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CMS Transmittals and MLN Matters articles

Medicare Insider, June 17, 2008

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FISS system updated for Present on Admission (POA) exempt hospitals

On June 13, CMS issued a transmittal announcing that the FISS system will be updated for hospitals exempt from POA reporting (i.e., non Inpatient Prospective Payment System hospitals). The system will instruct the grouper to not apply the Hospital Acquired Condition logic to these hospitals.

Effective date: October 1, 2008
Implementation date: October 6, 2008

View the transmittal.

CMS announces new K code for replacement interface material

On June 13, CMS announced the establishment of a new K code for replacement interface material: K0672 – Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each.

Effective date: April 1, 2008
Implementation date: June 27, 2008

View the transmittal.

CMS releases MLN Matters articles

CMS released three MLN Matters articles last week related to transmittals previously announced in Medicare Weekly Update.

• Laboratory National Coverage Determination edit software changes for July 2008
• July 2008 quarterly Average Sales Price Medicare Part B drug pricing files
• Inappropriate denials of claims for percutaneous transluminal angioplasty (PTA) of carotid arteries concurrent with stenting

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