Corporate Compliance

Other CMS and OIG Issuances

Medicare Weekly Update, December 11, 2007

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Frequently asked questions

Last week, CMS released the following "updated" (see Note from Hugh above) frequently asked questions:

  • Does Medicare provide any special compensation to hospitals that treat a large number of uninsured patients - especially those hospitals that have to write off a large number of bills for the uninsured? (view)
  • Do the critical care Correct Coding Initiative (CCI) edits apply to hospitals? (view)
  • Effective January 1, 2004, HCPCS code Q0085 (chemotherapy administration by infusion technique and other technique, per visit) is no longer payable. Will OPPS providers be allowed to submit claims with two separate HCPCS codes on the same claim for the same visit to indicate the services previously covered by Q0085? (view)
  • What does it mean when codes are considered "mutually exclusive" of each other? (view)
  • What is the column 1/column 2 correct coding edit table? (view)
  • How often are the CCI edits updated? (view)



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