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Medicare MAC News
Week of November 16th to 20th
Jump to your News!
Palmetto GBA
CGS
Noridian
WPS
NGS
Novitas
First Coast
Palmetto GBA
Home Health & Hospice
November 18th - Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, Value-Based Insurance Design (VBID) Model, for Participating Medicare Advantage Organizations (MAOs)
November 18th - Provider Payments During the Holidays
November 18th - VBID Hospice Benefit Component Information Now Available
November 19th - MLN Connects
November 19th - CERT Contractor Email Addresses
JJ Part A
November 18 - Update to Vaccine Services Editing
November 18 - Changes to the End Stage Renal Disease (ESRD) PRICER to Accept the New Outpatient Provider Specific File Supplemental Wage Index Fields, the Network Reduction Calculation and New Value Code for Time on Machine
November 18 - National Coverage Determination (NCD 90.3): Chimeric Antigen Receptor (CAR) T-cell Therapy
JJ Part B
JJ/JM Surgical Services: 66984 - Extracapsular Cataract Removal with Insertion
November 18 - Update to Vaccine Services Editing
November 18 - Changes to the End Stage Renal Disease (ESRD) PRICER to Accept the New Outpatient Provider Specific File Supplemental Wage Index Fields, the Network Reduction Calculation and New Value Code for Time on Machine
November 18 - National Coverage Determination (NCD 90.3): Chimeric Antigen Receptor (CAR) T-cell Therapy
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 16 - Voluntary Refunds - 2020
November 17 - Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, Value-Based Insurance Design (VBID) Model, for Participating Medicare Advantage Organizations (MAOs)
November 18 - Hospice Self-Determined Cap Changes
J15 Part A
November 16 - Practitioners! Are You Ordering Durable Medical Equipment, Prosthetics, Orthotics, or Supplies (DMEPOS) for Your Patients?
November 18 - National Coverage Determination (NCD 90.3): Chimeric Antigen Receptor (CAR) T-cell Therapy
J15 Part B
See above section, nothing new to report
JC DME
November 16 - Enrollment Policies for Home Infusion Therapy (HIT) Suppliers
November 16 - Billing Reminder GW Modifier
November 20 - Formal Telephone Discussion Demonstration Implements Zoom for Healthcare Audio Conference Calls
JB DME
See above section, nothing new to report
Top
Noridian
General news
Nothing new to report
JE Part A
November 16 - Billing and Coding: MolDX CFTR Gene Analysis Retirement
November 17 - COVID-19 Roster Billing with PC-ACE
November 18 - Changes to the ESRD PRICER to Accept the New Outpatient Provider Specific File Supplemental Wage Index Fields, the Network Reduction Calculation and New Value Code for Time on Machine
November 18 - Update to Vaccine Services Editing
November 18 - Billing for Home Infusion Therapy Services on or After January 1, 2021 - Revised
November 18 - Provider-Based Billing: Practice Location Address Requirements Webinar - December 17, 2020
November 19 - CMS Releases Nursing Home COVID-19 Training Data with Urgent Call to Action
November 19 - National Coverage Determination (NCD 90.3): CAR T-cell Therapy
November 20 - Billing and Coding: Chemotherapy Administration - R28
November 20 - Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies - Rescinded
JE Part B
See above section, nothing new to report
JF Part A
See above section, nothing new to report
JF Part B
See above section, nothing new to report
JA DME
November 18 - Competitive Bid Round 2021 Webinar - December 15, 2020
November 18 - Competitive Bid Round 2021 Webinar - December 2, 2020
November 18 - Power Mobility Devices Part 2 - Documentation Webinar - December 15, 202
November 18 - Power Mobility Devices Part 1 - Coverage and Coding Webinar - December 14, 2020
November 18 - Wheelchair Options, Accessories and Seating Webinar - December 16, 2020
November 18 - Billing for Home Infusion Therapy Services on or After January 1, 2021 - Revised
November 18 - Weekly Educational Events - Week of November 23 through November 27
November 19 - Policy Article Revisions Summary for November 19, 2020
November 19 - GW Modifier Billing Reminder
November 19 - Overpayment Inquiry and Overpayment Tutorials Available within NMP - Save Time and Resources
JD DME
See above section, nothing new to report
Top
Wisconsin Physicians Service Government Health Administrators (WPS)
J5 Part A
November 20 - December 2020 Local Coverage Determination (LCD) and Billing and Coding/Policy Article Updates
November 20 - Accreditation Required for Sleep Studies/Polysomnography Services - UPDATE
November 20 - CERT Review Results
November 20 - Prior Authorization for Hospital Outpatient Department Services (HOPD) Request Form
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
November 17 - IRECT MAILING NOTIFICATION TO HOSPICE PROVIDERS REGARDING THE HOSPICE BENEFIT COMPONENT, VALUE-BASED INSURANCE DESIGN (VBID) MODEL, FOR PARTICIPATING MEDICARE ADVANTAGE ORGANIZATIONS (MAOS)
November 18 - 2020 CHANGES DRIVEN BY YOU – NATIONAL GOVERNMENT SERVICES SELF-SERVICE TOOLS
November 20 - VBID HOSPICE BENEFIT COMPONENT INFORMATION NOW AVAILABLE
J6 Part A
Nothing new to report
J6 Part B
November 19 - MEDICARE DIABETES PROGRAMS
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
Nothing new to report
JL Part B
Nothing new to report
JH Part A
Nothing new to report
JH Part B
Nothing new to report
Top
First Coast
JN Part A
Nothing new to report
JN Part B
Nothing new to report