MLN Matters Articles
MLN Matters® Articles
These Articles explain national Medicare policies on coverage, billing, and payment rules for specific provider types. Sometimes we explain information in an MLN Connects® newsletter message instead of an MLN Matters® Article. If there’s an Article or a newsletter message, you’ll find it in the “Provider Education” column.
The COVID-19 public health emergency (PHE) ended on May 11, 2023. View Infectious diseases for a list of waivers and flexibilities that were in place during the PHE.
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Transmittal # | Issue Date | Subject | Implementation Date | CR # | Provider Education | Provider Education Release Date | Provider Education Revision Date |
---|---|---|---|---|---|---|---|
R54FM | Notification to Providers of Intent to Complete a Post-Payment Audit |
3441 | |||||
R120OTN | Override of Common Working File (CWF) Edit for Observation Services Exceeding 48 Hours |
3311 | MM3311 | ||||
R23NCD | Treatment of Obesity |
3502 | MM3502 | ||||
R319CP | CORF/OPT Edit for Billing Inappropriate Supplies |
3468 | MM3468 | ||||
R120CP | April Update to the January Medicare Outpatient Code Editor (OCE) Specifications Version 19.1 R1… |
3155 | MM3155 | ||||
R9NCD | NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (… |
3191 | MM3191 | ||||
R124CP | Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds |
3149 | |||||
R7ESRD | Chapter 7, Sanctions and ESRD Complaints and Grievances |
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R69PI | Streamlining Enrollment Requirements |
3159 | |||||
R24BP | Revision of Section 300.5.1, Chapter 15 of the Medicare Benefit Policy Manual to include 22x… |
3531 |