Corporate Compliance

Transmittals: CMS implements CWF edits, changes interpretive guidelines for hospital conditions of participation, and more

Medicare Insider, October 28, 2008

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CMS revises list of compendia for use in determining a "medically accepted indication" of drugs and biologicals used off-label in anti-cancer chemotherapeutic regimens

On October 24, CMS issued a transmittal recognizing four authoritative compendia for use in determining medically accepted indications for drugs and biologicals used in off-label anti-cancer chemotherapeutic regimens.

Effective date:
June 5, 2008 - NCCN Drugs and Biologics Compendium
June 10, 2008 - Thomson Micromedex DrugDex
July 2, 2008 - Clinical Pharmacology
Implementation Date: November 25, 2008

View the transmittal.

CMS updates common working file (CWF) edits for influenza virus vaccine and pneumococcal vaccine codes

On October 24, CMS updated its CWF edits to include influenza virus and pneumococcal vaccine CPT codes 90655, 90656, and 90669.

Effective date: April 6, 2009
Implementation date: April 6, 2009

View the transmittal.

CMS implements changes to interpretive guidelines for hospital conditions of participation

On October 17, CMS issued updated interpretative guidance for the hospital conditions of participation.

Effective date: Upon issuance
Implementation date: Upon issuance

View the transmittal.



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