びびなび : ワシントンDC : (アメリカ合衆国) Washington DC

Centers for Medicare & Medicaid Services

*Dear Medicare provider and partner, please, review this Weekly Bulletin for important information. This is the last edition of 2024 and the new edition will release on Thursday, January 9, 2025.*

*January 8, 2025*



News

* Medicare Part B Vaccine Administration: CY 2025 Payment Amounts [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139596/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/VvCMd0fVMSs2ZT4AWKQ1hlWbs_INJdXQPzknff9k73g=387 ]
* Historically Excepted Tribal Federally Qualified Health Centers: CY 2025 Payment Rate [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139597/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/WpP_5xtW2lvYQFRYwa9-h2IYhIMLwOnvVFXHoBzZ7HE=387 ]
* DMEPOS: Adding New Product Category to CMS-855S Enrollment Form on January 27 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139598/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/yrXpEbDBvPq59nav3Ja_r8wPxsLslBgFnYTrBV7fdk0=387 ]
* Hospitals: Apply for Additional Residency Positions by March 31 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139599/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/ePGaX6ocFCw1wJCtQFnBa_u1_E7B8LYie45g5pRg6qw=387 ]
* Opioid Treatment Programs: Get the Latest Updates [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139600/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/u8jLKZGOTa-uaKzp0wG2e1ZIpIxoDK2vMhZvLVGqQY4=387 ]
* Advanced Primary Care Management Services: Get Information about Billing Medicare [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139601/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/GbKD43OXqdIyOjCdSEtGx-JplOvyjGJd9uetzCtK__8=387 ]
* Medicare Wellness Visits: Get Your Patients Off to a Healthy Start [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139602/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/NkefBgZ02h-3MeWiOMZAGzfV8LYOIgdA8P1DbsYpuCM=387 ]

Compliance

* Opioid Treatment Program: Bill Correctly for Opioid Use Disorder Treatment Services [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139604/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/5ue2VOFuJ-8rkzAbDy5gHFeKx0hYG6uUZZEJ6CcZ8XQ=387 ]
* Infusion Pumps: Prevent Claim Denials [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139605/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/CzzBvPYUOiJtalHR-oRYxU9w0cb29aZUGwvNcxV-aEw=387 ]

Claims, Pricers, & Codes

* Medicare Part B Drug Pricing Files & Revisions: January Update [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139607/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/K4POciw1tSSCMVZOYyVLgs6T8xHtwP3By9ncVop1U3U=387 ]
* Rural Health Clinics & Federally Qualified Health Centers: You May Need to Resubmit Claims [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139608/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/wE49Lfs37ly_aD0syOoj50a5QS--COEvlNv1y7awX0c=387 ]
* Medicare Part A Place of Service: Use the Correct Codes [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139609/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/Gbnk37debujXvcWdsqTgC2rY9kBQZpo70ibtZtVVsgY=387 ]
* PrEP for HIV Billing: CMS Requires Diagnosis Codes [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139610/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/YXiX2dpVwvaAcHdC_0spxXN_7SdWbtx1NQYc5JFad0I=387 ]

MLN Matters® Articles

* Billing Instructions: Expedited Determinations Based on Medicare Change of Status Notifications [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139612/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/1RCKqh_20f--31vaLcqK1e4cDWWjbIZO51jANGGaOYw=387 ]
* Clinical Laboratory Fee Schedule: 2025 Annual Update [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139613/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/LVgWYSW_z71zW4GsXESHs8rhVGkmofA6rCU6dkthTbg=387 ]
* Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations Policy [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139614/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/U6__IWBYp2ebssmHJaRMloSFDNBCsR5z6u-DC7LOiIQ=387 ]
* How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 — Revised [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139615/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/9XUVY4i9AcxMwYarbJkjfedlDDZlu8a2egTq_CJV3ZM=387 ]

Publications

* Ground Ambulance Data Collection System: Cohort Analysis [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139617/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/TOBWd1nt9br23YgXRZ6fX1FXtFir_ltmPxaF4lmp_C0=387 ]
* Intravenous Immune Globulin Items & Services — Revised [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139618/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/TupM0z4FcU7wa3FrJlHV54Lm-fVMHkpcPYHA_ASWLqo=387 ]
* Medicare Provider Enrollment — Revised [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc%23_Toc187139619/1/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/e6ek3tLXfbP1FRrgeuiCmu233u-iC7l3WkEpaQNCGA8=387 ]

View the full edition [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2025-01-08-mlnc/2/0101019446ab84a3-25f0618b-5d0a-4729-b84b-445cb130b19f-000000/Gf-jQ6D6pBnKQmmR3XVOhVXCTvRNWvol8y4R7_-YUec=387 ]

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Centers for Medicare & Medicaid Services, Office of Puerto Rico and US Virgin Islands has sent this Weekly Bulletin. To contact CMS, send an e-mail to cmsprvi@cms.hhs.gov.

 

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