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​Maryland Payers Billing Guidelines

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Document Title	Date	Expiration	Source
CMS
​2024-04-11-MLNC | CMS​​	Apr-2024​	​No date	​Payer
​ 2024-04-18-MLNC | CMS​​	​ Apr-2024	No date​	​Payer
​Medicare Claims Processing Manual: Chapter 30 - Financial Liability Protections​	Dec-2023​	​No date	​Payer
​CMS MM13546 - New Waived Tests (cms.gov)​	Apr-2024​	​No date	​Payer
​ CMS MLN1986542 – Medicare & Mental Health Coverage (cms.gov)​	Jan-2024​	No date​	​Payer
​CMS 2024-02-01-MLNC ​	​Feb-2024	No date​	​Payer
​ CMS Diabetes Medicare Preventive Services (cms.gov)​	Feb-2024​	No date​	​ Payer
​2024-01-25-MLNC | CMS​	​Jan-2024	No date​	​Payer
​ MM13473 - How to Use the Office and Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 (cms.gov)​	​Jan-2024	​No date	​ Payer
​ 2024-01-18 | CMS​	​Jan-2024	No date​	​Payer
​2024-01-11-MLNC | CMS​	​Jan-2024	No date​	​Payer
​2024-01-04-MLNC | CMS​	Jan-2024​	​No date	​Payer
​ In-Home Vaccine Administration: Additional Payment | CMS​	Jan-2024​	No date​	​Payer
​MM13455 - New Waived Tests (cms.gov)​	​Jan-2024	No date​	​Payer
​2023-12-21-MLNC | CMS​	​Dec-2023	No date​	​Payer
​CMS 2023-12-07-MLNC | CMS​	​Dec-2023	​No date	​Payer
​CMS 2023-12-14-MLNC | CMS​	Dec-2023​	No date​	​Payer
​CMS 2023-11-30-MLNC | CMS​	​Nov-2023	​No date	​Payer
​CMS M​​LN Connects ​	Mar-2023​	​​No date	​Weekly Newsletter
CMS Covid 19: Updated vaccines for Children Ages 6 months-5 years	Dec-2022	No date	Billing & Coding
CMS Discarded Drugs and Biologicals-JW Modifer and JZ Modifer Policy	Jul-2023	No date	Billing & Coding
CMS ICD-10 Code Files & MS-DRGs Version 40.1	Apr-2023	No date	Coding Guidelines
CMS ICD-10-CM Official Guidelines for Coding and Reporting FY 2023	Apr-2023	Sep-2023	Coding Guidelines
CMS MLN Matters Clinical Laboratory Fee Schedule & Laboratory Services Subject to Reasonable Charge Payment	Feb-2023	No date	Quarterly Update
CMS Clinical Laboratory Fee Schedule CY 2022 Final Payment Determinations	2022	No date	Fee Schedules
CMS COVID-19 New Codes for Moderna Vaccine Booster Doses​	Apr-2022	No date	Billing & Coding
CMS COVID-19 New HCPT Codes for Remdesivir MLN Jan. 7 2022	Jan-2022	No date	Coding
CMS Implementation Changes End-Stage Renal Disease MM12499	Nov-2021	No date	Billing
CMS MLN Matters Mental Health Visits via Telecommunications for Rural Health May 2022​	May-2022	No date	Billing
CMS MM12549 CY2022 Telehealth Updates	Jan-2022	No date	Fee Schedules
​CMS MM12578 Medicare Severity - COVID Diagnosis Related Group	Jan-2022	No date	Coding
CMS MM12581 New Waived Test	Jan-2022	No date	Regulations
CMS MM12676 Remittance Advice Remark Code (RARC) Claims Adjustment Code (CARC), Medicare Remit Easy Print (MPREP)​	Mar-2022	No date	Billing & Coding
CMS Public Health Service Act Provider and Facility Requirements Presentation	No date	No date	Payer Newsletter
CMS Summary of Policies Medicare Physician Fee Schedule MM12519	Dec-2021	No date	Fee Schedules
CMS Telehealth POS MNL MM12427	Oct-2021	No date	Coding
​CMS Unveils More User-Friendly Medicare ​Website CMS​​​	May-2022	No date	Website
COVID Vaccine Changes for Medicare Advantage Plans	No date	No date	Claims Information
Medicare Billing for COVID-19 Vaccine Shot Administration	No date	No date	Billing
Medicare COVID-19 Vaccine Shot Payment	No date	No date	Medicare Rates\Payments
Medicare COVID-19 Vaccine Shot Payment CMS	May-2022	No date	Medicare rate/payments
Medicare Mental Health MLN1986542	Mar-2022	No date	Claims Information
Medicare Part D Vaccines and Vaccine Administration	Jan-2023	No date	Claims Information
Medicare Screening PapPelvic Examinations Revised	Apr-2022	No date	Coding
​MLN Revisions to Medicare Part B Pneumococcal for Medicare Benefit MM12723​​	May-2022	No date	Payer Newsletter
MLN: Advance Beneficiary Notice (ABN) - October 2015
MM12427 Matters New Modifications to the POS for Telehealth​	Apr-2022	No date	Billing
MM12723 Revisions Medicare Part B Coverage of Pneumococcal Vaccinations​	Jun-2022	No date	Billing​
​CMS MLN Connects ​	Mar-2023​	No date​	​Weekly Newsletter
​CMS MM12943 - National Fee Schedule for Medicare Part B Vaccine Administration​	Apr-2023​	No date​	​
​CMS MM13162 - New Waived Tests ​	Apr-2023​	No date​	​
​CMS Medicare Participation Announcement ​	​No date	​No date	​
​CMS Weekly Edition 2023-05-18-MLNC​	May-2023​	No date​	​
​MM13195 - Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update (cms.gov)​​	​May-2023	​No date	​
​ CMS New Waived Tests​​	​Jun-2023	No date​	​
​ CMS Weekly Edition 2023-06-15-MLNC​	​Jun-2023	No date​	​
​ CMS MLN901705 - Telehealth Services Updates​​	​ Jun-2023	​ No date	​
​ CMS NCA - Preexposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus (HIV) Infection (CAG-00464N) - Proposed Decision Memo (cms.gov​)	Jun-2023​	No date​	​
​ CMS Medicare Dental Coverage ​	Jun-2023	No date	​
​ CMS MM13269 - ICD-10 & Other Coding Revisions to Laboratory National Coverage Determinations: October 2023 Update (cms.gov)​	​ Jun-2023	No date​	​
​ 3 Tips to help someone who lost Medicaid or CHIP coverage​	Jan-2023​	​ No date	​
​ CMS Roundup (July 28, 2023)​	​Jul-2023	​ No date	​
​ Medicaid and CHIP Renewals: Coalition Webinars for Reaching Out to Special Populations​	​Jul-2023	​No date	​
​ CMS 2023-08-17-MLNC | CMS​	​Aug-2023	No date​	​
​CMS 2023-09-14-MLNC | CMS​	​Sep-2023	​No date	​CMS
​CMS MLN006903 – Medicare Secondary Payer (cms.gov)​​​	​Jun-2023	No date ​	​CMS
​ CMSIMPROVING THE COLLECTION OF Social Determinants of Health (SDOH) Data with ICD-10-CM Z Codes (cms.gov)​	​Sep-2023	​No date	​
​ CMS MM13340 - Hospital Outpatient Prospective Payment System: (cms.gov)​​	​Oct-2023	​ No date	​

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