Home Health & Hospice Medicare Bulletin Index January - July 2018

Transcription

1 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z A Additional Development Request (ADR) Revision of PWK (Paperwork) Fax/Mail Cover Sheets... January 2018, p. 20 Appeals Updated 2018 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Appeals... January 2018, p. 38 Average Sales Price April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... March 2018, p. 31 B Billing 2018 Annual Update to the Therapy Code List... January 2018, p. 3 Accepting Payment from Patients with a Medicare Set-Aside Arrangement (Reissued)... January 2018, p. 33 Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR May 2018, p. 11 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 5 Billing Outpatient Diabetes Self-Management Training (DSMT)... April 2018, p. 8 Billing Requirement for OPPS Providers with Multiple Service Locations... May 2018, p. 27 Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of June 2018, p. 9 Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number (Revised)... January 2018, p Copyright, CGS Administrators, LLC. 1

2 Billing, continued Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial... March 2018, p. 3 Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial (Revised)... April 2018, p. 4 Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update...April 2018, p. 12 Home Health Physician Certification...February 2018, p. 3 Hospice Workaround For Transfers in a Benefit Period... July 2018, p. 3 Hurricane Harvey and Medicare Disaster Related Texas Claims (Revised)...February 2018, p. 13 Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims (Revised)...February 2018, p. 27 Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims (Revised)...February 2018, p. 22 Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims (Revised)... March 2018, p. 41 Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer... April 2018, p. 5 Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)... January 2018, p. 34 Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)... June 2018, p. 15 Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires...February 2018, p. 31 Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires (Revised)... June 2018, p. 17 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded)... January 2018, p. 16 New Direct Data Entry (DDE) Attending Physician Taxonomy Code Field and Reason Code April 2018, p. 21 New Hospice Quick Resource Tool... February 2018, p Copyright, CGS Administrators, LLC. 2

3 Billing, continued New Online Education Course for Home Health Providers... June 2018, p. 3 New Physician Specialty Code for Medical Genetics and Genomics... July 2018, p. 8 Processing Instructions to Update the Identification Code Qualifier Being Used in the NM108 Data Element at the 2100 Loop, NM1- Patient Name Segment in the 835 Guide... July 2018, p. 9 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 11 Reminder: Submitting Hospice Exceptions for Untimely Notices of Election (NOE)... June 2018, p. 4 Revisions to the Telehealth Billing Requirements for Distant Site Services... July 2018, p. 11 Suspended Claims Reminder... June 2018, p. 20 Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims (Revised)...February 2018, p. 18 C CGS ListServ Notification Service Change in Frequency to CGS Listserv Notifications... January 2018, p. 14 Stay Informed and Join the CGS ListServ Notification Service... January 2018, p. 37 April 2018, p. 22 Claim Adjustment Reason Codes (CARC) Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)... January 2018, p Copyright, CGS Administrators, LLC. 3

4 Claim Adjustment Reason Codes (CARC), continued Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) CORE... July 2018, p. 10 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update... January 2018, p. 24 April 2018, p. 19 July 2018, p. 16 Claim Status Category Codes MM10271: Claim Status Category Codes and Claim Status Codes Update... January 2018, p. 26 Claim Status Codes MM10271: Claim Status Category Codes and Claim Status Codes Update... January 2018, p. 26 Claim Submission Errors (CSEs) New Online Education Course For Home Health Providers... June 2018, p. 3 Common Working File (CWF) Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number (Revised)... January 2018, p. 19 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded)... January 2018, p Copyright, CGS Administrators, LLC. 4

5 Computer Telephony Integration (CTI) Changes to the Interactive Voice Response (IVR) and Computer Telephone Integration (CTI) and the Message... June 2018, p. 5 Consolidated Billing Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 5 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 11 Credit Balance Report (CBR) Quarterly Reminder... January 2018, p. 14 April 2018, p. 9 Current Procedural Terminology (CPT) MM10303: 2018 Annual Update to the Therapy Code List... January 2018, p. 3 D Drugs April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... March 2018, p. 31 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes April 2018 Update...April 2018, p. 16 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes April 2018 Update (Revised)... May 2018, p. 9 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2018 Update... June 2018, p. 12 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2018 Update (Revised)... July 2018, p Copyright, CGS Administrators, LLC. 5

6 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule... May 2018, p. 12 Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule... March 2018, p. 13 E Electronic Funds Transfer Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)... January 2018, p. 23 Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) CORE... July 2018, p. 10 Electronic Submission of Medical Documentation (esmd) Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esmd) System...April 2018, p. 11 Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esmd) System (Revised)... June 2018, p Copyright, CGS Administrators, LLC. 6

7 F Fee Schedule April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule... May 2018, p. 12 Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule... March 2018, p. 13 Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List... March 2018, p. 10 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) July 2018 Update... July 2018, p. 18 Update to the Medicare Physician Fee Schedule Database (MPFSDB) April 2018 Update...April 2018, p. 18 Fiscal Intermediary Standard System (FISS) New Direct Data Entry (DDE) Attending Physician Taxonomy Code Field and Reason Code April 2018, p. 21 Frequently Asked Questions (FAQs) Introducing the New Frequently Asked Questions (FAQs) Search Feature... June 2018, p. 7 G 2018 Copyright, CGS Administrators, LLC. 7

8 H Healthcare Common Procedure Coding System (HCPCS) Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 5 April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... May 2018, p. 17 January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... March 2018, p. 18 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes April 2018 Update...April 2018, p. 16 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes April 2018 Update (Revised)... May 2018, p. 9 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2018 Update... June 2018, p. 12 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2018 Update (Revised)... July 2018, p. 17 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 11 Home Health 2018 Annual Update to the Therapy Code List... January 2018, p. 3 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 5 April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... May 2018, p. 17 Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of June 2018, p. 9 Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial... March 2018, p Copyright, CGS Administrators, LLC. 8

9 Home Health, continued Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial (Revised)... April 2018, p. 4 Home Health Care: Proper Certification Required Reminder... April 2018, p. 3 Home Health Physician Recertification Estimate Tip... May 2018, p. 3 Home Health Physician Certification...February 2018, p. 3 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) January 2018, p. 6 January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... March 2018, p. 18 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 11 Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization (Revised)...February 2018, p. 4 Therapy Cap Values for Calendar Year (CY) January 2018, p. 10 Hospice 2018 Annual Update to the Therapy Code List... January 2018, p. 3 Enhancements to Processing of Hospice Routine Home Care Payments... July 2018, p. 3 Hospice Election Statements Lack Required Information or Have Other Vulnerabilities Reminder... May 2018, p. 4 Hospice: Proposed Updates to the Wage Index and Payment Rates for FY June 2018, p. 3 Hospice Workaround For Transfers in a Benefit Period... July 2018, p. 3 Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer... April 2018, p. 5 New Hospice Quick Resource Tool...February 2018, p. 6 Reminder: Submitting Hospice Exceptions for Untimely Notices of Election (NOE)... June 2018, p. 4 I Integrated Outpatient Code Editor (I/OCE) April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 (Revised)... May 2018, p Copyright, CGS Administrators, LLC. 9

10 Integrated Outpatient Code Editor (I/OCE), continued January 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version March 2018, p. 7 October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3 (Revised)... January 2018, p. 21 Interactive Voice Response (IVR) Changes to the Interactive Voice Response (IVR) and Computer Telephone Integration (CTI) and the Message... June 2018, p. 5 Interest Update to the Interest Paid on Clean Non-PIP Claims Not Paid Timely...February 2018, p. 33 J J15 Go Mobile App CGS Website Updates... April 2018, p. 8 K L M Medicare Beneficiary Identifier (MBI) Medicare Administrative Contractor (MAC) Provider Medicare Beneficiary Identifier (MBI) Lookup Tool... July 2018, p. 5 New Medicare Card: New Web Page Information... January 2018, p. 27 New Medicare Card Project Important Updates... June 2018, p Copyright, CGS Administrators, LLC. 10

11 Medicare Cost Report Medicare Cost Report E-Filing (MCReF)... July 2018, p. 12 Medicare Learning Network (MLN) MM9893 (Rescinded): New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs)... January 2018, p. 16 MM9911 (Revised): Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System... January 2018, p. 16 MM10098 (Revised): Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number... January 2018, p. 19 MM10124: Revision of PWK (Paperwork) Fax/Mail Cover Sheets... January 2018, p. 20 MM10151 (Revised): Suppression of the Standard Paper Remittance Advice (SPR) in 45 days if also Receiving Electronic Remittance Advice (ERA)... March 2018, p. 6 MM10167 (Revised): Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization...February 2018, p. 4 MM10180: Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer... April 2018, p. 5 MM10230 (Revised): October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version January 2018, p. 21 MM10268: Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)... January 2018, p. 23 MM10270: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update... January 2018, p Copyright, CGS Administrators, LLC. 11

12 Medicare Learning Network (MLN), continued MM10271: Claim Status Category Codes and Claim Status Codes Update... January 2018, p. 26 MM10303: 2018 Annual Update to the Therapy Code List... January 2018, p. 3 MM10308: Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 5 MM10310: Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) January 2018, p. 6 MM10341: Therapy Cap Values for Calendar Year (CY) January 2018, p. 10 MM10372: Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial... March 2018, p. 3 MM10372 (Revised): Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial... April 2018, p. 4 MM10374: Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement... January 2018, p. 11 MM10385: January 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version March 2018, p. 7 MM10393: Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List... March 2018, p. 10 MM10395: Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule... March 2018, p. 13 MM10397: Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esmd) System...April 2018, p. 11 MM10397 (Revised): Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esmd) System... June 2018, p. 8 MM10402: Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update...April 2018, p. 12 MM10417: January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... March 2018, p Copyright, CGS Administrators, LLC. 12

13 Medicare Learning Network (MLN), continued MM10433: Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR April 2018, p. 14 MM10433 (Revised): Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR May 2018, p. 6 MM10447: April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... March 2018, p. 31 MM10454: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes April 2018 Update...April 2018, p. 16 MM10454 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes April 2018 Update... May 2018, p. 9 MM10457: New Physician Specialty Code for Medical Genetics and Genomics... July 2018, p. 8 MM10488: Update to the Medicare Physician Fee Schedule Database (MPFSDB) April 2018 Update...April 2018, p. 18 MM10489: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update...April 2018, p. 19 MM10494: Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR May 2018, p. 11 MM10503: April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule... May 2018, p. 12 MM10514 (Revised): April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version May 2018, p. 15 MM10515 (Revised): April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... May 2018, p. 17 MM10531 (Revised): Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of June 2018, p Copyright, CGS Administrators, LLC. 13

14 Medicare Learning Network (MLN), continued MM10565: Processing Instructions to Update the Identification Code Qualifier Being Used in the NM108 Data Element at the 2100 Loop, NM1- Patient Name Segment in the 835 Guide... July 2018, p. 9 MM10566: Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) CORE... July 2018, p. 10 MM10573: Enhancements to Processing of Hospice Routine Home Care Payments... July 2018, p. 3 MM10583: Revisions to the Telehealth Billing Requirements for Distant Site Services... July 2018, p. 11 MM10611: Medicare Cost Report E-Filing (MCReF)... July 2018, p. 12 MM10619: Updates to Publication , Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N July 2018, p. 15 MM10620: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update... July 2018, p. 16 MM10624: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2018 Update... June 2018, p. 12 MM10624 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2018 Update... July 2018, p. 17 MM10644: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) July 2018 Update... July 2018, p Copyright, CGS Administrators, LLC. 14

15 Medicare Learning Network (MLN), continued SE1128 (Revised): Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program... January 2018, p. 29 SE1128 (Revised): Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program...February 2018, p. 9 SE1128 (Revised): Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program... May 2018, p. 23 SE1613 (Revised): Next Generation Accountable Care Organization Implementation... March 2018, p. 34 SE17019 (Reissued): Accepting Payment from Patients with a Medicare Set-Aside Arrangement... January 2018, p. 33 SE17020 (Revised): Hurricane Harvey and Medicare Disaster Related Texas Claims...February 2018, p. 13 SE17021 (Revised): Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims...February 2018, p. 18 SE17022 (Revised): Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims...February 2018, p. 22 SE17024 (Revised): Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims...February 2018, p. 27 SE17034 (Revised): Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims... March 2018, p. 41 SE17035 (Revised): Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires... January 2018, p. 34 SE17035 (Revised): Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires... June 2018, p. 15 SE17037: Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires...February 2018, p. 31 SE17037 (Revised): Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires... June 2018, p. 17 SE18002: Billing Requirement for OPPS Providers with Multiple Service Locations... May 2018, p Copyright, CGS Administrators, LLC. 15

16 Medicare Secondary Payer (MSP) Accepting Payment from Patients with a Medicare Set-Aside Arrangement (Reissued)... January 2018, p. 33 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded)... January 2018, p. 16 Medicare Set-Aside Arrangements Accepting Payment from Patients with a Medicare Set-Aside Arrangement (Reissued)... January 2018, p. 33 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded)... January 2018, p. 16 MLN Connects April 2018 May 2018 Weekly Messages... June 2018, p. 7 December 2017 January 2018 Weekly Messages... February 2018, p. 8 February 2018 March 2018 Weekly Messages...April 2018, p. 10 January 2018 February 2018 Weekly Messages... March 2018, p. 5 March 2018 April 2018 Weekly Messages... May 2018, p. 6 May 2018 June 2018 Weekly Messages... July 2018, p. 7 November 2017 December 2017 Weekly Messages... January 2018, p. 15 mycgs Attention mycgs Users: Multi-Factor Authentication (MFA) Reminder... April 2018, p. 7 Medicare Credit Balance Quarterly Reminder... January 2018, p. 14 July 2018, p Copyright, CGS Administrators, LLC. 16

17 N National Provider Identifier (NPI) Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number (Revised)... January 2018, p. 19 New Medicare Card New Medicare Card: New Web Page Information... January 2018, p. 27 New Medicare Card: Web Updates... March 2018, p. 32 New Medicare Card: When Will My Medicare Patients Receive Their Cards?... March 2018, p. 33 Notices of Election (NOEs) Reminder: Submitting Hospice Exceptions for Untimely Notices of Election (NOE)... June 2018, p. 4 O Outpatient Prospective Payment System (OPPS) April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... May 2018, p. 17 Billing Requirement for OPPS Providers with Multiple Service Locations... May 2018, p. 27 January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)... March 2018, p. 18 P Paperwork (PWK) Fax/Mail Cover Sheets Revision of PWK (Paperwork) Fax/Mail Cover Sheets... January 2018, p Copyright, CGS Administrators, LLC. 17

18 Payments Enhancements to Processing of Hospice Routine Home Care Payments... July 2018, p. 3 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) January 2018, p. 6 Hospice: Proposed Updates to the Wage Index and Payment Rates for FY June 2018, p. 3 Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization (Revised)...February 2018, p. 4 PC Print Software Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update... January 2018, p. 24 April 2018, p. 19 July 2018, p. 16 Q Qualified Medicare Beneficiary (QMB) Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR May 2018, p. 11 Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (Revised)... January 2018, p. 29 Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (Revised)...February 2018, p. 9 Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (Revised)... May 2018, p. 23 Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System (Revised)... January 2018, p. 16 Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR April 2018, p Copyright, CGS Administrators, LLC. 18

19 Qualified Medicare Beneficiary (QMB), continued Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 (Revised)... May 2018, p. 6 Quarterly Provider Update CMS Comprehensive Resource... January 2018, p. 28 April 2018, p. 22 July 2018, p. 21 R Remittance Advice Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)... January 2018, p. 23 Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) CORE... July 2018, p. 10 Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR April 2018, p. 14 Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 (Revised)... May 2018, p Copyright, CGS Administrators, LLC. 19

20 Remittance Advice, continued Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update... January 2018, p. 24 April 2018, p. 19 July 2018, p. 16 Suppression of the Standard Paper Remittance Advice (SPR) in 45 days if also Receiving Electronic Remittance Advice (ERA) (Revised)... March 2018, p. 6 Updates to Publication , Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N July 2018, p. 15 Remittance Advice Remark Codes (RARC) Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)... January 2018, p. 23 Implement Operating Rules Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule Update from Council for Affordable Quality Healthcare (CAQH) CORE... July 2018, p. 10 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update... January 2018, p. 24 April 2018, p. 19 July 2018, p. 16 Updates to Publication , Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N July 2018, p Copyright, CGS Administrators, LLC. 20

21 S Section 1135 and Section 1812(f) Waivers Hurricane Harvey and Medicare Disaster Related Texas Claims (Revised)...February 2018, p. 13 Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims (Revised)...February 2018, p. 27 Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims (Revised)...February 2018, p. 22 Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims (Revised)... March 2018, p. 41 Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)... January 2018, p. 34 Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)... June 2018, p. 15 Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires...February 2018, p. 31 Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires (Revised)... June 2018, p. 17 Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims (Revised)...February 2018, p. 18 T Taxonomy Codes New Direct Data Entry (DDE) Attending Physician Taxonomy Code Field and Reason Code April 2018, p. 21 Telehealth Revisions to the Telehealth Billing Requirements for Distant Site Services... July 2018, p Copyright, CGS Administrators, LLC. 21

22 Telehealth, continued Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List... March 2018, p. 10 Therapy 2018 Annual Update to the Therapy Code List... January 2018, p. 3 Therapy Cap Values for Calendar Year (CY) January 2018, p. 10 Therapy Cap Therapy Cap Values for Calendar Year (CY) January 2018, p. 10 U Unsolicited/Voluntary Refunds Provider Awareness... January 2018, p. 38 V Value Codes Enhancements to Processing of Hospice Routine Home Care Payments... July 2018, p. 3 W Website CGS Website Updates... January 2018, p. 12 February 2018, p. 7 March 2018, p. 4 April 2018, p. 8 May 2018, p. 4 June 2018, p. 5 July 2018, p Copyright, CGS Administrators, LLC. 22

23 Website, continued Introducing the New Frequently Asked Questions (FAQs) Search Feature... June 2018, p. 7 New CGS Medicare Deductible and Coinsurance Look-Up... July 2018, p. 20 New Hospice Quick Resource Tool...February 2018, p. 6 X Y Z 2018 Copyright, CGS Administrators, LLC. 23