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Date Headline
10.10.2008 FY 2010 Hospital Wage Index PUF & Development Timetable
10.07.2008 Medicare Publishes Billing Edits to Reduce Payment Errors
09.16.2008 Iowa and Indiana Waivers Expire
09.15.2008 NPPES User Maintenance Tips
08.26.2008 Radiopharmaceutical Reporting Requirements
08.19.2008 CMS End-Stage-Renal-Disease (ESRD) Network External Stakeholder Meetings 
08.15.2008 Attention MD/DCMA/DE Part B PC-ACE Customers: New PC-ACE Pro32 Version 1.94 Upgrade Available via Internet Download - UPGRADE NOW!
08.07.2008 August is National Immunization Awareness Month (NIAM)!
08.07.2008 2007 PQRI Final Feedback Reports
07.30.2008 Increased Payment for Ground Ambulance Services Under MIPPA
07.28.2008 Claim Status and Eligibility Inquiries to the Contact Center
07.17.2008 Reinstatement of the Moratorium That Allows Independent Laboratories to Bill for the TC of Physician Pathology Services Furnished to Hospital Patients 
07.16.2008 Extension of Therapy Cap Exceptions
07.16.2008 New 2008 Medicare Physician Fee Schedule Payment Rates Effective for Dates of Service July 1, 2008 through December 31, 2008 
07.14.2008 ATTENTION Part B MD/DCMA/DE PC-ACE Pro32 Users Only: NEW Utility Is Now Available to Enter Your New Contractor Identification Number
07.01.2008 Hold Claims Paid Under the Medicare Physician Fee Schedule (MPFS)
06.23.2008 Medicare FFS NPI Update & Part B Issues Identified
06.23.2008 July 1 is coming! Medicare DMEPOS Competitive Bidding Program News
06.09.2008 Register Now to Access Your 2007 Physician Quality Reporting Initiative (PQRI) Feedback Report
06.03.2008 DMEPOS Competitive Bidding Program - New Educational Products and Upcoming National Provider Call 
06.03.2008

The NPI is here. The NPI is now. Are you using it? NPI News for Medicare FFS Providers

05.30.2008 2008 Physician Quality Reporting Initiative (PQRI) National Provider Conference Call with Question & Answer Session
05.07.2008 May is National Osteoporosis Awareness and Prevention Month
05.02.2008 J12 MAC Draft Local Coverage Determinations (LCDs)
05.01.2008 CMS to Host National Education Call on May 13th, 2008, 12:30 - 2:30 p.m. EST
04.29.2008 Audiologists Billing Medicare 
04.02.2008 When to Submit a CMS-855 Form
03.19.2008 March is National Colorectal Cancer Awareness Month
03.12.2008 Medicare Acceptance and Crossover to Medicaid the National Drug Codes (NDC) and Corresponding Quantities submitted on the CMS-1500 Claim Form
03.03.2008 Revised Edit Message for NPI Edits M389 – M392
02.28.2008 Timed Therapy Codes
02.26.2008 Bone Mass Measurements
02.26.2008

Reminder - Effective March 1, 2008, when required for Medicare claim submission, all 837P and CMS-1500 claims must have an NPI or NPI/legacy pair in the required primary provider fields. Failure to include an NPI will cause the claim to reject.

02.21.2008 Initial Hospital Observation Care Billing
02.21.2008 Hospital Discharge Day Management Codes 99238 and 99239
02.21.2008 Consultations Often Billed Incorrectly
02.19.2008 NPPES Information for Organization Providers and the Importance of "Complete" Medicare Enrollment Applications
02.18.2008 Getting an NPI is free - Not Having One Can Be Costly.
02.06.2008 Medicare Part B Drug Competitive Acquisition Program (CAP): Additional Physician Election Period for 2008 is Underway!
02.05.2008 February is "American Heart Month"
02.05.2008 New Look to EDI Enrollment Forms
02.04.2008 Correction to Calendar Year (CY) 2008 Ambulatory Surgical Center (ASC) Payment for Brachytherapy Sources
01.31.2008 Delay In Posting Part B Draft Local Coverage Determinations (LCDs) For Comment
01.30.2008 New Edits for Prior Authorization or Referral Claims
01.29.2008 Attention Part B Providers: The NPI is Required Effective March 1, 2008
01.22.2008 Competitive Acquisition Program (CAP) - Ask the Contractor Teleconference and Additional Physician Election Period 
01.16.2008 Medicare Physician Fee Schedule (MPFS) - Clarification from CMS
01.16.2008 Medicare Part B Drug Competitive Acquisition Program (CAP): Additional 2008 Physician Election Period and Impact on Carriers
01.15.2008 Reduce practice expenses – Stop duplicate submissions
01.14.2008 Audio conference/Q&A session regarding Durable Medical Equipment, Prosthetics, Orthotics and Supplies
01.11.2008 New NPI Edits for Secondary Providers
01.08.2008 Medicare Competitive Acquisition Program (CAP) for Physicians Updates
01.08.2008

MEDICARE HEALTH AND PRESCRIPTION DRUG PLAN ENROLLEES EXPECTED TO EXPERIENCE SMOOTH TRANSITION TO 2008

01.07.2008 January is National Glaucoma Awareness Month 
01.07.2008 Reporting for the 2008 Physician Quality Reporting Initiative (PQRI) begins January 1, 2008
12.20.2007 Start Testing Your Medicare Claims Now & Important Reminders
12.06.2007 2008 Physician Quality Reporting Initiative (PQRI) National Provider Question & Answer Session
12.05.2007 NPI Enumerator Clarification
12.05.2007 Medicare Diabetes Coverage
11.29.2007 New Edits for Incorrect Reporting of the Organization Name
11.28.2007 Important NPI Information 
11.15.2007 Retirement of Local Coverage Determinations (LCDs) 
11.08.2007 2007 Physician Quality Reporting Initiative (PQRI) Update 
11.05.2007 Important NPI Information for Medicare Providers 
11.05.2007 November is American Diabetes Month 
10.25.2007 Important NPI Information for Medicare Providers 
10.18.2007 New NPI Rejections Effective October 29, 2007 
10.12.2007 Bone Mass Measurements 
10.09.2007 Coding for Stripping Keratoplasty Procedures 
07.30.2007 Update on Payment for PET Scan Radioactive Tracers 
07.11.2007 Notifying Affected Parties Regarding Changes to the Mandatory (“Claim-Based”) Crossover Process 
06.26.2007 RedPath - PathFinder TG 
06.13.2007 Oncologic In Vitro Chemoresponse Assays 
05.21.2007 Speed payment of MSP claims 
10.03.2006 October is National Breast Cancer Awareness Month (NBCAM) 
09.13.2006 Medicare Provider Feedback Town Hall Meeting 
08.24.2006 NPI: Get It. Share It. Use It. 
08.15.2006 Preventive Services Web-Based Training Courses 
08.07.2006 August is National Immunization Awareness Month! 
08.07.2006 Planned Release of a Request for Information (RFI) Concerning The Scope of Work and Specialty Activities that CMS Will Include in the Next Medicare Administrative Contractor (MAC) Procurements 
06.27.2006 CMS Accounces Proposed Changes To Physician Fee Schedule Methodology 
06.16.2006 National Men's Health Week 
06.08.2006 Ask the Contractor Teleconference for CAP 
06.08.2006 CAP Physician Election Enrollment Forms - Reminders 
06.01.2006 National Provider Identifier (NPI) 
05.25.2006 Important Information Regarding Provider Enrollment and the National Provider Identifier (NPI) 
05.12.2006 Physician Recertification of Home Health Services 
05.09.2006 Radiopharmaceutical Diagnostic Imaging Agents for PET Scans 
05.09.2006 Coding Drug Administration Services for Payment Under the CY 2006 OPPS 
05.09.2006 Moderate (Conscious) Sedation Codes 99143 - 99145 
05.03.2006 Electronic File Interchange (EFI) is now available for bulk enumeration of National Provider Identifiers (NPIs) 
05.02.2006 Revised CMS-855 Applications Now Available 
04.13.2006 New Information for All Medicare Participating Providers in Pennsylvania 
04.11.2006 Medicare Reimbursement Guidelines for Anesthesiology Services Performed Concurrently with Medical Direction – Q & A 
04.10.2006 NPI Required on Enrollment Applications 
04.07.2006 Revised Health Insurance Claim Form CMS-1500 
03.24.2006 Ambulance Medical Conditions List 
03.17.2006 March is National Kidney Month 
03.10.2006 Implementation of the Financial Limitation for Outpatient Rehabilitation Services - Exception Process 
03.08.2006 National Colorectal Cancer Awareness Month Message 
03.08.2006 Medicare Remit Easy Print (MREP) 
03.08.2006 NPI Information for Providers 
02.22.2006 Collection and Verification of Ambulance Crew Member Information 
02.17.2006 National Heart Month 
02.13.2006 Second Participation Enrollment Period 
02.09.2006 Enactment of the Deficit Reduction Act of 2005 
02.01.2006 Luteinizing Hormone-Releasing Hormone (LHRH) implants for Prostatic Cancer Treatment 
01.27.2006 Important Message - Medicare Special Needs Plans 
01.26.2006 Medicare Payment for Preadministration Services Associated with IVIG 
01.20.2006 Clinical Trials 
01.06.2006 Weekly Physician Open Q&A conference call for the Medicare Part D Prescription Drug Benefit 
01.05.2006 CMS Launches First Survey of Provider Satisfaction with Medicare Fee-For-Service Contractors 
01.04.2006 Therapy Caps Effective January 1, 2006 
01.03.2006 Investigational Device Exemptions (IDEs) 
12.14.2005 The Appeal Process Effective January 1, 2006 
12.08.2005 December 2005 Medicare Report Correction 
12.06.2005 2006 HCPCS Update Corrections 
11.28.2005 2006 Medicare Physician Fee Schedule Database Revisions 
11.16.2005 Reasonable Charge Update for 2006 Splint and Cast Codes 
11.04.2005 Updates to Allowances for the Influenza and Pneumococcal Vaccines 
11.02.2005 Manual Update on Medical Nutrition Therapy (MNT) Services 
10.21.2005 Radiopharmaceuticals Diagnostic Imaging Agents Applicable to PET Scans 
09.27.2005 Influenza and Pneumococcal Immunizations 
08.31.2005 October Update to the 2005 Medicare Physician Fee Schedule Database 
08.15.2005 LCD A-4 Monitored Anesthesia Care (MAC) 
08.11.2005 Comprehensive Error Rate Testing (CERT) Provider Address Website is Now Available 
08.01.2005 Annual Dear Doctor Letter, Par Agreement, and New Fees to be on CD-ROM for 2006 
05.26.2005 NPI Enumeration Has Started 
05.24.2005 Providers Instructions for Notifying Highmark Medicare Services to Override Automated Health Professional Shortage Area (HPSA) or Physician Scarcity (PSA) Bonus Payments for Globally Billed Services 
05.16.2005 Hospice Services/Billing Reminders 
04.25.2005 Medicare Coverage of Cardiac Pacemaker Evaluation Services 
04.15.2005 Revised Medicare Coverage of PET scans 
04.12.2005 New Coding for FDG PET Scans and Expanded Coverage for Cervical Cancer 
04.01.2005 Medicare Coverage of Implantable Cardioverter-Defibrillator (ICD) 
03.31.2005 New Contractor for Comprehensive Error Rate Testing (CERT) Program Medical Record Requests 
03.28.2005 News on Claim Rejection “Beneficiary Cannot be identified” 
03.24.2005 Purchased Diagnostic Tests Billing Change 
03.23.2005 New HCPCS Codes for Contrast Agents (Updated) 
03.15.2005 Hyperbaric Oxygen (HBO) Therapy 
03.15.2005 Reporting of Unlisted or Not Otherwise Classified (NOC) Drug Codes 
03.09.2005 Update to Highmark Medicare Services's February 1, 2005 Drug Administration Coding Article - J1745 
03.08.2005 1st Update to the 2005 Medicare Physician Fee Schedule Database 
02.09.2005 Claim Submission Tips for New G-codes (Drug Administration and Chemotherapy Demonstration Project) 
02.01.2005 2005 Drug Administration Coding Revisions - G-codes (Revised) 
01.27.2005 Medicare Drug Benefit & Medicare Advantage Program Final Rules 
01.13.2005 Medicare Part B Enrollment for TRICARE-Eligible Beneficiaries 
01.10.2005 Are You Receiving Claim Rejections for Health Professional Shortage Area (HPSA) or Physician Scarcity Area (PSA) Bonus Payment Billing Errors and Don't Know Why? 
01.06.2005 Ambulance Condition Codes 
12.29.2004 Important Provider Enrollment Fraud Alert 
12.9.2004 Drug Administration "G" code Crosswalks, Effective January 1, 2005 
10.5.2004 PET Scans for Dementia and Neurodegenerative Diseases 
08.17.2004 Billing for Home Care and Domiciliary Visits 
07.20.2004 Medicare Secondary Payer (MSP) Trauma Diagnosis 
07.01.2004 Payment to Bank 
06.25.2004 Ambulance Transports "To" and "From" a Physicians Office 
06.08.2004 Incident-To Services submitted on CMS-1500 Claim Form 
05.28.2004 Implementation of New Medicare Redetermination Notice (MMA) 
03.23.2004 Pricing Update for Drug Exceptions 
03.23.2004 New "G" Codes for ESRD Related Services 
03.17.2004 Jurisdictional Pricing Revisions Effective 04/01/2004 
03.02.2004 Reassignment - Payment for Services Provided Under a Contractual Agreement 
02.13.2004 Processing claims for referred services for an Independent Clinical Diagnostic Laboratory 
02.13.2004 April Quarterly Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 
02.13.2004 Therapy Codes Considered Separately Payable Physicians Services Under SNF Consolidated Billing 
02.10.2004 Thoracic Electrical Bioimpedance Coverage Claification 
02.10.2004 Medlearn Matters Provider Education Articles 
01.30.2004 New Enrollee Rights, New Provider Responsibilities in M+C Program 
01.30.2004 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit-Revised Criteria for Using the CB Modifier 
01.30.2004 Changes to Clinical Laboratory Test NCDs 
01.23.2004 Artificial Hearts and Related Devices - Coding Change 
01.23.2004 Jurisdictional Pricing Revisions 
01.20.2004 Treatment of Certain Dental Claims as a result of MMA 
01.20.2004 CCI Version 10.1 
01.15.2004 New Codes for DMERCs 
01.08.2004 Opting Out of Medicare (Private Contracting) 
01.08.2004 Medicare Coding Guidelines for Darboepoetin Alpha and Epogen 
01.08.2004 Renewed Moratorium on Outpatient Rehabilitation Therapy Caps 
12.30.2003 Medicare Coding Guidelines for Aranesp 
12.30.2003 New Basis for Medicare Drug Payment Amounts Under Part B 
11.18.2003 Changes in Financial Limitations for 2004 
10.29.2003 Jurisdictional Payment Revisions Effective April 1, 2004 
10.29.2003 GY Modifier Usage For Clinical Laboratory Services 
07.02.2003 Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 
07.02.2003 Portable X-ray Transportation Services 
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