January 2024

A listing of the individual articles included in the Jurisdiction F Medicare B 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
ACM Questions and Answers - October 11, 2023
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 7
Allowing Audiologists to Provide Certain Diagnostic Tests Without a Physician Order - Revised CR13055
Annual Participation Program
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement CR13295
Behavioral Health and Opioid Treatment Reminders
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
Billing Health Provider Shortage Area (HPSA) Claims - Appeals Newsletter Part 6
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
DMEPOS Fee Schedules and Labor Payment - 3rd Quarter 2023 Update
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
Hospital and Skilled Nursing Facility (SNF) Stays Impacting Part B Claims
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
Independent Diagnostic Testing Facility (IDTF) Updates
January 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13380
Medicare Deductible, Coinsurance, & Premium Rates: CY 2024 Update CR13365
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