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Medicare MAC News
Week of November 2nd to 6th
Jump to your News!
Palmetto GBA
CGS
Noridian
WPS
NGS
Novitas
First Coast
Palmetto GBA
Home Health & Hospice
November 2nd - Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update
JJ Part A
November 2 - Special Provisions for Radiology Additional Documentation Requests
November 5 - International Classification of Diseases, 10th Revision (ICD10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021
JJ Part B
See above section, nothing new to report
JJ Part B
See above section, nothing new to report
JM Part A
See above section, nothing new to report
JM Part B
See above section, nothing new to report
Palmetto National Supplier Clearinghouse MAC
See above section, nothing new to report
Top
CGS
Home Health & Hospice
November 3 - ESRD & Home Health Payment Rules
J15 Part A
November 5 - Clinicians: Are You Ordering Oxygen for Your Patient?
J15 Part B
November 5 - Clinicians Ordering Oxygen and Oxygen Equipment – Reference Guide with Information for the COVID-19 Public Health Emergency (PHE)
JC DME
November 5 - Nurse Practitioners and Physician Assistants as Certifying Physicians for Therapeutic Shoes and Inserts
November 5 - Primary Care First Model Demonstration Project - Nurse Practitioners as Certifying Physicians for Therapeutic Shoes and Inserts
JB DME
See above section, nothing new to report
Top
Noridian
General news
Nothing new to report
JE Part A
November 2 - Quarterly Update to the MPFSDB - October 2020 Update Revised
November 2 - Special Provisions for Radiology Additional Documentation Requests
November 3 - MLN Connects Special Edition - November 3, 2020 - ESRD & Home Health Payment Rules
November 3 - Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) Final LCD; Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) Final LCD and LCA Effective January 10, 2021
November 5 - Hospital Discharge Status Assistance
November 6 - Computed Tomography Cerebral Perfusion Analysis (CTP) Final LCD; Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) Final LCA-Effective December 13, 2020
November 6 - How to Recognize an SMRC Audit
JE Part B
November 2 - Quarterly Update to the MPFSDB - October 2020 Update Revised
November 2 - Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment Policies for HIT Suppliers
November 2 - Special Provisions for Radiology Additional Documentation Requests
November 3 - Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) Final LCD; Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) Final LCD and LCA Effective January 10, 2021
November 5 - International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to NCDs -- April 2021
November 5 - Medicare Diabetes Prevention Program Enrollment Webinar - December 9, 2020
JF Part A
See above section, nothing new to report
JF Part B
See above section, nothing new to report
JA DME
November 3 - Lower Limb Prosthesis Prior Authorization Webinar - December 3, 2020
November 3 - Insulin and Insulin Infusion Pumps Webinar - December 2, 2020
November 3 - Same and Similar - DME Webinar - December 2, 2020
November 3 - Oxygen and Oxygen Equipment Webinar - December 1, 2020
November 3 - External Infusion Pumps Webinar - December 3, 2020
November 4 - IVIG Demo Conclusion and Next Steps Webinar - November 23, 2020
November 4 - IVIG Demonstration Conclusion and Next Steps Webinar - November 23, 2020
October 16 - Hospital Bed DME on Demands
November 5 - Primary Care First Model Demonstration Project - Nurse Practitioners as Certifying Physicians for Therapeutic Shoes and Inserts
November 5 - Nurse Practitioners and Physician Assistants as Certifying Physicians for Therapeutic Shoes and Inserts
JD DME
See above section, nothing new to report
Top
Wisconsin Physicians Service Government Health Administrators (WPS)
J5 Part A
November 2 - Comprehensive Error Rate Testing (CERT) A/B MAC Task Force Collaboration
November 2 - Delayed Pass-Through Payments and Periodic Interim Payments Due to Veterans Day Holiday
November 2 - Cost Report Filing Reminder
November 2 - Medicare Cost Report E-Filing (MCReF) and Fiscal Year End June 30, 2020, Cost Reports
J5 Part B
See above section, nothing new to report
J8 Part A
See above section, nothing new to report
J8 Part B
See above section, nothing new to report
Top
NGS
J6 Home Health
Nothing new to report
J6 Part A
November 2 - CLARIFICATION ON THE PROPER USE OF THE CS MODIFIER
J6 Part B
Nothing new to report
JK Home Health
Nothing new to report
JK Part A
Nothing new to report
JK Part B
Nothing new to report
Top
Novitas
JL Part A
November 4 - Issues, Denials, Rejections & Top Errors
JL Part B
November 4 - Avastin for ophthalmological use, J7999
November 4 - International Classification of Diseases, 10th Revision (ICD10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021
JH Part A
Nothing new to report
JH Part B
November 4 - International Classification of Diseases, 10th Revision (ICD10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021
Top
First Coast
JN Part A
Nothing new to report
JN Part B
November 2 - Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment Policies for Home Infusion Therapy (HIT) Suppliers
November 2 - Special Provisions for Radiology Additional Documentation Requests
November 2 - Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update