Part B Site Links
Most Popular Site Links
2007 Part B Medicare News Archive
December 2007
November 2007
October 2007
- 2008 Medicare
Provider Satisfaction Survey - 10.31.07
- ASCA
Enforcement Review Decisions Made by Other Medicare Contractors
to the Same Providers When Selected for ASCA Review by the Railroad
Medicare Carrier, ELimination of References to Claim Status and
COB Medicare HIPAA Contingency Plans - MLN
Matters PDF Document MM5606 - 10.31.07
- Medicare Part
B Drug Competitive Acquisition Program (CAP): 2008 Physician
Election and Impact on Carriers -
10.30.07
- Important
NPI and Enrollment Information for Physicians and Non-Physician
Practitioners - MLN Matters PDF Document
SE0744 - 10.30.07
- Unlabeled
Use for Anti-Cancer Drugs: Medical Literature used to Determine
Medically Accepted Indications for Drugs and Biologicals used
in Anti-Cancer Treatment - MLN Matters
PDF Document MM5729 - 10.30.07
- New
Website for Approved Transplant Centers - MLN
Matters PDF Document MM5724 - 10.29.07
- Upcoming Tennessee
/ Idaho Provider Contact Center Training Closure -
10.27.07
- Upcoming North
Carolina Provider Contact Center Training Closing -
10.27.07
- LCD for Erythropoietin
Analogs for Non-ESRD Use (Epoetin Alfa and Darbepoetin Alfa) -
10.27.07
- Key Dates
for Medicare, Clarification Regarding NPI Requirement on Medicare
Institutional Claims & More -
10.27.07
- Payable diagnosis
codes for PET Scans - 10.25.07
- Bevacizumab
(Avastin) in the Treatment of Neovascular (Wet) Macular Degeneration -
10.25.07
- Observation
Care Codes (CPT Codes 99234 through 99236) -
10.24.07
- Ixabepilone -
10.23.07
- REVISED: Certificate
of Medical Necessity for Ambulance Transfers -
10.23.07
- The Fall 2007 edition
of the EDI Connection is now available. -
10.23.07
- Usually Self-Administered
Drug List for Idaho, North Carolina, and Tennessee (Last Reviewed
10/01/2007) - 10.22.07
- The fees for CY 2008 Medicare Physician Fee schedule (MPFSDB)
will be posted to our web site after the 2008 physician fee schedule
regulation is put on display. - 10.22.07
- Medicare Appeals
Process - 10.19.07
- Medicare
Summary Notice (MSN) Message: Revised 38.13 - MLN
Matters PDF Document MM5722 - 10.18.07
- CANCELLED: Upcoming
Tennessee / Idaho Contact Center Closure -
10.17.07
- Medicare Part
B Drug Competitive Acquisition Program (CAP): 2008 Physician
Election and Impact on Carriers -
10.17.07
- REVISED: Skilled
Nursing Facility Consolidated Billing As It Relates to Ambulance
Services - MLN Matters PDF Document
SE0433 - 10.17.07
- REVISED: Skilled
Nursing Facility Consolidated Billing and Preventive/Screening
Services - MLN Matters PDF Document
SE0436 - 10.17.07
- REVISED: Ultrasound
Diagnostic Procedures - MLN Matters
PDF Document MM5608 - 10.16.07
- CMS Requests
Public Comment on DRAFT Interpretive Guidelines for ESRD -
10.16.07
- The Part B Customer Service
Frequently Asked Questions have been updated -
10.16.07
- Important
Medicare NPI Information & New MLN Matters Article for Physicians
and Non-Physician Practitioners -
10.16.07
- Medicare
Fee for Service (FFS) National Provider Identifier (NPI) Final
Implementation - MLN Matters PDF Document
MM5728 - 10.16.07
- Troubleshooting
Claim Submission Errors - North Carolina -
10.16.07
- Upcoming Tennessee
/ Idaho Contact Center Closure - 10.16.07
- Medicare
Clinical Trial Policy (CTP) - MLN
Matters PDF Document MM5719 - 10.15.07
- Medicare Billing
Information for Rural Providers, Suppliers, and Physicians -
10.15.07
- CERT Documention
Center (CDC) Toll Free Number - 10.12.07
- Recent CERT
Errors for Home Health Certification/Re-certification -
10.12.07
- Denials for
Multiple Inpatient Hospital Evaluation and Management Services -
10.12.07
- New NPI Informational
Prepass Edits - 10.09.07
- Attention Idaho Providers: The quarterly Ask-the-Contractor
Teleconference will be held on Wednesday, December 12th from 10am-11am
Mountain Time. No pre-registration is required for this call. There
are a limited number of lines available, and participation is on
a "first come, first served" basis. The toll-free call
in number is 1.877.852.6575. - 10.09.07
- Attention Tennessee Providers: The quarterly
Ask-the-Contractor Teleconference will be held on Wednesday, December
12th from 10am-11am Central Time ( 11am-12pm Eastern Time). No
pre-registration is required for this call. There are a limited
number of lines available, and participation is on a "first
come, first served" basis. The toll-free call in number is
1.877.852.6580. - 10.09.07
- Medicare Provider
Feedback Town Hall Meeting - 10.08.07
- Telemetric
Capsule Imaging - 10.08.07
- Laboratory
and Radiology: Adjustment to Medicare System Common Working File
(CWF) Duplicate Claim Edit for the Technical Component (TC) of
Radiology and Pathology Laboratory Services Provided to Hospital
Patients - Revised MLN Matters PDF
Document MM5675 - 10.05.07
- The 2007-
2008 Flu Season is upon us! - 10.05.07
- Remittance
Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC)
Update - MLN Matters PDF Document
MM5721 - 10.05.07
- Updated Adult
Immunizations Web-Based Training Course -
10.05.07
- Potential
Issues Related to Clearinghouse and Billing Service Practices -
10.05.07
- Reasonable
Charge Update for 2008 for Splints, Casts, Dialysis Supplies,
Dialysis Equipment, and Certain Intraocular Lenses - MLN
Matters PDF Document MM5740 - 10.04.07
- New
Waived Tests - MLN Matters PDF Document
MM5715 - 10.04.07
- Notification
of the 2008 Physician Election Period for the Part B Drug Competitive
Acquisition Program (CAP) - MLN
Matters PDF Document SE0737 - 10.04.07
- Preventive
Services Brochures for Health Care Professionals Now Available
To Order - 10.04.07
- The October 2007 Medicare
Bulletin is now available. -10.04.07
- Important
NPI Message Regarding Institutional Provider Claims and New Enrollment
Document - 10.03.07
- Mass Immunizer & Centralized
Biller Clarification and Flu Shot Reminder -
10.03.07
- Medicare Part
B Drug Competitive Acquisition Program (CAP): 2008 Physician
Election and Impact on Carriers -
10.03.07
- October is
National Breast Cancer Awareness Month (NBCAM) -
10.03.07
- Open Meetings
Cancelled for ID, NC and TN - 10.03.07
- Magnetic
Resonance Imaging (MRI) Procedures - MLN
Matters PDF Document MM5677 - 10.02.07
- New Web Site
for Approved Transplant Centers -
10.02.07
- Unlabeled
Use for Anti-Cancer Drugs: Medical Literature used to Determine
Medically Accepted Indications for Drugs and Biologicals used
in Anti-Cancer Treatment - MLN Matters
PDF Document MM5729 - 10.02.07
- 2008
Annual Update for the Health Professional Shortage Area (HPSA)
Bonus Payment - MLN Matters PDF Document
MM5698 - 10.02.07
- Lumbar
Artificial Disc Replacement (LADR) - MLN
Matters PDF Document MM5727 -
10.01.07
- Clarification
Concerning Provider Billing Procedures Related to the Transition
of the Medigap claim-based Crossover Process to the Coordination
of Benefits Contractor on October 1, 2007 - MLN
Matters PDF Document SE0743 - 10.01.07
September 2007
- A New Medicare
Preventive Services Quick Reference Information Chart -
09.28.07
- Stage
3 National Provider Identifier (NPI) Changes for Transaction
835, and Standard Paper Remittance Advice (RA) - MLN
Matters PDF Document MM5452 -
09.28.07
- System Issue
Impacts Part B Provider Payments -
09.27.07
- Revised Medicare
Physician Guide - 09.27.07
- Revised
Payment System for Ambulatory Surgical Centers (ASC) in Calendar
Year (CY) 2008 - MLN Matters PDF Document
SE0742 - 09.27.07
- Tennessee
Open CAC - 09.27.07
- North Carolina
Ask the Contractor Teleconferences (ACT) Minutes -
09.27.07
- Revalidation
of Provider Information - 09.27.07
- The 4th Quarter 2007 Payment Allowance Limits for Medicare Part
B Drugs and Part B Not Otherwise Classified Drug Fee Schedule have
been posted, and 1st - 3rd Quarter 2007 Payment Allowance Limits
for Medicare Part B Drugs files have been updated. Click
here to access the files. - 09.27.07
- Idaho Open
Meeting October 17, 2007 - 09.26.07
- Revisions
to 9-Digit ZIP Code List Provided in Change Request (CR) 5208 - MLN
Matters PDF Document MM5730 - 09.26.07
- NPI: NPPES & NPI
Registry Update; Important Information for Medicare Providers -
09.25.07
- Medicare Part
B Drug Competitive Acquisition Program (CAP) : 2008 Physician
Election and Impact on Carriers -
09.25.07
- Reminder:
2007 Physician Quality Reporting Initiative (PQRI) National Provider
Conference Call with Question & Answer Session -
09.24.07
- Important
Message About the NPI Registry! -
09.24.07
- Upcoming Tennessee
/ Idaho Provider Contact Center Training Closing -
09.24.07
- Upcoming North
Carolina Provider Contact Center Training Closure -
09.24.07
- National Adult
Immunization Awareness Week - 09.24.07
- Alert Regarding
the Transition of the Medigap Claim-Based Crossover Process -
09.24.07
- PQRI Follow-Up
Call scheduled for 9/25/07 - 09.24.07
- Sunset
of the Physician Scarcity Area (PSA) Bonus Payment - MLN
Matters PDF Document MM5711 - 09.24.07
- Percutaneous
Transluminal Angioplasty (PTA) - MLN
Matters PDF Document MM5660 - 09.24.07
- Quarterly
October 2007 Quarterly Average Sales Price (ASP) Medicare Part
B Drug Pricing Files and Revisions to Prior Quarterly Pricing
Files - MLN Matters PDF Document MM5710 -
09.21.07
- Ultrasound
Diagnostic Procedures - MLN Matters
PDF Document MM5608 - 09.21.07
- Billing 99211
for Anticoagulation Management - 09.20.07
- Attention Idaho Providers: The quarterly Ask-the-Contractor
teleconference will be held on Monday, September 24 th from 10am-11am
Mountain Time. This call gives you an open forum to ask questions
of representatives from all of the various departments within CIGNA
Government Services. No registration is required. The dial-in number
is 1.866.564.7444. - 09.19.07
- Discontinuance
of the Unique Physician Identification Number (UPIN) Registry - MLN
Matters PDF Document MM5584 - 09.19.07
- Anesthesia
Services Furnished by the Same Physician Providing the Medical
and Surgical Service - MLN Matters
PDF Document MM5618 - 09.19.07
- Medicare Part
B Drug Competitive Acquisition Program (CAP) : 2008 Physician
Election and Impact on Carriers -
09.19.07
- Attention Tennessee Providers: The quarterly
Ask-the-Contractor teleconference will be held on Monday, September
24th from 10am-11am Central Time. This call gives you an open forum
to ask questions of representatives from all of the various departments
within CIGNA Government Services. No registration is required.
The dial-in number is 1.866.564.7444. -
09.18.07
- 2007 Physician
Quality Reporting Initiative (PQRI) National Provider Question
and Answer Session - 09.18.07
- North Carolina
Open Meeting - 09.17.07
- NPPES and
NPI Registry will be Unavailable on September 18th -
09.17.07
- Attention Idaho Providers: The Idaho Provider
Relations department will conduct a Chiropractic specialty webinar
on Friday, September 21st. The session will be held from 10am-11am
Mountain Time. Registration is limited, so please sign
up today. - 09.14.07
- NPPES Data & New
Data Dissemination Training Module Now Available! -
09.14.07
- New
Remark Code for Denying Separately Billed Services - MLN
Matters PDF Document MM5659 - 09.13.07
- Attention Idaho Providers: The Idaho Provider
Relations Department will be presenting two Medicare Updates webinars
on Tuesday, September 25th and Wednesday, September 26th. Both
sessions will be from 10am-11am Mountain Time. Registration
is limited, so please sign up today. - 09.12.07
- Incorrect
Implementation Schedule Published -
09.11.07
- Top NPI Billing
Issues - 09.11.07
- Quarterly
Update to Correct Coding Initiative (CCI) Edits, Version 13.3,
Effective October 1, 2007 - MLN Matters
PDF Document MM5703 - 09.10.07
- Clarification
of Percutaneous Transluminal Angioplasty (PTA) Billing Requirements
Issued in CR 3811 - MLN Matters PDF
Document MM5667 - 09.10.07
- Delete
References to Required Reporting of the National Provider Identifier
(NPI) on or after May 23, 2007 and Revise to a "When Effective" Date - MLN
Matters PDF Document MM5678 - 09.10.07
- Transitioning
the Mandatory Medigap (Claim-Based) Crossover Process to the
Coordination of Benefits Contractor (COBC) - MLN
Matters PDF Document MM5601 - 09.10.07
- Update on
National Provider Education Materials on Medicare Preventive
Services - 09.10.07
- Attention
North Carolina Providers! Mark your calendar for the upcoming
Ask the Contractor (ACT) Teleconference. -
09.10.07
- Notice to
Idaho and Tennessee Providers - 09.10.07
- October
Update to the 2007 Medicare Physician Fee Schedule Database - MLN
Matters PDF Document MM5714 - 09.07.07
- Microvolt
T-Wave Alternans Testing (MTWA) -
09.07.07
- CERT Request
for Documentation - 09.07.07
- Upcoming Tennessee
/ Idaho Provider Contact Center Training Closure -
09.06.07
- Upcoming North
Carolina Provider Contact Center Training Closure -
09.06.07
- October Update
to the 2007 Medicare Physician Fee Schedule Database -
09.04.07
- The September 2007 Medicare
Bulletin is now available. - 09.04.07
- When to Request
a Reopening vs. a Redetermination and the Proper Forms to Use -
09.04.07
- Health Care
Provider Taxonomy Code Set - 09.04.07
- September
is National Cholesterol Education Month! -
09.04.07
August 2007
- Do you file
claims for Laboratory Specimens? -
08.31.07
- Revision
to Certification for Hospital Services Covered by the Supplementary
Medical Insurance Program as it pertains to Ambulance Services - MLN
Matters PDF Document MM5684 - 08.31.07
- National Plan
and Provider Enumeration System (NPPES) FOIA-Disclosable Data
to be Available on September 4, 2007 -
08.31.07
- CMS Updates
Ambulatory Surgical Center Payment Information for Value-Driven
Health Care - 08.31.07
- Anesthesia
Services Furnished by the Same Physician Providing the Medical
and Surgical Service - MLN Matters
PDF Document MM5618 - 08.31.07
- Important
Notice Regarding Vaccine Administrations in 2008 - MLN
Matters PDF Document SE0723 -
08.30.07
- Clarification
of Percutaneous Transluminal Angioplasty (PTA) Billing Requirements
Issued in CR 3811 - MLN Matters PDF
Document MM5667 - 08.30.07
- Workshop Refund
Policy - 08.29.07
- CMS ISSUES
FINAL RULE PROHIBITING PHYSICIAN SELF-REFERRAL -
08.29.07
- Date
of Service (DOS) for Laboratory Specimens - MLN
Matters PDF Document MM5573 - 08.26.07
- Temsirolimus
(Torisel) - Revised Information -
08.23.07
- Nurse
Practitioner (NP) Services and Clinical Nurse Specialist (CNS)
Services - MLN Matters PDF Document
MM5639 - 08.23.07
- Revision
to Certification for Hospital Services Covered by the Supplementary
Medical Insurance Program as it pertains to Ambulance Services - MLN
Matters PDF Document MM5684 -
08.23.07
- Date
of Service (DOS) for Laboratory Specimens - MLN
Matters PDF Document MM5573 - 08.23.07
- Educational
Product Update - 08.23.07
- 2008
Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF)
Consolidated Billing (CB) for the Common Working File (CWF) ,
Medicare Carriers and Fiscal Intermediaries (FIs) - MLN
Matters PDF Document MM5696 - 08.23.07
- HHS and DOJ
Announce Initiative to Fight Infusion Fraud Therapy -
08.23.07
- New
Remark Code for Denying Separately Billed Services - MLN
Matters PDF Document MM5659 -
08.22.07
- Outbound Electronic
File Problem - 08.20.07
- Lifting the
National Provider Identifier (NPI) Crosswalk Bypass Logic -
08.20.07
- Attention Tennessee Providers: CIGNA
Government Services has scheduled a Chiropractic Specialty Webinar
for Tennessee providers, on September 6, 2007. Registration
is limited, so please sign up today. -
08.20.07
- Attention
West Tennessee Providers: "All ABoard for the Medicare Part
A and Part B Workshop", Memphis, September 5 -
08.20.07
- Attention Idaho Providers: CIGNA
Government services has scheduled several upcoming webinars for
Idaho providers. A Medicare 101 session will be presented on Friday,
August 24th. This will be an introduction to Medicare for new provider
staff. A follow-up Medicare 102 session will be held on Friday,
August 31st. This session is a continuation of the Medicare 101,
providing more detailed information. Additionally, A Claims Submission
Errors session will be held on Monday, August 27th. This session
will focus on common errors in submitting claims, and how to avoid
them. All sessions will begin at 10:00am Mountain Time, and will
last one hour. Registration
is limited, so please sign up today. -
08.17.07
- Response
to Competitive Acquisition Program (CAP) for Part B Drugs and
Biologicals Claims When the Medicare System Common Working File
(CWF) 69XD Error Code is Received - MLN
Matters PDF Document MM5658 -
08.15.07
- The Guide
to Medicare Preventive Services -
08.15.07
- Appropriate
Billing For Cryosurgery of the Prostate Gland -
08.14.07
- Publications
Now Available - 08.14.07
- Information
for Medicare Providers Regarding the Importance of Reporting
Legacy Numbers in NPPES - 08.14.07
- 2007 Physician
Quality Reporting Initiative (PQRI) Update -
08.14.07
- Important
Notice Regarding Vaccine Administrations in 2008 - MLN
Matters PDF Document SE0723 - 08.13.07
- Medicare's
Implementation of the National Provider Identifier (NPI) : The
Second in the Series of Special Edition MLN Matters Articles
on NPI-Related Activities - MLN Matters
PDF Document SE0555 - 08.13.07
- The
2007 Medicare Contractor Provider Satisfaction Survey (MCPSS)
Shows Positive Results for Medicare's Fee-for-Service Contractors - MLN
Matters PDF Document SE0733 -
08.13.07
- Update on
Probe Reviews of Chiropractic Manipulative Treatments -
08.13.07
- The TN Provider Outreach and Education Department is offering
a Webinar/Teleconference on Comprehensive Error Rate Testing Program
(CERT) on August 28, 2007. Click
here for registration information. -
08.13.07
- Claim
Status Category Code and Claim Status Code Update - MLN
Matters PDF Document MM5687 -
08.10.07
- The
2007 Medicare Contractor Provider Satisfaction Survey (MCPSS)
Shows Positive Results for Medicare's Fee-for-Service Contractors - MLN
Matters PDF Document SE0733 -
08.09.07
- Important
Guidance on the New CMS-1500 and UB-04 Forms - MLN
Matters PDF Document SE0729 - 08.09.07
- CMS Increases
Payments to Inpatient Rehabilitation Facilities for Fiscal Year
2008; Accurate Payments Will Continue to Ensure Program Efficiency,
Quality and Sustainability - 08.08.07
- Dissemination
of Data from the National Plan and Provider Enumeration System
(NPPES) to Begin September 4, 2007 -
08.08.07
- August is
National Immunization Awareness Month! -
08.08.07
- Reasons
for Provider Notification of Medicare Claims Disputed/Rejected
by Supplemental Payers/Insurers - MLN
Matters PDF Document SE0728 - 08.08.07
- Quick Reference
Information: Medicare Preventive Services -
08.07.07
- ATTENTION IDAHO PROVIDERS: CIGNA
Government Services will present two Webinar/Teleconferences on
Medicare Updates for Fall 2007 on Wednesday, August 15th and Thursday,
August 30th. The sessions will begin at 10:00am Mountain Time.
Registration is limited, so please sign
up today. - 08.07.07
- Laboratory
and Radiology: Adjustment to Medicare System Common Working File
(CWF) Duplicate Claim Edit for the Technical Component (TC) of
Radiology and Pathology Laboratory Services Provided to Hospital
Patients - MLN Matters PDF Document
MM5675 - 08.06.07
- The August 2007 Medicare
Bulletin is now available. - 08.06.07
- CMS ANNOUNCES
PAYMENT REFORMS FOR INPATIENT HOSPITAL SERVICES IN 2008 REFORMS
CONTINUE TRANSITION TO MORE ACCURATE PAYMENT SYSTEM; PROMOTE
QUALITY CARE FOR ALL HOSPITALIZED PATIENTS -
08.02.07
- Attention
NC Providers! Mark your calendars for the upcoming Anesthesia/
Pain Management Ask-the-Contractor Teleconference (ACT) -
08.02.07
- Correct
Reporting of Diagnosis Codes on Screening Mammography Claims - MLN
Matters PDF Document MM5050 - 08.02.07
- Delayed Deployment
of NPI Registry - 08.02.07
- CMS INCREASES
MEDICARE PAYMENTS FOR BENEFICIARIES USING SKILLED NURSING FACILITY
CARE FOR 2008; ACCURATE PAYMENTS CONTINUE TO ENSURE PROGRAM EFFICIENCY,
QUALITY AND SUSTAINABILITY - 08.02.07
- Revised
Information on PET Scan Coding - MLN
Matters PDF Document MM5665 -
08.02.07
- Fee For Service
Medicare NPI Q&A Session: Common Billing Errors -
08.01.07
July 2007
- Clarification
About the Medical Privacy of Protected Health Information - MLN
Matters PDF Document SE0726 -
07.31.07
- Instructions
for Implementing the Centers for Medicare & Medicaid (CMS) Ruling
CMS 1536-R; Astigmatism-Correcting Intraocular Lens (A-C IOLs) - MLN
Matters PDF Document MM5527 -
07.27.07
- Revision
to Medicare Publication 100-09, Chapter 3 - Provider Inquiries
and Chapter 6 - Provider Customer Service Program Updates - MLN
Matters PDF Document MM5597 -
07.26.07
- Adjustment
of Gastric Band after Laparoscopic Gastric Banding Procedure -
07.26.07
- Upcoming
Provider Contact Center Training Closures -
07.26.07
- Attention Idaho Providers: The quarterly Ask-the-Contractor
Teleconference will be held on Monday, September 24 th from 10am-11am
Mountain Time. No pre-registration is required for this call. There
are a limited number of lines available, and participation is on
a "first come, first served" basis. The toll-free call
in number is 1.866.564.7444. - 07.26.07
- Attention Tennessee Providers: The quarterly
Ask-the-Contractor Teleconference will be held on Monday, September
24 th from 10am-11am Central Time (11am-12pm Eastern Time) . No
pre-registration is required for this call. There are a limited
number of lines available, and participation is on a "first
come, first served" basis. The toll-free call in number is
1.866.564.7444. - 07.26.07
- Electronic
Funds Transfer Standardizations and Revisions to the Medicare
Claims Processing Manual (Chapter 24) - MLN
Matters PDF Document MM5586 - 07.26.07
- Temsirolimus
(Torisel) - 07.26.07
- CMS Will Host
a National Roundtable/Q&A Session on Common Billing Errors
for Medicare Fee-For-Service Providers -
07.25.07
- The Part B Customer
Service Frequently Asked Questions have been updated. -
07.25.07
- Urgent Information: Physician
Quality Reporting Initiative (PQRI) -
07.24.07
- Aquatic Therapy -
07.24.07
- Data Dissemination,
New Educational Products, Group Practice Enumeration, Information
for Medicare Providers and More... -
07.24.07
- Revised: NPI
Required to Enroll in EDI and Update of Telecommunication and
Transmission Protocols for EDI - MLN
Matters PDF Document MM5637 - 07.23.07
- Troubleshooting
Claim Submission Errors - North Carolina -
07.23.07
- June 14, 2007
NPI Data Dissemination Roundtable Transcript Available Now -
07.20.07
- "All ABoard
for the Medicare Part A and Part B Workshop", Chattanooga Convention
Center, August 7 - 07.19.07
- Provider
Education for Handling Issues Related to Deceased Providers - MLN
Matters PDF Document MM5508 - 07.18.07
- Attention
NC Providers! Mark your calendars for the upcoming Anesthesia/
Pain Management Ask-the-Contractor Teleconference (ACT) - 07.18.07
- 2007 Physician
Quality Reporting Initiative(PQRI) Alert! - 07.18.07
- Additional
Common Working File (CWF) Editing for Skilled Nursing Facility
(SNF) Consolidated Billing (CB) - MLN
Matters PDF Document MM5624 - 07.18.07
- Update
to Medicare Claims Processing Manual (Publication 100-04) , Chapter
18, Section 10 for Part B Influenza Billing - MLN
Matters PDF Document MM5511 - 07.18.07
- Pre-Bidding
Activities for the Medicare Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - MLN
Matters PDF Document SE0714 - 07.18.07
- Provider
Education for Handling Issues Related to Deceased Providers - MLN
Matters PDF Document MM5508 - 07.17.07
- Physician
Quality Reporting Initiative (PQRI) Letter to Medicare Beneficiaries - 07.16.07
- Upcoming Provider
Contact Center Training Closures - 07.16.07
- NPI
Required to Enroll in Electronic Data Interchange (EDI) , and
Update of Telecommunication and Transmission Protocols for EDI - MLN
Matters PDF Document MM5637 - 07.13.07
- LCD for Bone
Mass Measurements Revised - 07.13.07
- NPI Rejections
for Idaho Individual Providers - 07.13.07
- The Local Coverage Determination for "Skin Procedures for
Hyperkeratosis" for NC (L6599) and ID (L17924) will be retired
effective August 1, 2007. - 07.12.07
- Revision
to Medicare Publication 100-09, Chapter 3 - Provider Inquiries
and Chapter 6 - Provider Customer Service Program Updates - MLN
Matters PDF Document MM5597 - 07.12.07
- Notifying
Affected Parties Regarding Changes to the Mandatory Medigap - 07.12.07
- Note to Providers - 07.12.07
- Reimbursement
for Vaccines and Vaccine Administration Under Medicare Part D - MLN
Matters PDF Document SE0727 - 07.12.07
- Percutaneous
Transluminal Angioplasty (PTA) - MLN
Matters PDF Document MM5660 - 07.12.07
- Important
Information for Providers/Suppliers Regarding National Plan and
Provider Enumeration System (NPPES) Errors, Using the NPI on
Medicare Claims and 835 Remittance Advice Changes - MLN
Matters PDF Document SE0725 - 07.11.07
- Revision
to Medicare Publication 100-09, Chapter 3 - Provider Inquiries
and Chapter 6 - Provider Customer Service Program Updates - MLN
Matters PDF Document MM5597 - 07.11.07
- Medicare
Payment for Preadministration-Related Services Associated with
IVIG Administration—Payment Extended through CY 2007 - MLN
Matters PDF Document MM5428 - 07.11.07
- New NPI Educational
Products Available - 07.11.07
- July
Update to the 2007 Medicare Physician Fee Schedule Database - MLN
Matters PDF Document MM5614 - 07.11.07
- Outbound File
Problem Update - 07.11.07
- Azacitidine
(Vidaza) - 07.10.07
- Revised:
MM5508 - Provider Education for Handling Issues Related to Deceased
Providers - MLN Matters PDF Document
MM5508 - 07.10.07
- Appeals
Transition - BIPA Section 521 Appeals - MLN
Matters PDF Document MM5460 - 07.09.07
- Revision
to Internet Only Manual (IOM) Pub 100-04, Chapter 12, Section
90.4 Billing and Payment in a Health Professional Shortage Area
(HPSA) - MLN Matters PDF Document
MM5625 - 07.09.07
- ALERT - Special
Bidders Conference for DMEPOS Competitive Bidding Program -
07.09.07
- Outbound File
Issue Update - 07.06.07
- The July 2007 Medicare
Bulletin is now available. - 07.06.07
- Upcoming North
Carolina Provider Contact Center Closure - 07.05.07
- PQRI ACT Recording
Replay - 07.05.07
- Charges
for Missed Appointments - MLN Matters
PDF Document MM5613 - 07.03.07
- Claims
Processing Change for Services Submitted with the Health Professional
Shortage Area (HPSA) Modifiers QB or QU for Claims with Dates
of Service On or After January 1, 2006 - MLN
Matters PDF Document MM5629 - 07.03.07
- Charges for
Missed Appointments - 07.03.07
- CMS PROPOSES
POLICY, PAYMENT CHANGES FOR PHYSICIANS' SERVICES IN 2008 - 07.03.07
- Reporting
on the 2007 Physician Quality Reporting Initiative (PQRI) Begins! - 07.03.07
- Monday Reading
Materials - 07.03.07
- Medigap Claim-Based
Crossover Moves to a Consolidated, Standardized Process - 07.02.07
- CMS Announces
the Date by which Updates/Changes/Deletions Must Be Submitted
to NPPES in Order to be Reflected in Initial Downloadable File - 07.02.07
- CMS PROPOSES
POLICY, PAYMENT CHANGES FOR PHYSICIANS' SERVICES IN 2008 - 07.02.07
- Release of
Medicare Physician Fee Schedule Proposed Rule - 07.02.07
- Reading Materials - 07.02.07
- The Testing
Opportunity for the 2007 Physician Quality Reporting Initiative
(PQRI) has Ended - 07.02.07
- Information
Regarding Data Dissemination, Testing Medicare Claims & More - 07.02.07
- Updated 2007
Physician Quality Reporting Initiative (PQRI) Educational Resource - 07.02.07
- Notifying
Affected Parties Regarding Changes to the Mandatory Medigap ("Claim-Based")
Crossover Process - MLN Matters PDF
Document MM5662 - 07.02.07
June 2007
- Outbound File
Problem - 06.29.07
- North Carolina
Family Practice ACT Announcement - 06.29.07
- Zoledronic
Acid (Zometa and Reclast) - 06.29.07
- LCD for Bone Mass Measurements - 06.29.07
- LCDs for Intravenous
Immune Globulin Revised - 06.29.07
- Medicare DMEPOS
Competitive Bidding Program - 06.29.07
- Limiting Charge
Notification - 06.28.07
- Update
of Claim Adjustment Reason Codes (CARCs) and Remittance Advice
Remark Codes (RARCs) and Enhancement of Medicare Remit Easy Print
(MREP) - MLN Matters PDF Document
MM5634 - 06.28.07
- Vagus
Nerve Stimulation (VNS) for Resistant Depression - MLN
Matters PDF Document MM5612 - 06.28.07
- The North Carolina PR department will be conducting a General
Surgery Specialty Workshop in Greensboro, NC on July 24, 2007. Click
here for more information. - 06.27.07
- DMEPOS Competitive
Bidding Reminder! - 06.27.07
- Medicare Learning
Network Product - 06.27.07
- REVISED: Bone
Mass Measurements (BMMs) - MLN Matters
PDF Document MM5521 - 06.27.07
- Revised
HCPCS Codes Relating to Immune Globulin - MLN
Matters PDF Document MM5635 - 06.26.07
- July
Quarterly Update for 2007 Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Fee Schedule - MLN
Matters PDF Document MM5641 - 06.26.07
- July
2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug
Pricing File, Effective July 1, 2007, and Revisions to January
2007, April 2007, and October 2006 Quarterly ASP Medicare Part
B Drug Pricing Files - MLN Matters
PDF Document MM5646 - 06.26.07
- Removal of
Benign Skin Lesions - 06.26.07
- Alefacept - 06.26.07
- New 2007 Physician
Quality Reporting Initiative (PQRI) Educational Resource Expands
the PQRI Tool Kit - 06.26.07
- ORGAN TRANSPLANT
CENTERS -- Countdown Begins for Current Medicare-Approved Centers
to Request Certification Under the New Rule! - 06.26.07
- 2007 Physician
Quality Reporting Initiative (PQRI) National Provider Call -
2nd Q&A Session - 06.26.07
- Clarification
of the National Provider Identifier (NPI) Reporting Requirements
for Ambulance Service Claims - MLN
Matters PDF Document MM5564 - 06.26.07
- 2007 Physician
Quality Reporting Initiative (PQRI) Tool Kit is Now Available - 06.22.07
- October
Quarterly Update to 2007 Annual Update of HCPCS Codes Used for
Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement - MLN
Matters PDF Document MM5636 - 06.22.07
- Medicare
Contractor Annual Update of the International Classification
of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) - MLN
Matters PDF Document MM5643 - 06.22.07
- Update
to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) - MLN
Matters PDF Document MM5614 - 06.22.07
- Medicare Learning
Network Products - 06.22.07
- REMINDER:
Tennessee Ask-the-Contractor Teleconference - 06.21.07
- REMINDER:
Idaho Ask-the-Contractor Teleconference - 06.21.07
- Special Medicare
Provider Enrollment Open Door Forum - 06.21.07
- Items of Interest - 06.20.07
- DMEPOS Competitive
Bidding Reminder - 06.20.07
- North Carolina
Mental Health Specialty Workshop - 06.20.07
- Physician
Quality Reporting Initiative (PQRI) Education Resources - 06.19.07
- Bidders Conferences
for the Medicare DMEPOS Competitive Bidding Program - 06.19.07
- Covered Indications
for Chemotherapy Drugs and their Adjuncts - Spring 2007 Update - 06.18.07
- Attention North Carolina Providers! Mark your calendar for the
upcoming Ask
the Contractor (ACT) Teleconference. - 06.15.07
- Medicare Learning
Network Products - 06.15.07
- July
Quarterly Update for 2007 Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Fee Schedule - MLN
Matters PDF Document MM5641 - 06.15.07
- PQRI Ask-the-Contractor
Teleconference - 06.14.07
- Implementation
of the Carrier Jurisdictional Pricing Rules for All Purchased
Diagnostic Service Claims - MLN Matters
PDF Document MM5543 - 06.14.07
- Quarterly
Update to Medically Unlikely Edits (MUEs) , Version 1.2, Effective
July 1, 2007 - MLN Matters PDF Document
MM5603 - 06.14.07
- Clarification
of Manual Instruction Regarding Scope of Portable X-Ray Benefit - MLN
Matters PDF Document MM5536 - 06.14.07
- Upcoming Provider
Contact Center Training Closures - 06.14.07
- Medicare
Payments for Ambulance Transports - MLN
Matters PDF Document SE0724 - 06.13.07
- Presentation
Materials for the June 13, 2007 PQRI National Provider Call - 06.13.07
- Physician
Quality Reporting Initiative Preparation for the Fourth National
Provider Conference Call - 06.12.07
- 2007 Physician
Quality Reporting Initiative (PQRI) National Provider Conference
Call with Question & Answer Session - 06.12.07
- CMS News Items/Reading
Materials - 06.12.07
- Comprehensive
Error Rate Testing (CERT) May 2007 Report - One Top Reason for
Errors: Services Incorrectly Coded - 06.12.07
- Important
NPI Announcement Regarding Data Dissemination and UPIN Registry - 06.11.07
- Physician
Quality Reporting Initiative (PQRI) National Provider Calls - 06.11.07
- Mental Health
Specialty Workshop for North Carolina - 06.11.07
- July,
2007 Quarterly Update to the HCPCS Codes for Albuterol, Levalbuterol,
and Reclast® - MLN Matters PDF
Document MM5645 - 06.11.07
- Upcoming TN/ID
Provider Contact Center Training Closures - 06.11.07
- Mark your
calendars for the Physician Quality Reporting Initiative (PQRI)
Ask-the-Contractor Teleconference! - 06.11.07
- June 6 ERN
Problem - 06.11.07
- Attention
Physicians participating in the Competitive Acquisition Program
(CAP) for Medicare Part B Drugs and Biologicals - 06.08.07
- National Men's
Health Week - 06.08.07
- Upcoming North
Carolina Provider Contact Center Closure - 06.07.07
- NC Provider
Outreach and Education Calendar of Event - 06.07.07
- Revised
HCPCS Codes Relating to Immune Globulin - MLN
Matters PDF Document MM5635 - 06.07.07
- Bone
Mass Measurements (BMMs) - MLN Matters
PDF Document MM5521 - 06.07.07
- Stage
2 NPI Changes for Transaction 835, & SPR advice and Changes
in Medicare Claims Processing Manual Chp 22 Remitance Advice
-REVISED - MLN Matters PDF Document
MM5081 - 06.07.07
- June 15, 2007:
Physician Quality Reporting Initiative (PQRI) Ask-the-Contractor
Teleconference - 06.06.07
- The June 2007 Medicare
Bulletin is now available. - 06.06.07
- Changes for
Stratus Mailbox File Naming Conventions -
06.06.07
- Registration
is Open for the June 14th Data Dissemination Roundtable -
06.05.07
- Implementation
of the Carrier Jurisictional Pricing Rules for All Purchased
Diagnostic Service Claims - 06.05.07
- Financial
Measures for the Medicare Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Competitive Bidding Program -
06.05.07
- The Open Carrier Advisory Committee (CAC) meetings scheduled
for Tennessee (June 7th) , North Carolina (June 12th) , and Idaho
(June 20th) have been cancelled. No reservations are being accepted. -
06.05.07
- Final Specifications
for the Physician Quality Reporting Initiative is Now Available -
06.05.07
- Foot
Care Coverage Guidelines - MLN Matters
PDF Document SE0707 - 06.05.07
- New Products
Available from CMS Medicare Learning Network - 06.05.07
- Important
Update to National Provider Identifier (NPI) Education Article - 06.05.07
- New
Deadline for Required Submission of the Form CMS-1500 (08-05) - MLN
Matters PDF Document MM5616 -
06.05.07
- New
Durable Medical Equipment, Prosthetics, Orthotics & Supplies
(DMEPOS) Certificates of Medical Necessity (CMNs) and DME Information
Forms (DIFS) for Claims Processing - MLN
Matters PDF Document MM5571 - 06.04.07
- Stage
3 National Provider Identifier (NPI) Changes for Transaction
835, and Standard Paper Remittance Advice (RA) - MLN
Matters PDF Document MM5452 - 06.04.07
- Discontinuance
of the Unique Physician Identification Number (UPIN) Registry - MLN
Matters PDF Document MM5584 - 06.04.07
- NPI NEWS -
06.04.07
- Changes Included in Change Request (CR) 5614 for the July Update
to the 2007 Medicare Physician Fee Schedule Database: Idaho, North
Carolina, Tennessee -
06.01.07
- The new LCD for Colony Stimulating Factors TN/NC (L24841) and
ID (L24589) is effective June 1, 2007. This policy will replace
lcd's rG-CSF (Neupogen, Filgrastim) ID L9642, TN L6256, NC L6533
and GM-CSF (Leukine, Sargramostim) ID L9648, TN L6538, NC L6042.
Please visit
the CMS website to view the new and retired policies. -
06.01.07
- The LCD for
Luteinizing Hormone-Releasing Hormone Analogues in the Treatment
of Prostate Cancer has been revised into two separate LCDs for
all Part B states. - 06.01.07
May 2007
- Transitioning
the Mandatory Medigap ("Claim-Based") Crossover Process to the
Coordination of Benefits Contractor (COBC) - MLN
Matters PDF Document MM5601 - 05.31.07
- Revisions
to the Medicare Claims Processing Manual, Chapter 17, Sections
40 and 100, Regarding Discarded Drugs and Biologicals and Submission
of Claims With the Modifier JW, "Drug Amount Discarded/Not Administered
to Any Patient" - MLN Matters PDF
Document MM5520 - 05.31.07
- Proper
Use of Modifier "-59" - MLN Matters
PDF Document SE0715 - 05.31.07
- Medicare Part
B Competitive Acquisition Program (CAP) : Additional Physician
Election Agreement Form Completion Training - June 7 and June
11, 2007 - 05.31.07
- Quarterly
Update to Medically Unlikely Edits (MUEs) , Version 1.2, Effective
July 1, 2007 - MLN Matters PDF Document
MM5603 - 05.31.07
- Implementation
of the Carrier Jurisdictional Pricing Rules for All Purchased
Diagnostic Service Claims - MLN Matters
PDF Document MM5543 - 05.31.07
- Guidelines
for Payment of Diabetes Self-Management Training (DSMT) - MLN
Matters PDF Document MM5433 - 05.31.07
- Bone
Mass Measurements (BMMs) - MLN Matters
PDF Document MM5521 - 05.31.07
- The NPI Compliance
Deadline is Here! - 05.30.07
- Written Transcript
and Audio File for the May 14th, 2007 Special Open Door Forum
Now Available - 05.30.07
- Emergency
Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) - MLN
Matters PDF Document MM5459 - 05.30.07
- Competitive
Acquisition Program (CAP) Educational Materials during the Additional
Physician Election Period - 05.29.07
- CMS to Publish
the National Plan and Provider Enumeration System (NPPES) Data
Dissemination Notice - 05.29.07
- Hospital Discharge
Appeal Notices - 05.29.07
- Physician
Quality Reporting Initiative (PQRI) National Provider Call- May
24, 2007 - 05.29.07
- Bidders Conferences
for the Medicare DMEPOS Competitive Bidding Program -
05.29.07
- Physician
Quality Reporting Initiative (PQRI) Coding & Reporting Principles - MLN
Matters PDF Document MM5640 - 05.25.07
- Update to
Information Regarding Medicare Payment and Coding for Drugs and
Biologicals - 05.25.07
- The North Carolina Provider Outreach and Education team is very
pleased to present an upcoming series of educational events targeted
at several different specialties groups. Specialties in this series
include Mental Health, Family/General Practice, General Surgery,
Anesthesia, Physical Therapy, Radiology, and Hematology/Oncology. Click
here for more information. - 05.23.07
- Reminder:
2007 Physician Quality Reporting Initiative (PQRI) National Provider
Conference Call with Question & Answer Session -
05.23.07
- Medicare Fee
for Service (FFS) National Provider Identifier (NPI) Implementation
Contingency Plan - 05.23.07
- Attention North Carolina Providers: The quarterly
Ask-the-Contractor Teleconference will be held on Thursday, June
21st from 3pm-4pm ET. No pre-registration is required for this
call. There are a limited number of lines available, and participation
is on a "first come, first served" basis. The toll-free
call in number is 1.866.793.1308. - 05.22.07
- Inpatient
Psychiatric Facility Prospective Payment System Fact Sheet -
05.21.07
- CMS Proposes
Payment Reforms for Inpatient Hospital Services in 2008 -
05.21.07
- Comprehensive
Error Rate Testing (CERT) - Documentation Tips for Outpatient
Therapy - 05.18.07
- Common
Billing Errors to Avoid when Billing Medicare Carriers - MLN
Matters PDF Document SE0712 - 05.17.07
- Policy and
Payment Changes for Long-Term Care Hospitals For Rate Year 2008 -
05.17.07
- Differentiating
Mass Adjustments From Other Types of Adjustments and Claims for
Crossover Purposes and Revising the Detailed Error Report Special
Provider Notification Letters - MLN
Matters PDF Document MM5472 -
05.16.07
- CMS
Announces the National Provider Identifier (NPI) Enumerator Contractor
and Information on Obtaining NPIs - MLN
Matters PDF Document SE0528 - 05.15.07
- Tennessee
Open CAC - 05.15.07
- North Carolina
Open CAC - 05.15.07
- Idaho Open
CAC - 05.15.07
- Inpatient
Psychiatric Facility Prospective Payment System Fact Sheet -
05.15.07
- Important
Guidance Regarding National Provider Identifier (NPI) Usage in
Medicare Claims - MLN Matters PDF
Document SE0659 - 05.15.07
- May 13-19,
2007 is National Women's Health Week -
05.15.07
- Revisions
to Incomplete or Invalid Claims Instructions Necessary to Implement
the Revised Health Insurance Claim Form CMS-1500 (Version 8/05) - MLN
Matters PDF Document MM5391 - 05.15.07
- Extension
for Acceptance of Form CMS-1500 (12-90) - MLN
Matters PDF Document MM5568 - 05.15.07
- Encore Presentation
for May 10th NPI Roundtable - 05.14.07
- Comprehensive
Error Rate Testing (CERT) Documentation Pointers -
05.14.07
- Provider
Authentication Requirements for Telephone and Written Inquires
during the Medicare FFS National Provider Identifier (NPI) Contingency
Plan - MLN Matters PDF Document SE0721 -
05.14.07
- Additional
Requirements Necessary to Implement the Revised Health Insurance
Claim Form CMS-1500 - MLN Matters
PDF Document MM5060 - 05.14.07
- Modification
to the Model Medicare Redetermination Notice (MRN) (for partly
or fully unfavorable redeterminations) and the Administrative
Law Judge (ALJ) Filing Locations Where the Place of Service Was
in Delaware, Kentucky, Puerto Rico, Virginia, &/or the US Virgin
Islands - MLN Matters PDF Document
MM5554 - 05.14.07
- The LCD for Arthrocentesis, Aspirations, and/or Joint Injections
has been revised for Idaho (L15602) and North Carolina (L5680)
effective May 16, 2007. To view the changes, please visit
the CMS website. - 05.14.07
- New Name for
Your Provider Number - 05.11.07
- CMS Proposes
Payment, Policy Changes for Inpatient Rehabilitation Facilities
in Fiscal Year 2008 - 05.10.07
- Disclosure
Desk Reference for Provider Contact Centers - MLN
Matters PDF Document MM5089 - 05.10.07
- Special Open
Door Forum: Amendments to Hospital Conditions of Participation
Concerning Patient Restraint/Seclusion -
05.10.07
- Stage
2 Requirements for Use and Editing of National Provider Identifier
(NPI) Numbers Received in Electronic Data Interchange Transactions,
via Direct Data Entry Screens or Paper Claim Forms - MLN
Matters PDF Document MM4023 - 05.10.07
- Stage
2 National Provider Identifier (NPI) Changes for Transaction
835, and Standard Paper Remittance Advice, and Changes in Medicare
Claims Processing Manual, Chapter 22 - Remittance Advice - MLN
Matters PDF Document MM5081 - 05.10.07
- Modification
of National Provider Identifier (NPI) Editing Requirements in
CR4023 and an Attachment to CR4320 - MLN
Matters PDF Document MM5229 - 05.10.07
- LCD for Electrodiagnostic
Testing: Nerve Conduction Studies (NCS) & Electromyography
(EMG) Revised – Covered ICD-9 Diagnosis Codes Added -
05.10.07
- Announcement
of Redesigned National Provider Identifier -
05.10.07
- CMS Announces
Policy and Payment Changes for Long-Term Care Hospitals for Rate
Year 2008 - 05.09.07
- REMINDER -
Medicare Fee-For-Service (FFS) NPI Contingency Plan Roundtable
on May 10th - 05.09.07
- Claims
Submitted With Only a National Provider Identifier (NPI) During
the Stage 2 NPI Transition Period - MLN
Matters PDF Document MM5378 - 05.09.07
- Announcement
Regarding Part B Paid Claims that Overlap Non-Pay SNF Claims -
05.09.07
- Provider
Education for Handling Issues Related to Deceased Providers - MLN
Matters PDF Document MM5508 - 05.09.07
- Reporting
the National Provider Identifier (NPI) on Physician Claims for
Clinical Diagnostic Ser
