A B C D E F G H I J K L M N O P Q R S T U V W X Y Z A Additional Development Request (ADR) Hospice Widespread Edits and Timely Mailing of Documentation... November 2012, p. 3 Revised ADR Messages... December 2012, p. 23 Timely Mailing of ADR Documentation to CGS... April 2012, p. 35 Tips on Preparing Your Medical Record Documentation... October 2012, p. 42 Website Update... December 2012, p. 8 Adjustments Canceling Hospice Notices of Elections (NOEs) and Benefit Periods... June 2012, p. 32 Erroneous Partial Episode Payment Adjustments... December 2012, p. 3 Advance Beneficiary Notice (ABN) of Noncoverage Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions... August 2012, p. 21 Clarification Untimely Hospice Face-to-Face Encounters...March 2012, p. 3 Appeals Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG)... August 2012, p. 19 Overview... October 2012, p. 13 Average Sales Price (ASP) April 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files...March 2012, p. 13 January 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... December 2012, p. 19 July 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... June 2012, p. 29 October 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... September 2012, p. 9 B Beneficiary New Process for Beneficiary Name/Number Mismatches... December 2012, p. 20 CGS Administrators, LLC 1
Billing 2013 ICD-10 CM Codes and Mapping Files are Now Available... September 2012, p. 6 Canceling Hospice Notices of Elections (NOEs) and Benefit Periods... June 2012, p. 32 Claims in a Suspended Status/Location... June 2012, p. 33 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims... July 2012, p. 10 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims (Revised)... August 2012, p. 36 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, NO-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims (Revised)... October 2012, p. 16 Clarification for Submitting Medicare Secondary Payer (MSP) Claims: Electronic vs. Direct Data Entry (DDE)... April 2012, p. 11 Consolidated Billing Impact to Other Medicare Providers/Suppliers... July 2012, p. 4 Beneficiary Name/Number Mismatches New Process... December 2012, p. 20 Demand Bills Under the Home Health Prospective Payment System Additional Instructions...February 2012, p. 9 Discontinuation of Hospice Late Charge Claims Reminder... April 2012, p. 3 Home Health Billing Reminders Reason Codes 38107 and 31755... June 2012, p. 35 Hospice Certifying Physician... June 2012, p. 11 Hospice Patient Status Code Ensure Appropriate Reporting... June 2012, p. 34 Inclusion of International Classification of Diseases 10 th Edition (ICD-10), on 33X Type of Bills...March 2012, p. 12 Medicare Secondary Payer (MSP) -Guidance for Correct Claims Submission... June 2012, p. 19 Modification to CWF, FISS, MCS, and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch... June 2012, p. 6 Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies... August 2012, p. 44 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI)... October 2012, p. 24 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) (Revised)... November 2012, p. 21 New Hospice Condition Code for Out of Service Area Discharges...March 2012, p. 9 New Influenza Virus Vaccine Code Q2034... June 2012, p. 15 New Influenza Virus Vaccine Code 90654 (Revised)...January 2012, p. 10 New Occurrence Code to Report Date of Death... June 2012, p. 13 New Occurrence Code to Report Date of Death (Revised)... August 2012, p. 43 Occurrence Code 55 Reminder Report Date of Death... September 2012, p. 14 Ordered/Referred Services Act Now to Avoid Claim Denials... September 2012, p. 3 Submitting Claims Electronically, Direct Data Entry, or Paper... September 2012, p. 14 Use of Individual NPI as the Ordering NPI for Home Health Billing... June 2012, p. 23 CGS Administrators, LLC 2
C Calendar of Events HH&H Calendar of Educational Events... May 2012, p. 8 Upcoming Educational Events...March 2012, p. 5 Centers for Medicare & Medicaid Services (CMS) Fraud Prevention: Automated Provider Screening and National Site Visit Initiatives... June 2012, p. 16 Medical Identity Theft Web-Based Training Course for Providers... December 2012, p. 9 Resources Preventive Services... February 2012, p. 20 Results from Home Health Agencies Patient Surveys... June 2012, p. 5 Website Upgrade Completed-Check Your Bookmarks... June 2012, p. 5 Program Integrity Manual (PIM) Part V Chapter 15-General Update... June 2012, p. 14 CGS Administrators, LLC (CGS) HH&H Calendar of Educational Events... May 2012, p. 8 July 2012, p. 7 Navigating the CGS Website: The First in a Series of Articles... July 2012, p. 23 Navigating the CGS Website: The Second in a Series of Articles... August 2012, p. 45 Navigating the CGS Website: The Third in a Series of Articles... September 2012, p. 12 Navigating the CGS Website: The Fourth in a Series of Articles... October 2012, p. 30 Pop-up Website Survey... July 2012, p. 35 Upcoming Educational Events...March 2012, p. 5 Website Update... December 2012, p. 8 Claim Adjustment Reason Code (CARC) Update... February 2012, p. 39 June 2012, p. 26 October 2012, p. 26 Claim Status Category Codes Claim Status Category and Claim Status Codes Update...March 2012, p. 7 June 2012, p. 14 September 2012, p. 11 November 2012, p. 23 Claim Status Codes Claim Status Category and Claim Status Codes Update...March 2012, p. 7 June 2012, p. 14 September 2012, p. 11 November 2012, p. 23 CGS Administrators, LLC 3
Credit Balance Report Reminder and Mailing Addresses...January 2012, p. 5 April 2012, p. 4 July 2012, p. 9 October 2012, p. 15 Tips on Completing a Credit Balance Report... September 2012, p. 15 Website Update... December 2012, p. 8 Coinsurance Update to Medicare Deductible, Coinsurance and Premium Rates for 2012...January 2012, p. 29 Common Working File (CWF) Beneficiary Name/Number Mismatches New Process... December 2012, p. 20 Modification to CWF, FISS, MCS, and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch... June 2012, p. 6 Comprehensive Error Rate Testing (CERT) Program Recent Errors Identified... June 2012, p. 3 Responding to CERT Request Contractor Number 15004... September 2012, p. 14 Summary of Common CERT Errors Web Page...March 2012, p. 3 Condition Codes New Hospice Condition Code for Out of Service Area Discharges...March 2012, p. 9 Consolidated Billing Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement...January 2012, p. 8 Impact to Other Medicare Providers/Suppliers... July 2012, p. 4 Coordination of Benefits Agreement (COBA) Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the COBA National Crossover Process...January 2012, p. 17 Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the COBA National Crossover Process (Revised)...March 2012, p. 15 Coordination of Benefits Contractor (COBC) Updating Beneficiary Information with the Coordination of Benefits Contractor... April 2012, p. 6 CGS Administrators, LLC 4
D Deductible Update to Medicare Deductible, Coinsurance and Premium Rates for 2012...January 2012, p. 29 Demand Bills Additional Instructions for Demand Bills Under the Home Health Prospective Payment System...February 2012, p. 9 Direct Data Entry (DDE) Clarification for Submitting Medicare Secondary Payer (MSP) Claims: Electronic vs. Direct Data Entry (DDE)... April 2012, p. 11 Submitting Claims Electronically, Direct Data Entry, or Paper... September 2012, p. 14 User Access Issues... February 2012, p. 12 Documentation Ordering and Certifying Documentation Maintenance Requirements... October 2012, p. 5 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule July Quarterly Update for 2012 DMEPOS Fee Schedule... July 2012, p. 18 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) April 2012 Quarterly Update for the DMEPOS Competitive Bidding Program...February 2012, p. 7 January 2012 Quarterly Update for the DMEPOS Competitive Bidding Program...January 2012, p. 21 Negative Pressure Wound Therapy Interpretive Guidelines... July 2012, p. 30 October 2012 Quarterly Update for the DMEPOS Competitive Bidding Program... July 2012, p. 17 Round 2 and National Mail Order Competitions...January 2012, p. 5 E Educational Events HH&H Calendar of Educational Events... May 2012, p. 8 July 2012, p. 7 August 2012, p. 34 Upcoming Educational Events...March 2012, p. 5 CGS Administrators, LLC 5
Electronic Data Interchange (EDI) Companion Guide Update 5010 Remittance Advice (835)... November 2012, p. 21 Submitting Claims Electronically, Direct Data Entry, or Paper... September 2012, p. 14 Electronic Funds Transfer (EFT) Requirement to Receive Medicare Payments via EFT...January 2012, p. 3 February 2012, p. 3 June 2012, p. 3 Electronic Mailing Lists (Listserv) Medicare Learning Network (MLN) Educational Products Listserv...January 2012, p. 19 February 2012, p. 21 Electronic Submission of Medical Documentation (esmd) CGS Participating in Pilot Project... September 20912, p. 7 Website Update... December 2012, p. 8 Electronic Remittance Advice (ERA) See Remittance Advice ELGA/ELGH Availability During the December and January Holidays... December 2012, p. 29 Availability During the July 4 th Holiday... July 2012, p. 7 Availability During the Labor Day Holiday... August 2012, p. 34 Beneficiary Name/Number Mismatches New Process... December 2012, p. 20 Enrollment See Provider Enrollment Expedited Determinations Clarification Untimely Hospice Face-to-Face Encounters...March 2012, p. 3 F Face-to-Face Documentation Requirements for Home Health Agency Services...January 2012, p. 4 Physician s Guide to Medicare s Home Health Certification, including the Face-to-Face Encounter... June 2012, p. 24 Submitting Claims Electronically, Direct Data Entry, or Paper... September 2012, p. 14 Untimely Hospice Face-to-Face Encounters Clarification...March 2012, p. 3 CGS Administrators, LLC 6
Fee Schedules April Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB)... May 2012, p. 9 Emergency March 2012 Update, Middle Class Tax Relief and Job Creation Act of 2012 (MCTRJCA) to the CY 2012 Medicare Physician Fee Schedule (MPFS) Database... May 2012, p. 5 Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)...March 2012, p. 20 July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule... July 2012, p. 18 July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)... July 2012, p. 21 October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB)... October 2012, p. 25 October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB) (Revised)... November 2012, p. 22 Fiscal Intermediary Standard System (FISS) Availability During the December and January Holidays... December 2012, p. 29 Availability During the July 4 th Holiday... July 2012, p. 7 Availability During the Labor Day Holiday... August 2012, p. 34 Fiscal Intermediary Standard System (FISS) Guide Website Update... December 2012, p. 8 Fiscal Intermediary Standard System (FISS) Reason Codes Home Health Billing Reminders Reason Codes 38107 and 31755... June 2012, p. 35 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI)... October 2012, p. 24 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) (Revised)... November 2012, p. 21 Fraud Fraud Prevention: Automated Provider Screening and National Site Visit Initiatives... June 2012, p. 16 G CGS Administrators, LLC 7
H Healthcare Common Procedure Coding System (HCPCS) Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement...January 2012, p. 8 April 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.1... May 2012, p. 4 January 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.0... February 2012, p. 11 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... February 2012, p. 23 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised)... April 2012, p. 18 July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2... July 2012, p. 20 July 2012 Update of the Hospital Outpatient Prospective Payment System... August 2012, p. 3 July 2012 Update Quarterly HCPCS Drug/Biological Code Changes... June 2012, p. 30 October 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.3... November 2012, p. 6 October 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... October 2012, p. 7 Healthcare Provider Taxonomy Codes April 2012 Update... April 2012, p. 3 Health Insurance Portability Accountability Act (HIPAA) Version 5010 Enforcement Discretion for Compliance with Version 5010 Deadline...January 2012, p. 3 Extension of Enforcement Discretion Period for Updated HIPAA Transactions Standards... May 2012, p. 3 Hospice Certifying Physician... June 2012, p. 11 Implementation of PWK Segment within the 5010 837 Professional and Institutional Electronic Transactions... August 2012, p. 35 Important Reminders about HIPAA 5010 & D.0 Implementation (Revised)... August 2012, p. 48 Important Update Regarding 5010/D.0 Implementation Action Needed Now (Revised)... August 2012, p. 52 Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims... February 2012, p. 19 Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims (Revised)...March 2012, p. 17 HH+H Medicare Bulletin Improvements to the CGS HH+H Medicare Bulletin and Indexes... July 2012, p. 8 CGS Administrators, LLC 8
Home Health 2012 Annual Update to the Therapy Code List...January 2012, p. 9 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement...January 2012, p. 8 Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG)... August 2012, p. 19 April 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... April 2012, p. 13 Billing Reminders Reason Codes 38107 and 31755... June 2012, p. 35 Calendar Year (CY) 2012 Home Health Prospective Payment System (HH PPS) Rate Update...January 2012, p. 24 Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data... July 2012, p. 5 Comprehensive Error Rate Testing (CERT) Program Recent Errors Identified... May 2012, p. 3 Demand Bills Under the Home Health Prospective Payment System Additional Instructions...February 2012, p. 9 Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) (Revised)... August 2012, p. 10 Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) (Revised)... November 2012, p. 11 Electronic Signature Guidelines... December 2012, p. 10 Erroneous Partial Episode Payment Adjustments... December 2012, p. 3 Fact-to-Face Encounter Documentation Requirements...January 2012, p. 4 Home Health Prospective Payment System Rate Update for 2013... August 2012, p. 3 December 2012, p. 10 Hypertension Continues to Show High Denial Rage...March 2012, p. 5 Inclusion of International Classification of Diseases 10 th Edition (ICD-10), on 33X Type of Bills...March 2012, p. 12 Ordered/Referred Services Act Now to Avoid Claim Denials... September 2012, p. 3 Ordering and Certifying Documentation Maintenance Requirements... October 2012, p. 5 Ordering and Referring Requirement Phase 2... August 2012, p. 15 Ordering and Referring Requirement Phase 2 (Revised)... November 2012, p. 17 Ordering/Referring Requirement Phase 2 (Revised)... December 2012, p. 22 Physician s Guide to Medicare s Home Health Certification, including the Face-to-Face Encounter... June 2012, p. 24 Results from Home Health Agencies Patient Surveys... June 2012, p. 5 Reviewing Claims Diagnosis Codes 294.20 and 294.21... June 2012, p. 6 Survey and Enforcement Requirements for Home Health Agencies... August 2012, p. 3 December 2012, p. 10 Use of Individual NPI as the Ordering NPI for Home Health Billing... June 2012, p. 23 V3312 of the HH PPS Grouper Claim Review... June 2012, p. 6 Validation of Payment Group Codes for Prospective Payment Systems... July 2012, p. 3 Validation of Payment Group Codes for Prospective Payment Systems (Revised)... November 2012, p. 4 CGS Administrators, LLC 9
Home Health Advance Beneficiary Notice (HHABN) Revised HHABN Form CMS-R-296 and Instructions...February 2012, p. 4 Hospice Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions... August 2012, p. 21 Beneficiary Listing for Hospice Cap Periods... November 2012, p. 3 Canceling Hospice Notices of Elections (NOEs) and Benefit Periods... June 2012, p. 32 Changes to the Hospice Aggregate Cap Calculation Method... August 2012, p. 28 Comprehensive Error Rate Testing (CERT) Program Recent Errors Identified... May 2012, p. 3 Correction to Processing of Hospice Discharge Claims (Revised)... June 2012, p. 8 Discontinuation of Late Charge Claims Reminder... April 2012, p. 3 Electronic Signature Guidelines... December 2012, p. 10 Hospice Widespread Edits Continue to Show Errors...March 2012, p. 6 New Hospice Condition Code for Out of Service Area Discharges...March 2012, p. 9 Patient Status Code Ensure Appropriate Reporting... June 2012, p. 34 Program for Evaluating Payment Patterns Electronic Report (PEPPER)... September 2012, p. 3 Quality Reporting Requirements... August 2012, p. 3 December 2012, p. 10 Revisions to the Hospice Medicare Summary Notice (MSN)...March 2012, p. 8 Widespread Edits and Timely Mailing of Documentation... November 2012, p. 3 Widespread Probe Results and Review Notification- Hospice Claims for Debility, Alzheimer s Disease, and Chronic Airway Obstruction... September 2012, p. 6 Hospital Outpatient Prospective Payment System (OPPS) April 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... April 2012, p. 13 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... February 2012, p. 23 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised)... April 2012, p. 18 July 2012 Update of the Hospital Outpatient Prospective Payment System... August 2012, p. 3 October 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... October 2012, p. 7 Hurricane Sandy Medicare Disaster Related Claims... December 2012, p. 26 CGS Administrators, LLC 10
I ICD-9-CM (International Classification of Disease, Ninth Revision, Clinical Modification) Medicare Contractor Annual Update... August 2011, p. 3 ICD-10-CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System) 2013 ICD-10 CM Codes and Mapping Files are Now Available... September 2012, p. 6 Code Updates Now Available from CMS...January 2012, p. 3 HHS Announces Intent to Delay ICD-10 Compliance Date... April 2012, p. 3 How to Prepare for Documentation Changes and Improvements with ICD-10... September 2012, p. 7 Inclusion of International Classification of Diseases 10 th Edition (ICD-10), on 33X Type of Bills...March 2012, p. 12 Influenza Virus Vaccine 2012-2013 Seasonal Influenza (Flu) Resources for Health Care Professionals... December 2012, p. 5 July 2012 Update of the Hospital Outpatient Prospective Payment System... August 2012, p. 3 New Influenza Virus Vaccine Code Q2034... June 2012, p. 15 New Influenza Virus Vaccine Code 90654 (Revised)...January 2012, p. 10 Vaccinate Early... February 2012, p. 22 Integrated Outpatient Code Editor (I/OCE) April 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.1... May 2012, p. 4 January 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.0... February 2012, p. 11 July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2... July 2012, p. 20 October 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.3... November 2012, p. 6 J K L CGS Administrators, LLC 11
M Medical Review Home Health Hypertension Continues to Show High Denial Rate...March 2012, p. 5 Hospice Widespread Edits and Timely Mailing of Documentation... November 2012, p. 3 Hospice Widespread Edits Continue to Show Errors...March 2012, p. 6 Manual Medical Review of Therapy Services... October 2012, p. 9 Manual Medical Review of Therapy Services (Revised)... November 2012, p. 7 Tips on Preparing Your Medical Record Documentation in Response to an Additional Development Request (ADR)... October 2012, p. 42 Widespread Probe Results and Review Notification- Hospice Claims for Debility, Alzheimer s Disease, and Chronic Airway Obstruction... September 2012, p. 6 Medicare Cost Report (MCR) Reminder: Redesigned Provider Statistical and Reimbursement (PS&R) System Needed for Medicare Cost Report Preparation... October 2012, p. 35 Medicare Learning Network (MLN) CMS Medical Identity Theft Web-Based Training Course for Providers... December 2012, p. 9 MM6792 (Revised)-Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2012...January 2012, p. 6 MM7260-Modification to CWF, FISS, MCS, and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch... June 2012, p. 6 MM7323-Home Health Advance Beneficiary Notice, (HHABN) Form CMS-R-296...February 2012, p. 4 MM7355-Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims... July 2012, p. 10 MM7355 (Revised)-Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims... August 2012, p. 36 MM7355 (Revised)-Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims... October 2012, p. 16 MM7397 (Revised)-Pharmacy Billing for Drugs Provided Incident To a Physician Service...February 2012, p. 6 MM7397 (Revised)-Pharmacy for Drugs Provided Incident To a Physician Service... June 2012, p. 7 MM7436 (Revised)-Recovery Audit Program: Medicare Administrative Contractor (MAC)-issued Demand Letters...March 2012, p. 6 MM7473 (Revised)-Correction to Processing of Hospice Discharge Claims... June 2012, p. 8 MM7499 (Revised)-Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number... July 2012, p. 16 MM7499 (Revised)-Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number... August 2012, p. 42 CGS Administrators, LLC 12
Medicare Learning Network (MLN) (continued) MM7499 (Revised)-Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number... September 2012, p. 8 MM7523 (Revised)-Billing for Donor Post-Kidney Transplant Complication Services... May 2012, p. 13 MM7529-Therapy Cap Values for Calendar Year (CY) 2012...January 2012, p. 8 MM7567-Update to Medicare Deductible, Coinsurance and Premium Rates for 2012...January 2012, p. 29 MM7567 (Revised)-Update to Medicare Deductible, Coinsurance and Premium Rates for 2012... February 2012, p. 42 MM7580 (Revised)-New Influenza Virus Vaccine Code...January 2012, p. 10 MM7599-Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement...January 2012, p. 8 MM7632-January 2012 Quarterly Update for the DMEPOS Competitive Bidding Program...January 2012, p. 21 MM7638-April 2012 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program...February 2012, p. 7 MM7648-2012 Annual Update to the Therapy Code List...January 2012, p. 9 MM7657-Home Health Prospective Payment System Rate (HH PPS) Update for Calendar Year (CY) 2012...January 2012, p. 24 MM7660-Additional Instructions Regarding Demand Bills Under the Home Health Prospective Payment System...February 2012, p. 9 MM7668-January 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.0... February 2012, p. 11 MM7670 (Revised)-Claim Status Category and Claim Status Codes Update...March 2012, p. 7 MM7672-January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... February 2012, p. 23 MM7672 (Revised)-January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... April 2012, p. 18 MM7675-Revisions to the Hospice Medicare Summary Notice (MSN)...March 2012, p. 8 MM7677-New Hospice Condition Code for Out of Service Area Discharges...March 2012, p. 9 MM7683-Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), Medicare Remit Easy Print (MREP), and PC Print Update... February 2012, p. 39 MM7688-Immediate recoupment for Fee for Service Claims Overpayments...March 2012, p. 11 MM7688 (Revised)-Immediate recoupment for Fee for Service Claims Overpayments... April 2012, p. 4 MM7704-International Classification of Diseases 10 th Edition (ICD-10), Inclusion of Type of Bill 33X...March 2012, p. 12 MM7734-April 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files...March 2012, p. 13 MM7737-Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)...March 2012, p. 20 MM7745-April Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB)... May 2012, p. 9 CGS Administrators, LLC 13
Medicare Learning Network (MLN) (continued) MM7748-April 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... April 2012, p. 13 MM7751-April 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.1... May 2012, p. 4 MM7755-Ensuring Hospice Certifying Physician identifiers Are Fully Processed... June 2012, p. 10 MM7760-Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments... July 2012, p. 3 MM7760 (Revised)-Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments... November 2012, p. 4 MM7767-Emergency March 2012 Update, Middle Class Tax Relief and Job Creation Act of 2012 (MCTRJCA) to the CY 2012 Medicare Physician Fee Schedule (MPFS) Database... May 2012, p. 5 MM7768-October 2012 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP)... July 2012, p. 17 MM7775-Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), Medicare Remit Easy Print (MREP), and PC Print Update... June 2012, p. 26 MM7785-Revisions of the Financial Limitation for Outpatient Therapy Services Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012... June 2012, p. 11 MM7792-New Occurrence Code to Report Date of Death... June 2012, p. 13 MM7792 (Revised)-New Occurrence Code to Report Date of Death... August 2012, p. 43 MM7793-Claim Status Category and Claim Status Codes Update... June 2012, p. 14 MM7794-New Influenza Virus Vaccine Code... June 2012, p. 15 MM7797-General Update to Chapter 15 of the Program Integrity Manual (PIM) Part V... June 2012, p. 14 MM7810-July 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... June 2012, p. 29 MM7821-Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions... August 2012, p. 21 MM7822-July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule... July 2012, p. 18 MM7831-Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2012 Update... June 2012, p. 30 MM7833-Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data... July 2012, p. 5 MM7834-Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies... August 2012, p. 44 MM7836-Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)... October 2012, p. 21 MM7838-Changes to the Hospice Aggregate Cap Calculation Method... August 2012, p. 28 MM7841-July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2... July 2012, p. 20 CGS Administrators, LLC 14
Medicare Learning Network (MLN) (continued) MM7844-July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)... July 2012, p. 21 MM7847-July 2012 Update of the Hospital Outpatient Prospective Payment System... August 2012, p. 3 MM7857-Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2013... September 2012, p. 4 MM7881-Expiration of 2012 Therapy Cap Revisions and User-Controlled Mechanism to Identify Legislative Effective Dates... October 2012, p. 4 MM7885-October 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... September 2012, p. 9 MM7890-Ordering and Certifying Documentation Maintenance Requirements... October 2012, p. 5 MM7902-New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI)... October 2012, p. 24 MM7902 (Revised)-New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI)... November 2012, p. 21 MM7905-Claim Status Category and Claim Status Codes Update... September 2012, p. 11 MM8007-New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries... December 2012, p. 11 MM8009-New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as Unlawfully Present in the United States... December 2012, p. 13 MM8017-October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB)... October 2012, p. 25 MM8017 (Revised)-October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB)... November 2012, p. 22 MM8019-General Update to Chapter 15 of the Program Integrity Manual (PIM) Part IX... December 2012, p. 14 MM8029-Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update... October 2012, p. 26 MM8031-October 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)... October 2012, p. 7 MM8035-October 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.3... November 2012, p. 6 MM8036-Manual Medical Review of Therapy Services... October 2012, p. 9 MM8036 (Revised)-Manual Medical Review of Therapy Services... November 2012, p. 7 MM8045-Claim Status Category and Claim Status Codes Update... November 2012, p. 23 MM8049-Annual Clotting Factor Furnishing Fee Update 2013... November 2012, p. 10 MM8100-Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician/Practitioner... December 2012, p. 18 CGS Administrators, LLC 15
Medicare Learning Network (MLN) (continued) MM8116-January 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files... December 2012, p. 19 SE1011 (Revised)-Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856)... August 2012, p. 10 SE1011 (Revised)-Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856)... November 2012, p. 11 SE1106 (Revised)-Important Reminders about HIPAA 5010 & D.0 Implementation... August 2012, p. 48 SE1128 (Revised)-Prohibition on Balance Billing Qualified Medicare Beneficiaries (QMBs)... October 2012, p. 37 SE1131 (Revised)-Important Update Regarding 5010/D.0 Implementation Action Needed Now... August 2012, p. 52 SE1135-Guidance on Completing the CMS-855A Enrollment Form...January 2012, p. 11 February 2012, p. 13 SE1137-Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover Process...January 2012, p. 17 SE1137 (Revised)- Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover Process...March 2012, p. 15 SE1138-Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims... February 2012, p. 19 SE1138 (Revised)-Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims...March 2012, p. 17 SE1142-Preventive Services Educational Resources for Health Care Professionals... February 2012, p. 20 SE1201-Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers...March 2012, p. 18 SE1204-The Role of the Zone Program Integrity Contractors (ZPICs), Formerly the Program Safeguard Contractors (PSCs)... April 2012, p. 8 SE1205-Updating Beneficiary Information with the Coordination of Benefits Contractor... April 2012, p. 6 SE1211-Information on the Centers for Medicare & Medicaid Services (CMS) Fraud Prevention: Automated Provider Screening and National Site Visit Initiatives... June 2012, p. 16 SE1214-Home Health Agencies (HHAs) Avoid Payment Reductions! Participate in HHCAHPS (Consumer Assessment of Healthcare Providers and Systems) Now!... May 2012, p. 7 SE1215-Information for Medicare Fee-For-Service Providers About the Middle Class Tax Relief and Job Creation Act of 2012... June 2012, p. 21 SE1216-Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)... July 2012, p. 28 CGS Administrators, LLC 16
Medicare Learning Network (MLN) (continued) SE1217-Guidance for Correct Claims Submission When Secondary Payers Are Involved... June 2012, p. 19 SE1218-Redesigned Medicare Summary Notices... June 2012, p. 23 SE1219-A Physician s Guide to Medicare s Home Health Certification, including the Face-to-Face Encounter... June 2012, p. 24 SE1221-Phase 2 of Ordering and Referring Requirement... August 2012, p. 15 SE1221 (Revised)-Phase 2 of Ordering and Referring Requirement... November 2012, p. 17 SE1221 (Revised)-Phase 2 of Ordering/Referring Requirement... December 2012, p. 22 SE1222-Negative Pressure Wound Therapy Interpretive Guidelines... July 2012, p. 30 SE1223-Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG)... August 2012, p. 19 SE1227-Important Reminder About Medicare Secondary Payer Laws... October 2012, p. 40 SE1230-Addition of Digital Documentation Repository to Provider Enrollment Chain and Ownership System (PECOS)... October 2012, p. 41 SE1242-2012-2013 Seasonal Influenza (Flu) Resources for Health Care Professionals... December 2012, p. 5 SE1247-Hurricane Sandy and Medicare Disaster Related Claims... December 2012, p. 26 Medicare Physician Fee Schedule Database (MPFSDB) April Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB)... May 2012, p. 9 Emergency March 2012 Update, Middle Class Tax Relief and Job Creation Act of 2012 (MCTRJCA) to the CY 2012 Medicare Physician Fee Schedule (MPFS) Database... May 2012, p. 5 Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)...March 2012, p. 20 July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)... July 2012, p. 21 October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB)... October 2012, p. 25 October Update to the Calendar Year (CY) 2012 Medicare Physician Fee Schedule Database (MPFSDB) (Revised)... November 2012, p. 22 Medicare Secondary Payer (MSP) Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims... July 2012, p. 10 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, NO-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims (Revised)... August 2012, p. 36 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, NO-Fault and Workers Compensation (WC) Medicare Secondary Payer (MSP) Claims (Revised)... October 2012, p. 16 Clarification for Submitting MSP Claims: Electronic vs. Direct Data Entry (DDE)... April 2012, p. 11 CGS Administrators, LLC 17
Medicare Learning Network (MLN) (continued) Guidance for Correct Claims Submission When Secondary Payers Are Involved... June 2012, p. 19 Important Reminder About Medicare Secondary Payer Laws... October 2012, p. 40 Website Update... December 2012, p. 8 Medicare Summary Notice (MSN) Redesigned Medicare Summary Notices... June 2012, p. 23 Revisions to the Hospice Medicare Summary Notice (MSN)...March 2012, p. 8 Middle Class Tax Relief and Job Creation Act of 2012 Information for Medicare Fee-For-Service Providers... June 2012, p. 21 Revisions of the Financial Limitation for Outpatient Therapy Services... June 2012, p. 11 N National Provider Identifier (NPI) Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) (Revised)... August 2012, p. 10 Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) (Revised)... November 2012, p. 11 Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)... July 2012, p. 28 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI)... October 2012, p. 24 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) (Revised)... November 2012, p. 21 Ordering and Referring Requirement Phase 2... August 2012, p. 15 Ordering and Referring Requirement Phase 2 (Revised)... November 2012, p. 17 Ordering/Referring Requirement Phase 2 (Revised)... December 2012, p. 22 Use of Individual NPI as the Ordering NPI for Home Health Billing... June 2012, p. 23 Notice of Election (NOE) Canceling Hospice Notices of Elections (NOEs) and Benefit Periods... June 2012, p. 32 CGS Administrators, LLC 18
O Occurrence Code New Occurrence Code to Report Date of Death... June 2012, p. 13 New Occurrence Code to Report Date of Death (Revised)... August 2012, p. 43 Occurrence Code 55 Reminder Report Date of Death... September 2012, p. 14 Outpatient Prospective Payment System (OPPS) See Hospital Outpatient Prospective Payment System (OPPS) Outpatient Therapy 2012 Annual Update to the Therapy Code List...January 2012, p. 9 Expiration of 2012 Therapy Cap Revisions and User-Controlled Mechanism to Identify Legislative Effective Dates... October 2012, p. 4 Manual Medical Review of Therapy Services... October 2012, p. 9 Manual Medical Review of Therapy Services (Revised)... November 2012, p. 7 Revisions of the Financial Limitation for Outpatient Therapy Services... June 2012, p. 11 Therapy Cap Exceptions Extended... June 2012, p. 11 October 2012, p. 3 Therapy Cap Values for Calendar Year (CY) 2012...January 2012, p. 8 Overpayments Immediate recoupment for Fee for Service Claims Overpayments...March 2012, p. 11 Immediate recoupment for Fee for Service Claims Overpayments (Revised)... April 2012, p. 4 New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries... December 2012, p. 11 New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as Unlawfully Present in the United States... December 2012, p. 13 Oxygen Equipment Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2012...January 2012, p. 6 P Payments Calendar Year (CY) 2012 Home Health Prospective Payment System (HH PPS) Rate Update...January 2012, p. 24 Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data... July 2012, p. 5 CGS Administrators, LLC 19
Payments (continued) Changes to the Hospice Aggregate Cap Calculation Method... August 2012, p. 28 Home Health Prospective Payment System Rate Update for 2013... August 2012, p. 3 December 2012, p. 10 Therapy Cap Values for Calendar Year (CY) 2012...January 2012, p. 8 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2013... September 2012, p. 4 Paperwork (PWK) Segment Implementation of PWK Segment within the 5010 837 Professional and Institutional Electronic Transactions... August 2012, p. 35 CGS Website Update... December 2012, p. 8 Partial Episode Payment (PEP) Erroneous Partial Episode Payment Adjustments... December 2012, p. 3 PC-ACE Pro32 Software Submitting Claims Electronically, Direct Data Entry, or Paper... September 2012, p. 14 PC Print Update... June 2012, p. 26 October 2012, p. 26 Program for Evaluating Payment Patterns Electronic Report (PEPPER) Hospice-Specific Comparative Data Report... September 2012, p. 3 Program Integrity Manual (PIM) General Update to Chapter 15 of the Program Integrity Manual (PIM) Part IX... December 2012, p. 14 Physician Fee Schedule (MPFS) See Medicare Physician Fee Schedule Database (MPFSDB) Physician Services Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG)... August 2012, p. 19 Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) (Revised)... August 2012, p. 10 Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856) (Revised)... November 2012, p. 11 Guide to Medicare s Home Health Certification, including the Face-to-Face Encounter... June 2012, p. 24 Hospice Certifying Physician... June 2012, p. 11 CGS Administrators, LLC 20
Physician Services (continued) Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers...March 2012, p. 18 Ordered/Referred Services Act Now to Avoid Claim Denials... September 2012, p. 3 Ordering and Certifying Documentation Maintenance Requirements... October 2012, p. 5 Ordering and Referring Requirement Phase 2... August 2012, p. 15 Ordering and Referring Requirement Phase 2 (Revised)... November 2012, p. 17 Ordering/Referring Requirement Phase 2 (Revised)... December 2012, p. 22 Pharmacy Billing for Drugs Provided Incident To (Revised)...February 2012, p. 6 Pharmacy Billing for Drugs Provided Incident To (Revised)... June 2012, p. 7 Use of Individual NPI as the Ordering NPI for Home Health Billing... June 2012, p. 23 Preventive Services Educational Resources... February 2012, p. 20 Provider Contact Center (PCC) Training Dates...January 2012, p. 19 February 2012, p. 3 March 2012, p. 3 April 2012, p. 3 May 2012, p. 3 June 2012, p. 3 July 2012, p. 7 August 2012, p. 34 September 2012, p. 7 October 2012, p. 14 December 2012, p. 29 Provider Enrollment Guidance on Completing the CMS-855A Enrollment Form...January 2012, p. 11 February 2012, p. 13 Provider Enrollment, Chain, and Ownership System (PECOS) Addition of Digital Documentation Repository to PECOS... October 2012, p. 41 Calendar Year (CY) 2012 Enrollment Applications Fee...January 2012, p. 3 Provider Statistical and Reimbursement (PS&R) Reminder: Redesigned PS&R System Needed for Medicare Cost Report Preparation... October 2012, p. 35 Provider Transaction Access Number (PTAN) SE1216-Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)... July 2012, p. 28 CGS Administrators, LLC 21
Q Qualified Medicare Beneficiaries (QMBs) Prohibition on Balance Billing...January 2012, p. 19 February 2012, p. 12 October 2012, p. 37 Quality Improvement Evaluation System (QIES) Validation of Payment Group Codes for Prospective Payment Systems... July 2012, p. 3 Validation of Payment Group Codes for Prospective Payment Systems (Revised)... November 2012, p. 4 Quarterly Provider Update CMS Comprehensive Resource...January 2012, p. 19 April 2012, p. 8 July 2012, p. 28 October 2012, p. 34 R Refunds Unsolicited/Voluntary...January 2012, p. 20 Remittance Advice Remark Code (RARC) Update... February 2012, p. 39 June 2012, p. 26 October 2012, p. 26 Remittance Advice Companion Guide Update 5010 Remittance Advice (835)... November 2012, p. 21 Change in Duplicate Remittance Request Policy...March 2012, p. 3 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) (Revised)... July 2012, p. 16 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number (Revised)-... August 2012, p. 42 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number (Revised)-... September 2012, p. 8 Updated Duplicate Remittance Advice Request Form... July 2012, p. 35 Requests for Anticipated Payment (RAPS) Home Health Billing Reminders Reason Codes 38107 and 31755... June 2012, p. 35 CGS Administrators, LLC 22
Return to Provider (RTP) Return Submitted Information When There is a CWF Name and HIC Number Mismatch... June 2012, p. 6 Revalidation Deadline Fast Approaching... February 2012, p. 12 Guidance on Completing the CMS-855A Enrollment Form...January 2012, p. 11 February 2012, p. 13 S Signature Guidelines Electronic Signature Guidelines... December 2012, p. 10 Website Update... December 2012, p. 8 Status/Location (S/LOC) Claims in a Suspended Status/Location... June 2012, p. 33 T Transcutaneous Electrical Nerve Stimulation (TENS) Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)... October 2012, p. 21 Therapy 2012 Annual Update to the Therapy Code List...January 2012, p. 9 Expiration of 2012 Therapy Cap Revisions and User-Controlled Mechanism to Identify Legislative Effective Dates... October 2012, p. 4 Manual Medical Review of Therapy Services... October 2012, p. 9 Manual Medical Review of Therapy Services (Revised)... November 2012, p. 7 Therapy Cap Exceptions Extended... June 2012, p. 11 October 2012, p. 3 Therapy Cap Values for Calendar Year (CY) 2012...January 2012, p. 8 Timely Claims Filing Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies... August 2012, p. 44 CGS Administrators, LLC 23
U UB-04 Submitting Claims Electronically, Direct Data Entry, or Paper... September 2012, p. 14 V Vaccinations Vaccinate Early... February 2012, p. 22 Value Code CGS Website Update Value Code 44... December 2012, p. 8 W Widespread Edit Hospice Claims for Debility, Alzheimer s Disease, and Chronic Airway Obstruction... September 2012, p. 6 Hospice Widespread Edits Continue to Show Errors...March 2012, p. 6 Hospice Widespread Edits and Timely Mailing of Documentation... November 2012, p. 3 Webinars HH&H Calendar of Educational Events... May 2012, p. 8 July 2012, p. 7 Learning Corner... September 2012, p. 19 October 2012, p. 44 November 2012, p. 35 December 2012, p. 30 Upcoming Educational Events...March 2012, p. 5 Web Site CGS Website Update... December 2012, p. 8 CMS.gov Website Upgrade Completed-Check Your Bookmarks... June 2012, p. 5 Navigating the CGS Website: The First in a Series of Articles... July 2012, p. 23 Navigating the CGS Website: The Second in a Series of Articles... August 2012, p. 45 Navigating the CGS Website: The Third in a Series of Articles... September 2012, p. 12 Navigating the CGS Website: The Fourth in a Series of Articles... October 2012, p. 30 Pop-up Survey... July 2012, p. 35 October 2012, p. 43 CGS Administrators, LLC 24
Web Site (continued) Summary of Common Comprehensive Error Rate Testing (CERT) Program Errors...March 2012, p. 3 X Y Z Zone Program Integrity Contractors (ZPICs) The Role of the Zone Program Integrity Contractors (ZPICs), Formerly the Program Safeguard Contractors (PSCs)... April 2012, p. 8 CGS Administrators, LLC 25