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Medicare MAC News
Week of November 23th to 27th
Jump to your News!
Palmetto GBA
CGS
Noridian
WPS
NGS
Novitas
First Coast
Palmetto GBA
Home Health & Hospice
November 24th - Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2021
November 24th - Implement Operating Rules
November 24th - Claim Status Category and Claim Status Codes Update
November 24th - Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
November 25th - RCD Cycle Transition for Providers in Texas and Illinois Webinar: November 30, 2020
JJ Part A
November 23 - Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies
November 24 - Implementation of Two (2) New NUBC Condition Codes
November 24 - National Coverage Determination (NCD 90.3): Chimeric Antigen Receptor (CAR) T-cell Therapy
November 24 - Claim Status Category and Claim Status Codes Update
November 24 - Remittance Advice Remark Code (RARC)
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
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CGS
Home Health & Hospice
November 24 - VBID Hospice Benefit Component Information Now Available
November 24 - Influenza and Pneumonia Vaccinations in the Home Health and/or Hospice Setting
J15 Part A
See above section, nothing new to report
J15 Part B
See above section, nothing new to report
JC DME
See above section, nothing new to report
JB DME
See above section, nothing new to report
Top
Noridian
General news
Nothing new to report
JE Part A
November 23 - Collaborative Documentation Requirements
November 24 - COVID-19 Roster Billing with PC-ACE
November 24 - RARC, CARC, MREP and PC Print Update
November 24 - Claim Status Category and Claim Status Codes Update
November 24 - Implement Operating Rules
November 24 - Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2021
November 24 - Implementation of Two (2) New NUBC Condition Codes
November 24 - Implementation of Changes in the ESRD PPS and Payment for Dialysis Furnished for AKI in ESRD Facilities for Calendar Year (CY) 2021
November 24 - HH PPS Rate Update for Calendar Year (CY) 2021
November 24 - Overview of the Repetitive, Scheduled Non-emergent Ambulance Prior Authorization Model
November 24 - Billing and Coding: Billing and Coding: Outpatient Therapy Biofeedback Training
November 25 - MolDX: Cystatin C Measurement LCD
November 25 - Billing and Coding: MolDX: Cystatin C Measurement - R2
November 25 - Billing and Coding: MolDX: Genetic Testing for Lynch Syndrome - R5
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
See above section, nothing new to report
JD DME
See above section, nothing new to report
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Wisconsin Physicians Service Government Health Administrators (WPS)
J5 Part A
See above section, nothing new to report
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
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NGS
J6 Home Health
See above section, nothing new to report
J6 Part A
Nothing new to report
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
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Novitas
JL Part A
November 24 - Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021
November 24 - Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2021
November 24 - Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2021
November 24 - 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
November 24 - Implementation of Two (2) New NUBC Condition Codes. Condition Code “90”, “Service Provided as Part of an Expanded Access Approval (EA)” and Condition Code “91”, “Service Provided as Part of an Emergency Use Authorization (EUA)”
November 24 - Claim Status Category and Claim Status Codes Update
November 24 - Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
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