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CMS Transmittals and MLN Matters articles

Medicare Weekly Update, June 10, 2008

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CMS clarifies facility recertifiation due dates relating to inappropriate denials of claims for percutaneous transluminal angioplasty (PTA) of carotid arteries concurrent with stenting

On June 6, CMS issued a transmittal clarifying its policy on facility recertifiation due dates relating to inappropriate denials of claims for percutaneous transluminal angioplasty (PTA) of carotid arteries concurrent with stenting.

Effective dates: March 17, 2005 (CR 3811 NCD policy); April 30, 2007 (CR 5660 NCD clarification)
Implementation dates: 30 days from issuance (CR 6046 instructions to remove incorrect edits); July 5, 2005 (CR 3811 NCD policy); July 30, 2007 (CR 5660 NCD clarification)

View the transmittal.

CMS announces laboratory national coverage determination (NCD) edit software changes for July 2008

On June 6, CMS issued a transmittal announcing the laboratory NCD edit software changes for July 2008.

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

View the transmittal.

CMS announces July 2008 update to Average Sales Price (ASP) drug pricing files

On June 6, CMS issued a transmittal announcing the release of the July 2008 update to ASP Medicare Part B drug pricing files.

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

View the transmittal.

CMS updates travel allowance fees for collection of specimens under Clinical Laboratory Fee Schedule

On May 30, CMS issued a transmittal updating the travel allowance fees for the collection of specimens paid under the Clinical Laboratory Fee Schedule.

Effective date: January 1, 2008
Implementation date: June 30, 2008

View the transmittal.

View a related MLN Matters article.

CMS announces new waived tests under Clinical Laboratory Improvement Amendments of 1988 (CLIA)

On May 30, CMS issued a transmittal announcing new waived tests under CLIA.

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

View the transmittal.

View a related MLN Matters article.

CMS identifies institutional services paid on the Medicare Physician Fee Schedule

On May 30, CMS issued a transmittal identifying institutional services paid under the Medicare Physician Fee Schedule.

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

View the transmittal.

CMS releases MLN Matters articles

CMS released two MLN Matters articles relating to transmittals previously announced in Medicare Weekly Update.

• Quarterly update to the National Correct Coding Initiative edits, version 14.2
• July 2008 Integrated Outpatient Code Editor (I/OCE) specifications version 9.2

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