Medicare News
Part A Teleconference Handout: "Two Midnight Rule Probe and Educate"
May 15, 2014 (1:00pm-2:30pm ET/12:00pm-1:30pm CT)
Handout materials are now available for our teleconference "Two Midnight Rule Probe and Educate" on May 15, 2014 (1:00pm-2:30pm ET/12:00pm-1:30pm CT).
Registration for this event has closed, but don't worry more events like this are coming soon! Stay tuned to our website for details!
MLN Connects Provider eNews for May 15, 2014
Please take note of the articles included in the Claims, Pricers and Codes section:
Customer Contact Center Training Schedule for June 2014
The Customer Contact Centers June training schedule has been posted to our Holiday and Training webpage. The call center will close for training on Thursday afternoons from 1:00pm – 3:00pm CT and reopen from 3:00pm - 5:00pm CT
Provider Alert – Wound Care and Skin Equivalents
Follow this link to information related to the final LCD, Wound Care and Cellular and/or Tissue-Based Products for Wounds, which was previously placed on hold.
Hold and Adjustments to Method II CAH Claims that Include Services for a Surgical Assistant
Method II Critical Access Hospital (CAH) claims that include services for a surgical assistant will be held until the system is fixed on June 9, 2014. No action is required by providers. Beginning on June 9, claims that were processed incorrectly from April 1 through June 9, 2014, will be adjusted for the following criteria:
Handout materials are now available for our teleconference "Two Midnight Rule Probe and Educate" on May 15, 2014 (1:00pm-2:30pm ET/12:00pm-1:30pm CT).
Registration for this event has closed, but don't worry more events like this are coming soon! Stay tuned to our website for details!
MLN Connects Provider eNews for May 15, 2014
Please take note of the articles included in the Claims, Pricers and Codes section:
- Hold and Adjustments to Method II CAH Claims that Include Services for a Surgical Assistant
- Mass Adjustments to Inpatient Psychiatric Facility Claims with Teaching Adjustment Amounts Not Displaying Correctly
Customer Contact Center Training Schedule for June 2014
The Customer Contact Centers June training schedule has been posted to our Holiday and Training webpage. The call center will close for training on Thursday afternoons from 1:00pm – 3:00pm CT and reopen from 3:00pm - 5:00pm CT
Provider Alert – Wound Care and Skin Equivalents
Follow this link to information related to the final LCD, Wound Care and Cellular and/or Tissue-Based Products for Wounds, which was previously placed on hold.
Hold and Adjustments to Method II CAH Claims that Include Services for a Surgical Assistant
Method II Critical Access Hospital (CAH) claims that include services for a surgical assistant will be held until the system is fixed on June 9, 2014. No action is required by providers. Beginning on June 9, claims that were processed incorrectly from April 1 through June 9, 2014, will be adjusted for the following criteria:
- Type of Bill (TOB) = 85x
- CAHs Method II (optional Method = 'J') - Page 10, PROVIDER REIM METH = J
- Revenue Code = 96x, 97x, or 98x, excluding 963 and 964
- Modifier = AS, 80, 81 and/or 82 with covered charges greater than zero
- Healthcare Common Procedure Coding (HCPC) = 10000 - 69999
