This Weekly’s Hot Topics
- TOMORROW, California lifts universal indoor mask mandate. California News
- DHCS revises Medi-Cal RX prior authorization policy. California News
- This Thursday, February 17, E&M Updates webinar Medicare News/ Noridian Programs
TOMORROW, Feb. 16, California lifts its universal indoor mask mandate. This will be the first time since June 15 that the Golden State has relaxed rules on moving about freely without face coverings. To read more click here and go to California News.
DHCS has revised the Medi-Cal RX prior authorization policy effective immediately and retroactive to January 1, 2022. According to a notice issued on February 6, 2022, DHCS aims to provide a seamless beneficiary experience and minimize disruptions in patient access to prescription medications during the Medi-Cal Rx transition. To read more click here and go to California News.
Non-physician Practitioners (NPPs) Evaluation and Management (E/M) Services is recognized by Noridian. This article describes the CMS guidelines for performing and billing such services appropriately, along with process changes Noridian is implementing for E/M codes 99202-99215, 99221-99233, 99238, 99239. To read more click here and go to Medicare News/Noridian News
CMS released proposed payment policy changes for Medicare Advantage and Part D drug programs in 2023 that will create more choices and provide affordable options for consumers that meet their unique health needs. The Calendar Year (CY) 2023 Advance Notice for Medicare Advantage (MA) and Part D plans is open to public comment for 30 days, due March 4, 2022. This year, CMS is specifically soliciting input through a health equity lens on the approach to some future potential changes. To read more click here and go to Medicare News/CMS News.
ICD-11 is now officially in effect, for the national and international recording and reporting of grade and stage coding for cancers, cancer registration, causes of illness, death and more. Not implemented in the United States, yet, ICD-11, is entirely digital, contains some 17,000 unique codes and more than 120,000 codable terms. ICD-11 includes a coding tool and app, support for grade and stage coding for cancers, and it was specifically designed to support certifying and reporting cause of death, morbidity coding and reporting, case mix and Diagnosis-Related Grouping, among other use cases. To read more click here and go to National News.
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