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07/31/13

Skilled Nursing Facility Local Coverage Determination (LCD): Retired

Effective August 1, 2013, CGS is retiring the Local Coverage Determination (LCD) for Skilled Nursing Facility (L31892) for Kentucky and Ohio. CGS will continue to monitor utilization for medical necessity, but based on utilization data, an LCD is no longer needed at this time.

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07/31/13

Jurisdiction 6 Ask-the-Contractor Open Door Forum Teleconferences for Part A Providers in Illinois, Minnesota, Wisconsin, and our Current HH+H and FQHC Providers

National Government Services is hosting a series of Ask-the-Contractor teleconferences (ACTs) for providers transitioning to the Jurisdiction 6 (J6) Medicare Administrative Contractor (MAC). The calls are open to all transitioning J6 Part A providers in Illinois, Minnesota, Wisconsin, and providers currently billing National Government Services under contractor 00450. The calls are also open to our current Home Health + Hospice (HH+H) and Federally Qualified Health Centers (FQHCs) providers. The Open Door Forum allows providers the opportunity to ask questions and share information during the session with your J6 MAC. This would be for non-private practice settings in the above mentioned states. Please

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07/31/13

Jurisdiction 6 Ask-the-Contractor Open Door Forum Teleconferences for Part B Providers in Illinois, Minnesota, and Wisconsin

National Government Services is hosting a series of Ask-the-Contractor teleconferences (ACTs) for providers transitioning to the Jurisdiction 6 (J6) Medicare Administrative Contractor (MAC). The calls are open to all transitioning J6 Part B providers in Illinois, Minnesota, and Wisconsin. The Open Door Forum allows providers the opportunity to ask questions and share information during the session with your J6 MAC. This would be for private practices in the above mentioned states. Please note that preregistration is not required for these ACTs. However, if you plan to ask a question, please have the following information available for follow-up purposes: Name, Phone

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07/31/13

CMS Releases Special Edition MLN Matters on Medicare G Codes & Functional Limitation Reporting

The Centers for Medicare & Medicaid Services has released a special edition MLN Matters that focuses solely on Medicare G Codes and Patient Functional Limitation Reporting. The article discusses functional reporting requirements, discharge reporting, claims requirements, provides a functional reporting example, and discusses unique functional reporting scenarios, just to name a few. To access the special edition MLN Matters publication,click

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