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Medicare Part A
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Date Headline
10.26.2009 Important Information Regarding Upcoming Part A Provider Revalidation Activities 
10.21.2009 Billing Observation Services 
10.14.2009 Attention June 30 Fiscal Year End Providers 
10.08.2009 Article CR 6426: Instructions on utilizing Institutional CAS Segments for Medicare Secondary Payer (MSP) Part A Claims 
10.06.2009 Preliminary FY 2011 Wage Index PUF, Revisions Deadline for FY 2011 Wage Index & FY 2011 Wage Timetable 
09.15.2009 New HCPCS Codes G9141 and G9142 
09.09.2009 Credit Balance reports for quarter ending September 30, 2009 
09.02.2009 Attention Part A Providers Receiving Electronic Funds Transfer Payments 
08.18.2009 Skilled Nursing Facility (SNF) Billing for Screening Mammography Services Performed ‘Under Arrangement’ 
08.12.2009 ATTENTION Part A and Part B EDI CLEARINGHOUSES AND BILLING SOFTWARE VENDORS 
08.12.2009 Attention Part A Providers Receiving Electronic Funds Transfer Payments 
08.10.2009 Attention PC-ACE Pro32 Customers: New PC-ACE Pro32 Version 2.14 Upgrade Available via Internet Download - UPGRADE NOW! 
07.31.2009 Physician Signature Requirements for Diagnostic Testing 
07.27.2009 Position on the Necessity of E/M Services Submitted as a Component Service of Anti-Coagulation Management
07.23.2009 CMS' Dedicated Website for Information & Education on Versions 5010, D.0 and 3.0 Now Available!  5010: Taking EDI to the Next Level
07.22.2009 Outpatient Psychiatric Services 
07.22.2009 Admission Questions to Ask Medicare Beneficiaries 
07.22.2009 Medicare Bad Debt Payments 
07.22.2009 Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments under the Outpatient Prospective Payment System (OPPS) 
07.14.2009 Availability of the Preliminary Federal Fiscal Year (FY) 2009 Wage Index Public Use Files PUFs), Deadline for Requesting Revisions to the Preliminary FY 2009 Wage Index Data, and FY 2009 Wage Index Development Timetable
07.14.2009 Disproportionate Share Hospital (DSH) Adjustment
07.14.2009 Requirements for Written Agreements for Residency Training in Non-Hospital Settings
07.14.2009 Availability of the Final Federal Fiscal Year (FY) 2008 Wage Index Data Public Use Files and Deadline for Requesting Corrections to the Data
07.14.2009 Requirements for Counting and Appropriate Documentation of FTE Residents for IME & GME: CMS Clarification 
07.14.2009 Availability of the Proposed Federal Fiscal Year (FY) 2008 Wage Index Public Use Files (PUFs) and Deadline for Requesting Corrections to the Wage Index Data 
07.14.2009 Medicare Wage Index Occupational Mix Survey 

07.14.2009

Wage Index Public Use File and Revised FY 2007 Wage Index Development Timetable 
07.14.2009 Finalizing the FY 2007 Wage Index – Worksheet S-3 Wage Data Public Use File (PUF) Availability and Limited Correction Process 
07.14.2009 Supplemental Instructions for the Medicare Wage Index Occupational Mix Survey (Form CMS-10079 (2006)) for the FY 2007 Wage Index 
07.14.2009 FY 2008 Wage Index Preliminary Files and Revision Process 
07.02.2009 Entering Data into the Minimum Data Set (MDS) 
06.30.2009 Credit Balance Reports for quarter ending June 30, 2009 
06.29/2009 ESRD Beneficiary Selection (CMS-382) Form 
06.26.2009 REMINDER: 050 Online RTP Report is effective June 29, 2009 
06.25.2009 CMS notification relating to Crossover Claims 
06.12.2009 FISS DDE Screen Changes Effective July 6, 2009 
06.10.2009 Questions Concerning Medicare Advantage Plans and the Medicare Cost Report 
06.10.2009 Adjustments to Health Insurance Prospective Payment System (HIPPS) Codes Resulting From Long Term Care Resident Assessment Instrument (RAI) Corrections 
05.26.2009 Inpatient Rehabilitation Facility Services (IRF) Requirements 
05.26.2009 Medical Necessity for Inpatient Rehabilitation Facility Services (IRF) 
05.26.2009 The Need for Accurate, Complete and Timely Responses to Additional Development Requests (ADRs) 
05.26.2009 Update of ICD-9 CM Codes for ESRD Billing (Hospital) 
05.19.2009 Important FISS Merge Information 
05.19.2009 FISS Merge Reminder 
05.18.2009 New Appeals Center and Reference Manual Now Online! 
05.14.2009 FISS DDE Online Screen Changes 
05.13.2009 Internet-based PECOS (PECOS Web) 
05.11.2009 Availability of the Final Federal Fiscal Year (FY) 2010 Wage Index Data Public Use Files 
05.08.2009 Billing Acute Inpatient Non-Covered Provider Liable Days
04.27.2009 New Jersey Claim Review on HCPC 95810 and 95811
04.21.2009 FISS DDE Screen Changes Effective July 6, 2009
04.15.2009 Reminder: Skilled Nursing Facility Consolidated Billing (SNF CB) and Physician/Non-physician Practitioners Billing Requirements 
04.08.2009 New Jersey Claim Review of HCPCs 85025 and 36415
03.27.2009 Credit Balance Reports for quarter ending March 31, 2009
03.24.2009 Order Information for the Expanded Modified MedPAR
03.24.2009 HHS Makes $268 Million in Recovery Act Funding Available to Support Hospitals Serving Uninsured, Vulnerable Americans
03.19.2009 Skilled Nursing Facility (SNF) Benefits Exhaust
03.19.2009 Non-covered Charges Claims
03.18.2009 March 24th is Diabetes Alert Day
03.17.2009 National Patient Safety Awareness
03.04.2009 March is National Nutrition Month!
03.04.2009 March is National Colorectal Cancer Awareness Month
03.02.2009 Important Announcement for Teaching Hospitals, Hospice Providers and Long Term Care Hospitals
02.24.2009 PUFs Availability & Correction Process - FY 2010 Wage Index
02.23.2009 Availability of Five Star Preview Reports
02.11.2009 New Jersey Claim Review on HCPCS 80053 and 36415
02.10.2009 Attention PC-ACE Pro32 Customers 
02.05.2009 February is American Heart Month
01.29.2009 Special Open Door Forum: Medicare Classification Criteria for Inpatient Rehabilitation Facilities
01.28.2009 New Provider Enrollment Requirements
01.22.2009 CMS Announces Implementation of Renal CROWNWeb System 
01.22.2009 MEDICARE SOLICITS NOMINEES FOR THE ADVISORY PANEL ON AMBULATORY PAYMENT CLASSIFICATION GROUPS 
01.07.2009 Glaucoma Awareness Month 
01.07.2009 Review of Negative Pressure Wound Therapy (NPWT) Devices 
01.06.2009 Medicare Contractor Inpatient and Long Term Care Hospital Medical Review Initiatives
12.30.2008 Article: Routine Foot Care 
12.30.2008 Internet-Based Medicare Enrollment Expanded for Medicare Physicians & Non-Physician Practitioners
12.23.2008 Conditional MSP Claims - Revision
12.22.2008 Medicare Learning Network Products
12.22.2008 ICD-10 2009 Files
12.19.2008 FISS Zip Code Inquiry Screen Change 
12.11.2008 Written Clarification on Medicare for Patients and Providers Act of 2008 (MIPPA)
12.11.2008 What's New for Medicare Fee-for-Service (FFS) Providers on the CMS Website?
12.11.2008 Christmas and New Year's Day Holiday EDI Schedule
12.09.2008 Advanced Practice Nursing & Physician Assistants Web Page
12.09.2008 Verifying Provider Exclusions 
12.08.2008 New Electronic Mailbox for Submitting Requests to Add or Delete Telehealth Services 
12.08.2008 December 8 – 14, 2008 is National Influenza Vaccination Week
12.02.2008 Physicians and Other Health Professionals Value-Based Purchasing Issues Paper Posted
12.01.2008 The Importance of Documentation
11.25.2008 Feedback about the Competitive Acquisition Program (CAP) - A Special Open Door Forum Teleconference
11.25.2008 "Medicare's Practical Guide to the E-Prescribing Incentive Program" is now available online!
11.20.2008 2008 Physician Quality Reporting Initiative National Provider Question & Answer Session
11.19.2008 Gustav and Ike Waivers Expire
11.17.2008 Call for Public Comment to CMS on Preliminary Imaging Efficiency Measures
11.11.2008 Attention All Skilled Nursing Facilities 
11.11.2008 Claims Processing Timeliness Reminder
11.07.2008 Clarification of what Constitutes the Same Issue for Reopenings 
11.07.2008 Attention PC-ACE Customers: New PC-ACE Pro32 Version 1.96 Upgrade Available via Internet Download - UPGRADE NOW!
11.06.2008 November is American Diabetes Month 
11.05.2008 November Flu Shot Reminder 
10.30.2008 Attention All Skilled Nursing Facilities: Highmark Medicare Services has retired the Medical Inform 
10.20.2008 NPPES - Keeping It Safe and Keeping it Updated
10.16.2008 Preparation for a Potential Influenza Pandemic
10.13.2008 Submitting Medical Records for Medical Review of Inpatient Claims
10.10.2008 FY 2010 Hospital Wage Index PUF & Development Timetable
10.07.2008 Medicare Publishes Billing Edits to Reduce Payment Errors
10.01.2008 All Medicare Provider's Billing Medicare Secondary Payer (MSP)
10.01.2008 FISS DDE Screen Change Effective October 6, 2008
09.16.2008 Iowa and Indiana Waivers Expire
09.15.2008 NPPES User Maintenance Tips
09.09.2008 Clarification of Medicare Bad Debt Policy Related to Accounts at a Collection Agency
09.08.2008 Documentation of Not Otherwise Classified (NOC) Codes 
09.03.2008 MEDICARE ENHANCES CONSUMER INFORMATION ON HOSPITAL CARE
08.28.2008 FY 2010 Hospital Wage Index Development Timetable (October 2008 through October 2009)
08.19.2008 CMS End-Stage-Renal-Disease (ESRD) Network External Stakeholder Meetings 
08.07.2008 Conditional MSP Claims 
08.07.2008 August is National Immunization Awareness Month (NIAM)!
08.07.2008 2007 PQRI Final Feedback Reports
08.06.2008 FISS DDE Screen Changes Effective September 2, 2008 (Updated)
07.30.2008 Increased Payment for Ground Ambulance Services Under MIPPA
07.17.2008 Reinstatement of the Moratorium That Allows Independent Laboratories to Bill for the TC of Physician Pathology Services Furnished to Hospital Patients 
07.16.2008 Extension of Therapy Cap Exceptions
07.16.2008 New 2008 Medicare Physician Fee Schedule Payment Rates Effective for Dates of Service July 1, 2008 through December 31, 2008 
07.11.2008 PA Providers Only: Accept/Reject Report to be Replaced
07.07.2008 Questions and Answers (Qs & As) Regarding the Holding of Claims Paid Under the Medicare Physician Fee Schedule (MPFS)
07.02.2008 Credit Balance Reports due July 31, 2008
07.01.2008 Hold Claims Paid Under the Medicare Physician Fee Schedule (MPFS)
06.30.2008 FISS DDE Screen Changes Effective September 2, 2008 
06.27.2008 FISS DDE Screen Changes Effective July 7, 2008 
06.23.2008 July 1 is Coming! Medicare DMEPOS Competitive Bidding Program News
06.03.2008 DMEPOS Competitive Bidding Program - New Educational Products and Upcoming National Provider Call 
06.03.2008

The NPI is here. The NPI is now. Are you using it? NPI News for Medicare FFS Providers

05.30.2008 2008 Physician Quality Reporting Initiative (PQRI) National Provider Conference Call with Question & Answer Session
05.09.2008 Implementation of the 2007-2008 update to the Medicare Wage Index Occupational Mix Survey
05.07.2008 Outpatient Rehabilitation Therapy Services for MD/DC Providers
05.07.2008 Outpatient Rehabilitation Therapy Services for PA Providers
05.07.2008 May is National Osteoporosis Awareness and Prevention Month
05.02.2008 J12 MAC Draft Local Coverage Determinations (LCDs)
05.01.2008 CMS to Host National Education Call on May 13th, 2008, 12:30 - 2:30 p.m. EST
04.16.2008 Probe RH and RM Announcement 
04.02.2008 When to Submit a CMS-855 Form
03.31.2008 Credit Balance Reports due April 30, 2008
03.19.2008 March is National Colorectal Cancer Awareness Month
02.27.2008 Proposed Federal Fiscal Year (FY) 2009 Wage Index Public Use Files (PUFs)
02.26.2008 Bone Mass Measurements
02.26.2008 TEST NPI-only NOW
02.25.2008 Legislative Changes to the 75 Percent Rule for Classifying Inpatient Rehabilitation Facilities (IRFs)
02.19.2008 NPPES Information for Organization Providers and the Importance of "Complete" Medicare Enrollment Applications
02.19.2008 Attention Maryland Provider/Reason Code E9306, 32151 and 19301
02.08.2008 Point of Origin for Admission or Visit, Field Locator 15
02.05.2008 February is "American Heart Month"
02.05.2008 New Look to EDI Enrollment Forms
01.31.2008 DELAY IN POSTING PART A MD/DC & PAFI DRAFT LOCAL COVERAGE DETERMINATIONS (LCDS) FOR COMMENT
01.24.2008 DELAY IN POSTING PART A MD/DC and PAFI DRAFT LOCAL COVERAGE DETERMINATIONS (LCDS) FOR COMMENT
01.22.2008 Competitive Acquisition Program (CAP) - Ask the Contractor Teleconference and Additional Physician Election Period 
01.18.2008 Clarification to Capturing Days on Which Medicare Beneficiaries are Entitled to Medicare Advantage in the Medicare/Supplemental Security Income Fraction (CR5647/MLN5647)
01.16.2008 Medicare Physician Fee Schedule (MPFS) - Clarification from CMS
01.14.2008 Inpatient Rehabilitation Facility (IRF) Service-Specific PCA Review
01.14.2008 Audio conference/Q&A session regarding Durable Medical Equipment, Prosthetics, Orthotics and Supplies
01.11.2008 Partial Hospitalization Programs (PHP)
01.11.2008 Intensity Modulated Radiation Therapy (IMRT)
01.09.2008 Patient Status Codes Billing Errors
01.09.2008 Infliximab
01.08.2008 Medicare Health and Prescription Drug Plan Enrollees Exopected to Experience Smooth Transition to 2008
01.03.2008 Credit Balance Reports due January 31, 2008
12.20.2007 Start Testing Your Medicare Claims Now & Important Reminders
12.14.2007 Delay of Fiscal Intermediary Shared System (FISS) Implementation date for CR 5513, and CR 5653
12.05.2007 NPI Enumerator Clarification
12.05.2007 Medicare Diabetes Coverage
11.28.2007 Important NPI Information - SSNs Should Not be Reported in FOIA
11.27.2007 Update on the Progressive Corrective Action (PCA) Service Wide Review for Sleep Disorder Testing (PA Providers)
11.15.2007 Retirement of Local Coverage Determinations (LCDs)
11.15.2007 SNF PPS Claims that Cross the September 30, 2007 and October 1, 2007 Medicare Fiscal Year (FY)
11.05.2007 Important NPI Information for Medicare Providers
11.05.2007 November is American Diabetes Month
10.29.2007 Duplicative Transplant Registry Fees
10.25.2007 Important NPI Information for Medicare Providers
10.12.2007 Bone Mass Measurements
10.01.2007 Attention PA Providers Only - Duplicate Payment Issue
09.20.2007 Credit Balance Reports due October 31, 2007
08.17.2007 PA Service-Wide Therapy PCA
06.22.2007 Credit Balance Reports due July 31, 2007
06.04.2007 Claims Processing Timeliness Reminder
04.13.2007 HCPCS Codes for Hemophilia Clotting Factors
04.11.2007 Credit Balance Reports due April 30, 2007
03.16.2007 Reason Code W1003 - Unlisted HCPC Codes
01.16.2007 Credit Balance Quarter Ending 12/31/2006
10.27.2006 Results of Recent Medical Review of Therapy Services
10.05.2006 Demand Bills & the Medicare Medical Information Form (MIF)
10.02.2006 Radiation Oncology: Radiation Therapy Treatment and Complimentary Services
09.27.2006 Cardiac Rehabilitation Covered Diagnoses
09.13.2006 Updated Results from the Service-wide Therapy PCA
07.13.2006 Instructions for Processing Skilled Nursing Facility (SNF) Claims Receiving Reason Code W7062
01.01.2006 The Centers for Medicare and Medicaid Services’ ( CMS ) HCPCS Committee changed two of the codes for hemophilia clotting factors with the January 1, 2006 HCPCS update.
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