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Kidney Health: Help Address Disparities

Thursday, March 17, 2022


Claims, Pricers, & Codes


MLN Matters® Articles






Medicare Shared Savings Program: Application Deadlines for January 1, 2023, Start Date

Accountable Care Organizations: Visit the Application Types & Timeline webpage to learn about participating in the Medicare Shared Savings Program that starts January 1.  Key dates:

More Information:


Kidney Health: Help Address Disparities

About 15% of adults have chronic kidney disease. It’s most common in Medicare patients and disproportionately affects Black, American Indian/Alaskan Native, and Hispanic patients. During National Kidney Month, learn about preventive services, and find out how to advance health equity.

Medicare covers preventive services for the 2 most common causes of chronic kidney disease: diabetes and high blood pressure. Your patients pay nothing if you accept assignment.

More Information:


Claims, Pricers, & Codes


April 2022 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Learn about quarterly updates to the following pricing files, effective for the dates of service listed below:

  • April 1–June 30, 2022: April 2022 ASP and ASP Not Otherwise Classified (NOC)
  • January 1–March 31, 2022: January 2022 ASP and ASP NOC
  • October 1–December 31, 2021: October 2021 ASP and ASP NOC
  • July 1–September 30, 2021: July 2021 ASP and ASP NOC
  • April 1–June 30, 2021: April 2021 ASP and ASP NOC

See the instruction to your Medicare Administrative Contractor (PDF).


Federally Qualified Health Centers: Retroactive Claims Adjustments

Medicare Administrative Contractors will adjust all Federally Qualified Health Center (FQHC) claims with dates of service from January 1, 2022, until the corrected calendar year 2022 FQHC geographic adjustment factors table is implemented about March 25. You don’t need to do anything.


Home Health Web Pricer

CMS released the Home Health Prospective Payment System Web Pricer for calendar years 2020–2022. 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.    




Medicare Ground Ambulance Data Collection System: Q&A Session — March 29

Tuesday, March 29 from 2–3pm 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 “March 29 Q&A” in the subject line. We’ll update documents with answers to common questions from this session.

More Information:


MLN Matters® Articles


April 2022 Update to the Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS)

Learn about coding for Pfizer's PAXLOVID™ and Merck’s Molnupiravir (PDF).




Complying with Medicare Signature Requirements — Revised

Learn about signing documents electronically when you provide or certify services (PDF).


Medicare Preventive Services — Revised

Learn about changes for lung cancer screening, effective February 10, 2022:

  • Lowered the screening age from 55 to 50
  • Lowered tobacco smoking history from at least 30 pack-years to 20
  • Expanded screening with low dose computed tomography


SBIRT Services — Revised

Learn about screening, brief intervention, & referral to treatment (SBIRT) services covered by Medicare and Medicaid (PDF). Beginning January 1, 2022, we cover Naloxone, HCPCS Code G1028.

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