Corporate Compliance

Other CMS and OIG Issuances

Medicare Insider, February 5, 2008

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CMS issues proposed decision memo for artificial heart devices

On February 1, CMS issued a proposed decision memo for coverage of the use of artificial heart devices.

View the proposed decision memo.

View a related press release.

CMS issues proposed decision memo for screening DNA stool test for colorectal cancer

On February 1, CMS issued a proposed decision memo announcing that it has proposed not to expand the colorectal screening benefit to include the screening DNA stool test for colorectal cancer.

View the proposed decision memo.

Frequently asked questions

On January 31, CMS issued the following new frequently asked questions related to Medicare fee-for-service payment:

  • How can a hospital outpatient department bill when they do not know at the time of the procedure whether they will receive a full or partial credit for an implantable device being removed? (view)
  • How should hospital outpatient departments bill when they receive partial credit for an implantable replacement device? (view)
  • How should hospital outpatient departments bill when they receive full credit for an implantable device being replaced by a more costly device (i.e., a device upgrade)? (view)
  • How should hospital outpatient departments bill when they receive full credit for an implantable device being replaced with a device of similar cost? (view)

On January 31, CMS updated the following frequently asked question related to Medicare fee-for-service payment:

  • May a hospital report and charge the Medicare program and a Medicare beneficiary for all brachytherapy sources that are ordered by the physician for a specific patient in those cases where some, but not all, of the prescribed brachytherapy sources are implanted in the patient? (view)



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