TRANSMITTAL ROUNDUP: Be Prepared To Re-Enroll In Medicare If You Enrolled Prior To 2002

Why This Topic Matters

The transmittals described in the article affect how Medicare-enrolled entities maintain enrollment records, submit claims, understand payment updates, and track coverage or reporting changes across several service areas. It helps practices identify which administrative and billing updates may require workflow adjustments without needing to review each transmittal separately.

Article Sections

1. Enrollment and application updates

   Discusses Medicare enrollment file updates and situations that can require a new application. Also summarizes timing and signature-related application handling issues tied to CMS enrollment processing.

2. Telehealth and imaging payment updates

   Covers a telehealth facility fee update and related imaging payment processing notes for Medicare claims. The section focuses on payment administration changes rather than clinical content.

3. Physician voluntary reporting program and MUEs

   Summarizes reporting-related code updates and the Medically Unlikely Edits framework. It addresses program participation and claim-processing limits for selected services.

4. IVIG payment policy

   Reviews a temporary payment policy related to intravenous immune globulin supplies and associated billing requirements. The section also notes the claim structure referenced by CMS.

5. Medical review and ASP updates

   Covers Medicare contractor decision timing during medical review and quarterly payment updates for Part B drugs. It includes process changes affecting claim review and drug reimbursement administration.

6. Coverage and screening changes

   Summarizes coverage-related updates for selected preventive and therapy services, including a Medicare screening benefit and a noncovered therapy item. The section also references a local coverage determination topic.

7. Oncology reporting and coding changes

   Describes the end of a reporting demonstration project and related code status changes, along with additional updates affecting selected diagnostic imaging codes and other payment values.

8. Carrier payment and supply coding updates

   Covers local carrier payment methodology updates for certain supplies and implanted items. It also mentions guidance about supply code use in casting and splinting contexts.