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Medicare Fraud & Abuse: Revised Online Course
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Thursday, August 19, 2021




MLN Matters® Articles



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Immunization: Medicare Covers Vaccines

Medicare covers the following vaccines:

Many Medicare patients missed vaccines during the pandemic. During National Immunization Awareness Month (NIAM), encourage your patients to get back on track with routine vaccines:

  • Help protect your patients against serious disease. Talk to your patients about vaccines they may have missed.
  • Help high-risk patients learn about the benefits of vaccines.
  • Your recommendation can make a difference. You’re a valued and trusted source of health information.
  • Even if your practice doesn’t administer or stock certain vaccines, refer patients to other vaccine providers and follow up.

More Information:



Chiropractic Services: Comply with Medicare Billing Requirements

An Office of Inspector General report found that payments for chiropractic services didn’t comply with Medicare billing requirements. Medical record documentation didn’t support medical necessity or corrective treatment. Review the Medicare Documentation Job Aid for Doctors of Chiropractic (PDF) educational tool to help you bill correctly.

More information:



Medicare Ground Ambulance Data Collection System: Instrument Walkthrough Webinar — August 26

Thursday, August 26 from 2-3:30 pm ET

Register for this webinar.

Learn about the Medicare Ground Ambulance Data Collection Instrument section-by-section, including:

A Q&A session follows this presentation. You may also send questions in advance to AmbulanceDataCollection@cms.hhs.gov with “August 26 Instrument Webinar” in the subject line.

More Information:


Medicare Ground Ambulance Data Collection System: Q&A Session — September 14

Tuesday, September 14 from 2-3 pm ET

Register for this session.

Do you have questions about the Medicare Ground Ambulance Data Collection System? Join this live Q&A session. You may also send questions in advance to AmbulanceDataCollection@cms.hhs.gov with “September 14 Q&A” in the subject line. We’ll update documents on our Ambulances Services Center webpage with answers to common questions from this session. 

More Information:


MLN Matters® Articles

Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS)

ESRD: Learn about the AX modifier and relevant revenue codes (PDF).


Implementation of the GV Modifier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) for Billing Hospice Attending Physician Services

RHCs and FQHCs: Learn about the modifier (PDF).


Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2022

Learn about changes to discharges starting October 1 (PDF).


Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2022

Learn about rate updates for discharges starting October 1 (PDF).


Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2022

Learn about updates to the payment rates (PDF).


Modifications/Improvements to Value-Based Insurance Design (VBID) Model – Implementation

Learn about the Hospice Benefit Component (PDF).


Skilled Nursing Facility (SNF) Claims Processing Updates

Learn about updates to (PDF):

  • Services related to an emergency room encounter when there is a revenue code of 250 on the same claim
  • Overlapping claims when there is a no-pay hospital claim during an interrupted stay


Update of Internet Only Manual (IOM), Pub. 100-04, Chapter 8 - Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims

Learn about key revisions (PDF).



IRF & LTCH: Q&A Basics

CMS offers an instructional resource (PDF) for Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) providers on how to access and use quarterly Q&A documents for the Quality Reporting Program (QRP):

  • Purpose and benefits
  • Setting-specific documents
  • Release dates

More Information:



Medicare Fraud & Abuse: Prevent, Detect, Report Web-Based Training — Revised

See updated information in this Medicare Learning Network (MLN) web-based training course: 

  • How to identify and report
  • Provisions and penalties
  • Prevention methods

Visit the MLN Web-Based Training webpage for a current list of courses.


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