วิวินาวิ : วอชิงตันดีซี : (สหรัฐอเมริกา) 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.*

*December 19, 2024*



*News*


* MBI Lookup Tools: CMS Seeks Input by February 17 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489729/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/_oPf7fei1535xXykrSHfAScskDFvbUDK2ktDkqwU2IM=384 ]
* CMS Roundup (December 13, 2024) [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489730/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/ort3Y8XC9_G5aWvfi0bEGuJk61y670RjovNZn6FjoO8=384 ]
* Long-Term Care Hospital Provider Preview Reports: Review by January 15 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489731/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/vbaVnBZljJd9G7ZjVcLnv6mAZoNlNT1SoU8WixEERN8=384 ]
* Inpatient Rehabilitation Facility Provider Preview Reports: Review by January 15 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489732/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/yge0ICai4i9WPz6aBePeF4MwtwmtI_ybrIH4cD8iY0U=384 ]
* Medicare Advantage Organizations & Prescription Drug Plans: Comment on Draft Medicare Transaction Facilitator Agreements by January 31 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489733/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/Pa0x9k0_8UzEVIjQKVv-3cEKIeiQ-EwgwsnqpFZ3myI=384 ]
* Health Professional Shortage Area: CY 2025 Bonus Payments [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489734/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/KPaTVQ2Lw2HzolfUyDfAvqqm_bRrEHOLxPOeYM-3flI=384 ]
* Home Health Quality Reporting Program: Final OASIS-E1 Instruments & Manual [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489735/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/kkLOvlaXNp3T2x3LIb5fijEITUQc0osEzLkiA0fxOsk=384 ]
* Quarterly Credit Balance Reports No Longer Required [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489736/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/4aHvEnsog-Jx2SO1CyA7Y3rPikhCuLd7H7P89aUoS7s=384 ]

*Compliance*


* Immunosuppressive Drugs: Prevent Claim Denials [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489738/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/p1X5gTC3Ywqcaar3ZyeScTouDPnyue6UpEpSn3vNQXQ=384 ]

*Claims, Pricers, & Codes*


* HIV Pre-Exposure Prophylaxis: Coding Updates [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489740/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/eMyI3mATO0HZvXTzcYpZ0D4Gjde--ftEjLIn_JPdzl4=384 ]
* Coding for Appropriate Use Criteria Program for Advanced Diagnostic Imaging Ends December 31 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489741/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/CFvQqYNfTAP9BQjXoq4O2ACogYqKC1fjIqd_V4C99UM=384 ]
* Federally Qualified Health Center Prospective Payment System: CY 2025 Pricer [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489742/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/LLKOlsSwlor2FG1biGw0U1OJnQylbXkh_7cQ5dIfLqY=384 ]
* Skilled Nursing Facility Consolidated Billing: CY 2025 HCPCS Codes [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489743/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/t3yWv-CopRj1WTEpWn2sIi_w7bg8-mrgAc0i7rcUxsc=384 ]

*MLN Matters® Articles*


* CY 2025 Update: DMEPOS Fee Schedule [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489745/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/CMQJGHNj22fcRR9zwGjlJyv2imrGu6fHQyH0bwbJlVo=384 ]
* National Coverage Determination 210.15: Pre-Exposure Prophylaxis (PrEP) for HIV Prevention [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489746/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/fQIy7FxoMUlPF-fS5t08okdak6UPDEyVKx4RO2Pof1s=384 ]

*From Our Federal Partners*


* CHAMPVA Policy on Weight Loss Medications Effective January 1 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc%23_Toc185489748/1/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/_t4ArXqyzv6H4tQObYNP4ushhooRBj8FtlkjcsbQiUI=384 ]

View the full edition [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-12-19-mlnc/2/01010193dfc76f56-077e477f-4193-4a7e-8201-fa87da233e06-000000/Jyzg_FmfMtBc5DvlA5AI-W8qoZ_P4Pqdt8vd--dL4RE=384 ]

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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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