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CMS updates the NCCI Policy Manual for Medicare Services once a year. The NCCI Policy Manual should be used by Medicare Administrative Contractors (MACs) as a general reference tool that explains the rationale for NCCI edits. The most current policy manual, effective Jan. 1, 2023, was posted on Dec. 1, 2022.
Medicare Benefit Policy Manual . Chapter 7 - Home Health Services . Table of Contents (Rev. 11447, 06-06-22) Transmittals for Chapter 7 . 10 - Home Health Prospective Payment System (HH PPS) 10.1 - National 30-Day Period Payment Rate 10.2 - Adjustments to the 30-Day Episode Rates 10.3 - Continuous 60-Day Episode Recertification s
Medicare Benefit Policy Manual . Chapter 7 - Home Health Services . Table of Contents (Rev. 11447, 06-06-22) Transmittals for Chapter 7 . 10 - Home Health Prospective Payment System (HH PPS) 10.1 - National 30-Day Period Payment Rate 10.2 - Adjustments to the 30-Day Episode Rates 10.3 - Continuous 60-Day Episode Recertification s
CMS Manual System Department of Health & Human Services (DHHS) Pub 100-02 Medicare Benefit Policy Centers for Medicare & Medicaid Services (CMS) Transmittal 10541 Date: December 31, 2020 Change Request 12120. SUBJECT: January 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) I. SUMMARY OF CHANGES:
Federal Policy Guidance The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program.
Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Policy Manual Chapter 15, Section 50.4.4.2 The purpose of this Change Request (CR) is to inform contractors that effective October 19, 2022, CMS updated the Medicare coverage requirements to align with the Advisory Committee on Immunization Practices (ACIP ...
Medicare Benefit Policy Manual Chapter 15 – Covered Medical and Other Health Services Guidance for this document describes expenses covered by supplementary medical insurance for medical serviced under Part B. This chapter also describes the effect of beneficiary agreements not to use Medicare coverage. Download the Guidance Document Final
Medicare Benefit Policy Manual Chapter 16 - General Exclusions From Coverage . Table of Contents (Rev. 198, 11-06-14) Transmittals for Chapter 16 . 10 - General Exclusions from Coverage 20 - Services Not Reasonable and Necessary 30 - Foot Care 40 - No Legal Obligation to Pay for or Provide Services 40.1 - Indigence