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March 2008 Medicare B Hotline Bulletin - Read, search, or download the latest issue of our quarterly provider bulletin.
(Posted February 28, 2008) |
Visit this page frequently for new and important Medicare information.
Ask the Contractor Teleconference: Overview of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - for Medicare Fee-for-Service DMEPOS Suppliers, Physicians, and Other Providers - Registration is now open for this new ACT.
(Posted May 13, 2008)
Events - Registration for the June 18, 2008, June 19, 2008, and July 31, 2008, 2008 Medicare Part B Seminar is closed.
(Posted May 13, 2008)
Triesence™ (Triamcinalone Acetonide Injectable Suspension) (GEN)
(Posted May 13, 2008)
Treanda (Bendamustine Hydrochloride) for Injection, for Intravenous Infusion - Coverage Effective March 2, 2008 (GEN)
(Posted May 13, 2008)
Blood-Derived Products for Chronic, Non-Healing Wounds (GEN)
(Posted May 13, 2008)
Ambulance Fee Schedule - Conversion Factor File for CY 2009 Ambulance Inflation Factor (AMB)
(Posted May 13, 2008)
Local Coverage Determinations (LCDs) - LCDs D-92-1 (11A), DR024G04, NE002G01, and OP010G03 have been end-dated.
(Posted May 12, 2008)
Enhanced Search Feature on UMD Web Site (GEN)
(Posted May 9, 2008)
Interactive Voice Response (IVR) Unit Guide Brochure - This brochure was updated to reflect that effective May 23, 2008, providers will be required to supply their National Provider Identifier (NPI) and Provider Transaction Access Number (PTAN) for eligibility and claims status inquiries.
(Posted May 8, 2008)
Prolonged Services (Codes 99354-99359) (NPP) (PHY)
(Posted May 7, 2008)
Provider Authentication by Medicare Provider Contact Centers (GEN)
(Posted May 7, 2008)
Call Center Closed for Training
(Posted May 5, 2008)
Local Coverage Determinations (LCDs) - LCD SU002G04 have been revised. LCD D-95-1 (6) has been end-dated.
(Posted May 5, 2008)
Drugs and Biologicals (GEN)
(Posted May 5, 2008)
Urgent Message for All Medicare Fee-for-Service Institutional Providers That Have Subparts (GEN)
(Posted May 5, 2008)
End of NPI Contingency and Effects on Medicare Payments (GEN)
(Posted May 5, 2008)
Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions (GEN) - Revised 5-5-08.
(Posted May 5, 2008)
Abatacept (Orencia™) (GEN)
(Posted May 5, 2008)
Place of Service (POS) (GEN)
(Posted May 5, 2008)
Underpayment versus Overpayment (GEN)
(Posted May 5, 2008)
Global Surgery (GEN)
(Posted May 5, 2008)
Drug Pricing Updates - New fees for dates of service April 1, 2008, through June 30, 2008. Revised fees for dates of service October 1, 2007, through March 31, 2008.
(Posted May 2, 2008)
New HCPCS Codes for the April 2008 Update (GEN)
(Posted May 2, 2008)
Local Coverage Determinations (LCDs) - LCDs AN002E02, D-99-4 (5A), DR027E00, and L-96-3 (4A) have been end-dated.
(Posted April 28, 2008)
Pre-Pass Edits for Submitters - Updated.
(Posted April 30, 2008)
May 7 is "Legacy Free" Day - An Opportunity to Check Your NPI Readiness! (GEN)
(Posted April 30, 2008)
May 23rd is Only 4 Weeks Away - Are You Prepared? (GEN)
(Posted April 30, 2008)
Local Coverage Determinations (LCDs) - LCD DR007E09 and PM003E09 have been revised. LCDs D-96-4 (5), DR005E04, DR016E03, and DR017E03, DR030E00 have been end-dated.
(Posted April 28, 2008)
Frequently Asked Questions - A listing of FAQs for April 2008
(Posted April 25, 2008)
Clinical Laboratory Fee Schedule - Revised 4-24-08.
(Posted April 24, 2008)
Clinical Laboratory Fee Schedule - Implementation of Section 113 Medicare, Medicaid and State Children's Health Insurance Program (MMSCHIP) Legislation (LAB)
(Posted April 24, 2008)
Important Exceptions and Special Circumstances that Occur Under the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - The Third in a Series of Articles on the New DMEPOS Competitive Bidding Program (DME)
(Posted April 24, 2008)
Medicare Shared Systems Modifications Necessary to Accept and Crossover to Medicaid National Drug Codes (NDCs) and Corresponding Quantities Submitted on CMS-1500 Paper Claims (GEN)
(Posted April 24, 2008)
Exception to 60-Day Limit on Substitute Physician Billing Arrangements for Physicians Called to Active Duty in the Armed Forces Reserves (GEN)
(Posted April 24, 2008)
Nursing Facility Services (Codes 99304-99318) (GEN) (SNF)
(Posted April 24, 2008)
Medicare Remit Easy Print (MREP) Version 2.4 - Version 2.4 is now available.
(Posted April 23, 2008)
April 2008 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes (ASC)
(Posted April 22, 2008)
Local Coverage Determinations (LCDs) - LCD RD019E00 is new. LCDs D-93-5 (1A), D-96-1 (4A), DR013E02, and RD018E00 have been end-dated.
(Posted April 21, 2008)
Use of Professional Society Practice Parameters in Properly Providing Allergen Immunotherapy to Medicare Beneficiaries (GEN)
(Posted April 16, 2008)
Change Request (CR) 5550 Clarification - Signature Requirements (GEN)
(Posted April 16, 2008)
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program: Grandfathering, Repair and Replacement, Mail Order Diabetic Supplies and Advance Beneficiary Notices (ABNs) - The Second in a Series of Articles on the New DMEPOS Competitive Bidding Program (DME)
(Posted April 14, 2008)
Overview of New Medicare Competitive Bidding Program for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - The First in a Series of Articles on the Implementation of this Program (DME)
(Posted April 14, 2008)
NPI Information for All Health Care Providers (GEN)
(Posted April 10, 2008)
Ixempra™ (Ixabepilone) (GEN) - Revised 4-9-08.
(Posted April 9, 2008)
Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications (GEN)
(Posted April 9, 2008)
Delay of Enrollment Requirement for Audiologists (GEN)
(Posted April 9, 2008)
Local Coverage Determinations (LCDs) - LCD SU036E00 is new. LCD CV020E01 has been revised. LCD NE003E00 has been end-dated.
(Posted April 7, 2008)
NPI Information for Medicare Fee-for-Service Providers (GEN)
(Posted April 4, 2008)
April 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (GEN)
(Posted April 4, 2008)
Frequently Asked Questions - An additional FAQ has been added to the list for March 2008.
(Posted April 4, 2008)
April Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) (GEN)
(Posted April 1, 2008)
Web Site for Additions and Deletions of ZIP Codes Requiring a Plus Four ZIP Code Extension (GEN)
(Posted April 1, 2008)
Local Coverage Determinations (LCDs) - LCDs SU015W07 and SU034E01 have been revised. LCD AN003E02 has been end-dated.
(Posted March 28, 2008)
Additional Clarification to Chapter 17, Section 40, Regarding Processing of Drug Claims with the JW Modifier (GEN)
(Posted March 27, 2008)
New Waived Tests (LAB)
(Posted March 27, 2008)
Local Coverage Determinations (LCDs) - LCDs PU004E01, SU033E02, and VS001E13 have been revised. LCDs DR009E04, DR018E03, LB011E02, LB018E00, and SU011G05 have been end-dated.
(Posted March 25, 2008)
Events - Due to a scheduling conflict, the April 2, 2008, Ask the Contractor Teleconference for Local Coverage Determinations (LCDs) has been postponed. A new date will be posted to our events calendar when it is rescheduled.
(Posted March 25, 2008)
PTANs on Remittance and Use With IVR (GEN)
(Posted March 25, 2008)
National Provider Identifier (NPI): What to Do if Your 837P or CMS-1500 Medicare Claim Rejects & More (GEN)
(Posted March 20, 2008)
Healthcare Provider Taxonomy Codes (HPTC) Update – April 2008 (GEN)
(Posted March 20, 2008)
Clarification to Change Request (CR) 5744 - Payment Allowance Update for the Influenza Virus Vaccine CPT 90660 and Further Instruction Regarding the Pneumococcal Vaccine Current Procedural Terminology (CPT) 90669 (GEN) - Revised 3-20-08.
(Posted March 20, 2008)
2008 Physician Quality Reporting Initiative (PQRI) Update (GEN)
(Posted March 20, 2008)
Centralized Billing for Influenza and Pneumococcal Vaccinations (GEN)
(Posted March 20, 2008)
Announcement of the Implementation of the Revised Advance Beneficiary Notice (ABN) (GEN)
(Posted March 20, 2008)
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (GEN)
(Posted March 20, 2008)
Importance of Supplying Correct Provider Identification Information Required in Items 17, 17a, 24K, and 33 of the Form CMS-1500 (12-90), and the Electronic Equivalent – Update (GEN)
(Posted March 20, 2008)
Payment for Inpatient Hospital Visits - General (Codes 99221-99239) (NPP) (PHY)
(Posted March 19, 2008)
Opportunity to Participate in Third Annual Medicare Contractor Provider Satisfaction Survey (MCPSS) Ends in April (GEN)
(Posted March 19, 2008)
Billing Information - The information about "Common Billing Errors" has been revised.
(Posted March 19, 2008)
Local Coverage Determinations (LCDs) - LCD OP001G07 has been revised. LCD LB008E01 has been end-dated.
(Posted March 18, 2008)
Local Coverage Determinations (LCDs) - LCD GU004G04 (LCD only, not Coding Guidelines) has been corrected. LCD SU035E00 (Coding Guidelines only, not LCD) has been revised.
(Posted March 13, 2008)
Additional Information on Reporting a National Provider Identifier (NPI) for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare Claims (GEN) - Revised 3-12-08.
(Posted March 12, 2008)
Collapsing Medicare Provider Transaction Access Numbers (PTANs) to Ensure a One-to-One National Provider Identifier (NPI) Match (GEN)
(Posted March 12, 2008)
Psychological and Neuropsychological Tests - Update (GEN)
(Posted March 12, 2008)
Update to Audiology Policies (GEN)
(Posted March 12, 2008)
Claim Status Category Code and Claim Status Code Update (GEN)
(Posted March 12, 2008)
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits (LAB)
(Posted March 12, 2008)
Practitioners with Limited License (GEN) - Revised 3-10-08.
(Posted March 10, 2008)
HIPAA and Medicare Edit Updates - Edits in production April 2008 have been updated.
(Posted March 7, 2008)
April 2008 Release Information - Updated 3-7-08.
(Posted March 7, 2008)
Events - Registration for the April 23, 2008, Medicare Part B Seminar in Latham (Albany), NY is closed. In addition, the location of the event has changed to LaQunita Inn & Suites.
(Posted March 6, 2008)
2008 Ambulance Fee Schedule (AMB) - The rural allowance for code A0435 has been revised.
(Posted March 6, 2008)
Medicare, Medicaid and State Children's Health Insurance Program (SCHIP) Extension Act of 2007 (MMSEA) Changes to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services (LAB) (PATH) - Revised 3-6-08.
(Posted March 6, 2008)
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