2022-09-29-MLNC

Date
2022-09-29
Subject
Weekly Edition
MLN Connects logo

Thursday, September 29, 2022

News

Claims, Pricers, & Codes

 

News

 

Resources & Flexibilities to Assist with Public Health Emergency in Puerto Rico

CMS announced additional resources and flexibilities in response to Hurricane Fiona in Puerto Rico. On September 20, HHS Secretary Xavier Becerra determined that a public health emergency exists in the commonwealth of Puerto Rico, retroactive to September 17. We’re ready to help with resources and waivers to ensure hospitals and other facilities can continue to operate and provide access to care.

More Information:

 

Resources & Flexibilities to Assist with Public Health Emergency in Florida

CMS announced additional resources and flexibilities in response to Hurricane Ian in Florida. On September 26, HHS Secretary Xavier Becerra determined that a public health emergency exists in the State of Florida, retroactive to September 23. We’re ready to help with resources and waivers to ensure hospitals and other facilities can continue to operate and provide access to care.

More Information:

 

2023 Medicare Parts A & B Premiums and Deductibles

On September 27, CMS released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs and the 2023 Medicare Part D income-related monthly adjustment amounts.

Read the full fact sheet.

 

Clinical Laboratory Fee Schedule Payment Determinations & Voting Results: Submit Comments by October 24

Find out about updates from recent Clinical Laboratory Fee Schedule (CLFS) meetings:

If your laboratory must submit private payer rate data, you can start on January 1, 2023.

More Information:

 

DMEPOS: Change to Enrollment Contractor After November 6

November 6, 2022, is the last day that the National Supplier Clearinghouse (NSC) will process Medicare enrollment applications for DMEPOS suppliers.

Starting November 7, 2022, 2 new contractors will process Medicare enrollment applications for DMEPOS suppliers to make sure they meet all supplier standards and enrollment requirements:

  • Novitas Solutions: Alabama, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Mississippi, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Wisconsin, District of Columbia, Puerto Rico, US Virgin Islands
  • Palmetto GBA: Alaska, Arizona, Arkansas, California, Colorado, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming, American Samoa, Guam, Northern Mariana Islands

You don’t need to do anything. Continue to work with the NSC through November 6. 

More Information:

 

Hispanic or Latino Patients: Help Address Disparities

Hispanic or Latino populations experience health disparities and are disproportionately affected by chronic health conditions, including diabetes, cancer, and heart disease (see CDC statistics). During National Hispanic Heritage Month, learn about preventive services, and find out how to advance health equity (PDF), including culturally and linguistically competent care.

Find out when your patient is eligible for preventive services (PDF). If you need help, contact your eligibility service provider.

More Information:

 

Claims, Pricers, & Codes

 

ICD-10 Coordination & Maintenance Committee: Meeting Materials & Deadlines

Procedure Codes:

Visit the ICD-10 Coordination and Maintenance Committee webpage for information and materials from the September meeting.

Submit comments on proposed new codes, addenda, and revisions by these dates:

  • October 14 to implement on April 1, 2023
  • November 14 to implement on October 1, 2023

Send comments to ICDProcedureCodeRequest@cms.hhs.gov.

For diagnosis codes, visit the CDC webpage.

 

HCPCS Application Summary for Non-Drug & Non-Biological Items and Services

CMS published the first biannual 2022 HCPCS Level II Final Coding, Benefit Category, & Payment Determinations (PDF) for non-drug and non-biological items and services.

Visit the HCPCS Level II Coding Decisions webpage for more information.

 


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