MLN Connects for February 28, 2025
Hospitals: Actions to Make Healthcare Prices Transparent
Update: On February 25, the White House issued an Executive Order to...
Update: On February 25, the White House issued an Executive Order to...
This edition includes information on mechanical ventilation billing, discarded drugs and biologicals, an upcoming webinar, and...
This edition includes information on the 2025 ambulance fee schedule, federally qualified health centers, home health...
Thank you for taking the time to provide your comments on portable x-ray services. First Coast appreciates your feedback and...
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8)...
View the following list of codes that may not be corrected using the reopening process in SPOT.
MDPP suppliers submit all claims for MDPP services to their MAC, regardless of where the patient is located.
The claims submission process will be the same for MDPP sessions delivered via distance learning as for MDPP sessions delivered in-person.
MDPP suppliers will use “Other” (99) as their place of service (POS) code for sessions delivered via distance learning and HCPCS code G9887.
For MDPP billing, claims may list the currently enrolled practice location (not the coach’s home address) as the POS.
Yes.
Please note, suppliers must ensure all patients are eligible for MDPP under FFS Medicare and follow all Centers for Disease Control and Prevention (CDC) Diabetes Prevention Recognition Program (DPRP) standards for distance learning delivery. All MDPP suppliers must maintain the capacity to offer MDPP services in person, even if they are currently delivering most or all MDPP sessions via distance learning.
Yes. Eligible FFS Medicare patients can enroll with any MDPP supplier offering MDPP sessions via distance learning, regardless of where the patient and supplier are located.
If there is no MDPP supplier in the new location, the beneficiary can attend virtual sessions through distance learning (e.g., a live virtual classroom), if offered. The beneficiary may also identify other MDPP suppliers that offer distance learning delivery of MDPP services.