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CMS Transmittals and MLN Matters articles

Medicare Weekly Update, December 4, 2007

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CMS issues transmittal correcting device credit threshold

On November 26, CMS issued a transmittal correcting transmittal 1297 to the Medicare Claims Processing Manual (Adjustment to Payment under Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for Partial Device Credit).

Transmittal 1297 had incorrectly stated that, effective January 1, 2008, a hospital will be required to report modifier -FC if the hospital received a credit from a device manufacturer for a replacement device due to premature failure or recall of the device being replaced, and the credit was for 20% or more of the cost of the new replacement device. Under the corrected transmittal, hospitals will not be required to report modifier -FC unless the credit for such devices is 50% or more.

Effective date: January 1, 2008
Implementation date: January 7, 2008

View the transmittal.

Update to the national correct coding initiative edits

On November 30, CMS released a transmittal announcing the release of version 14.0 of the national correct coding initiative edits.

Effective date: January 1, 2008
Implementation date: January 7, 2008

View the transmittal.

CMS issues 2008 update to the therapy code list

On November 26, CMS issued a MLN Matters article relating to its November 23 transmittal announcing the 2008 update to the list of HCPCS/CPT codes that sometimes or always describe therapy services.

View the MLN Matters article.

View the related transmittal (as previously reported in the November 27 Medicare Weekly Update).

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