Thursday, October 21, 2021
- Claim Status Category and Claim Status Codes Update
- New/Modifications to the Place of Service (POS) Codes for Telehealth
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:
- Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport webpage; we’ll post the presentation here before the SODF
- Questions: AmbulancePA@cms.hhs.gov
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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