Corporate Compliance

CMS Transmittals and MLN Matters articles

Medicare Insider, February 5, 2008

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CMS issues transmittal announcing new value code to report patient prior payments

On February 1, CMS issued a transmittal announcing the creation of new value code "FC" for reporting the amount the provider received from the beneficiary toward payment of the claim prior to the billing date.

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

View the transmittal.

CMS issues transmittal announcing prohibition of Medicare fee for service legacy provider identification numbers on CMS-1500 and UB-04 claims

On February 1, CMS issued a transmittal announcing that, effective May 23, claims containing legacy provider identification numbers (i.e., identifiers other than NPIs) will be returned as unprocessable.

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

View the transmittal.

CMS issues transmittal announcing release of CPT codes for smoking and tobacco-use cessation counseling services

On February 1, CMS issued a transmittal announcing that Medicare will begin requiring providers to use CPT codes 99406 and 99407 to report smoking and tobacco-use cessation counseling services. These codes will replace the HCPCS "G" codes previously used for reporting these services.

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

View the transmittal.

CMS issues transmittal announcing changes to instructions on billing non-covered charges relating to astigmatism-correcting intraocular lens

On February 1, CMS issued a transmittal requiring hospitals to use HCPCS code V2787 to report non-covered charges relating to the astigmatism-correcting functionality of astigmatism-correcting intraocular lens.

Effective date: January 1, 2008
Implementation date: March 3, 2008

View the transmittal.

CMS issues transmittal announcing changes to the three day payment window instructions

On February 1, CMS issued a transmittal announcing certain changes, as discussed in the "Note from Hugh" above, relating to claims for services potentially subject to the so-called three day payment window.

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

View the transmittal.

CMS issues guidance on January 2008 Update of the Hospital Outpatient Prospective Payment System

On January 28, CMS issued a MLN Matters article relating to the release of the January 2008 Update of the Hospital Outpatient Prospective Payment System.

View the MLN Matters article.

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



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