2022-06-16-MLNC

Date
2022-06-16
Subject
ICD-10-CM Diagnosis Codes: Fiscal Year 2023
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Thursday, June 16, 2022

News

Compliance

Claims, Pricers, & Codes

MLN Matters® Articles

 

News

Comprehensive Error Rate Testing Program Report: Sample Reduced for Reporting Year 2023

CMS reduced the number of claims in the Comprehensive Error Rate Testing program report for reporting year 2023. We’ll send you a letter if your claims are impacted by this reduction.

 

Men’s Health: Talk to Your Patients About Preventive Services

During Men’s Health Week, encourage your male patients to make their health a priority. Medicare covers preventive services, including:

Your patients pay nothing if you accept assignment. Learn how to check eligibility (PDF) for preventive services. If you need help, contact your eligibility service provider.

More Information:

 

Compliance

Implanted Spinal Neurostimulators: Document Medical Records

In a recent report, the Office of Inspector General found that Medicare improperly paid claims for implanted spinal neurostimulators when providers didn’t provide sufficient documentation supporting medical necessity. For dates of service on or after July 1, 2021, you must ask your Medicare Administrative Contractor to authorize these services before performing the procedure in the hospital outpatient department.

Learn what you need to include in patient medical records:

 

Claims, Pricers, & Codes

ICD-10-CM Diagnosis Codes: Fiscal Year 2023

Fiscal year 2023 ICD-10-CM diagnosis code files and guidelines are available on the 2023 ICD-10-CM webpage. These codes are effective for discharges and patient encounters on or after October 1, 2022.

 

July 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 dates of service:

  • July 1–September 30, 2022: July 2022 ASP and ASP not otherwise classified (NOC)
  • April 1–June 30, 2022: April 2022 ASP and ASP 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

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

 

MLN Matters® Articles

July 2022 Update of the Ambulatory Surgical Center (ASC) Payment System

Learn about new codes and changes effective July 1, 2022 (PDF):

  • CPT Category III code
  • HCPCS codes for drugs, biologicals, and radiopharmaceuticals
  • Skin substitute products and group assignment

 

Mental Health Visits via Telecommunications for Rural Health Clinics & Federally Qualified Health Centers — Revised

Learn about delayed in-person visit requirements (PDF) after the end of the COVID-19 public health emergency.

 


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