MLN Articles

Palmetto GBA maintains links recent released/revised CMS MLN Matters articles.  All MLN Matters articles will continue to be available on the CMS MLN Matters website.

Latest Articles

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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 Open in New Window10/14/2019
October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) Open in New Window10/09/2019
Provider Enrollment Rebuttal Process Open in New Window10/02/2019
January 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files Open in New Window10/01/2019
October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files Open in New Window09/19/2019
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2019 Update Open in New Window09/19/2019
2019-2020 Influenza (Flu) Resources for Health Care Professionals Open in New Window09/10/2019
Hurricane Dorian and Medicare Disaster Related State of North Carolina Claims Open in New Window09/06/2019
Hurricane Dorian and Medicare Disaster Related States of Georgia and South Carolina Claims Open in New Window09/05/2019
2020 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update Open in New Window09/04/2019
Hurricane Dorian and Medicare Disaster Related State of Florida Claims Open in New Window09/04/2019
October 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.3 Open in New Window09/04/2019
October Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Open in New Window09/04/2019
Implementation to Exchange the List of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System Open in New Window08/28/2019
Claim Status Category and Claim Status Codes Update Open in New Window08/26/2019
Healthcare Provider Taxonomy Codes (HPTCs) October 2019 Code set Update Open in New Window08/26/2019
Home Health (HH) Patient-Driven Groupings Model (PDGM) - Revised and Additional Manual Instructions Open in New Window08/26/2019
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 Open in New Window08/26/2019
New Documentation Requirements for Filing Medicare Cost Reports Open in New Window08/26/2019
Medicare Coverable Services for Integrative and Nonpharmacological Chronic Pain Management Open in New Window08/21/2019
New Medicare Beneficiary Identifier (MBI) Get It, Use It Open in New Window08/21/2019
Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2020 Open in New Window08/21/2019
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2019 Update Open in New Window08/19/2019
Modification to the National Coordination of Benefits Agreement (COBA) Crossover Process Open in New Window08/06/2019
Oxygen Policy Update Open in New Window08/06/2019
Tropical Storm Barry and Medicare Disaster Related Louisiana Claims Open in New Window07/16/2019
Update to Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home Open in New Window07/16/2019
Medicare Plans to Modernize Payment Grouping and Code Editor Software Open in New Window07/11/2019
Reduce Risk of Opioid Overdose Deaths by Avoiding and Reducing Co-Prescribing Benzodiazepines Open in New Window07/11/2019
July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 Open in New Window07/05/2019
July Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Open in New Window07/03/2019
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2019 Update Open in New Window06/27/2019
Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device Open in New Window06/12/2019
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 Open in New Window06/11/2019
July 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) Open in New Window06/03/2019
Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions Open in New Window05/29/2019
Additional Processing Instructions to Update the Standard Paper Remit (SPR) Open in New Window05/23/2019
Claim Status Category and Claim Status Codes Update Open in New Window05/21/2019
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update Open in New Window05/21/2019
Documentation of Evaluation and Management Services of Teaching Physicians Open in New Window05/06/2019
Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions Open in New Window05/06/2019
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2019 Update Open in New Window05/06/2019
Pub. 100-04, Chapter 29 - Appeals of Claims Decisions - Revisions Open in New Window04/16/2019
Evaluation and Management (E/M) When Performed with Superficial Radiation Treatment Open in New Window03/29/2019
July 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files Open in New Window03/27/2019
Manual Updates Related to Home Health Certification and Recertification Policy Changes Open in New Window03/25/2019
April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) Open in New Window03/20/2019
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2019 Update Open in New Window03/20/2019
April 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.1 Open in New Window03/18/2019
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update Open in New Window03/18/2019
Ensuring Only the Active Billing Hospice Can Submit a Revocation Open in New Window03/15/2019
April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Open in New Window02/20/2019
Healthcare Provider Taxonomy Codes (HPTCs) April 2019 Code Set Update Open in New Window02/20/2019
Home Health Patient-Driven Groupings Model (PDGM) - Spilt Implementation Open in New Window02/20/2019
Local Coverage Determinations (LCDs) Open in New Window02/19/2019
What New Home Health Agencies (HHAs) Need to Know About Being Placed in a Provisional Period of Enhanced Oversight Open in New Window02/19/2019
Common Working File (CWF) Provider Queries National Provider Identifier (NPI) Verification Open in New Window02/06/2019
Processing Instructions to Update the Standard Paper Remit (SPR) Open in New Window02/05/2019
April 2019 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files Open in New Window01/29/2019
Updates to Reflect Removal of Functional Reporting Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018 Open in New Window01/29/2019
Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Open in New Window01/23/2019
January 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) Open in New Window01/23/2019
Medicare Claims Processing Manual, Chapter 30 Revisions Open in New Window01/14/2019
Home Health Rural Add-on Payments Based on County of Residence Open in New Window01/03/2019
January 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.0 Open in New Window12/27/2018
New Search Features Added to Fiscal Intermediary Shared System (FISS)/Direct Data Entry (DDE) Open in New Window12/27/2018
New Physician Specialty Code for Undersea and Hyperbaric Medicine Open in New Window12/21/2018
Quarterly Influenza Virus Vaccine Code Update - January 2019 Open in New Window12/17/2018
Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims Open in New Window12/13/2018
Annual Update to the Per-Beneficiary Therapy Amounts Open in New Window12/05/2018
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 Open in New Window12/04/2018
Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcemen Open in New Window11/20/2018
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update Open in New Window11/20/2018
Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2019 Open in New Window11/19/2018
User CR: Fiscal Intermediary Shared System (FISS) - Implementation of the Molecular Diagnostic Services (MolDX) Open in New Window11/14/2018
Certifying Patients for the Medicare Home Health Benefit Open in New Window11/07/2018
Medicare Cost Report E-Filing (MCReF) Open in New Window11/07/2018
Update to Medicare Deductible, Coinsurance and Premium Rates for 2019 Open in New Window11/07/2018
A Prescriber's Guide to the New Medicare Part D Opioid Overutilization Policies for 2019 Open in New Window11/02/2018
Redesign of Hospice Periods - Additional Requirements Open in New Window10/29/2018
Manual Updates Related to Payment Policy Changes Affecting the Hospice Aggregate Cap Calculation and the Designation of Hospice Attending Physicians Open in New Window09/17/2018
Revisions to the Telehealth Billing Requirements for Distant Site Services Open in New Window09/07/2018
Reminder on Billing Requirements Implemented for non-OPPS Providers Open in New Window09/05/2018
Recent and Upcoming Improvements in Hospice Billing and Claims Processing Open in New Window08/21/2018
Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims Open in New Window01/22/2018
   

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