Corporate Compliance

Other CMS and OIG Issuances

Medicare Insider, May 6, 2008

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CMS issues final decision memo on artificial hearts

On May 2, CMS posted a final decision memo on coverage of artificial hearts. CMS determined that evidence is inadequate to conclude that the use of an artificial heart is reasonable and necessary, but will cover artificial hearts under coverage with evidence development when beneficiaries are enrolled in a clinical study.

View the final decision memo.

View a related press release.

CMS issues final decision memo on screening DNA stool tests for colorectal cancer

On April 28, CMS issued a final decision memo on screening DNA stool tests for colorectal cancer. CMS is not expanding the colorectal cancer screening benefit to include coverage of this test.

View the final decision memo.

CMS issues fact sheet on interim final rule with comment implementing Medicare, Medicaid, and SCHIP Extension Act of 2007 changes to the Long Term Care Hospital (LTCH) prospective payment system (PPS)

On May 1, CMS issued a fact sheet announcing an interim final rule with comment implementing Medicare, Medicaid, and SCHIP Extension Act of 2007 changes to the LTCH PPS.

View the fact sheet.

View a related press release.

OIG issues report reviewing high-dollar payments for Part A inpatient claims processed by TriSpan Health Services

On April 28, the OIG issued a report reviewing high-dollar payments for inpatient claims processed by TriSpan Health Services between January 1, 2003, and December 31, 2003. The OIG determined that of 38 payments of $200,000 or more, providers were incorrectly paid for 20 claims.

View the OIG report.

OIG issues report reviewing high-dollar payments for Part A outpatient claims processed by TriSpan Health Services

On May 2, the OIG issued a report reviewing high-dollar payments for outpatient claims processed by TriSpan Health Services between January 1, 2003, and December 31, 2003. The OIG determined that none of the four high-dollar payments ($50,000 or more) were appropriate, resulting in $227,547 in overpayments.

View the OIG report.



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