January 2024

A listing of the individual articles included in the Jurisdiction F Medicare A News bulletin dated January 2024 is provided. Each article title functions as a hyperlink to a specific article.

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Articles Source
2023 ICD-10 Local Coverage Article (LCA) Updates
2024 Annual Update for the HPSA Bonus Payments CR13384
2024 CPT/HCPCS Local Coverage Article (LCA) Updates
ACO Lookup Available in NMP
Additional Self-Service Requirements Effective November 6, 2023
Advanced Beneficiary Notice of Non-coverage (ABN) and Appeals - Appeals Newsletter Part 6
Allowing Audiologists to Provide Certain Diagnostic Tests Without a Physician Order - Revised CR13055
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement CR13295
Behavioral Health: Medicare Pays for 3 Services
Beta Amyloid PET in Dementia and Neurodegenerative Disease CR13429
Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (A58867) - R2 - Effective November 12, 2023
Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices (A52967) Retirement - Effective November 1, 2023
Billing and Coding: Botulinum Toxin Types A and B (A57186) - R6 - Effective October 1, 2023
Billing and Coding: Cataract Surgery in Adults (A57196) - R7 - Effective January 1, 2024
Billing and Coding: Dental Services (A59450) Retirement - Effective December 19, 2023
Billing and Coding: Intensity Modulated Radiation Therapy (IMRT) Article A58245 - Effective November 1, 2023
Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma (A59181) - R1 - Effective August 06, 2023
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58724) - R1 - Effective November 02, 2023
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R12 - Effective October 01, 2023
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R14 - Effective October 1, 2023
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R11 - Effective October 01, 2023
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58975) - R2 - Effective October 01, 2023
Billing and Coding: Outpatient Cardiac Rehabilitation (A54070) Retirement - Effective November 1, 2023
Billing and Coding: Physician Supervision of Dialysis for Acute Kidney Injury (A55996) Retirement - Effective November 1, 2023
Billing and Coding: Positron Emission Tomography Scans Coverage (A54668) Retirement - Effective October 1, 2023
Billing and Coding: Posterior Tibial Nerve Stimulation Coverage (A52965) Retirement - Effective November 1, 2023
Billing and Coding: Pulmonary Rehabilitation Services (A52770) - R7 - Effective May 11, 2023
Billing and Coding: Remote Imaging of the Retina to Screen for Retinal Diseases (A58914) Retirement - Effective November 1, 2023
Billing and Coding: Treatment with Yttrium-90 Microspheres (A52950) Retirement - Effective November 1, 2023
Billing and Coding: Urine Drug Testing (A55030) - R21 - Effective October 1, 2023
Broader Medicare Coverage of Leqembi: Claims Processing
Changes to Value-Based Insurance Design Model: CY 2024 CR13236
Clarification on Payment for Monoclonal, Complex Biological, and Rheumatological Therapies
Clinical Laboratory Fee Schedule: 2024 Annual Update CR13467
CMS' New Tool for Exchanging Healthcare Documentation - Healthcare Information Handler
DMEPOS Fee Schedule: CY 2024 Update CR13463
EDI Claim Submission Available in NMP
Edits to Prevent Payment of G2211 with O/O E/M Visit and Modifier 25 CR13272
Ensure Your Medical Records Correspondence Address is Correct
ESRD & AKI Dialysis: CY 2024 Updates CR13445
ICD-10 & Other Coding Revisions to NCDs: April 2024 Update (CR 1 of 2) CR13390
ICD-10 & Other Coding Revisions to NCDs: April 2024 Update (CR 2 of 2) CR13391
ICD-10 & Other Coding Revisions to NCDs: January 2024 Update – Revised CR13278
Issue with Fractional Mileage on Ambulance Claims Submitted through DDE
January 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13380
MACs to Reprocess ESRD Claims Containing Incorrect Onset Adjustments
Medicare Deductible, Coinsurance, & Premium Rates: CY 2024 Update CR13365
Medicare Part B CLFS: Revised Information for Laboratories on Collecting & Reporting Data for the Private Payor Rate-Based Payment System SE19006
Medicare Physician Fee Schedule Final Rule Summary: CY 2024 CR13452
Medicare Program Integrity Manual: CY 2024 Home Health Prospective Payment System Updates CR13333
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