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Medicare Learning Network (MLN) Articles from CMS
New:
- MM9153 - Section 504: Implement National Medicare Summary Notices (MSNs) in Alternate Formats
- MM9167 - Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2015 Update
Updates to the Part A Issues Log
- The correction for the BPCI claims, held in SMQ152, for reason code U5244, has been moved to the October 2015 release.
- Update to the claims where the costs for organ acquisition were incorrectly being sent to the inpatient Prospective Payment System (PPS) Pricer for claims with kidney transplant services (Revenue Code 081x). The correction was installed successfully and claims have been identified with the 081x revenue code. The claims will be adjusted by Novitas. Remarks will be included on the adjustment claim indicating this adjustment is being performed to correct the kidney acquisition charges out of the pricer.
- Claims billed with HCPCS G0279 are now receiving reason code 32403 and are being held in location SM7559. A correction is tentatively scheduled to be installed on 7/6/15. When the correction is installed and validated, claims in both SM7559 and SMQ164 will be released.
