- CMS Roundup (August 23, 2024)
- Physicians, Teaching Hospitals, & Non-Physician Practitioners: Review Your Open Payment Data by December 31
- Home Health Consolidated Billing: CY 2025 HCPCS Code Update
- HCPCS Application Summaries & Coding Decisions: Non-Drug & Non-Biological Items and Services
- Inpatient Psychiatric Facilities Prospective Payment System: FY 2025 Updates
- Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations Policy
- Annual Wellness Visit: Social Determinants of Health Risk Assessment — Revised
- National Coverage Determination 110.23: Allogeneic Hematopoietic Stem Cell Transplantation — Revised
News
CMS Roundup (August 23, 2024)
You may be interested in these topics from the CMS Roundup:
- Health Equity Disparities Impact Statement
Blog in Health Affairs Forefront Outlining the Innovation Center’s Data Sharing Strategy
Physicians, Teaching Hospitals, & Non-Physician Practitioners: Review Your Open Payment Data by December 31
You have until December 31, 2024, to review, affirm, or dispute your Open Payments data. The upgraded Open Payments System 2.0 includes enhancements (PDF) to modernize the system and support a more user-friendly experience. Note: The Open Payments System is no longer available at the CMS Enterprise Portal; bookmark the new URL.
Access Your Data
- Existing users – You don’t need to re-register; use your existing login credentials
- New users – Click “new user registration” to register
More Information:
- Visit the Open Payments webpage
Contact the Help Desk if you have questions about the program
Claims, Pricers, & Codes
Home Health Consolidated Billing: CY 2025 HCPCS Code Update
See the instruction to your Medicare Administrative Contractor (PDF) to learn about CY 2025 changes to HCPCS codes used for home health consolidated billing. CMS updated the non-routine supply code list to:
- Add 71 new codes
- Update the description for 3 codes from the previous list
HCPCS Application Summaries & Coding Decisions: Non-Drug & Non-Biological Items and Services
CMS published the First Biannual 2024 HCPCS Application Summaries and Coding Recommendations (PDF) for non-drug and non-biological items and services. See HCPCS Level II Coding Decisions for more information.
Events
ICD-10 Coordination & Maintenance Committee Meeting — September 10–11
Tuesday, September 10 – Wednesday, September 11 from 9 am – 5 pm ET
You must register for this virtual meeting if you want to attend.
More Information:
MLN Matters® Articles
Inpatient Psychiatric Facilities Prospective Payment System: FY 2025 Updates
Learn about updates for FY 2025 (PDF), including:
- Refinements to adjustment factors and electroconvulsive therapy payment per treatment
- Market basket
- Wage index and labor market area changes
- Quality reporting program
Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations Policy
Learn about updated Medicare coverage requirements (PDF) effective June 27, 2024, to align with Advisory Committee on Immunization Practices recommendations.
Annual Wellness Visit: Social Determinants of Health Risk Assessment — Revised
CMS clarified that Medicare Administrative Contractors will process G0136 (PDF) using the Physician Fee Schedule.
National Coverage Determination 110.23: Allogeneic Hematopoietic Stem Cell Transplantation — Revised
CMS added 2 procedure codes (PDF) to the coding instructions.
Publications
Medicare & Mental Health Coverage — Revised
Learn what’s changed (PDF). CMS added:
- Billing and payment information about marriage and family therapist and mental health counselor services
- Commonly used mental health-related codes
- Information about intensive outpatient program services
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