2021-10-21-MLNC

Date
2021-10-21
Subject
Cognitive Assessment: Resources to Answer Patient Questions

Thursday, October 21, 2021

 Claims, Pricers, & Codes

Events

MLN Matters® Articles

Publications

Information for Medicare Patients

View this edition as a PDF (PDF)

 

Claims, Pricers, & Codes

 

LTCH: New Web Pricer Released

CMS released the fiscal years 2020 and 2021 Long-Term Care Hospital (LTCH) Web Pricer. For the best experience, access the Web Pricer through Google Chrome. You may also use Microsoft Edge or Mozilla Firefox, but not Microsoft Internet Explorer. Email your feedback on the LTCH Web Pricer to PCPricers@cms.hhs.gov using the subject line “LTCH Web Pricer.”

 

Events

 

Repetitive, Scheduled Non-Emergent Ambulance Transport Prior Authorization Model National Expansion Special ODF — October 28

Thursday, October 28 from 2 – 3:30 pm ET

CMS will host a Special Open Door Forum (SODF) for ambulance suppliers, other Medicare providers, and interested parties to learn about the upcoming national expansion of the Repetitive, Scheduled Non-Emergent Ambulance Transport Prior Authorization Model in Medicare Fee-for-Service. This SODF will include:

  • National expansion details
  • Prior authorization process
  • Q&A session

Participation Instructions:

  • Dial: 1-888-455-1397; conference ID # 8604468
  • TTY services: Dial 7-1-1 or 800-855-2880

More Information:

 

MLN Matters® Articles

 

Claim Status Category and Claim Status Codes Update

Learn about claims status category and code updates (PDF):

  • Accredited Standards Committee (ASC) X12 276/277 Health Care Claim Status Request and Response
  • ASC X12 277 Health Care Claim Acknowledgment transactions

 

New/Modifications to the Place of Service (POS) Codes for Telehealth

Learn about telehealth code updates (PDF):

  • New POS code 10
  • Modified description of code 02

 

Publications

 

A Prescriber’s Guide to Medicare Prescription Drug (Part D) Opioid Policies

Learn about Part D opioid policies (PDF):

  • Real-time safety alerts at the pharmacy
  • Drug management programs
  • Exemptions
  • How you can help
  • Prescriber and patient resources

 

Information for Medicare Patients

 

Cognitive Assessment: Resources to Answer Patient Questions

From October – December, your patients will get the following reminder about Cognitive Assessment & Care Plan Services (CPT code 99483) on their Medicare Summary Notices:

“Medicare cares about your health. If you’ve had trouble remembering things, concentrating, or making everyday decisions, Medicare Part B covers a visit with your doctor or a specialist to talk about it and do an exam.”

Prepare to answer your patients’ questions and find information about Medicare coverage and billing for this service at cms.gov/cognitive.

 

 


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