Medicare B Resource Newsletter Index TMP - EDO-0020 V.2.0
For California, Maine, Massachusetts, New Hampshire and Vermont
March 2005 to June 2008
   posted July 17, 2008
Find the edition (month/year) for the selected article and then go to top of page for links to each newsletter:
Links to Newsletters:   Mar-05 Jun-05
Sept-05 Dec-05 Mar-06
Jun-06 Sep-06 Dec-06
Mar-07 Jun-07 Sep-07
Dec-07 Mar-08 Jun-08
Primary    Subject Sub Subject   Title   Procedure Codes / Modifiers Month-Year Page
Accounting Medlearn Matters   Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments under the Outpatient Prospective Payment System (OPPS) (CR 3661)     Dec-05 12
Accounting Medlearn Matters   Financial Liability for Services Subject to Home Health Consolidated Billing Provider Types Affected (CR 3948)     Dec-05 27
Allergy & Immunotherapy     Clarifing Antigen Preparation and Billing - CA Only   95165, 95145-95149, 95170, 95117,  Sep-07 112
Allergy & Immunotherapy     Medical Review Pre-payment Code Specific Widespread Probe    95165, 95145-95149, 95165, 95170, 95115, 95117 Mar-06 154
Ambulance     Ambulance Fee Schedule - Ground Ambulance Services - Revision to the Specialty Care Transport (SCT) Definition - Contractor Instruction (CR 5533)     Jun-2007 12
Ambulance Medlearn Matters   Ambulance - Change to the Common Working File Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site, CR3427     Mar-05 9
Ambulance Medlearn Matters   Ambulance - Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims During an Inpatient Stay (CR 3933)      Dec-05  
Ambulance Medlearn Matters   Ambulance – MMA – Medical Review (MR) of Rural Air Ambulance Services (CR 3571)      Jun-05 13
Ambulance Medlearn Matters   Ambulance - Reminder Notice of the Implementation of the Ambulance Transition Schedule (CR 4217)     Mar-06 28
Ambulance Medlearn Matters   Ambulance - Reminder Regarding Medicare Billing Rules for Ambulance Services Rendered to Medicare Patients During an Inpatient Hospital Stay (SE 0536)      Sept-05 9
Ambulance Medlearn Matters   Ambulance Fee Schedule – Medical Conditions List, CR3619     Mar-05 11
Ambulance Medlearn Matters   Ambulance Fee Schedule - Medical Conditions List: Manualization (CR 4221)     Mar-06 8
Ambulance Medlearn Matters   Ambulance Inflation Factor for CY 2006 (CR 4061)     Mar-06 27
Ambulance Medlearn Matters   Ambulance Inflation Factor, CR3599      Mar-05 11
Ambulance Medlearn Matters   Updated/Revised Medlearn Matters Articles - Skilled Nursing Facility Consolidated Billing as it Relates to Ambulance Services     Jun-05 70
Ambulance MLN Matters   2007 Physician Fee Schedule Payment Policies (CR 5443)    G0377, 90471. 97802,97803, 97804, G0270, G0271,  Mar-07 12
Ambulance MLN Matters   Ambulance - Collection and Verification of Ambulance Crew Member Information (SE 0610)     Jun-06 30
Ambulance MLN Matters   Ambulance - Elimination of CMS-1491 and CMS-1490U Forms (CR 5390)     Jun-2007 16
Ambulance MLN Matters   Ambulance Fee Schedule - CY 2006 Update: Correction to CR 4061 (CR 4362)     Jun-06 30
Ambulance MLN Matters   Ambulance Fee Schedule - Ground Ambulance Services - Manualization Revision to the Specialty Care Transport (SCT) Definition (CR 5533)     Jun-2007 11
Ambulance MLN Matters   Ambulance Fee Schedule - Medical Conditions List - Manualization Revisions (CR 5442)   C1, C2, C3, C4, C5, C6, C7, D1, D2, D3, D4,  Jun-2007 13
Ambulance MLN Matters   Ambulance Fee Schedule Medical Conditions List   TOO MANY TO LIST Jun-2007 16
Ambulance MLN Matters   Ambulance Inflation Factor for CY 2007 (CR 5358)      Mar-07 18
Ambulance MLN Matters   Ambulance Inflation Factor for CY 2008 (CR 5801)     Mar-08 35
Ambulance MLN Matters   Carrier Jurisdiction for Ambulance Supplier Claims (CR 5203)     Mar-07 26
Ambulance MLN Matters   Medicare Payments for Ambulance Transports (SE 0724)     Sep-07 62
Ambulance MLN Matters   Medicare Payments for Ambulance Transports (SE 0724)      Mar-08 75
Ambulance MLN Matters   Revision to Certification for Hospital Services Covered by the Supplementary Medical Insurance Program as it pertains to Ambulance Services (CR 5684)     Dec-07 86
Ambulance MLN Matters   Revision to Certification for Hospital Services Covered by the Supplementary Medical Insurance Program as it Pertains to Ambulance Services. CR5833 rescinds and fully replaces CR 5684 (CR 5833)      Mar-08 95
Ambulance     2005 Ambulance Prevailing Rates for ME, MA, NH, VT      Mar-05 151
Ambulance     2005 Ambulance Prevailing Rates for Northern CA      Mar-05 143
Ambulance     2005 Ambulance Prevailing Rates for Southern CA     Mar-05 150
Ambulance     Ambulance - Collection and Verification of Ambulance Crew Member Information (Joint Signature Memorandum JSM 06283)     Jun-06 148
Ambulance     Ambulance - Payment Policy When More Than One Patient Is Onboard (Pub 100-4, Ch 15, Sec 20.9)     Mar-06 137
Ambulance     Ambulance - Revised 2006 Ambulance Fee Schedule      Jun-06 186
Ambulance     Ambulance Fee Schedule - Ground Ambulance Services - Revision to the Specialty Care Transport (SCT) Definition - Contractor Instruction (CR 5533)     Jun-2007 12
Ambulance     Ambulance Fee Schedule - Transition Schedule     Dec-05 86
Ambulance     Ambulance Payment Policy - Multiple Transport (IOM 100-04 Chapter 15 Section 20.9)   GM Modifier Jun-2007 85
Ambulance     Ambulance Payment Policy - Multiple Transport (IOM 100-04 Chapter 15 Section 20.9)   modifier GM Jun-08 94
Ambulance     Release of Revised 2008 Ambulance Fee Schedule (JSM 08182)     Jun-08 104
Ambulance     Reminder for Ambulance Providers Regarding the 2007 Revision to the International Classification of Diseases (ICD-9-CM)      Mar-07 142
Ambulatory Sergery Center MLN Matters   Adjustment to Payment Under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit (SE0732)   Modifier FC, Modifier FE, 33240 FB, C1721, 93005, 35180, Modifier 73, 33240 FC, 33218, C1721 FC,  Mar-08 20
Ambulatory Surgery Center Medlearn Matters   ASC - Fiscal Year (FY) 2006 Payment for Services Furnished in Ambulatory Surgical Centers (ASCs) (CR 4075)     Dec-05 11
Ambulatory Surgery Center Medlearn Matters   ASC - Payments to Ambulatory Surgery Centers (ASCs) for New CPT Code 66711 (CR 3817)   66711, 66710 Sept-05 10
Ambulatory Surgery Center MLN Matters   2007 Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) (CR 5211)     Mar-07 15
Ambulatory Surgery Center MLN Matters   Additional Payable Healthcare Common Procedure Coding System (HCPCS) “C” Drug Codes in Ambulatory Surgical Centers (ASCs) (CR 5885)    C9327, C9240, C9354, C9355,  Jun-08 10
Ambulatory Surgery Center  Medlearn Matters   ASC - Update of Healthcare Common Procedure Coding System (HCPCS) Codes and File Names, Descriptions, and Instructions for Retrieving the 2005 Ambulatory Surgical Center (ASC) HCPCS Addition, Deletions, and Master Listing (CR 3905)   33212, 15001, 15836, 15839, 19296, 19298, 21120, 21125, 28108, 29873, 30220, 31545, 31546, 31603, 31636, 31637, 31638, 33212, 33213, 33233, 36475, 36476, 36478, 36479, 36834, 37500, 42665, 43237, 43238, 44397, 45327, 45341, 45342, 45345, 45387, 45391, 453 Sept-05 12
Ambulatory Surgery Centers MLN Matters Ambulatory Surgical Center (ASC) Claims Processing Manual Clarification Ambulatory Surgical Center (ASC) Claims Processing Manual Clarification (CR 5026) (CR 5026)   Sep-06 12
Anesthesiology MLN Matters   Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service (CR 5618)      Dec-07 11
Anesthesiology MLN Matters   Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service (CR 5618) Contractor Instruction     Dec-07 14
Anesthesiology MLN Matters   Use of 9-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services (CR 5208) - Contractor Instruction (CR 5730)      Dec-07 84
anesthesiology MLN Matters   Use of Nine-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services (CR 5208)     Jun-2007 78
Anesthesiology     Anesthesia Billed by Surgeon CA Only    01905, 00620, 00630, 99141 Jun-05 88
Appeals Medlearn Matters   Appeals of Claims Decisions: Redeterminations and Reconsiderations (CR 3944)     Mar-06 29
Appeals     Appeals Reminder.     Dec-06 75
Appeals  Medlearn Matters   Appeals Changes - Delay in Implementation of New Appeals Remittance Advice (RA) Related Remarks Codes (JSM 06168)     Mar-06 126
Appeals      Change in the Amount in Controversy Requirements for Administrative Law Judge (ALJ) and Federal District Court Appeals (JSM 06034)     Mar-06 140
ASC Medlearn Matters   ASC - Update of Healthcare Common Procedure Coding System (HCPCS) Codes, File Names, Descriptions and Instructions for Retrieving the 2006 Ambulatory Surgical Center (ASC)  HCPCS Additions, Deletions, and Master Listing (CR 4082)   15350, 15351, 16015, 21493, 21494, 31585, 31586, 37720, 37730, 42325, 15040, 15110, 15111, 15115, 15116, 15130, 15131, 15135, 15136, 15150, 15151, 15152, 15155, 15156, 15157, 15300, 15301, 15320, 15321, 15330, 15331, 15335, 15336, 15420, 15421, 15430, 154 Mar-06 31
ASC Medlearn Matters   Payment Policy Clarification Regarding the Healthcare Common Procedure Coding System (HCPCS) Code Q3001 Performed in an Ambulatory Surgery Center (ASC) (CR 3789)   Q3001, 79900 Jun-05 56
ASC MLN Matters   Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes (CR 5680)    Modifier FC,  G0105, G0121, G0104, Modifier 73,  Modifier52,  10000 to 69999, Q1003 C9399,  Mar-08 48
ASC MLN Matters NTIOLs - Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs) Furnished in Ambulatory Surgical Centers (ASCs) NTIOLs - Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs) Furnished in Ambulatory Surgical Centers (ASCs) (CR 4361) (CR 4361) Q1003, 66982, 66984, 66985, 66986 Sep-06 73
ASC MLN Matters   Revised Payment System for Ambulatory Surgical Centers (ASC) in Calendar Year (CY) 2008 (SE 0742)   J1260, C1821, L8690, 62361, C1891, modifier 50, 15823,  Jun-08 72
ASC MLN Matters   Revised Payment System for Ambulatory Surgical Centers (ASC) in Calendar Year (CY) 2008 (SE 0742)    J1260, C1821, L8690, C1891,  modifier 50, 15823,  Dec-07 77
ASC     Ambulatory Surgical Centers (ASC) Fees      Mar-06 170
ASC     Ambulatory Surgical Centers (ASC) Group Rates     Dec-05 109
ASC     ASC Billing Tip - Diagnostic Services    17311, 17312, 17313m 17314, 17315, 78110TC, 78111TC, 78120TC, 78121TC, 78122TC, 78130TC, 78191TC, 78270TC, 78271TC, 78272TC Jun-08 94
ASC     Use of Healthcare Common Procedure Coding System (HCPCS) V2787 When BillingApproved Astigmatism-Correcting Intraocular Lens (A-C IOLs) in Ambulatory Surgery Centers (ASCs), Physician Offices, and Hospital Outpatient Departments (HOPDs) (CR 5853)   V2787, v2788, V2632,  Jun-08 91
Audiology Medlearn Matters   Auditory Osseointegrated and Auditory Brainstem Devices (CR 4038)   L8699, L8614, 61520, 61530, 61598, 61875 Mar-06 33
Audiology Medlearn Matters   Cochlear Implantation (CR 3796)    QR, QV, 92601-92604, 92506, 92507, 69930, L8614, L8619, L7500, L7510, 92506, 92507, 92601, 92602, 92603 Sept-05 19
Audiology Medlearn Matters   Updated/Revised Medlearn Matters Articles     Dec-05 85
Audiology     CPT 69210 - Removal Foreign Body from External Auditory Canal without General Anesthesia CA Only   69220, 69210, 69222, 92504 Sep-06 99
Beneficiary MLN Matters Eligibility - Rules Governing Provider/Clearinghouse Protection of Medicare Beneficiary Eligibility Information Eligibility - Rules Governing Provider/Clearinghouse Protection of Medicare Beneficiary Eligibility Information      Sep-06 38
Beneficiary Info.     CMS Announces Medicare Premiums, Deductibles for 2008     Dec-07 104
Beneficiary Information CMS   Medicare Premiums And Deductibles For 2007      Dec-06 78
Beneficiary Information Medlearn Matters   Medicare Care Management for High Cost Beneficiaries (CMHCB) Demonstration (CR4100)      Dec-05 60
Beneficiary Information Medlearn Matters   Update to Medicare Deductible, Coinsurance, and Premium Rates for 2006 (CR 4132)     Mar-06 134
Beneficiary Information MLN Matters   “Own Your Future”: Long-Term Care (LTC) Campaign (SE 0671)      Mar-07 111
Beneficiary Information MLN Matters   The New HHS National Clearinghouse for Long-Term Care Information Website  (SE 0680)     Mar-07 127
Beneficiary Information     Advance Beneficiary Notice     Mar-05 111
Beneficiary Information     Advance Beneficiary Notice      Mar-06 146
Beneficiary Information     Ask to See Your Patient’s Medicare Card (MCM 3301)      Mar-06 147