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DateHeadline
05.07.2008May is National Osteoporosis Awareness and Prevention Month
05.02.2008J12 MAC Draft Local Coverage Determinations (LCDs)
05.01.2008CMS to Host National Education Call on May 13th, 2008, 12:30 - 2:30 p.m. EST
04.29.2008Audiologists Billing Medicare 
04.02.2008When to Submit a CMS-855 Form
03.19.2008March is National Colorectal Cancer Awareness Month
03.12.2008Medicare Acceptance and Crossover to Medicaid the National Drug Codes (NDC) and Corresponding Quantities submitted on the CMS-1500 Claim Form
03.03.2008Revised Edit Message for NPI Edits M389 – M392
02.28.2008Timed Therapy Codes
02.26.2008Bone Mass Measurements
02.26.2008

Reminder - Effective March 1, 2008, when required for Medicare claim submission, all 837P and CMS-1500 claims must have an NPI or NPI/legacy pair in the required primary provider fields. Failure to include an NPI will cause the claim to reject.

02.21.2008Initial Hospital Observation Care Billing
02.21.2008Hospital Discharge Day Management Codes 99238 and 99239
02.21.2008Consultations Often Billed Incorrectly
02.19.2008NPPES Information for Organization Providers and the Importance of "Complete" Medicare Enrollment Applications
02.18.2008Getting an NPI is free - Not Having One Can Be Costly.
02.06.2008Medicare Part B Drug Competitive Acquisition Program (CAP): Additional Physician Election Period for 2008 is Underway!
02.05.2008February is "American Heart Month"
02.05.2008New Look to EDI Enrollment Forms
02.04.2008Correction to Calendar Year (CY) 2008 Ambulatory Surgical Center (ASC) Payment for Brachytherapy Sources
01.31.2008Delay In Posting Part B Draft Local Coverage Determinations (LCDs) For Comment
01.30.2008New Edits for Prior Authorization or Referral Claims
01.29.2008Attention Part B Providers: The NPI is Required Effective March 1, 2008
01.22.2008Competitive Acquisition Program (CAP) - Ask the Contractor Teleconference and Additional Physician Election Period 
01.16.2008Medicare Physician Fee Schedule (MPFS) - Clarification from CMS
01.16.2008Medicare Part B Drug Competitive Acquisition Program (CAP): Additional 2008 Physician Election Period and Impact on Carriers
01.15.2008Reduce practice expenses – Stop duplicate submissions
01.14.2008Audio conference/Q&A session regarding Durable Medical Equipment, Prosthetics, Orthotics and Supplies
01.11.2008New NPI Edits for Secondary Providers
01.08.2008Medicare Competitive Acquisition Program (CAP) for Physicians Updates
01.08.2008

MEDICARE HEALTH AND PRESCRIPTION DRUG PLAN ENROLLEES EXPECTED TO EXPERIENCE SMOOTH TRANSITION TO 2008

01.07.2008January is National Glaucoma Awareness Month 
01.07.2008Reporting for the 2008 Physician Quality Reporting Initiative (PQRI) begins January 1, 2008
12.20.2007Start Testing Your Medicare Claims Now & Important Reminders
12.06.20072008 Physician Quality Reporting Initiative (PQRI) National Provider Question & Answer Session
12.05.2007NPI Enumerator Clarification
12.05.2007Medicare Diabetes Coverage
11.29.2007New Edits for Incorrect Reporting of the Organization Name
11.28.2007Important NPI Information 
11.15.2007Retirement of Local Coverage Determinations (LCDs) 
11.08.20072007 Physician Quality Reporting Initiative (PQRI) Update 
11.05.2007Important NPI Information for Medicare Providers 
11.05.2007November is American Diabetes Month 
10.25.2007Important NPI Information for Medicare Providers 
10.18.2007New NPI Rejections Effective October 29, 2007 
10.12.2007Bone Mass Measurements 
10.09.2007Coding for Stripping Keratoplasty Procedures 
07.30.2007Update on Payment for PET Scan Radioactive Tracers 
07.11.2007Notifying Affected Parties Regarding Changes to the Mandatory (“Claim-Based”) Crossover Process 
06.26.2007RedPath - PathFinder TG 
06.13.2007Oncologic In Vitro Chemoresponse Assays 
05.21.2007Speed payment of MSP claims 
10.03.2006October is National Breast Cancer Awareness Month (NBCAM) 
09.13.2006Medicare Provider Feedback Town Hall Meeting 
08.24.2006NPI: Get It. Share It. Use It. 
08.15.2006Preventive Services Web-Based Training Courses 
08.07.2006August is National Immunization Awareness Month! 
08.07.2006Planned Release of a Request for Information (RFI) Concerning The Scope of Work and Specialty Activities that CMS Will Include in the Next Medicare Administrative Contractor (MAC) Procurements 
06.27.2006CMS Accounces Proposed Changes To Physician Fee Schedule Methodology 
06.16.2006National Men's Health Week 
06.08.2006Ask the Contractor Teleconference for CAP 
06.08.2006CAP Physician Election Enrollment Forms - Reminders 
06.01.2006National Provider Identifier (NPI) 
05.25.2006Important Information Regarding Provider Enrollment and the National Provider Identifier (NPI) 
05.12.2006Physician Recertification of Home Health Services 
05.09.2006Radiopharmaceutical Diagnostic Imaging Agents for PET Scans 
05.09.2006Coding Drug Administration Services for Payment Under the CY 2006 OPPS 
05.09.2006Moderate (Conscious) Sedation Codes 99143 - 99145 
05.03.2006Electronic File Interchange (EFI) is now available for bulk enumeration of National Provider Identifiers (NPIs) 
05.02.2006Revised CMS-855 Applications Now Available 
04.13.2006New Information for All Medicare Participating Providers in Pennsylvania 
04.11.2006Medicare Reimbursement Guidelines for Anesthesiology Services Performed Concurrently with Medical Direction – Q & A 
04.10.2006NPI Required on Enrollment Applications 
04.07.2006Revised Health Insurance Claim Form CMS-1500 
03.24.2006Ambulance Medical Conditions List 
03.17.2006March is National Kidney Month 
03.10.2006Implementation of the Financial Limitation for Outpatient Rehabilitation Services - Exception Process 
03.08.2006National Colorectal Cancer Awareness Month Message 
03.08.2006Medicare Remit Easy Print (MREP) 
03.08.2006NPI Information for Providers 
02.22.2006Collection and Verification of Ambulance Crew Member Information 
02.17.2006National Heart Month 
02.13.2006Second Participation Enrollment Period 
02.09.2006Enactment of the Deficit Reduction Act of 2005 
02.01.2006Luteinizing Hormone-Releasing Hormone (LHRH) implants for Prostatic Cancer Treatment 
01.27.2006Important Message - Medicare Special Needs Plans 
01.26.2006Medicare Payment for Preadministration Services Associated with IVIG 
01.20.2006Clinical Trials 
01.06.2006Weekly Physician Open Q&A conference call for the Medicare Part D Prescription Drug Benefit 
01.05.2006CMS Launches First Survey of Provider Satisfaction with Medicare Fee-For-Service Contractors 
01.04.2006Therapy Caps Effective January 1, 2006 
01.03.2006Investigational Device Exemptions (IDEs) 
12.14.2005The Appeal Process Effective January 1, 2006 
12.08.2005December 2005 Medicare Report Correction 
12.06.20052006 HCPCS Update Corrections 
11.28.20052006 Medicare Physician Fee Schedule Database Revisions 
11.16.2005Reasonable Charge Update for 2006 Splint and Cast Codes 
11.04.2005Updates to Allowances for the Influenza and Pneumococcal Vaccines 
11.02.2005Manual Update on Medical Nutrition Therapy (MNT) Services 
10.21.2005Radiopharmaceuticals Diagnostic Imaging Agents Applicable to PET Scans 
09.27.2005Influenza and Pneumococcal Immunizations 
08.31.2005October Update to the 2005 Medicare Physician Fee Schedule Database 
08.15.2005LCD A-4 Monitored Anesthesia Care (MAC) 
08.11.2005Comprehensive Error Rate Testing (CERT) Provider Address Website is Now Available 
08.01.2005Annual Dear Doctor Letter, Par Agreement, and New Fees to be on CD-ROM for 2006 
05.26.2005NPI Enumeration Has Started 
05.24.2005Providers Instructions for Notifying Highmark Medicare Services to Override Automated Health Professional Shortage Area (HPSA) or Physician Scarcity (PSA) Bonus Payments for Globally Billed Services 
05.16.2005Hospice Services/Billing Reminders 
04.25.2005Medicare Coverage of Cardiac Pacemaker Evaluation Services 
04.15.2005Revised Medicare Coverage of PET scans 
04.12.2005New Coding for FDG PET Scans and Expanded Coverage for Cervical Cancer 
04.01.2005Medicare Coverage of Implantable Cardioverter-Defibrillator (ICD) 
03.31.2005New Contractor for Comprehensive Error Rate Testing (CERT) Program Medical Record Requests 
03.28.2005News on Claim Rejection “Beneficiary Cannot be identified” 
03.24.2005Purchased Diagnostic Tests Billing Change 
03.23.2005New HCPCS Codes for Contrast Agents (Updated) 
03.15.2005Hyperbaric Oxygen (HBO) Therapy 
03.15.2005Reporting of Unlisted or Not Otherwise Classified (NOC) Drug Codes 
03.09.2005Update to Highmark Medicare Services's February 1, 2005 Drug Administration Coding Article - J1745 
03.08.20051st Update to the 2005 Medicare Physician Fee Schedule Database 
02.09.2005Claim Submission Tips for New G-codes (Drug Administration and Chemotherapy Demonstration Project) 
02.01.20052005 Drug Administration Coding Revisions - G-codes (Revised) 
01.27.2005Medicare Drug Benefit & Medicare Advantage Program Final Rules 
01.13.2005Medicare Part B Enrollment for TRICARE-Eligible Beneficiaries 
01.10.2005Are You Receiving Claim Rejections for Health Professional Shortage Area (HPSA) or Physician Scarcity Area (PSA) Bonus Payment Billing Errors and Don't Know Why? 
01.06.2005Ambulance Condition Codes 
12.29.2004Important Provider Enrollment Fraud Alert 
12.9.2004Drug Administration "G" code Crosswalks, Effective January 1, 2005 
10.5.2004PET Scans for Dementia and Neurodegenerative Diseases 
08.17.2004Billing for Home Care and Domiciliary Visits 
07.20.2004Medicare Secondary Payer (MSP) Trauma Diagnosis 
07.01.2004Payment to Bank 
06.25.2004Ambulance Transports "To" and "From" a Physicians Office 
06.08.2004Incident-To Services submitted on CMS-1500 Claim Form 
05.28.2004Implementation of New Medicare Redetermination Notice (MMA) 
03.23.2004Pricing Update for Drug Exceptions 
03.23.2004New "G" Codes for ESRD Related Services 
03.17.2004Jurisdictional Pricing Revisions Effective 04/01/2004 
03.02.2004Reassignment - Payment for Services Provided Under a Contractual Agreement 
02.13.2004Processing claims for referred services for an Independent Clinical Diagnostic Laboratory 
02.13.2004April Quarterly Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 
02.13.2004Therapy Codes Considered Separately Payable Physicians Services Under SNF Consolidated Billing 
02.10.2004Thoracic Electrical Bioimpedance Coverage Claification 
02.10.2004Medlearn Matters Provider Education Articles 
01.30.2004New Enrollee Rights, New Provider Responsibilities in M+C Program 
01.30.2004Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit-Revised Criteria for Using the CB Modifier 
01.30.2004Changes to Clinical Laboratory Test NCDs 
01.23.2004Artificial Hearts and Related Devices - Coding Change 
01.23.2004Jurisdictional Pricing Revisions 
01.20.2004Treatment of Certain Dental Claims as a result of MMA 
01.20.2004CCI Version 10.1 
01.15.2004New Codes for DMERCs 
01.08.2004Opting Out of Medicare (Private Contracting) 
01.08.2004Medicare Coding Guidelines for Darboepoetin Alpha and Epogen 
01.08.2004Renewed Moratorium on Outpatient Rehabilitation Therapy Caps 
12.30.2003Medicare Coding Guidelines for Aranesp 
12.30.2003New Basis for Medicare Drug Payment Amounts Under Part B 
11.18.2003Changes in Financial Limitations for 2004 
10.29.2003Jurisdictional Payment Revisions Effective April 1, 2004 
10.29.2003GY Modifier Usage For Clinical Laboratory Services 
07.02.2003Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 
07.02.2003Portable X-ray Transportation Services 
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