Medicare Updates -- SNF, Neurostimulators, Ambulance Fee Schedule and more (2022-10-20)

October 27th, 2022 - CMS - MLNConnects

Compliance

Claims, Pricers, & Codes

MLN Matters® Articles

News

Skilled Nursing Facility Provider Preview Reports: Review by November 14

Review your data by November 14, and contact CMS if you have questions. We’ll publish the data on Care Compare and in the Provider Data Catalog in January.  Visit the Updates Section of the Public Reporting webpage for more information.

Help Your Patients Make Informed Health Care Decisions  

Health literacy can reduce adverse events for your patients, like missed screenings, inappropriate care transitions, and diagnostic errors (see CMS Framework for Health Equity (PDF)). During Health Literacy Month, get in the habit of promoting health literacy and language access resources so your patients can find, understand, and use information for health-related decisions.

More Information:

 Ambulance Fee Schedule: CY 2023 Ambulance Inflation Factor & Productivity Adjustment

The Ambulance Inflation Factor for CY 2023 is 8.7%. For more information, see the instruction to your Medicare Administrative Contractor (PDF)

Compliance 

Implanted Spinal Neurostimulators: Document Medical Records

An Office of Inspector General report found that Medicare improperly paid claims for implanted spinal neurostimulators when providers didn’t give sufficient documentation supporting medical necessity. For dates of service on or after July 1, 2021, you must ask your Medicare Administrative Contractor to authorize these services before performing the procedure in the hospital outpatient department.

Learn what you need to include in patient medical records:

Claims, Pricers, & Codes 

DMEPOS: Corrected 2022 E2102 Fee Schedule Amounts

In September, CMS released the October 2022 DMEPOS fee schedule amounts. We released a revised fee schedule file (ZIP) on October 19 to correct errors in 3 E2102 fees. Visit the DMEPOS Fee Schedule webpage for more information. 

MLN Matters® Articles

Medicare Deductible, Coinsurance, & Premium Rates: CY 2023 Update

Learn about Medicare Part A and Part B (PDF) costs including:

  • Deductible and coinsurance rates
  • Premium amounts

More Information:


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