Corporate Compliance

CMS Transmittals and MLN Matters articles

Medicare Insider, January 29, 2008

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CMS issues implementation instructions for Medicare Acute Care Episode demonstration

On January 25, CMS issued a transmittal providing FI/MAC implementation instructions for the Medicare Acute Care Episode ("ACE") demonstration. Hospitals participating in the ACE demonstration, will receive a single global payment for all inpatient facility and professional services furnished to beneficiaries whose discharge is grouped to one of the DRGs covered under the demonstration.

Effective date: October 1, 2008
Implementation date: October 6, 2008

View the transmittal.

CMS issues update of various claims processing instructions

On January 25, CMS issued a transmittal announcing revisions to various chapters of the Medicare Claims Processing Manual. These changes update the affected chapters to conform to the current UB-04 instructions in Chapter 25 of the Medicare Claims Processing Manual.

Effective date: May 23, 2007
Implementation date: April 7, 2008

View the transmittal.

CMS issues guidance on reporting patient discharge status codes

On January 23, CMS issued a special edition MLN Matters article, including a set of frequently asked questions, on reporting discharge status codes.

View the MLN Matters article.

CMS issues guidance on modifiers used in billing for services relating to clinical research studies

On January 22, CMS issued a MLN Matters article on the HCPCS modifiers used to differentiate between routine and investigational patient care services furnished in connection with clinical research studies.

View the MLN Matters article.

View a related transmittal (as previously reported in the January 22, 2008 Medicare Weekly Update).

CMS issues instructions for voluntarily reporting clinical trial numbers

On January 18, CMS issued a transmittal providing instructions for voluntarily reporting the applicable clinical trial number on claims for services furnished in connection with clinical research studies. Clinical trial numbers are assigned by the National Library of Medicine Clinical Trials Data Bank.

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

View the transmittal.

View a related MLN Matters article.



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