WHA Information Center (WHAIC) will post articles that are related to data submissions and data use.

Guidance on Coding and Billing Date of Service on Professional Claims

September 22, 2017

This MLN Matters Article is intended for physicians, non-physician practitioners, and others submitting claims on a CMS-1500 form or the X12 837 Professional Claim to Medicare Administrative Contractors (MACs) for reimbursement for Medicare Part B services.

Coming in April 2018: New Medicare Card - New Number

July 24, 2017

Medicare is takings steps to remove Social Security Numbers from Medicare cards.  In April 2018, people with Medicare will begin receiving new cards, replacing all cards by April 2019.  These cards will have a Medicare Beneficiary Identifier (MBI) number that is randomly generated with "non-intelligent" characters that do not have any hidden or special meaning.

OMB-approved ABN Becomes Effective June 2017

April 12, 2017

The Office of Management and Budget approved a renewed Advance Beneficiary Notice of Noncoverage (ABN) form and its instructions in late March. This version of the ABN becomes effective June 21, 2017.

CMS Streamlines ICD-10 Resources

February 24, 2017

CMS is phasing out the Road to 10 site, with an anticipated completion date of April 3, 2017.  To streamline your access to resources, CMS has merged all up-to-date content from our Road to 10 website to its main ICD-10 site,

After the successful transition to ICD-10, CMS noted that:

  • Visits to the Road to 10 website dropped sharply
  • Most users were opting to visit, not Road to 10, for ICD-10 information. 

CMS finalizes a new modifier and alternate payment system for off-campus provider-based departments

November 10, 2016

In the 2017 OPPS proposed rule, CMS proposed several provisions to interpret and implement Section 603 of the Bipartisan Budget Act of 2015. In the final rule, they finalized some proposals, offering flexibility in some areas related to the definition of “excepted” services, which will continue to be paid under the Outpatient Prospective Payment System (OPPS). Additionally, they did not adopt their original proposals for an alternate payment system for “non-excepted” services, but rather proposed payment under the Medicare Physician Fee Schedule through an entirely new “site of service specific” payment rate triggered by a new modifier (-PN).

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