wait: Submit Your Patients’ MBIs on Claims Now ................................. June 2019, p. 5 Ensuring Only the Active Billing Hospice Can Submit a Revocation ....... February 2019, p. 6 Ensuring Only the Active Billing Hospice Can

Submit a Revocation (Revised) .............................................................. May 2019, p. 4 Healthcare Provider Taxonomy Codes (HPTCs)

April 2019 Code Set Update ................................................................ April 2019, p. 19 Healthcare Provider Taxonomy Codes (HPTCs)

October 2019 Code Set Update ..................................................... October 2019, p. 26




Billing, continued…

Home Health Patient-Driven Groupings Model (PDGM) Audio Recording and Transcript ...................................................................... April 2019, p. 3

Home Health Patient-Driven Groupings Model (PDGM) – Split Implementation (Revised) .............................................................. April 2019, p. 4

Home Health Rural Add-on Payments Based on County of Residence ........................................................................ January 2019, p. 3

March 2019, p. 3 Home Health Rural Add-on Payments Based on

County of Residence (Revised) .......................................................... March 2019, p. 4 Hospice Election Statements Lack Required Information or

Have Other Vulnerabilities – Reminder .............................................. March 2019, p. 7 Hospice Sequential Billing Reminder: Reason Code 37402 ........................ March 2019, p. 7 Is Your Vendor/Clearinghouse Submitting Your Claims

with the MBI? .............................................................................. September 2019. P, 4 It’s Flu season again: Use Medicare Beneficiary

Identifiers to Bill Medicare ............................................................. November 2019, p. 5 January 2019 Integrated Outpatient Code Editor (I/OCE)

Specifications Version 20.0 .......................................................... February 2019, p. 22 July 2019 Changes to Common Working File (CWF) Eligibility

Systems ELGA, ELGH, HIQA and HIQH ............................................... June 2019, p. 7 July 2019 Integrated Outpatient Code Editor (I/OCE)

Specifications Version 20.2 ............................................................. August 2019, p. 11 July 2019 Integrated Outpatient Code Editor (I/OCE)

Specifications Version 20.2 (Revised) ......................................... September 2019, p. 8 Manual Updates Related to Home Health Certification

and Recertification Policy Changes ........................................................ May 2019, p. 3 Medicare Fee-for-Service (FFS) Response to the 2018

California Wildfires .......................................................................... January 2019, p. 38 Medicare Fee-for-Service (FFS) Response to the 2018

California Wildfires (Revised) .............................................................. April 2019, p. 26 Need a Duplicate Electronic Remittance or Claim Response

Report? Online Ordering is Available and Easy with the EDI Report Request Tool! .................................................................... April 2019, p. 24




Billing, continued…

New FISS Reason Code Search and Resolution Feature ........................ August 2019, p. 22 New Hospice Occurrence Code 27 Calculator ........................................... October 2019, p. 8 New Medicare Beneficiary Identifier (MBI) Get It, Use It (Reissued) ....... October 2019, p. 34 New Medicare Beneficiary Identifier (MBI) Get It, Use It (Revised) ....... February 2019, p. 28 New Medicare Beneficiary Identifier (MBI) Get It, Use It (Revised) ............... May 2019, p. 24 New Medicare Card Mailing Complete, 58% of Claims

Submitted with MBI ........................................................................... March 2019, p. 39 New Medicare Card: Will Your Claims Reject? ................................... September 2019, p. 15 New Physician Specialty Code for Undersea and Hyperbaric

Medicine (Revised) ......................................................................... February 2019, p. 7 New Value Code 85 Required For Home Health Providers ..................... February 2019, p. 4 October 2019 Integrated Outpatient Code Editor (I/OCE)

Specifications Version 20.3 .......................................................... November 2019, p. 8 Quarterly Influenza Virus Vaccine Code Update –

January 2019 (Revised) .................................................................. February 2019, p. 9 Quarterly Update of HCPCS Codes Used for Home

Health Consolidated Billing Enforcement ......................................... January 2019, p. 9 Reason Code 37253: No Corresponding OASIS Assessment Found ....... October 2019, p. 5 Tropical Storm Barry and Medicare Disaster

Related Louisiana Claims .......................................................... September 2019, p. 27 Untimely NOEs and Hospice Sequential Billing ....................................... February 2019, p. 7 Update to CGS Home Health PDGM Web Page ............................................. July 2019, p. 5 Updated Hospice Payment Rate Calculator ............................................... October 2019, p. 8 Updates to Reflect Removal of Functional Reporting

Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018 ............................................................ March 2019, p. 5




C Top Claim Adjustment Reason Codes (CARC)

Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE .............................................................................................. January 2019, p. 30

August 2019, p. 21 October 2019, p. 22 Remittance Advice Remark Code (RARC), Claims

Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update ............................................. May 2019, p. 14

July 2019, p. 13

Claim Status Category Codes

Claim Status Category and Claims Status Codes Update ..................... February 2019, p. 24 July 2019, p. 16 October 2019, p. 21

Claim Status Codes

Claim Status Category and Claims Status Codes Update ..................... February 2019, p. 24 July 2019, p. 16 October 2019, p. 21

Common Working File (CWF)

Common Working File (CWF) Provider Queries National Provider Identifier (NPI) and Submitter Identification (ID) Verification .......... January 2019, p. 27

Common Working File (CWF) Provider Queries National Provider Identifier (NPI) and Submitter Identification (ID) Verification (Revised) ........................................................................ March 2019, p. 15




Common Working File, continued…


July 2019 Changes to Common Working File (CWF) Eligibility Systems ELGA, ELGH, HIQA and HIQH ............................................... June 2019, p. 7

July 2019, p. 9

Consolidated Billing

2020 Annual Update of Health Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update ........................ November 2019, p. 17

Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ......................................... January 2019, p. 9

Coordination of Benefits Agreement (COBA)

Modification to the National Coordination of Benefits Agreement (COBA) Crossover Process ......................................... October 2019, p. 19

Credit Balance Report (CBR)

Quarterly Reminder .................................................................................. January 2019, p. 21 April 2019, p. 9 July 2019, p. 10 October 2019, p. 10

D Top Direct Data Entry (DDE)

Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes ............................................................................. January 2019, p. 19

May 1, 2019, p. 6 July 2019, p. 7




Direct Data Entry, continued…

New Search Features Added to Fiscal Intermediary Shared System (FISS)/Direct Data Entry (DDE) .......................... February 2019, p. 43

Take Action Now: Home Health & Hospice Providers FISS DDE User ID Annual Recertification ....................................... August 2019, p. 24

September 2019, p. 30

Drugs

April 2019 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files .................................. March 2019, p. 38

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .................................................................... April 2019, p. 22

Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ................................................................................ February 2019, p. 15

Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule (Revised) ................................................................... March 2019, p. 16

July Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule (Revised) ............................................................ September 2019, p. 10

October Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .............................................................................. November 2019, p. 15

E Top

Electronic Data Interchange

Need a Duplicate Electronic Remittance or Claim Response Report? Online Ordering is Available and Easy with the EDI Report Request Tool! .................................................................... April 2019, p. 24




Electronic Funds Transfer


August 2019, p. 21 October 2019, p. 22

Electronic Medical Documentation Requests (eMDR)

Implementation to Exchange the List of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System (Revised) ............................. April 2019, p. 17

Implementation to Exchange the List of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System (Reissued) ............................. June 2019, p. 9

Implementation to Exchange the List of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System (Revised) ........................ October 2019, p. 13

F Top

Fee Schedule

April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .................................................................... April 2019, p. 22

Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ................................................................................ February 2019, p. 15




Fee Schudule, continued…

Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule (Revised) ................................................................... March 2019, p. 16

October Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .............................................................................. November 2019, p. 15

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2019 Update .......................... April 2019, p. 21

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2019 Update (Revised) .......... May 2019, p. 11

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – July 2019 Update ............................ July 2019, p. 17

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) October 2019 Update .................................. October 2019, p. 23

Summary of Policies in the Calendar Year (CY) 2019 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List ........................................................ February 2019, p. 11

Fiscal Intermediary Standard System (FISS)

Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Screen Changes ............................................................................. January 2019, p. 19

May 1, 2019, p. 6 July 2019, p. 7 October 2019, p, 9 New FISS Reason Code Search and Resolution Feature ........................ August 2019, p. 22

Fiscal Intermediary Standard System (FISS), continued…

New Search Features Added to Fiscal Intermediary Shared System (FISS)/Direct Data Entry (DDE) .......................... February 2019, p. 43

Take Action Now: Home Health & Hospice Providers FISS DDE User ID Annual Recertification ....................................... August 2019, p. 24

September 2019, p. 30




Fraud Alert

Fraud Alert: Genetic Testing Scam ........................................................... August 2019, p. 10

G Top

H Top Healthcare Common Procedure Coding System (HCPCS)

2020 Annual Update of Health Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update ........................ November 2019, p. 17

Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS ............................ December 2019, p. 10

April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ..................................................................... May 2019, p. 16

January 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised) ................................................. March 2019, p. 24

October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ........................................................... November 2019, p. 18

October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised) ........................................... December 2019, p. 11

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2019 Update ............ July 2019, p. 20

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2019 Update (Revised) ........................................................ September 2019, p. 6

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2019 Update ..................................................................... October 2019, p. 27




Healthcare Common Procedure Coding System (HCPCS), continued…

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2019 Update (Revised) ................................................. November 2019, p. 10

Updates to Reflect Removal of Functional Reporting Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018 ............................................................ March 2019, p. 5

HIPAA Eligibility Transaction System (HETS)

July 2019 Changes to Common Working File (CWF) Eligibility Systems ELGA, ELGH, HIQA and HIQH ............................................... June 2019, p. 7

Home Health

Annual Update to the Per-Beneficiary Therapy Amounts ......................... February 2019, p. 3 Certifying Patients for the Medicare Home

Health Benefit (Revised) ................................................................. January 2019, p. 10 Clarification of Billing and Payment Policies for Negative

Pressure Wound Therapy (NPWT) Using a Disposable Device (Revised) ............................................................. August 2019, p. 5

CMS Guidance for No Matching OASIS ........................................................... July 2019, p. 3 Foot Care ......................................................................................................... June 2019, p. 3 Home Health Agencies Need to Register for an Internet Quality

Improvement and Evaluation System (iQIES) Account ................ November 2019, p. 3 Home Health Call: Audio Recording and Transcript ................................... October 2019, p. 3 Home Health Orders for Nurse Practitioners under the

Maryland Total Cost of Care (TCOC) Model ................................ December 2019, p. 3 Home Health (HH) Patient-Driven Groupings

Model (PDGM) – Additional Manual Instructions .................................... July 2019, p. 3 Home Health (HH) Patient-Driven Groupings

Model (PDGM) – Additional Manual Instructions (Revised) .............. August 2019, p. 3 Home Health (HH) Patient-Driven Groupings

Model (PDGM) – Revised and Additional Manual Instructions ........................................................................................ October 2019, p. 3

Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2019 ....................................... January 2019, p. 4




Home Health, continued…

Home Health Rural Add-on Payments Based on County of Residence ........................................................................ January 2019, p. 3

March 2019, p. 3 Home Health Rural Add-on Payments Based on

County of Residence (Revised) .......................................................... March 2019, p. 4 Home Health Therapy Goals Reminder .......................................................... June 2019, p. 3 Manual Updates Related to Home Health Certification

and Recertification Policy Changes ........................................................ May 2019, p. 3 Medicare Plans to Modernize Payment Grouping

and Code Editor Software .......................................................... September 2019, p. 24 New Physician Specialty Code for Undersea and Hyperbaric

Medicine (Revised) ......................................................................... February 2019, p. 7 New Value Code 85 Required For Home Health Providers ..................... February 2019, p. 4 Quarterly Update of HCPCS Codes Used for Home

Health Consolidated Billing Enforcement ......................................... January 2019, p. 9 Renewal of the HHCCN ................................................................................... June 2019, p. 4 Summary of Policies in the Calendar Year (CY) 2019

Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List ........................................................ February 2019, p. 11

Targeted Probe and Educate (TPE) Post Probe Education Call Request Timeliness Reminder ........................................... September 2019, p. 30

Targeted Probe and Educate Progress Update ....................................... January 2019, p. 41 July 2019, p. 23 December 2019, p. 21 What New Home Health Agencies (HHAs) Need to Know

About Being Placed in a Provisional Period of Enhanced Oversight .............................................................................. April 2019, p. 6

What New Home Health Agencies (HHAs) Need to Know About Being Placed in a Provisional Period of Enhanced Oversight (Revised) ..................................................... December 2019, p. 4




Home Health Change of Care (HHCCN)

Renewal of the HHCCN ................................................................................... June 2019, p. 4

Home Health Patient-Driven Groupings Model (PDGM)

Audio Recording and Transcript ...................................................................... April 2019, p. 3 Home Health Call: Audio Recording and Transcript ................................... October 2019, p. 3 Home Health (HH) Patient-Driven Groupings

Model (PDGM) – Additional Manual Instructions .................................... July 2019, p. 3 Home Health (HH) Patient-Driven Groupings

Model (PDGM) – Additional Manual Instructions (Revised) .............. August 2019, p. 3 Home Health (HH) Patient-Driven Groupings

Model (PDGM) – Revised and Additional Manual Instructions ........................................................................................ October 2019, p. 3

Home Health Patient-Driven Groupings Model (PDGM) – Split Implementation (Revised) .............................................................. April 2019, p. 4

Update to CGS Home Health PDGM Web Page ............................................. July 2019, p. 5

Hospice

Hospice Election Statements Lack Required Information or Have Other Vulnerabilities – Reminder .............................................. March 2019, p. 7

Hospice Self-Determined Aggregate Cap Reminder ................................ February 2019, p. 5 Hospice Sequential Billing Reminder: Reason Code 37402 ........................ March 2019, p. 7 New Hospice Occurrence Code 27 Calculator ........................................... October 2019, p. 8 Targeted Probe and Educate Progress Update ....................................... January 2019, p. 41 July 2019, p. 23 December 2019, p. 21 Targeted Probe and Educate (TPE) Post Probe Education

Call Request Timeliness Reminder ........................................... September 2019, p. 30 Untimely NOEs and Hospice Sequential Billing ....................................... February 2019, p. 7 Update to Hospice Payment Rates, Hospice Cap,

Hospice Wage Index and Hospice Pricer for 2020 ........................... October 2019, p. 6 Updated Hospice Payment Rate Calculator ............................................... October 2019, p. 8




I Top ICD-10

Update to Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home .................................................................. September 2019, p. 5

Integrated Outpatient Code Editor (I/OCE)


January 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.0 .......................................................... February 2019, p. 22

July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 ............................................................. August 2019, p. 11

July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 (Revised) ......................................... September 2019, p. 8

Medicare Plans to Modernize Payment Grouping and Code Editor Software .......................................................... September 2019, p. 24

October 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.3 .......................................................... November 2019, p. 8

Interest

Update to the Interest Paid on Clean Non-PIP Claims Not Paid Timely............................................................................. February 2019, p. 47

August 2019, p. 24

Internet Quality Improvement and Evaluation System (iQIES)

Home Health Agencies Need to Register for an Internet Quality Improvement and Evaluation System (iQIES) Account ................ November 2019, p. 3

J Top




K Top

L Top

Local Coverage Determinations (LCDs)

Code Migration in Local Coverage Determinations (LCDs) ............................ June 2019, p. 5 Local Coverage Determinations (LCDs) (Revised) .................................... March 2019, p. 10 Local Coverage Determinations (LCDs) (Revised) ....................................... April 2019, p. 10

M Top Maryland Total Cost of Care (TCOC) Model

Home Health Orders for Nurse Practitioners under the Maryland Total Cost of Care (TCOC) Model ................................ December 2019, p. 3

Medicare Beneficiary Identifier (MBI)

A SPEEDY Solution For Entering Letters Using Your Phone’s Keypad! .............................................................................. August 2019, p. 10

Be AWARE of the January 1, 2020 Requirement to Submit Medicare Beneficiary Identifiers (MBIs) ........................................ December 2019, p. 6

Don’t Wait: Submit Your Patients’ MBIs on Claims Now ................................. June 2019, p. 5 Is Your Vendor/Clearinghouse Submitting Your Claims

with the MBI? .............................................................................. September 2019. P, 4 It’s Flu season again: Use Medicare Beneficiary

Identifiers to Bill Medicare ............................................................. November 2019, p. 5 January 1, 2020: Seven Months to Go and Counting ...................................... July 2019, p. 8 New Medicare Beneficiary Identifier (MBI) Get It, Use It (Reissued) ....... October 2019, p. 34 New Medicare Beneficiary Identifier (MBI) Get It, Use It (Revised) ....... February 2019, p. 28 New Medicare Beneficiary Identifier (MBI) Get It, Use It (Revised) ............... May 2019, p. 24 New Medicare Card Mailing Complete, 58% of Claims

Submitted with MBI ........................................................................... March 2019, p. 39 New Medicare Card: Will Your Claims Reject? ................................... September 2019, p. 15




Medicare Cost Reports

New Documentation Requirements for Filing Medicare Costs Reports ................................................................. October 2019, p. 41

Medicare Internet Only Manuals (IOMs)

Medicare Claims Processing Manual, Chapter 30 Revisions ....................... March 2019, p. 9 Pub. 100-04, Chapter 29 – Appeals of Claims Decisions – Revisions .......... June 2019, p. 13

Medicare Learning Network® (MLN)

MM10611 (Revised): Medicare Cost Report E-Filing (MCReF) ............... January 2019, p. 23 MM10666 (Revised): New Physician Specialty Code for Undersea

and Hyperbaric Medicine ................................................................ February 2019, p. 7 MM10782: Home Health Rural Add-on Payments Based on

County of Residence ........................................................................ January 2019, p. 3 MM10782 (Revised): Home Health Rural Add-on Payments

Based on County of Residence .......................................................... March 2019, p. 4 MM10837: Oxygen Policy Update ............................................................ October 2019, p. 12 MM10848: Medicare Claims Processing Manual, Chapter 30 Revisions .... March 2019, p. 9 MM10854: Implementation of a Bundled Payment for Multi-Component

Durable Medical Equipment (DME) ................................................ January 2019, p. 25 MM10871 (Revised): Quarterly Influenza Virus Vaccine Code

Update – January 2019 .................................................................. February 2019, p. 9 MM10901 (Revised): Local Coverage Determinations (LCDs) .................. March 2019, p. 10 MM10901 (Revised): Local Coverage Determinations (LCDs) ..................... April 2019, p. 10 MM10978: Provider Enrollment Rebuttal Process ................................. December 2019, p. 9 MM10983: Common Working File (CWF) Provider Queries

National Provider Identifier (NPI) and Submitter Identification (ID) Verification .......................................................... January 2019, p. 27

MM10983 (Revised): Common Working File (CWF) Provider Queries National Provider Identifier (NPI) and Submitter Identification (ID) Verification ............................................................ March 2019, p. 15

MM10983 (Revised): Common Working File (CWF) Provider Queries National Provider Identifier (NPI) and Submitter Identification (ID) Verification ............................................................... April 2019, p. 15




Medicare Learning Network® (MLN), continued…

MM10992: Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2019 ....................................... January 2019, p. 4

MM11003 (Revised): Implementation to Exchange the List of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System ............................................. April 2019, p. 17

MM11003 (Reissued): Implementation to Exchange the List of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System ............................................... June 2019, p. 9

MM11003 (Revised): Implementation to Exchange the List of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System ........................................ October 2019, p. 13

MM11055: Annual Update to the Per-Beneficiary Therapy Amounts ...... February 2019, p. 3 MM11038: Remittance Advice Remark Code (RARC), Claims

Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update................................................. January 2019, p. 29

MM11039: Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE .............................................................................................. January 2019, p. 30

MM11040: Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ......................................... January 2019, p. 9

MM11042: Pub. 100-04, Chapter 29 – Appeals of Claims Decisions – Revisions .......................................................................... June 2019, p. 13





MM11049: Ensuring Only the Active Billing Hospice Can Submit a Revocation ....................................................................... February 2019, p. 6

MM11049 (Revised): Ensuring Only the Active Billing Hospice Can Submit a Revocation ............................................................................... May 2019, p. 4

MM11063: Summary of Policies in the Calendar Year (CY) 2019 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List ........................................................ February 2019, p. 11

MM11064: Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ................................................................................ February 2019, p. 15

MM11064 (Revised): Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ................................................................. March 2019, p. 16

MM11068: January 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.0 ............................................. February 2019, p. 22

MM11073: Claim Status Category and Claims Status Codes Update ............................................................................... February 2019, p. 24

MM11081 (Revised): Home Health Patient-Driven Groupings Model (PDGM) – Split Implementation .................................................. April 2019, p. 4

MM11099 (Revised): January 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ............................ March 2019, p. 24

MM11104: Manual Updates Related to Home Health Certification and Recertification Policy Changes ........................................................ May 2019, p. 3

MM11112: Processing Instructions to Update the Standard Paper Remit (SPR) .............................................................................. April 2019, p. 18

MM11120: Updates to Reflect Removal of Functional Reporting Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018 ............................................................ March 2019, p. 5

MM11121: Healthcare Provider Taxonomy Codes (HPTCs) April 2019 Code Set Update ................................................................ April 2019, p. 19

MM11137 (Revised): Evaluation and Management (E/M) When Performed with Superficial Radiation Treatment ......................... May 2019, p. 9





MM11137 (Revised): Evaluation and Management (E/M) When Performed with Superficial Radiation Treatment ...................... June 2019, p. 15

MM11151: April 2019 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ............. March 2019, p. 38

MM11163: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2019 Update .......................... April 2019, p. 21

MM11163 (Revised): Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2019 Update .................... May 2019, p. 11

MM11171: Documentation of Evaluation and Management Services of Teaching Physicians .......................................................... July 2019, p. 12

MM11179: April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .................................................................... April 2019, p. 22

MM11192: April 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.1 ..................................................... May 2019, p. 12

MM11204: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update ............................................. May 2019, p. 14

MM11216: April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ................................................. May 2019, p. 16

MM11225: July 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files .................................................................. May 2019, p. 22

MM11252: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update....................................................... July 2019, p. 13

MM11272: Home Health (HH) Patient-Driven Groupings Model (PDGM) – Additional Manual Instructions .................................... July 2019, p. 3

MM11272 (Revised): Home Health (HH) Patient-Driven Groupings Model (PDGM) – Additional Manual Instructions ............................... August 2019, p. 3

MM11289: Additional Processing Instructions to Update the Standard Paper Remit (SPR) ............................................................... July 2019, p. 14





MM11292: Claim Status Category and Claim Status Codes Update ............. July 2019, p. 16 MM11293: Quarterly Update to the Medicare Physician Fee

Schedule Database (MPFSDB) – July 2019 Update ............................ July 2019, p. 17 MM11295: Update to Coverage of Intravenous Immune

Globulin for Treatment of Primary Immune Deficiency Diseases in the Home .................................................................. September 2019, p. 5

MM11296: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2019 Update .................................................................................. July 2019, p. 20

MM11296 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2019 Update ......................................................................... September 2019, p. 6

MM11298: July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 ............................................................. August 2019, p. 11

MM11298 (Revised): July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 .................................. September 2019, p. 8

MM11307: Modification to the National Coordination of Benefits Agreement (COBA) Crossover Process ......................................... October 2019, p. 19

MM11321: Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claims Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE ...... August 2019, p. 21

MM11330: Home Health Orders for Nurse Practitioners under the Maryland Total Cost of Care (TCOC) Model ................................ December 2019, p. 3

MM11334 (Revised): July Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ........................................... September 2019, p. 10

MM11335: Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS ............................ December 2019, p. 10





MM11343: October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ............................................................... September 2019, p. 13

MM11343 (Revised): October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ...................................................... November 2019, p. 6

MM11393: Claim Status Category and Claim Status Codes Update ................................................................................. October 2019, p. 21

MM11394: Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC, Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH CORE .............. October 2019, p. 22

MM11395: Home Health (HH) Patient-Driven Groupings Model (PDGM) – Revised and Additional Manual Instructions ........................................................................................ October 2019, p. 3

MM11402: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) October 2019 Update .................................. October 2019, p. 23

MM11411: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for 2020 ........................... October 2019, p. 6

MM11418: Healthcare Provider Taxonomy Codes (HPTCs) October 2019 Code Set Update ..................................................... October 2019, p. 26

MM11412: October 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.3 .......................................................... November 2019, p. 8

MM11422: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2019 Update ..................................................................... October 2019, p. 27

MM11422 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2019 Update ................................................................. November 2019, p. 10





MM11433: October Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .............................................................................. November 2019, p. 15

MM11441: 2020 Annual Update of Health Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update ........................ November 2019, p. 17

MM11451: October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ....................................... November 2019, p. 18

MM11451 (Revised): October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ....................................... December 2019, p. 11

MM11495: January 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ................................................................ December 2019, p. 19

SE1436 (Revised): Certifying Patients for the Medicare Home Health Benefit ................................................................................. January 2019, p. 10

SE17027 (Revised): Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device ............................................................................. August 2019, p. 5

SE17028 (Revised): Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims ....................................................................... March 2019, p. 40

SE18006 (Reissued): New Medicare Beneficiary Identifier (MBI) Get It, Use It .................................................................................... October 2019, p. 34

SE18006 (Revised): New Medicare Beneficiary Identifier (MBI) Get It, Use It .................................................................................. February 2019, p. 28

SE18006 (Revised): New Medicare Beneficiary Identifier (MBI) Get It, Use It .......................................................................................... May 2019, p. 24

SE18014 (Revised): Hurricane Florence and Medicare Disaster Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims ................................................ February 2019, p. 31

SE18016: A Prescriber’s Guide to the New Medicare Part D Opioid Overutilization Policies for 2019 .......................................... January 2019, p. 33

SE18021 (Revised): Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims ............................................ February 2019, p. 35





SE18025: Medicare Fee-for-Service (FFS) Response to the 2018 California Wildfires .......................................................................... January 2019, p. 38

SE18025 (Revised): Medicare Fee-for-Service (FFS) Response to the 2018 California Wildfires ............................................................ April 2019, p. 26

SE18027: Medicare Fee-for-Service (FFS) Response to the 2018 Alaska Earthquake ........................................................................ February 2019, p. 39

SE18027 (Revised): Medicare Fee-for-Service (FFS) Response to the 2018 Alaska Earthquake ............................................................ June 2019, p. 17

SE18028: New Search Features Added to Fiscal Intermediary Shared System (FISS)/Direct Data Entry (DDE) .......................... February 2019, p. 43

SE19001: Pre-Diabetes Services: Referring Patients to the Medicare Diabetes Prevention Program .................................... September 2019, p. 16

SE19005: What New Home Health Agencies (HHAs) Need to Know About Being Placed in a Provisional Period of Enhanced Oversight .............................................................................. April 2019, p. 6

SE19005 (Revised): What New Home Health Agencies (HHAs) Need to Know About Being Placed in a Provisional Period of Enhanced Oversight ..................................................................... December 2019, p. 4

SE19008: Medicare Coverable Services for Integrative and Non-pharmacological Chronic Pain Management .......................... October 2019, p. 38

SE19011: Reduce Risk of Opioid Overdose Deaths by Avoiding and Reducing Co-Prescribing Benzodiazepines .................................................... September 2019, p. 19

SE19013: Medicare Plans to Modernize Payment Grouping and Code Editor Software .......................................................... September 2019, p. 24

SE19014: Tropical Storm Barry and Medicare Disaster Related Louisiana Claims .......................................................... September 2019, p. 27

SE19015: New Documentation Requirements for Filing Medicare Costs Reports ................................................................. October 2019, p. 41

SE19018: Hurricane Dorian and Medicare Disaster Related State of Florida Claims ............................................................... November 2019, p. 27

SE19019: Hurricane Dorian and Medicare Disaster Related States of Georgia and South Carolina Claims ............................ November 2019, p. 30

SE19020: Hurricane Dorian and Medicare Disaster Related State of North Carolina Claims ................................................... November 2019, p. 33





SE19022: 2019-2020 Influenza (Flu) Resources for Health Care Professionals .......................................................... November 2019, p. 37

Medicare Part D

A Prescriber’s Guide to the New Medicare Part D Opioid Overutilization Policies for 2019 .......................................... January 2019, p. 33

MLN Connects®

April 2019- May 2019 ....................................................................................... June 2019, p. 8 August 2019 – September 2019 ............................................................... October 2019, p. 11 December 2018 – January 2019 Weekly Messages .............................. February 2019, p. 27 February 2019 – March 2019 Weekly Messages .......................................... April 2019, p. 10 January 2019 – February 2019 Weekly Messages .................................... March 2019, p. 45 July 2019 – August 2019 Weekly Messages ......................................... September 2019, p. 4 June 2019 – July 2019 Weekly Messages ................................................ August 2019, p. 11 March 2019 – April 2019 Weekly Messages .................................................... May 2019, p. 9 May 2019 – June 2019 Weekly Messages ..................................................... July 2019, p. 12 November 2018 – December 2018 Weekly Messages ............................ January 2019, p. 22 October 2019 – November 2019 Weekly Messages .............................. December 2019, p. 8 September 2019 – October 2019 Weekly Messages ............................. November 2019, p. 6

Modifier

Updates to Reflect Removal of Functional Reporting Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018 ............................................................ March 2019, p. 5

myCGS

Who Do You Contact With myCGS Log-in Issues? ................................. October 2019, p. 44




N Top National Provider Identifier (NPI)

Common Working File (CWF) Provider Queries National Provider Identifier (NPI) and Submitter Identification (ID) Verification .......... January 2019, p. 27

Common Working File (CWF) Provider Queries National Provider Identifier (NPI) and Submitter Identification (ID) Verification (Revised) ........................................................................ March 2019, p. 15


Negative Pressure Wound Therapy (NPWT)

Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device (Revised) ............................................................. August 2019, p. 5

Notice of Election (NOE)

Untimely NOEs and Hospice Sequential Billing ....................................... February 2019, p. 7

O Top Outpatient Prospective Payment System (OPPS)


April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ..................................................................... May 2019, p. 16

January 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.0 .......................................................... February 2019, p. 22

January 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised) ................................................. March 2019, p. 24

July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 ............................................................. August 2019, p. 11

July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 (Revised) ......................................... September 2019, p. 8




Outpatient Prospective Payment System (OPPS), continued…

October 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.3 .......................................................... November 2019, p. 8

October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) ........................................................... November 2019, p. 18

October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised) ........................................... December 2019, p. 11

Outcome and Assessment Information Set (OASIS)

CMS Guidance for No Matching OASIS ........................................................... July 2019, p. 3 Reason Code 37253: No Corresponding OASIS Assessment Found ....... October 2019, p. 5

Oxygen

Oxygen Policy Update .............................................................................. October 2019, p. 12

P Top PC Print Software

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update................................................. January 2019, p. 29

May 2019, p. 14 July 2019, p. 13

Physicians

Documentation of Evaluation and Management Services of Teaching Physicians .......................................................... July 2019, p. 12

New Physician Specialty Code for Undersea and Hyperbaric Medicine (Revised) ......................................................................... February 2019, p. 7

Provider Enrollment

Provider Enrollment Rebuttal Process .................................................... December 2019, p. 9 What to Expect When Enrolling ...................................................................... July 2019, p. 27




Provider Statistical and Reimbursement (PS&R)

Hospice Self-Determined Aggregate Cap Reminder ................................ February 2019, p. 5

Q Top

Quarterly Provider Update

CMS Comprehensive Resource ............................................................... January 2019, p. 32 April 2019, p. 25 July 2019, p. 22 October 2019, p. 33

R Top Redeterminations

Appeals/Redeterminations: What You Need to Know ..................................... April 2019, p. 7

Remittance Advice

Additional Processing Instructions to Update the Standard Paper Remit (SPR) ............................................................... July 2019, p. 14

Need a Duplicate Electronic Remittance or Claim Response Report? Online Ordering is Available and Easy with the EDI Report Request Tool! .................................................................... April 2019, p. 24

Processing Instructions to Update the Standard Paper Remit (SPR) .............................................................................. April 2019, p. 18

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update................................................. January 2019, p. 29

May 2019, p. 14 July 2019, p. 13




Remittance Advice Remark Codes (RARC)


August 2019, p. 21 October 2019, p. 22 Remittance Advice Remark Code (RARC), Claims

Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update................................................. January 2019, p. 29

S Top

Section 1135 and Section 1812(f) Waivers

Hurricane Dorian and Medicare Disaster Related State of Florida Claims ............................................................... November 2019, p. 27

Hurricane Dorian and Medicare Disaster Related States of Georgia and South Carolina Claims ............................ November 2019, p. 30

Hurricane Dorian and Medicare Disaster Related State of North Carolina Claims ................................................... November 2019, p. 33

Hurricane Florence and Medicare Disaster Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims (Revised) ......................................................... February 2019, p. 31

Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims (Revised) ...................................................................... March 2019, p. 40

Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims (Revised) ...................................................... February 2019, p. 35

Medicare Fee-for-Service (FFS) Response to the 2018 Alaska Earthquake ........................................................................ February 2019, p. 39




Section 1135 and Section 1812(f) Waivers, continued…

Medicare Fee-for-Service (FFS) Response to the 2018 Alaska Earthquake (Revised) .............................................................. June 2019, p. 17

Medicare Fee-for-Service (FFS) Response to the 2018 California Wildfires .......................................................................... January 2019, p. 38

Medicare Fee-for-Service (FFS) Response to the 2018 California Wildfires (Revised) .............................................................. April 2019, p. 26

Tropical Storm Barry and Medicare Disaster Related Louisiana Claims .......................................................... September 2019, p. 27

T Top Targeted Probe and Educate (TPE)

Targeted Probe and Educate Progress Update ....................................... January 2019, p. 41 July 2019, p. 23 December 2019, p. 21 Targeted Probe and Educate (TPE) Post Probe Education

Call Request Timeliness Reminder ........................................... September 2019, p. 30

Telehealth

Summary of Policies in the Calendar Year (CY) 2019 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List ........................................................ February 2019, p. 11

Therapy

Annual Update to the Per-Beneficiary Therapy Amounts ......................... February 2019, p. 3 Home Health Therapy Goals Reminder .......................................................... June 2019, p. 3 Updates to Reflect Removal of Functional Reporting

Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018 ............................................................ March 2019, p. 5




U Top Unsolicited/Voluntary Refunds

Voluntary Refunds – Calendar Year 2018 ................................................ January 2019, p. 49 December 2019, p. 27

V Top Vaccine

2019-2020 Influenza (Flu) Resources for Health Care Professionals .......................................................... November 2019, p. 37

Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS ............................ December 2019, p. 10

It’s Flu season again: Use Medicare Beneficiary Identifiers to Bill Medicare ............................................................. November 2019, p. 5

Quarterly Influenza Virus Vaccine Code Update – January 2019 (Revised) .................................................................. February 2019, p. 9

Value Code

New Value Code 85 Required For Home Health Providers ..................... February 2019, p. 4

Video Education

New Home Health and Hospice Video Education ..................................... August 2019, p. 23

W Top Website

A SPEEDY Solution For Entering Letters Using Your Phone’s Keypad! .............................................................................. August 2019, p. 10

CGS Website Search Feature Enhancements ........................................... March 2019, p. 46 CGS Website Updates .............................................................................. January 2019, p. 18




Website, continued…

February 2019, p. 25 March 2019, p. 44 April 2019, p. 8 May 2019, p. 6 June 2019, p. 4 July 2019, p. 6 August 2019, p. 10 September 2019, p. 3 October 2019, p. 9 November 2019, p. 4 December 2019, p. 7 New FISS Reason Code Search and Resolution Feature ........................ August 2019, p. 22 Update to CGS Home Health PDGM Web Page ............................................. July 2019, p. 5 Updated Hospice Payment Rate Calculator ............................................... October 2019, p. 8

X Top

Y Top

Z Top

December 2019 - CGS Medicare...Quarterly Pricing Files .....December 2019, p. 19 July 2019 Quarterly...

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