2020-12-17-MLNC

Date
2020-12-17
Subject
Physician Fee Schedule Final Rule Summary: Telehealth, Preventive Services & More
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Thursday, December 17, 2020

News

Compliance

MLN Matters® Articles

Publications

View this edition as a PDF (PDF)

 

News

 

MLN Web-Based Training: Complete Training & Save Certificates by January 31

Effective February 1, the Medicare Learning Network (MLN) Learning Management System won’t be available. We’re gradually moving Web-based Training (WBT) courses to cms.gov. Complete your training and save your certificates by January 31.

 

IRF Quality Reporting Program: December Refresh

The December refresh of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program is available. Visit the Care Compare website and Provider Data Catalog to view the data. For more information, visit the Public Reporting webpage.

 

LTCH Quality Reporting Program: December Refresh

The December refresh of the Long-Term Care Hospital (LTCH) Quality Reporting Program is available. Visit the Care Compare website and Provider Data Catalog to view the data. For more information, visit the Public Reporting webpage.

 

COVID-19: Stress & Resilience, Crisis Standards of Care

The Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) released an Express message with new resources:

For More Information:

 

COVID-19: Designated Hospitals Lessons Learned and Patient Surge Management Strategies

The Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) released an Express message with new resources:

For More Information:

 

Compliance

 

Ambulance Fee Schedule and Medicare Transports

An Office of Inspector General (OIG) report, found that Medicare made Part B payments to ambulance suppliers for transportation services that were also included in Medicare Part A payments to Skilled Nursing Facilities. Review the Ambulance Fee Schedule and Medicare Transports (PDF) booklet to help you bill correctly. Additional resources:

 

MLN Matters® Articles

 

2021 Annual Update of Per-Beneficiary Threshold Amounts

CMS issued a new MLN Matters Article MM12014 on 2021 Annual Update of Per-Beneficiary Threshold Amounts (PDF). Learn about updates to the KX modifier thresholds.

 

CY 2021 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

CMS issued a new MLN Matters Article MM12063 on CY 2021 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule (PDF). Learn about data files and update factors.

 

Summary of Policies in the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List

CMS issued a new MLN Matters Article MM12071 on Summary of Policies in the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List (PDF). Learn about the policy changes that apply to Medicare Part B.

 

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

CMS revised 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) to update the release date, transmittal number, and web address.

 

Publications

 

Opioid Treatment Programs (OTPs) Medicare Enrollment — Revised

CMS revised the Medicare Learning Network fact sheet, Opioid Treatment Programs (OTPs) Medicare Enrollment. Learn about:

  • Completing and submitting your application
  • What to expect

 

Opioid Treatment Programs (OTPs) Medicare Billing and Payment — Revised

CMS revised the Medicare Learning Network fact sheet, Opioid Treatment Programs (OTPs) Medicare Billing and Payment. Learn about:

  • Covered services
  • Coding and submitting claims
  • Payment and remittance advice

 


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