![]() ![]() Medicare’s Open Enrollment period gives people with Medicare the opportunity to make changes to their health plan or prescription drug plan, pick a Medicare Advantage plan, or return to Original Medicare (also referred to as Medicare Part A and Part B). Medicare Open Enrollment: October 15 – December 7 Learn about Medicare Part A and Part B (PDF) costs including: Medicare Deductible, Coinsurance, & Premium Rates: CY 2023 Update Visit the DMEPOS Fee Schedule webpage for more information. We released a revised fee schedule file (ZIP) on October 19 to correct errors in 3 E2102 fees. In September, CMS released the October 2022 DMEPOS fee schedule amounts. Final List of Outpatient Department Services That Require Prior Authorization (PDF)ĭMEPOS: Corrected 2022 E2102 Fee Schedule Amounts. ![]() Section 6.3.2.2 Prior Authorization Program for Certain Hospital Outpatient Department Services (PDF) operational guide.Section XVII CY 2021 Hospital Outpatient Prospective Payment System final rule.Prior Authorization and Pre-Claim Review Initiatives webpage.Learn what you need to include in patient medical records: For dates of service on or after July 1, 2021, you must ask your Medicare Administrative Contractor to authorize these services before performing the procedure in the hospital outpatient department. Implanted Spinal Neurostimulators: Document Medical RecordsĪn Office of Inspector General report found that Medicare improperly paid claims for implanted spinal neurostimulators when providers didn’t give sufficient documentation supporting medical necessity. ![]() For more information, see the instruction to your Medicare Administrative Contractor (PDF). The Ambulance Inflation Factor for CY 2023 is 8.7%.
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