Dynamic List Information
Dynamic List Data
Weekly Edition

MLN Connects logo

Thursday, April 6, 2023


Claims, Pricers, & Codes


MLN Matters® Articles



Resources & Flexibilities to Assist with Public Health Emergency in Mississippi Due to Recent Storms

On March 27, HHS Secretary Xavier Becerra determined that a public health emergency exists in Mississippi, retroactive to March 24, as the result of severe storms, flooding, straight-line winds, and tornadoes. We’re ready to help with resources and waivers to ensure hospitals and other facilities can continue to operate and provide access to care.

CMS waivers are available to providers affected by the severe storm and remain affected by the COVID-19 pandemic.

More Information:

Program for Evaluating Payment Patterns Electronic Reports

Fourth quarter FY 2022 Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) are available for:

  • Long-term care hospitals
  • Critical access hospitals
  • Inpatient rehabilitation facilities
  • Inpatient psychiatric facilities
  • Hospices
  • Skilled nursing facilities (SNFs)

These reports summarize provider-specific data for Medicare services that may be at risk for improper payments. Use the data to support auditing and monitoring activities.

See the Hospice and SNF User’s Guides for information on new target areas:

  • Hospice:
    • Average Number of Medicare Part B Claims for Beneficiaries Residing at Home
    • Average Number of Medicare Part B Claims for Beneficiaries Residing in an Assisted Living Facility, Nursing Facility, or Skilled Nursing Facility
  • SNF: High Nursing Case Mix

More Information:

Advance Beneficiary Notice of Noncoverage: Form Renewal

The Office of Management and Budget approved the Advance Beneficiary Notice of Noncoverage (Form CMS-R-131) for renewal. This renewed form expires January 31, 2026. The expiration date is the only change to the form.

You may use the renewed form now, but you must use it beginning June 30, 2023, when the previous version expires.

New Recovery Audit Contractor for Region 2 Starting Spring 2023

CMS awarded Performant Recovery, Inc. the new Recovery Audit Contractor (RAC) contract for Region 2; see the chart or map to find out if your state is affected. They’re expected to begin reviews in Spring 2023.

Cotiviti, LLC, the RAC previously responsible for reviews in Region 2, remains under contract with us to support the RAC Program. Contact them about review results letters (complex reviews), informational letters (automated reviews), and no findings letters (complex reviews) they completed on or before September 16, 2022.

Check the review completion date or RAC name on your letter to identify the correct contact:

Comprehensive Error Rate Testing Review Contractor Company Changed Name

The Comprehensive Error Rate Testing (CERT) Review Contractor, formerly known as NCI Information Systems, Inc. changed their company name to Empower AI, Inc. Their email domain is @empower.ai.


Help Improve the Health of Minority Populations

Health inequities affect people from underserved and marginalized communities. During National Minority Health Month:

This year’s theme is “Better Health Through Better Understanding.” CMS offers health equity technical assistance to help you address health disparities. The program offers:

  • Personalized coaching
  • Resources
  • Data collection and analysis
  • Help developing a language access plan

Medicare covers preventive services, and generally, your patients pay nothing if you accept assignment. Find out when your patient is eligible for services. If you need help, contact your eligibility service provider.

More Information:

Claims, Pricers, & Codes

RARCs, CARCs, Medicare Remit Easy Print, & PC Print: April Update

Get updated remittance advice remark codes (RARCs) and claim adjustment reason codes (CARCs), and learn what to do if you use Medicare Remit Easy Print or PC Print.

More Information:


PCG Provider Compliance Focus Group: Provider Compliance Activities Post-PHE — May 9

Tuesday, May 9 from 1–4 pm ET

Register by Wednesday, May 3.

How can CMS improve its processes and eliminate unnecessary requirements for medical review and prior authorizations? Join us, and let us know.

Target audience: physicians, non-physician practitioners, billing specialists, suppliers, associations, coders, and medical review contractors

MLN Matters® Articles

Hospital Outpatient Prospective Payment System: April 2023 Update — Revised

Learn about payment system updates and new codes for:

  • COVID-19
  • Drugs, biologicals, and radiopharmaceuticals
  • Devices
  • Other items and services


Subscribe to the MLN Connects® newsletter. You can read previous issues in the archive.

View the Medicare Learning Network® Content Disclaimer and Department of Health & Human Services Disclosure.

The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health & Human Services (HHS).