2020-11-12-MLNC

Date
2020-11-12
Subject
COVID-19: Non-Physician Practitioner Billing for Audio Services

 

mln connects logo


Thursday, November 12, 2020

News

Compliance

Claims, Pricers & Codes

MLN Matters® Articles

Publications

Information for Medicare Patients

View this edition as a PDF (PDF)

 

News

 

Critical Care: Comparative Billing Report in November

CMS issued a Comparative Billing Report (CBR) on Part B claims for critical care. Use the data-driven tables to compare your billing and payment patterns with peers in your state and across the nation.

The public can’t view CBRs. Look for an email from cbrpepper.noreply@religroupinc.com to access your report. Update your email address in the Provider Enrollment, Chain, and Ownership System to ensure delivery.

For More Information:

 

Raising Awareness of Diabetes in November

National Diabetes Month, Diabetic Eye Disease Month, and World Diabetes Day on November 14 promote diabetes awareness and the impact of diabetes on public health. Talk to your patients about their risk factors and recommend Medicare preventive services for detection and treatment.

For More Information:

Visit the Preventive Services website to learn more about Medicare-covered services.

 

Compliance

 

SNF 3-Day Rule Billing

An Office of Inspector General (OIG) report  found that Medicare improperly paid for Skilled Nursing Facility (SNF) services when patients didn’t meet the Medicare 3-Day inpatient hospital stay requirement. Review the Skilled Nursing Facility 3-Day Rule Billing (PDF) fact sheet to help you bill correctly. Additional resources:

 

Claims, Pricers & Codes

 

COVID-19: Non-Physician Practitioner Billing for CPT Codes 98966-98968

During the COVID-19 Public Health Emergency (PHE), non-physician practitioners who are eligible to bill Medicare directly, including registered dietitians and nutrition professionals, may bill for audio-only telephone assessment and management services:

  • CPT codes 98966-98968
  • Dates of service on or after March 1 until the end of the PHE

 

MLN Matters® Articles

 

Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2021

CMS issued a new MLN Matters Article MM12017 on Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2021 (PDF). Learn about rate and payment updates.

 

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021

CMS issued a new MLN Matters Article MM12011 on Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021 (PDF). Learn about rate and policy updates.

 

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021

CMS issued a new MLN Matters Article MM12027 on International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021 (PDF). Learn about ICD-10 conversions and coding updates.

 

Manual Updates Related to the Hospice Election Statement and the Implementation of the Election Statement Addendum

CMS issued a new MLN Matters Article MM12015 on Manual Updates Related to the Hospice Election Statement and the Implementation of the Election Statement Addendum (PDF). Learn about changes to the Medicare Benefit Policy Manual, effective for hospice elections beginning on or after October 1, 2020.

 

Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Claims

CMS issued a new MLN Matters Article MM11992 on Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Claims (PDF). Learn about a claims processing instruction update.

 

Publications

 

Provider Compliance Tips — Revised

CMS revised the following Medicare Learning Network fact sheets with provider compliance tips. Learn about coverage and documentation requirements to prevent claim denials.

 

Information for Medicare Patients

 

2021 Medicare Part B Premiums Remain Steady

On November 6, CMS announced the 2021 monthly Medicare Parts A and B premiums, deductibles, and coinsurance amounts in which the Medicare Part B monthly premium remains steady. This news comes as Medicare Open Enrollment started on October 15, running through December 7 and follows the announcement that Medicare Advantage (or private Medicare health plans) and Part D prescription drug plan premiums are at historic lows, with hundreds of Medicare Advantage and Part D plans now offering $35 monthly co-pays for insulin starting in January 2021.

For More Information:

 


Like the newsletter? Have suggestions? Please let us know!

Subscribe to MLN Connects. Previous issues are available in the archive.

This newsletter is current as of the issue date. View the complete disclaimer.

Follow the MLN on Twitter #CMSMLN, and visit us on YouTube.

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

Medicare Learning Network Logo