Palmetto GBA E-mail Update: Wednesday, August 09, 2017

Create a Signature Log
If a provider does not have a signature log currently in place, the provider may create a signature log at any time. Medicare contractors will accept all submitted signature logs regardless of the date on which they were created. Please share with appropriate staff.

Applies to:

  • JM Home Health and Hospice//General
  • JM Part A//General
  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

Quarterly Influenza Virus Vaccine Code Update – January 2018
Change Request (CR) 10196, from which this article was developed, provides instructions for payment and edits for the Common Working File (CWF) and the Fiscal Intermediary Shared System (FISS) to include and update new or existing influenza virus vaccine codes. The influenza virus vaccine code set is updated on a quarterly basis. This update will include one new influenza virus vaccine code. Please make sure your billing staffs are aware of this update.

Applies to:

  • JM Home Health and Hospice//General
  • JM Part A//General
  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

Part B Billing for Certain New Biosimilar Biological Products before the Modifier is Implemented
Modifiers that identify the manufacturer of a biosimilar biological product are required on Part B claims. CMS updates assignment of modifiers to specific HCPCS codes quarterly. In situations where a HCPCS code is already associated with one or more modifiers and a new biosimilar biological product becomes available before its corresponding manufacturer’s modifier becomes effective, a Not Otherwise Classified (NOC) code without a modifier may be used to bill for the new biosimilar product. Check out the website for more details.

Applies to:

  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

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