Corporate Compliance

CMS Transmittals and MLN Matters articles

Medicare Insider, February 26, 2008

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CMS issues version 14.1 of the national correct coding initiative edits

On February 22, CMS issued a transmittal announcing the release of version 14.1 of the national correct coding initiative edits.

Effective date: April 1, 2008
Implementation date: April 7, 2008 (Note: New versions of NCCI are implemented for hospitals one quarter behind the general implementation date.)

View the transmittal.

CMS issues clarification to instructions regarding pediatric pneumococcal vaccine administration and nasal influenza virus payment

On February 22, CMS issued a transmittal announcing additional instructions regarding pediatric pneumococcal vaccine CPT code 90669, and an updated payment allowance for nasal influenza virus vaccine CPT code 90660.

Effective date: September 19, 2007 (for instructions regarding CPT code 90660 only); January 1, 2008
Implementation date: No later than March 24, 2008

View the transmittal.

CMS provides further guidance on common working file edits for Indian Health Service claims

On February 20, CMS issued a MLN Matters article providing further guidance on CMS' recent transmittal updating two common working file edits related to Indian Health Service claims.

View the MLN Matters article.

View the related transmittal (as previously reported in the February 19 issue of Medicare Weekly Update)

CMS provides further guidance related to the coverage and billing requirements applicable to claims for Erythropoiesis Stimulating Agents (ESAs)

On February 19, CMS issued a MLN Matters article providing further guidance on CMS' recent transmittals related to coverage and billing for ESAs.

View the MLN Matters article.

View the related transmittals (as previously reported in the January 22 issue of Medicare Weekly Update):

CMS announces changes relating to ionized calcium test (CPT code 82330)

On February 15, CMS issued a transmittal announcing that CPT code 82330 (Calcium, ionized) will be included in the automated multi-channel chemistry code panel payment algorithm for payment purposes.

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

View the transmittal.

View a related MLN Matters article.



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