PARA HealthCare Analytics Weekly eJournal November 24, 2021

November 24, 2021

PARA

WeeklyeJOURNAL NEWS FOR HEALTHCARE DECISION MAKERS

CARES Act Provider Relief Fund To Be Audited Page 13

- Recu r r in g Accou n t An d Claim s - COVID-19 Product And Administration Codes - OIG Wor k plan : M et h od II CAH Fee Dou ble-Billin g - PARA Year-End HCPCS Update Process - 2022 Codin g Updat e Docu m en t s Available

- 2022 OPPS Update: Inpatient Only List Additions - PAM A Repor t in g Clar if ied For Acqu ir ed Labor at or ies - CMS Proposes Changes To Lung Cancer Screening CT Coverage

- Administration: Pages 1-41 - HIM /Coding Staff: Pages 1-41 - Providers: Pages 2,7,12,21,22,23,25 - COVID Guidance: Pages 7,26 - Oncology: Page 2 1 - CAHs: Page 13

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PDE Users: Page 15 Outpatient Svcs: Page 16 Laboratory: Page 21 Telehealth: Page 25 Pulmonology: Page 23 Home Health: Pages 27,31,40 Therapy Services: Page 34

© PARA Healt h Car e An alyt ics an HFRI Company CPT® is a r egist er ed t r adem ar k of t h e Am er ican M edical Associat ion

PARA Weekly eJournal: November 24, 2021

RECURRING ACCOUNT AND CLAIMS

What do other clients do for recurring accounts regarding combining of the same day service within the recurring time span?

Answer: Medicare encourages providers to separately bill repetitive services from non-repetitive service on claims, even if both occur on the same day. Services repeated over a span of time and billed with the following revenue codes are defined as repetitive services by Medicare:

Types of Service Revenue Code(s) Type Of Service Revenue Code(s) DME Rental 0290 ? 0299 Respiratory Therapy 0410, 0412, 0419 Physical Therapy 0420 ? 0429 Occupational Therapy 0430 ? 0439 Speech-Language Pathology 0440 ? 0449 Skilled Nursing 0550 ? 0559 Kidney Dialysis Treatments 0820 ? 0859 Cardiac Rehabilitation Services 0482, 0943 Pulmonary Rehabilitation Services 0948

You clarified that the repetitive service you were questioning relates to radiation therapy which is not on the list of revenue codes the list of revenue codes which Medicare requires to be reported monthly, if repetitive service dates are performed in the same month. Regardless of the MAC or the location of the hospital, all MACs follow the Medicare Claims Processing Manual instructions on billing.

The Medicare Claims Processing Manual, Chapter 1, 50.2.2 states hospitals have the option of reporting the services on a single bill or bill monthly. Under OPPS, outpatient claims with more than one APC payment are subject to ?packaging? with no exception applied to procedures performed on separate dates of service or a separate encounter. An encounter begins when a patient arrives at a facility for treatment and terminates when the patient leaves the facility.

All services rendered during a single encounter must be reported on the same claim, but services from different encounters risk unnecessarily reduced OPPS reimbursement if they are reported together on a single repetitive claim.

Attached is a PARA paper about wound care repetitive billing that shows the financial impact of billing non-repetitive services on a repetitive bill.

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PARA Weekly eJournal: November 24, 2021

RECURRING ACCOUNT AND CLAIMS

Medicare Claims Processing Manual (cms.gov)

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PARA Weekly eJournal: November 24, 2021

RECURRING ACCOUNT AND CLAIMS

You also questioned billing labs on the same date as a repetitive service. Medicare Claims Processing Manual, Chapter 4, 170, gives this example of radiation therapy and lab services billed either on the single consolidated claim or on a separate claim. Occurrence span code 74 must be used on the repetitive claim as illustrated below in clips from Chapter 1 of the Medicare Claims Processing Manual.

Medicare Claims Processing Manual (cms.gov)

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PARA Weekly eJournal: November 24, 2021

RECURRING ACCOUNT AND CLAIMS

You also questioned billing labs on the same date as a repetitive service. Medicare Claims Processing Manual, Chapter 4, 170, gives this example of radiation therapy and lab services billed either on the single consolidated claim or on a separate claim. Occurrence span code 74 must be used on the repetitive claim as illustrated below in clips from Chapter 1 of the Medicare Claims Processing Manual.

Medicare Claims Processing Manual (cms.gov)

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PARA Weekly eJournal: November 24, 2021

RECURRING ACCOUNT AND CLAIMS

You also questioned billing labs on the same date as a repetitive service. Medicare Claims Processing Manual, Chapter 4, 170, gives this example of radiation therapy and lab services billed either on the single consolidated claim or on a separate claim. Occurrence span code 74 must be used on the repetitive claim as illustrated below in clips from Chapter 1 of the Medicare Claims Processing Manual.

Medicare Claims Processing Manual (cms.gov)

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PARA Weekly eJournal: November 24, 2021

COVID-19 VACCINE PRODUCT & ADMINISTRATION CODES In Special Edition 2021 CPT® Assistant Guides in September and October, the AMA CPT® Editorial Panel announced additional COVID-19 vaccine product and administration codes, including codes for the pediatric dose of Pfizer.Some codes assigned will become effective upon receiving FDA approval. The COVID-19 coding updates are provided on the following pages.

(New codes are in red font).

Ref or m u lat ed Pf izer Vaccin e For Pediat r ic Use*

*For patients ages 5 through 11- requires reconstitution using a diluent to administer the appropriate dosage.The second dose should be administered at least 21 days following the first dose.

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PARA Weekly eJournal: November 24, 2021

COVID-19 VACCINE PRODUCT & ADMINISTRATION CODES

Pf izer COVID-19 Vaccin e (or igin al ph osph at e bu f f er ) An d Adm in ist r at ion Codes

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PARA Weekly eJournal: November 24, 2021

COVID-19 VACCINE PRODUCT & ADMINISTRATION CODES

Pf izer COVID-19 Tr is-su cr ose Bu f f er (Ready-To-Use) Vaccin e An d Adm in ist r at ion Codes

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PARA Weekly eJournal: November 24, 2021

COVID-19 VACCINE PRODUCT & ADMINISTRATION CODES

M oder n a Vaccin es

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PARA Weekly eJournal: November 24, 2021

COVID-19 VACCINE PRODUCT & ADMINISTRATION CODES

Joh n son & Joh n son (Jan ssen ) Vaccin es

The AMA website publishing these codes is available at: https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-vaccine-and-immunization-codes

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PARA Weekly eJournal: November 24, 2021

OIG WORKPLAN: METHOD II CAH PRO FEE DOUBLE-BILLING

The HHS Office of the Inspector General will issue a report in 2022 examining whether professional fees

billed on a facility claim by a Method II Critical Access Hospital may have also been separately submitted for reimbursement on a CMS 1500/837i claim, resulting in double-payment.

A link and a summary of the audit is provided below: https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000574.asp

?Under Section 1834(g)(1) of the Social Security Act and Federal regulations (42 CFR §§ 410.152(k) and 413.70(b)), Critical Access Hospitals (CAHs) are paid under the Standard Payment Method unless they elect to be paid under the Optional (Elective) Payment Method. Under Section 1834(g)(2) of the Social Security Act and Federal regulation (42 CFR § 413.70(b)(3)(i)), a CAH may elect the Optional (Elective) Payment Method, under which it bills the Part B Medicare Administrative Contractor (MAC) for both Medicare Part B facility services and Medicare Part B professional services for its outpatients.

If a physician or other practitioner reassigns his or her Medicare Part B billing rights pursuant to 42 CFR part 424, subpart F, and agrees to be included under a CAH's Optional (Elective) Payment Method, he or she must not bill the MAC for any outpatient professional services furnished at the CAH once the reassignment becomes effective.

The CAH must forward a copy of the completed assignment form (Form CMS 855R) to the MAC and keep the original form on file. Each practitioner must sign an attestation that clearly states that he or she will not bill Medicare Part B for any services furnished in the CAH outpatient department once the reassignment has been given to the CAH (Medicare Claims Processing Manual, Chapter 4, Section 250.2).

We will determine whether CAHs forwarded a completed Form CMS 855R to the MAC. We will determine whether both the CAH and physician billed and were paid by the MAC for the same outpatient professional services. We will determine whether the beneficiary paid coinsurance amounts to both the CAH and physician or other practitioner. We will also determine whether CMS has an edit in place to ensure that duplicate payments for beneficiary outpatient professional services are not made.?

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PARA Weekly eJournal: November 24, 2021

CARES ACT PROVIDER RELIEF FUND USE TO BE AUDITED

In 2022, the HHS Office of the Inspector General (OIG) will issue an audit report on whether CARES Act Provider Relief Funds were - Correctly calculated for providers that applied for these payments, - Supported by appropriate and reasonable documentation, and - Made to eligible providers The OIG audit plan summary reiterates that the funds were intended to cover health-care-related expenses or lost revenue attributable to COVID-19 and to ensure that uninsured Americans can get testing and treatment for COVID-19.

https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000587.asp

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PARA Weekly eJournal: November 24, 2021

CARES ACT PROVIDER RELIEF FUND USE TO BE AUDITED

Some providers may have mistakenly applied Provider Relief Funds to cover costs of rendering COVID-19 care, such as COVID19 testing and vaccine administration, even when the patient was eligible for coverage of those services under Medicare, Medicaid, and/or commercial payer coverage.Providers who failed to claim reimbursement from other available sources for COVID19 care may be at risk for repayment of their CARES Act funding, if CARES Act funds were inappropriately depleted for services which were eligible for reimbursement from other sources.

In an October 2021 update to its Provider Relief Fund FAQ document, HRSA reiterated that the CARES funds must be used for health care-related expenses or lost revenues attributable to coronavirus, and that those expenses or lost revenues were not reimbursed from other sources and other sources were not obligated to reimburse them.

A link and excerpts from the updated HRSA FAQ document (?Provider Relief Programs: Provider Relief Fund and ARP Rural Payments Frequently Asked Questions?) are provided below: https://www.hrsa.gov/sites/default/files/hrsa/provider-relief/provider-relief-fund-faq-complete.pdf Does HHS intend to recover any payments made to providers not associated with specific claims for reimbursement, such as the General or Targeted Distribution payments?

(Modified 10/20/2021) The Provider Relief Fund Terms and Conditions require that recipients be able to demonstrate that lost revenues or expenses attributable to coronavirus, excluding expenses and losses that have been reimbursed from other sources or that other sources are obligated to reimburse, meet or exceed total payments from the Provider Relief Fund. Provider Relief Fund payment amounts that have not been fully expended on health care expenses or lost revenues attributable to coronavirus by the deadline to use funds that corresponds to the Payment Received Period must be returned to HHS. The Provider Relief Fund Terms and Conditions and applicable legal requirements authorize HHS to audit Provider Relief Fund recipients now or in the future to ensure that program requirements are met. Provider Relief Fund payments that were made incorrectly, or exceed lost revenues or expenses due to coronavirus, or do not otherwise meet applicable legal and program requirements must be returned to HHS, and HHS is authorized to recover these funds What oversight and enforcement mechanisms will HHS use to ensure providers meet the Terms and Conditions of the Provider Relief Fund? (Modified 10/20/2021) Providers receiving payments from the Provider Relief Fund must comply with the Terms and Conditions and applicable legal and program requirements. Failure by a provider that received a payment to comply with any term or condition can result in action by HHS to recover some or all of the payment. Per the Terms and Conditions, all recipients will be required to submit documents to substantiate that these funds were used for health care-related expenses or lost revenues attributable to coronavirus, and that those expenses or lost revenues were not reimbursed from other sources and other sources were not obligated to reimburse them. HHS monitors the funds distributed, and oversees payments to ensure that Federal dollars are used in accordance with applicable legal and program requirements. In addition, the HHS Office of the Inspector General fights fraud, waste and abuse in HHS programs, and may review these payments.

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PARA Weekly eJournal: November 24, 2021

PARA YEAR-END HCPCS UPDATE PROCESS

PARA clien t s w ill be f u lly su ppor t ed w it h in f or m at ion an d assist an ce on t h e an n u al CPT® HCPCS codin g u pdat es f or calen dar year 2022.

The PARA Data Editor (PDE) contains a copy of each client chargemaster. We use the powerful features of the PDE to identify any line item in the chargemaster which has a HCPCS code assigned that will be deleted as of December 31, 2021. It is important that clients check to ensure that a recent copy of the chargemaster has been supplied to PARA for use in the year-end update.

PARA will produce excel spreadsheets of each CDM line item, as well as our recommendation for alternate codes, in three waves as information is released from the following sources: - The American Medical Association?s publication of new, changed, and deleted CPT® codes. This information is released in September of each year. PARA will produce the first spreadsheet of CPT® updates for client review in October 2021.

- Following the release of Medicare?s 2022 OPPS Final Rule, typically in early November; PARA will perform an analysis and produce the second spreadsheet to include both the CPT® information previously supplied, as well as alpha-numeric HCPCS updates (J-codes, G-codes, C-codes, etc.) from the Final Rule. Clients may expect this spreadsheet to be available by the end of the month of November.

- Following the publication of Medicare?s 2022 Clinical Lab Fee Schedule (CLFS), typically released in late November, PARA will prepare a final spreadsheet to be available in December 2021. This final spreadsheet ensures that PARA shares any late-breaking news or coding information, although we expect the December spreadsheet to be very similar to the November edition.

Clients will be notified by email as spreadsheets are produced and recorded on the PARA Data Editor ?Admin? tab, under the ?Docs? sub tab.

The spreadsheet will appear as shown below:

In addition, PARA consultants will publish concise papers on coding update topics to ensure that topical information is available in a manner that is organized and easy to understand. PARA clients may rest assured that they will have full support for year-end HCPCS coding updates to the chargemaster.

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PARA Weekly eJournal: November 24, 2021

2022 CODING UPDATE DOCUMENTS AVAILABLE

In preparation for the year-end CPT®/HCPCS update, PARA has prepared several brief ?2022 Coding Update? documents listing deleted codes and possible replacement codes within a particular clinical area or procedure group. The documents are available on the PARA Data Editor ?Advisor? tab.

The individual coding topics addressed do not encompass all CPT® updates, only those which are most likely to be ?hard-coded? to a line item in a facility chargemaster. Topics are divided into immediately related areas, and more than one paper may contain information useful to a service line manager.

In addition, the list of all CPT® codes that will be deleted in 2022 is also available.

Due to CPT® licensing restrictions, these documents cannot be published within the PARA Weekly eJournal. PARA Data Editor users may access the information on the Advisor tab; search ?Coding Update? in the type field, and/or 2022 in the subject field, as illustrated below:

Provisional Medicare reimbursement information is offered in keeping with the 2022 OPPS Proposed Rule.

Following the release of the OPPS Final Rule (typically published in early November), coding update papers will be revised to indicate with certainty whether Medicare will accept/cover the new codes.If changes are made to the coding update papers, readers can identify new versions the word ?Revised? in the title, and the date issued will be updated ? the hyperlink to the paper will remain identical to the original hyperlink, when an updated version is produced.

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PARA Weekly eJournal: November 24, 2021

2022 OPPS UPDATE: INPATIENT ONLY LIST ADDITIONS

In t h e 2022 OPPS Fin al Ru le, M edicar e added 293 codes t o OPPS Adden du m E, ?In pat ien t on ly ?, as com par ed w it h t h e sam e list f or 2021.

Th ese HCPCS w ill n ot be r eim bu r sed on ou t pat ien t claim s in 2022, u n less t h e pat ien t expir ed bef or e adm ission t o in pat ien t st at u s or t r an sf er t o an ot h er f acilit y.

CMS is restoring inpatient-only status to most of the codes that were dropped in 2021 from the inpatient-only list.Of particular note, CPT® 27132 (conversion of previous hip surgery to total hip arthroplasty) one of two CPT® codes reporting total hip arthroplasty, along with most of the partial and revision hip arthroplasty procedures, are back on the list in 2022.

However, CPT® 27130 (total hip arthroplasty) is not on the inpatient-only list. Presumably, since CPT® 27130 was deleted from the inpatient-only list in 2020, it was not caught up with the restoration of other codes dropped in 2021.A list of the newly added codes is available on the PARA Data Editor Advisor tab; search ?2022? in the summary field, and select ?Addendum E ? Inpatient only 2022 OPPS Final Rule?.

A brief excerpt from the 2022 Addendum E file is provided here.

The newly added HCPCS are identified with the letters ?CH? in the column labeled CI (Change Indicator):

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PARA Weekly eJournal: November 24, 2021

2022 OPPS UPDATE: INPATIENT ONLY LIST ADDITIONS

CMS summarized the changes in its Newsroom Fact Sheet on the CY2022 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule: https://www.cms.gov/newsroom/fact-sheets/cy-2022-medicare-hospital-outpatientprospective-payment-system-and-ambulatory-surgical-center-0 Changes to the Inpatient Only List

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PARA Weekly eJournal: November 24, 2021

2022 OPPS UPDATE: INPATIENT ONLY LIST ADDITIONS

CPT® 27130, which represents a new total hip arthroplasty procedure which is neither a conversion or revision of a previous procedure, will remain payable as an outpatient procedure as OPPS status J1, as displayed in the 2022 OPPS Addendum B:

There are two limited exceptions which permit a hospital to report an inpatient-only HCPCS on an outpatient claim.In April of 2015, CMS updated the ?Inpatient Only? policy in a transmittal describing the permissible circumstances: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3238CP.pdf

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PARA Weekly eJournal: November 24, 2021

2022 OPPS UPDATE: INPATIENT ONLY LIST ADDITIONS

A link and excerpts from the Medicare Claims Processing Manual, which repeats the instruction, is provided below: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c04.pdf

M edicar e Claim s Pr ocessin g M an u al, Ch apt er 4 180.7 - In pat ien t -on ly Ser vices (Rev. 4513, Issued: 02-04-2020, Effective: 01-01- 2020, Implementation: 01-06-2020)

?

There are two exceptions to the policy of not paying for outpatient services furnished on the same day with an ?inpatient-only? service that would be paid under the OPPS if the inpatient service had not been furnished: Except ion 1:

If the ?inpatient-only? service is defined in CPT® to be a ?separate procedure? and the other services billed with the ?inpatient-only? service contain a procedure that can be paid under the OPPS and that has an OPPS SI=T on the same date as the ?inpatient-only? procedure or OPPS SI = J1 on the same claim as the ?inpatient only? procedure, then the ?inpatient-only? service is denied but CMS makes payment for the separate procedure and any remaining payable OPPS services.

The list of ?separate procedures? is available with the Integrated Outpatient Code Editor (I/OCE) documentation. See http://www.cms.gov/Medicare/Coding/OutpatientCodeEdit/.

Except ion 2: If an ?inpatient-only? service is furnished but the patient expires before inpatient admission or transfer to another hospital and the hospital reports the ?inpatient only? service with modifier ?CA?, then CMS makes a single payment for all services reported on the claim, including the ?inpatient only? procedure, through one unit of APC 5881, (Ancillary outpatient services when the patient dies.) Hospitals should report modifier CA on only one procedure.

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PARA Weekly eJournal: November 24, 2021

PAMA REPORTING CLARIFIED FOR ACQUIRED LABORATORIES

During a Medicare Clinical Laboratory Fee Schedule (CLFS) Private Payer Data Collection and Reporting Policies webinar conducted on Wednesday, November 10, 2021, CMS addressed the responsibility for reporting?applicable information? for ?applicable laboratories? which changed ownership during or since the reporting period, January 1, 2019 through June 30, 2019.

A screenshot from the slide deck follows:

We expect CMS to post a recording, transcript, and copy of the slide deck provided during the November 10, 2021 call, but that information has not been published as of this writing.

Interested readers may also refer to the Additional Frequently Asked Questions document updated on April 20, 2021. https://www.cms.gov/files/document/frequently-asked-questions-cy-2021-clfs.pdf

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PARA Weekly eJournal: November 24, 2021

OIG WORKPLAN: AUDIT OF ED PROFESSIONAL E/M CHARGES

The HHS Office of the Inspector General will issue a report in 2022 examining whether Medicare payments to providers for emergency department professional E/M services were appropriate, medically necessary, and paid in accordance with Medicare requirements.

A link and a summary of the audit objective is provided below: https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000612.asp

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PARA Weekly eJournal: November 24, 2021

CMS PROPOSES CHANGES TO LUNG CANCER SCREENING CT COVERAGE

CMS is seeking comments on its proposal to relax certain requirements for coverage of screening for lung cancer with low dose CTs. If adopted, the changes are expected to significantly expand low-dose CT lung cancer screening among Medicare beneficiaries.

Facilities reporting CPT® 71271 (Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)) for Medicare beneficiaries must comply with a number of requirements applicable to beneficiary, facility, and radiologist eligibility in providing the CT exam. Failure to comply with the coverage requirements can cause a facility to be inappropriately paid for non-covered services.

The proposed changes, which are not final, include: - Lowers the beneficiary eligibility starting age from 55 years to 50 years; - Reduces the beneficiary?s smoking history to 20 pack-years from 30 pack-years; - Relaxes the restrictions on the type of provider who must furnish the counseling and shared decision-making visit, allowing the visit to be conducted by ?health educators and others beyond physicians or non-physician practitioners?; - Proposes that health care providers should provide information about smoking cessation or cigarette smoking abstinence within the context of a shared decision-making visit, instead of a radiology imaging facility providing an intervention - Removes the requirement for a written order from a physician or non-physician practitioner; (?While it is important and necessary for the facility to receive an order for the appropriate Medicare beneficiary to have a low dose CT scan to screen for lung cancer, the order does not have to be written since it is more likely that an order is transmitted electronically with the use of an electronic health record system.

Additionally, the information we had previously specified is available in the medical record such as smoking history and years since quitting smoking, is in the patient?s medical records.?)

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PARA Weekly eJournal: November 24, 2021

CMS PROPOSES CHANGES TO LUNG CANCER SCREENING CT COVERAGE

- Removes the criteria for imaging facilities to participate in a CMS-approved low dose CT lung cancer screening registry; - Removes some specificity around documentation of the information on the beneficiary eligibility criteria; - Modifies the reading radiologist eligibility criteria by removing the training documentation requirement, the 300 chest CT acquisitions in 3 years requirement, and the radiology facility eligibility criteria; - Removes certain radiology imaging facility eligibility criteria. (?Lung cancer screening with LDCT is now a mature technology that no longer requires the criteria established early in its inception.?)

- Relaxes the radiology imaging facility eligibility criteria for utilizing a standardized lung nodule identification, classification and reporting system, based on guidelines published by multi-society multi-disciplinary stakeholders.

A link and an excerpt from the National Coverage Analysis providing details of Medicare?s proposed changes is provided below: https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed =Y&ncaid=304&ncacaldoctype=all&status=all&sortBy=status&bc=17 ?The above proposal simplifies requirements for the counseling and shared decision-making visit, removes the restriction that it must be furnished by a physician or non-physician practitioner, reduces the eligibility criteria for the reading radiologist, and removes the radiology imaging facility eligibility criteria (including removes the requirement that facilities participate in a registry).?

The current NCD, listing the various restrictions of coverage in effect at this writing, is found at the link below: https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=364

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PARA Weekly eJournal: November 24, 2021

NEW AND REVISED PLACE OF SERVICE CODES FOR TELEHEALTH

On October 13, 2021, Medicare published a Change Request (12427) with details of a new Place of Service (POS) code (10) for Telehealth and revised the description for the existing POS code (02) for Telehealth. The POS codes are to be reported on professional fee claims billed on the CMS1500/837p form.The new POS code descriptions will go into effect on January 1, 2022, with an implementation date of April 4, 2022. The addition of POS Code 10 lets payers know the telehealth services were provided in the patient?s home. The revision to POS Code 02 clarifies that the patient is located somewhere other than their home. r11045cp.pdf (cms.gov)

During the PHE, Medicare does not require the use of telehealth POS codes. MACs have been directed to instruct their providers to continue to bill according to current applicable rules. However, MACs are to adjudicate claims containing this new code should it appear on a claim the same way they would adjudicate claims with POS 02.

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PARA Weekly eJournal: November 24, 2021

COVID-19 UPDATE PARA Healt h Car e An alyt ics continues to update COVID-19 coding and billing information based on frequently changing guidelines and regulations from CMS and payers. All coding must be supported by medical documentation.

Download the updated Guidebook by clicking here.

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Updat ed An d Revised Sept em ber 22, 2021

PARA Weekly eJournal: November 24, 2021

MLN CONNECTS

PARA invites you to check out the mlnconnects page available from the Centers For Medicare and Medicaid (CMS). It's chock full of news and information, training opportunities, events and more! Each week PARA will bring you the latest news and links to available resources. Click each link for the PDF!

Th u r sday, Novem ber 18, 2021 New s -

CMS Repeals MCIT/R&N Rule; Will Consider Other Coverage Pathways to Enhance Access to Innovative Medical Devices Changes to Nursing Home Visitation COVID-19 (Revised) & COVID-19 Survey Activities Annual Medicare Participation Open Enrollment Period It?s Not Too Late to Vaccinate Post-Acute Care QRP: Job Aids & Pocket Guides Quality Payment Program: 2020 Doctors & Clinicians Preview Period Open Until December 14 Lung Cancer Awareness: Help Your Patients Reduce Their Risk

Claim s, Pr icer s, & Codes -

Upcoming Quarterly Update to Home Health Grouper

Even t s -

Medicare Ground Ambulance Data Collection System: Q&A Session ? December 14

M LN M at t er s® Ar t icles -

2022 Annual Update of Per-Beneficiary Threshold Amounts Low Utilization Payment Adjustment (LUPA) Add-on Amounts for Home Health (HH) Occupational Therapy Visits

In f or m at ion f or M edicar e Pat ien t s -

CMS Announces 2022 Medicare Part B Premiums

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PARA Weekly eJournal: November 24, 2021

There were THREE new or revised MedLearns released this week.

To go to the full Transmittal document simply click on the screen shot or the link.

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FIND ALL THESE MEDLEARNS IN THE ADVISOR TAB OF THE PDE

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PARA Weekly eJournal: November 24, 2021

The link to this MedLearn MM12478

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PARA Weekly eJournal: November 24, 2021

The link to this MedLearn MM12516

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PARA Weekly eJournal: November 24, 2021

The link to this MedLearn MM12509

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PARA Weekly eJournal: November 24, 2021

There were EIGHT new or revised Transmittals released this week.

To go to the full Transmittal document simply click on the screen shot or the link.

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FIND ALL THESE TRANSMITTALS IN THE ADVISOR TAB OF THE PDE

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PARA Weekly eJournal: November 24, 2021

The link to this Transmittal R11111CP

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The link to this Transmittal R11129CP

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PARA Weekly eJournal: November 24, 2021

The link to this Transmittal R11125PI

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PARA Weekly eJournal: November 24, 2021

The link to this Transmittal R11128DEMO

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PARA Weekly eJournal: November 24, 2021

The link to this Transmittal R11124FM

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PARA Weekly eJournal: November 24, 2021

The link to this Transmittal R11121CP

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The link to this Transmittal R11132OTN

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PARA Weekly eJournal: November 24, 2021

The link to this Transmittal R11099CP

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PARA Weekly eJournal: November 24, 2021

We're revving up for a bold new look and an even bolder set of services.

Coming Soon!

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