Corporate Compliance

Other CMS and OIG Issuances

Medicare Insider, May 20, 2008

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CMS issues final decision memo on percutaneous transluminal angioplasty (PTA) with intracranial stent placement

On May 12, CMS issued a final decision memo announcing that it is not expanding coverage for PTA with intracranial stent placement.

View the decision memo.

CMS issues final decision memo on microvolt t-wave alternans (MTWA)

On May 12, CMS issued a final decision memo announcing that it is not expanding coverage for MTWA to include the modified moving average method.

View the decision memo.

CMS issues press release announcing bundled hospital/physician payments demonstration

On May 16, CMS issued a press release announcing a new demonstration to test the use of bundled payments for both hospital and physician services for a select set of episodes of care.

View the press release.

Frequently Asked Questions

On May 14, CMS updated two questions related to Medicare Fee-for-Service payment.

  • When Correct Coding Initiative (CCI) edits for critical care and other services do not apply under the Outpatient Prospective Payment System (OPPS), is it appropriate for a hospital to report a pair of codes for which a CCI edit exists for physician payment? (view)
  • 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)

On May 14, CMS updated 13 coding questions related to critical care CCI edits and Medically Unlikely Edits.



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