The Centers for Medicare and Medicaid Services (CMS) is reporting these events, updates and deadlines for providers and hospitals on payment issues concerning Medicare and Medicaid. Read the latest MLN Connects Weekly Provider eNews.
MIPS Promoting Interoperability Performance Category Webinar — June 12
Tuesday, June 12 from 1 to 2 pm ET
Register for this webinar.
Learn information about the Promoting Interoperability performance category of the Merit-based Incentive Payment System (MIPS). CMS will:
- Provide a brief overview of MIPS requirements in 2018
- Discuss the renaming of Advancing Care Information to Promoting Interoperability
- Explain the Promoting Interoperability performance category requirements for 2018
- Discuss scoring for the Promoting Interoperability performance category
We’re hosting a webinar on 6/12 that will give an overview of the #MIPS Promoting Interoperability Performance Category. Register today! https://t.co/zxuxvdM50n #MACRA #QPP pic.twitter.com/yzcZQOgBnx
— CMSGov (@CMSGov) June 6, 2018
If you’re participating as a group, don’t forget to register for the CMS Web Interface or CAHPS for #MIPS Survey reporting methods by June 30! Register today: https://t.co/Lkq3I47cDH #QPP #MACRA
— CMSGov (@CMSGov) June 4, 2018
Bill Correctly for Device Replacement Procedures – Reminder
In a September 2017 report, the Office of the Inspector General (OIG) determined that Medicare paid for many device replacement procedures incorrectly. Hospitals are required to use condition codes 49 or 50 on claims for device replacement procedures resulting from a recall or premature failure (whether the device is provided at no cost or with a credit).
Use the following resources to bill correctly and avoid overpayment recoveries:
- Shortcomings of Device Claims Data Complicate and Potentially Increase Medicare Costs for Recalled and Prematurely Failed Devices. OIG Report, September 2017.
- Medicare Claims Processing Manual, Chapter 3, section 100.8
- Medicare Claims Processing Manual, Chapter 4, section 61.3.5 and 61.3.6
Claim Status Category and Claim Status Codes Update
This MLN Matters Article is intended for physicians, providers and suppliers billing Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.
Change Request (CR) 10777 updates, as needed, the Claim Status and Claim Status Category Codes used for the Accredited Standards Committee (ASC) X12 276/277 Health Care Claim Status Request and Response and ASC X12 277 Health Care Claim Acknowledgment transactions. Make sure your billing staffs are aware of these updates.
New Q Code for In-Line Cartridge Containing Digestive Enzyme(s)
This MLN Matters Article is intended for physicians, providers and suppliers billing Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.
Change Request (CR) 10626 instructs MACS to add Healthcare Common Procedure Coding System (HCPCS) code Q9994 to the Level II HCPCS code set effective July 1, 2018. Make sure your billing staffs are aware of these changes.
New Medicare Card Project — Card Mailing Update
CMS has started mailing new Medicare cards to people with Medicare who live in Wave 2 states and territories: Alaska, American Samoa, California, Guam, Hawaii, Northern Mariana Islands, and Oregon. We continue to mail new cards to people who live in Wave 1 states, as well as nationwide to people who are new to Medicare.
On June 1, the Railroad Retirement Board (RRB) will mail the new Medicare cards to all people who get RRB benefits, nationwide.
Once people with Medicare get their new Medicare cards, they can start using them right away. Healthcare providers and suppliers can use either the former Social Security-based Health Insurance Claim Number or the new alpha-numeric Medicare Beneficiary Identifier through December 31, 2019.
For More Information:
- Check the mailing strategy as the mailings progress for additional information.
- Review new MLN Matters® Special Edition Article: Includes information on MBI changes initiated by people with Medicare, their authorized representatives, or CMS, as well as related eligibility and claims processing information
- Direct people with Medicare to Medicare.gov/NewCard for information about the mailings and to sign up to get email about the status of card mailings in their state