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Medicare MAC News
Week of October 19th to the 23rd
Jump to your News!
Palmetto GBA
CGS
Noridian
WPS
NGS
Novitas
First Coast
Palmetto GBA
Home Health & Hospice
October 19 - Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
October 22 - JM Hospice MACtoberfest - October 28-29
October 23 - Non-Cancer Length of Stay (NCLOS) Rates
JJ Part A
October 19 - Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)
October 19 - Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2021 and Productivity Adjustment
October 20 - How do I bill my claims when a patient revokes or elects hospice coverage during his/her inpatient stay?
October 22 - Change to the Payment of Allogeneic Stem Cell Acquisition Services
JJ Part B
October 16 - New waived tests
JJ Part B
Nothing to report
JM Part A
Nothing to report
JM Part B
Nothing to report
Palmetto National Supplier Clearinghouse MAC
October 22 - COVID-19 Information
Top
CGS
Home Health & Hospice
October 19 - Medicare Credit Balance Quarterly Reminder
October 20 - Home Health Ordering/Referring Requirements
October 20 - Enforcement Discretion Relating to Certain Pharmacy Billing
October 20 - Updated 2021 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Appeals
October 20 - EDI Connection
J15 Part A
October 19 - Submit Medicare GME Affiliation Agreements during COVID-19 PHE by January 1
October 20 - Hospital Price Transparency
J15 Part B
Nothing new to report
JC DME
October 21 - Intravenous Immune Globulin Demonstration Ending: Important Information for IVIG and Infusion Suppliers
October 22 - Ankle-Foot Orthoses – Arizona-Type – Correct Coding – REVISED
October 22 - Correct Use of Not Otherwise Specified L-codes for Orthoses and Prostheses – Billing Reminder
JB DME
Nothing new to report
Top
Noridian
General news
Nothing new to report
JE Part A
October 19 - Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) - Revised
October 20 - AIF for CY 2021 and Productivity Adjustment
October 20 - Cost Report: New Bulk e-Filing Feature CMS Webcast October 29
October 20 - Medicare A News JE October 2020 Bulletin - Now Available
October 20 - Retroactive Prior Authorization Request (PAR) Process for Certain Hospital Outpatient Department (OPD) Services Rendered in the Emergency Department (ED) will Follow Expedited Process
October 21 - Accelerated and Advance Payment (AAP) Program Updates Webinars
October 21 - MolDX: Pharmacogenomics Testing - R1
October 21 - Lumbar Epidural Injections LCD - R7
October 22 - Change to the Payment of Allogeneic Stem Cell Acquisition Services - Revised
October 22 - MolDX: Melanoma Risk Stratification Molecular Testing - Effective December 06, 2020
October 22 - MolDX: Blood Product Molecular Antigen Typing - Effective December 06, 2020
October 22 - MolDX: AlloSure or Equivalent Cell-Free DNA Final LCD - Effective December 06, 2020
October 22 - MolDX: Androgen Receptor Variant (AR-V7) Protein Test Final LCD - Effective December 06, 2020
October 22 - MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease - Effective December 06, 2020
JE Part B
October 20 - Retroactive Prior Authorization Request (PAR) Process for Certain Hospital Outpatient Department (OPD) Services Rendered in the Emergency Department (ED) will Follow Expedited Process
JF Part A
See above section, nothing new to report
JF Part B
See above section, nothing new to report
JA DME
October 21 - Claim Denial Rebill, Reopen or Redetermination Webinar - November 19, 2020
October 21 - DME Supplemental Medical Review Contractor Webinar - November 19, 2020
October 21 - Oral Anticancer Drugs Webinar - November 18, 2020
October 21 - Respiratory Assist Device (RAD) Webinar - November 19, 2020
October 22 - Correct use of Not Otherwise Specified L-codes for Orthoses and Prostheses - Billing Reminder
October 22 - Ankle-Foot Orthoses - Arizona-Type - Correct Coding - REVISED
JD DME
See above section, nothing new to report
Top
Wisconsin Physicians Service Government Health Administrators (WPS)
J5 Part A
Nothing new to report
J5 Part B
Nothing new to report
J8 Part A
October 19 - Transcatheter Aortic Valve Replacement (TAVR) – CERT Errors
J8 Part B
Nothing new to report
Top
NGS
J6 Home Health
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
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