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) Accessing ADR Information via FISS DDE... July 7, 2011, p. 10 Reason Code 56900... September 2011, p. 19 Tips on Preparing Your Medical Record Documentation... December 2011, p. 18 Adjustments Adjustment of Therapy Claims Subject to 2010 MPFS Changes... August 2011, p. 10 Delay in Implementation of Automated Medicare Secondary Payer (MSP) Adjustments (CR 6625)... October 2011, p. 8 Advance Beneficiary Notice (ABN) of Noncoverage 2011 Version Must Be Used Beginning January 1, 2012... November 2011, p. 3 Appeals Process Brochure Now Available in Downloadable Format... December 2011, p. 19 Attending Physicians Expansion of the Current Scope of Editing for Attending Physician Providers for Free Standing and Provider Based Home Health Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)... July 7, 2011, p. 14 Average Sales Price (ASP) January 2012 Quarterly Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... December 2011, p. 9 B Billing Beneficiary Elected Transfers Home Health Clarification... October 2011, p. 16 Billing Code Sheets Now Available... July 7, 2011, p. 12 Donor Post Kidney Transplant Complication Services Billing... December 2011, p. 25 Home Health Requests for Anticipated Payment (RAP) and Timely Claims Filing... July 2011, p. 9 Hospice Billing for Medicare Advantage (MA) Patients... September 2011, p. 12 Hospice Change to Processing Discharge Claims... December 2011, p. 10 Hospice Discontinuation of Late Charge Claims... December 2011, p. 7 Influenza Virus Vaccine (CPT Code 90654) New Code... November 2011, p. 8 December 2011, p. 8 Paper Claim Submission Tips... September 2011, p. 18 CGS Administrators, LLC 1
Billing (continued) Release of Indicator Field Reason Code 31313... November 2011, p. 16 Revisions to the Medicare Claims Processing Manual Chapter 10 (Home Health Agency Billing)... July 2011, p. 22 Roster Billing Reason Code 31026 and 11701... August 2011, p. 12 Type of Admission Reminder... July 7, 2011, p. 11 Type of Admission Field on Roster Bill Reason Code 11701... November 2011, p. 16 C Centers for Medicare & Medicaid Services (CMS) Entities Used by CMS Under the Medicare and Medicaid Programs... October 2011, p. 10 Resources 2011-2012 Seasonal Influenza (Flu)... December 2011, p. 15 CGS Administrators, LLC (CGS) CGS ListServ Notification Service... October 2011, p. 17 Educational Events November and December... November 2011, p. 3 Introduction to CGS Home Health & Hospice Web Site... July 7, 2011, p. 4 New Mailing Address Effective December 5, 2011... November 2011, p. 22 Web Site Updates... November 2011, p. 4 Welcome... July 7, 2011, p. 3 What s New on the CGS Home Health and Hospice Web Site... August 2011, p. 11 September 2011, p. 18 Who Do I Call?... July 7, 2011, p. 7 Claim Adjustment Reason Code (CARC) Update... July 2011, p. 19 November 2011, p. 26 Used for Therapy Claims Subject to the Multiple Procedure Payment Reduction (MPPR)... December 2011, p. 8 Claim Status Category Codes Claim Status Category and Claim Status Codes Update... November 2011, p. 14 Claim Status Codes Claim Status Category and Claim Status Codes Update... November 2011, p. 14 Credit Balance Report Reminder and Mailing Addresses... October 2011, p. 15 Reminder to Submit Quarterly Credit Balance Report... July 7, 2011, p. 8 CGS Administrators, LLC 2
D Direct Data Entry (DDE) Accessing ADR Information via FISS DDE... July 7, 2011, p. 10 Roster Billing Reason Code 31026 and 11701... August 2011, p. 12 Durable Medical Equipment (DME) Edit to Deny Claims for Repairs to Capped Rental DME... July 2011, p. 9 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program CY 2012 Fee Schedule Update for Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS)... December 2011, p. 21 July Quarterly Update for 2011 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule... July 7, 2011, p. 21 October 2011 Quarterly Update... July 2011, p. 4 Phase 3 of Manual Revisions to Reflect Payment Changes... July 2011, p. 6 E Electronic Funds Transfer (EFT) Requirement to Receive Medicare Payments via EFT... October 2011, p. 6 When Funds are Posted to Provider s Account... July 7, 2011, p. 8 Electronic Mailing Lists (Listserv) CGS ListServ Notification Service... October 2011, p. 17 Medicare Learning Network (MLN) Education Products Listserv... August 2011, p. 7 Medicare Learning Network (MLN) Educational Products Listserv... December 2011, p. 17 ELGA/ELGH Accessing the Medicare Eligibility Screens... July 7, 2011, p. 9 New INTER NO... July 7, 2011, p. 9 New Screen for Telehealth Service Information... November 2011, p. 15 Enrollment See Provider Enrollment CGS Administrators, LLC 3
F Home Health & Hospice CGS Medicare Bulletin Face-to-Face Hospice Claims Processing Procedures When Face-to-Face Encounters Do Not Occur Timely... November 2011, p. 13 Fee Schedules CY 2012 Fee Schedule Update for Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS)... December 2011, p. 21 July Quarterly Update for 2011 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule... July 7, 2011, p. 21 October Update to the 2011 Medicare Physician Fee Schedule Database (MPFSDB)... October 2011, p. 9 Proposed Policy, Payment Rate Changes for the Physician Fee Schedule for 2012... August 2011, p. 4 Fiscal Intermediary Standard System (FISS) Reason Codes 11701 Type of Admission Field on Roster Bill... November 2011, p. 16 31026 and 11701 Roster Billing... August 2011, p. 12 31313 Change to Release of Indicator Field... November 2011, p. 16 31596 Influenza Virus Vaccine and Pneumococcal Vaccine (PPV)... November 2011, p. 17 56900 Additional Development Request (ADR)... September 2011, p. 19 Fraud Predictive Modeling Analysis of Medicare Claims... December 2011, p. 14 Frequently Asked Questions (FAQs) Health Insurance Portability Accountability Act (HIPAA) Version 5010... September 2011, p. 3 G H Healthcare Common Procedure Coding System (HCPCS) July 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)... July 2011, p. 25 July Update to the 2011 Medicare Physician Fee Schedule Database (MPFSDB)... July 2011, p. 20 October 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)... October 2011, p. 22 October Update to the 2011 Medicare Physician Fee Schedule Database (MPFSDB)... October 2011, p. 9 CGS Administrators, LLC 4
Healthcare Common Procedure Coding System (HCPCS) (continued) Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2011 Update... July 2011, p. 36 Healthcare Provider Taxonomy Codes October 2011 Update... September 2011, p. 11 Health Insurance Portability Accountability Act (HIPAA) Version 5010 Act Now for the Version 5010 Transition... August 2011, p. 4 Delayed Implementation of Paperwork (PWK) Segment for X12N Version 5010... August 2011, p. 5 Frequently Asked Questions (FAQs)... September 2011, p. 3 Medicare Remit Easy Print (MREP) and PC Print User Guide Update for Implementation of Version 5010A1... September 2011, p. 17 National 5010 Testing Week... August 2011, p. 4 Update Regarding 5010/D.0 Implementation - Action Needed Now... November 2011, p. 18 Home Health Beneficiary Elected Transfers... October 2011, p. 16 Billing Code Sheets Now Available... July 7, 2011, p. 12 Calendar Year 2011 Home Health PPS PC Pricer Update... October 2011, p. 8 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)... July 7, 2011, p. 14 Home Health Requests for Anticipated Payment (RAP) and Timely Claims Filing... July 2011, p. 9 Revisions to the Medicare Claims Processing Manual Chapter 10 (Home Health Agency Billing)... July 2011, p. 22 OASIS and HHCAHPS Data Submit Promptly to Ensure Full Medicare Payment... July 2011, p. 10 Outlier Limitation Corrections... July 2011, p. 17 Paper Claim Submission Tips... September 2011, p. 18 Payments to Home Health Agencies That Do Not Submit Required Quality Data... November 2011, p. 11 Proposed Changes to Medicare Home Health Payments for 2012... August 2011, p. 9 Therapy Services in Home Health Manual Changes... July 2011, p. 12 Home Health Care Consumer Assessment of Health Providers and Systems (HHCAHPS) Submit OASIS and HHCAHPS Data Promptly to Ensure Full Medicare Payment... July 2011, p. 10 Hospice Billing Code Sheets Now Available... July 7, 2011, p. 12 Cap Calculation Methodology Changes... November 2011, p. 6 Correction to Processing of Hospice Discharge Claims... September 2011, p. 11 Discharge Claims Change to Processing... December 2011, p. 10 Face-to-Face Encounters Not Timely Claims Processing Procedures... November 2011, p. 13 CGS Administrators, LLC 5
Hospice (continued) Final Wage Index Changes For Medicare Hospices... September 2011, p. 13 Late Charge Claims Discontinuation... December 2011, p. 7 Paper Claim Submission Tips... September 2011, p. 18 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2012... September 2011, p. 21 Widespread Hospice Edit Continues to Find Errors... December 2011, p. 20 Hospital Outpatient Prospective Payment System (OPPS) Calendar Year 2011 OPPS Pricer File Update... August 2011, p. 10 July 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)... July 2011, p. 25 Medicare Learning Network (MLN) Fact Sheet... September 2011, p. 3 October 2011, p. 3 October 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)... October 2011, p. 22 I ICD-9-CM (International Classification of Disease, Ninth Revision, Clinical Modification) Medicare Contractor Annual Update... August 2011, p. 3 ICD-10-CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System) Claims Processing Guidance for Implementing ICD-10... October 2011, p. 18 Podcasts From National Provider Calls... December 2011, p. 10 Video Slideshow Presentation, Podcasts, and Written Transcripts of May 18 th National Provider Call... August 2011, p. 3 Influenza Virus Vaccine 2011-2012 Seasonal Influenza (Flu) Resources for Health Care Professionals... December 2011, p. 15 Billing of the New Influenza Virus Vaccine (CPT Code 90654)... November 2011, p. 8 December 2011, p. 8 Influenza Virus Vaccine and Pneumococcal Vaccine (PPV) Reason Code 31596... November 2011, p. 17 Payment Update and Common Working File (CWF) Editing... August 2011, p. 8 Roster Billing Reason Code 31026 and 11701... August 2011, p. 12 Integrated Outpatient Code Editor (I/OCE) July 2011 Specifications Version 12.2... July 2011, p. 5 October 2011 Specifications Version 12.3... October 2011, p. 6 CGS Administrators, LLC 6
J K L M Mailing Address New CGS Mailing Address Effective December 5, 2011... November 2011, p. 22 Credit Balance Report Mailing Addresses... October 2011, p. 15 Medical Review Hospice Edit Continues to Find Errors... December 2011, p. 20 Tips on Preparing Your Medical Record Documentation in Response to an Additional Development Request (ADR)... December 2011, p. 18 Medicare Learning Network (MLN) MM6856 (Revised)-Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)... July 7, 2011, p. 14 MM6870 (Revised)-Reporting of Recoupment for Overpayment on the Remittance Advice (RA)... September 2011, p. 9 MM7128 (Revised)-Payment Update and Common Working File (CWF) Editing for Influenza Virus Vaccine and Pneumococcal Vaccine (PPV) Codes... August 2011, p. 8 MM7212-Edit to Deny Claims for Repairs to Capped Rental Durable Medical Equipment (DME)... July 2011, p. 9 MM7303-Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2011 Update... July 2011, p. 36 MM7306 (Revised)-Modifications to the Implementation of the Paperwork (PWK) Segment for X12N Version 5010... July 7, 2011, p. 17 MM7338-Revisions to the Medicare Claims Processing Manual Chapter 10 (Home Health Agency Billing)... July 2011, p. 22 MM7350 (Revised)-Implementation of Provider Enrollment Provisions in CMS-6028-FC... December 2011, p. 3 MM7369-Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update... July 2011, p. 19 MM7374 (Revised)-Manual Changes for Therapy Services in Home Health, Publication 100-02, Chapter 7... July 2011, p. 12 CGS Administrators, LLC 7
Medicare Learning Network (MLN) (continued) MM7395-Corrections to Home Health Prospective Payment System (HHPPS) Outlier Limitation... July 2011, p. 17 MM7396-Home Health Requests for Anticipated Payment and Timely Claims Filing... July 2011, p. 9 MM7397-Pharmacy Billing for Drugs provided Incident To a Physician Service... July 2011, p. 3 MM7397 (Revised)- Pharmacy Billing for Drugs provided Incident To a Physician Service... August 2011, p. 7 MM7397 (Revised)-Pharmacy Billing for Drugs provided Incident To a Physician Service... September 2011, p. 14 MM7397 (Revised)-Pharmacy Billing for Drugs provided Incident To a Physician Service... November 2011, p. 8 MM7401-Phase 3 of Manual Revisions to Reflect Payment Changes for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005... July 2011, p. 6 MM7405-Clarification of Evaluation and Management (E/M) Payment Policy... November 2011, p. 9 MM7416-July Quarterly Update for 2011 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule... July 7, 2011, p. 21 MM7420-Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Reopenings via a Secure Internet Portal/Application... September 2011, p. 7 MM7425-October 2011 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program... July 2011, p. 4 MM7430-July Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB)... July 2011, p. 20 MM7436-Recovery Audit Program: Medicare Administrative Contractor (MAC)-Issued Demand Letters... September 2011, p. 4 MM7439-July 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.2... July 2011, p. 5 MM7443-Update of the Hospital Outpatient Prospective Payment System (OPPS)... July 2011, p. 25 MM7454-Medicare Contractor Annual Update of the International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM)... August 2011, p. 3 MM7459-Calendar Year 2012 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data... November 2011, p. 11 MM7466-Medicare Remit Easy Print (MREP) and PC Print User Guide Update for Implementation of Version 5010A1... September 2011, p. 17 MM7473-Correction to Processing of Hospice Discharge Claims... September 2011, p. 11 MM7478-Hospice Claims Processing Procedures When Required Face-to-Face Encounters Do Not Occur Timely... November 2011, p. 13 MM7488-October 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... September 2011, p. 15 CGS Administrators, LLC 8
Medicare Learning Network (MLN) (continued) MM7492-Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10 th Edition (ICD-10)... October 2011, p. 18 MM7499-Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number... September 2011, p. 4 MM7499 (Revised)-Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number... December 2011, p. 6 MM7514-Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update... November 2011, p. 26 MM7518-Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2012... September 2011, p. 21 MM7523-Billing for Donor Post-Kidney Transplant Complication Services... December 2011, p. 25 MM7528-October Update to the Calendar Year (CY) 2011 Medicare Physician Fee Schedule Database (MPFSDB)... October 2011, p. 9 MM7541-October 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.3... October 2011, p. 6 MM7543-Annual Clotting Factor Furnishing Fee Update 2012... October 2011, p. 7 MM7545-October 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)... October 2011, p. 22 MM7556-Discontinuation of Hospice Late Charge Claims... December 2011, p. 7 MM7564-Claim Adjustment Reason Code (CARC) Used for Therapy Claims Subject to the Multiple Procedure Payment Reduction (MPPR)... December 2011, p. 8 MM7580-New Influenza Virus Vaccine Code... December 2011, p. 8 MM7585-Claim Status Category and Claim Status Codes Update... November 2011, p. 14 MM7624-January 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... December 2011, p. 9 MM7635-CY 2012 Fee Schedule Update for Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS)... December 2011, p. 21 SE1110-Medicare Pilot Project for Electronic Submission of Medical Documentation (esmd)... October 2011, p. 27 SE1110 (Revised)- Medicare Pilot Project for Electronic Submission of Medical Documentation (esmd)... November 2011, p. 23 SE1114-New Information to Improve Patient Safety at America s Hospitals... September 2011, p. 16 SE1115-Recently Enrolled Home Health Agencies (HHAs): Submit OASIS and HHCAHPS Data Promptly to Ensure Full Medicare Payment... July 2011, p. 10 SE1126-Further Details on the Revalidation of Provider Enrollment Information... September 2011, p. 5 SE1126 (Revised)-Further Details on the Revalidation of Provider Enrollment Information... October 2011, p. 4 December 2011, p. 11 SE1128-Prohibition on Balance Billing Qualified Medicare Beneficiaries (QMBs)... November 2011, p. 27 CGS Administrators, LLC 9
Medicare Learning Network (MLN) (continued) SE1130-Implementation of Pay.gov Application Fee Collection Process Through PECOS... November 2011, p. 17 SE1131-Important Update Regarding 5010/D.0 Implementation - Action Needed Now... November 2011, p. 18 SE1133-Predictive Modeling Analysis of Medicare Claims... December 2011, p. 14 SE1136-2011-2012 Seasonal Influenza (Flu) Resources for Health Care Professionals... December 2011, p. 15 Updates to Training and Educational Materials... August 2011, p. 5 Medicare Physician Fee Schedule Database (MPFSDB) Adjustment of Therapy Claims Subject to 2010 MPFS Changes... August 2011, p. 10 July Update to the CY 2011 MPFSDB... July 2011, p. 20 October Update to the 2011 MPFSDB... October 2011, p. 9 Proposed Policy, Payment Rate Changes for the Physician Fee Schedule for 2012... August 2011, p. 4 Medicare Secondary Payer (MSP) Delay in Implementation of Automated MSP Adjustments (CR 6625)... October 2011, p. 8 Multiple Procedure Payment Reduction (MPPR) Claim Adjustment Reason Code (CARC) Used for Therapy Claims Subject to the Multiple Procedure Payment Reduction (MPPR)... December 2011, p. 8 N O Outcome and Assessment Information Set (OASIS) Submit OASIS and HHCAHPS Data Promptly to Ensure Full Medicare Payment... July 2011, p. 10 Outpatient Prospective Payment System (OPPS) See Hospital Outpatient Prospective Payment System (OPPS) P Payments Beneficiary Listing Due for CAP Period Ending October 31, 2011... November 2011, p. 7 Cap Calculation Methodology Changes... November 2011, p. 6 CGS Administrators, LLC 10
Payments (continued) Evaluation and Management (E/M) Payment Policy Clarification... November 2011, p. 9 Payment Update and Common Working File (CWF) Editing for Influenza Virus Vaccine and Pneumococcal Vaccine (PPV) Codes... August 2011, p. 8 Payments to Home Health Agencies That Do Not Submit Required Quality Data... November 2011, p. 11 Proposed Changes to Medicare Home Health Payments for 2012... August 2011, p. 9 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2012... September 2011, p. 21 When Funds are Posted to Provider s Account... July 7, 2011, p. 8 Paperwork (PWK) Segment Delayed Implementation of PWK Segment for X12N Version 5010... August 2011, p. 5 Modifications to the Implementation of the Paperwork (PWK) Segment for X12N Version 5010... July 7, 2011, p. 17 PC Print Update... November 2011, p. 26 User Guide Update for Implementation of Version 5010A1... September 2011, p. 17 Physician Fee Schedule (MPFS) See Medicare Physician Fee Schedule Database (MPFSDB) Physician Services Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)... July 7, 2011, p. 14 Pharmacy Billing for Drugs Provided Incident To... July 2011, p. 3 Pharmacy Billing for Drugs Provided Incident To (Revised)... August 2011, p. 7 September 2011, p. 14 November 2011, p. 8 Pneumococcal Vaccine (PPV) Influenza Virus Vaccine and Pneumococcal Vaccine (PPV) Reason Code 31596... November 2011, p. 17 Payment Update and Common Working File (CWF) Editing... August 2011, p. 8 Roster Billing Reason Code 31026 and 11701... August 2011, p. 12 Provider Contact Center (PCC) Training Dates... July 7, 2011, p. 9 August 2011, p. 12 September 2011, p. 20 October 2011, p. 16 November 2011, p. 20 December 2011, p. 17 CGS Administrators, LLC 11
Provider Enrollment Application Forms Available Online... October 2011, p. 3 Application Process and Resources... October 2011, p. 12 CMS-855A Update on Completing Enrollment Application... December 2011, p. 19 Enrollment Revalidation Process and Improvements to Internet-Based PECOS... November 2011, p. 16 Fact Sheets... December 2011, p. 10 Further Details on the Revalidation of Provider Enrollment Information... September 2011, p. 5 Further Details on the Revalidation of Provider Enrollment Information (Revised)... October 2011, p. 4 December 2011, p. 11 Implementation of Pay.gov Application Fee Collection Process Through PECOS... November 2011, p. 17 Implementation of Provider Enrollment Provisions in CMS-6028-FC... December 2011, p. 3 List of Providers Sent a Revalidation Request Now Available... December 2011, p. 10 Medicare Learning Network (MLN) Fact Sheet... September 2011, p. 3 October 2011, p. 3 Revalidation Does Not Affect Routine Enrollment Processes... November 2011, p. 15 Provider Enrollment, Chain, and Ownership System (PECOS) CMS-855A Update on Completing Enrollment Application... December 2011, p. 19 Implementation of Pay.gov Application Fee Collection Process Through PECOS... November 2011, p. 17 Medicare Learning Network (MLN) Fact Sheet... September 2011, p. 4 Provider Revalidation Process and Improvements... November 2011, p. 16 Provider Specific File (PSF) July 2011 Quarterly PSF SAS Data Files and Text Data Files Are Available... August 2011, p. 5 September 2011, p. 10 Q Qualified Medicare Beneficiaries (QMBs) Prohibition on Balance Billing... November 2011, p. 27 December 2011, p. 11 Quarterly Provider Update CMS Comprehensive Resource... October 2011, p. 16 CGS Administrators, LLC 12
R Home Health & Hospice CGS Medicare Bulletin Recovery Audit Program Medicare Administrative Contractor (MAC)-Issued Demand Letters... September 2011, p. 4 Remittance Advice Remark Code (RARC) Update... July 2011, p. 19 November 2011, p. 26 Reporting of Recoupment for Overpayment with Patient Control Number... September 2011, p. 4 Reporting of Recoupment for Overpayment on the Remittance Advice (RA)... September 2011, p. 9 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) (Revised)... December 2011, p. 6 Revalidation Enrollment Revalidation Does Not Affect Routine Enrollment Processes... November 2011, p. 15 Enrollment Revalidation Process and Improvements to Internet-Based PECOS... November 2011, p. 16 Further Details on the Revalidation of Provider Enrollment Information... September 2011, p. 5 Further Details on the Revalidation of Provider Enrollment Information (Revised)... October 2011, p. 4 December 2011, p. 11 List of Providers Sent a Revalidation Request Now Available... December 2011, p. 10 Roster Billing Reason Code 31026 and 11701... August 2011, p. 12 S Self-Service Tools CGS Web Site Updates... November 2011, p. 4 Billing Code Sheets Now Available... July 7, 2011, p. 12 Hospital Outpatient Prospective Payment System Medicare Learning Network (MLN) Fact Sheet... September 2011, p. 3 October 2011, p. 3 Immunizers Guide Now Available... November 2011, p. 8 Introduction to CGS Home Health & Hospice Web Site... July 7, 2011, p. 4 Provider Enrollment Medicare Learning Network (MLN) Fact Sheet... October 2011, p. 3 Rehabilitation Therapy Information Resource Fact Sheet... October 2011, p. 3 Updates to the Medicare Learning Network (MLN) Training and Educational Materials... August 2011, p. 5 CGS Administrators, LLC 13
Self-Service Tools (continued) What s New on the CGS Home Health and Hospice Web Site... August 2011, p. 11 September 2011, p. 18 T Telephone Inquiries Who Do I Call?... July 7, 2011, p. 7 Therapy Manual Changes for Therapy Services in Home Health... July 2011, p. 12 Rehabilitation Therapy Information Resource Fact Sheet... October 2011, p. 3 Timely Claims Filing Home Health Requests for Anticipated Payment (RAP)... July 2011, p. 9 U V W Widespread Edit Hospice Edit Continues to Find Errors... December 2011, p. 20 Web Site Billing Code Sheets Now Available... July 7, 2011, p. 12 CGS Web Site Updates... November 2011, p. 4 Introduction to CGS Home Health & Hospice Web Site... July 7, 2011, p. 4 What s New on the CGS Home Health and Hospice Web Site... August 2011, p. 11 September 2011, p. 18 CGS Administrators, LLC 14
X Y Z CGS Administrators, LLC 15