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Transmittals and MLN Matters articles: CMS updates IPPE benefit, issues MLN Matters articles, and more

Medicare Weekly Update, November 18, 2008

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CMS adds certain entities as originating sites for payment of telehealth services under the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)

On November 14, CMS issued two transmittals adding certain entities as originating sites for payment of telehealth services, pursuant to Section 149 of MIPPA. Eligible originating sites will also include hospital-based or critical access hospital-based renal dialysis facilities (including satellites), skilled nursing facilities, and community mental health centers.

Effective date: January 1, 2009
Implementation date: January 5, 2009

View the first transmittal.

View the second transmittal.

CMS updates the initial preventive physical examination (IPPE) benefit

On October 31, CMS re-communicated an October 17 transmittal expanding the IPPE benefit under Medicare Part B.

Effective date: January 1, 2009
Implementation date: January 5, 2009 (unless otherwise specified by the individual business requirement)

View the transmittal.

View a related MLN Matters article.

CMS releases MLN Matters articles

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

• Update to Medicare Deductible, Coinsurance and Premium Rates for 2009
• Compendia as Authoritative Sources for Use in the Determination of a "Medically Accepted Indication" of Drugs and Biologicals Used Off-Label in an Anti-Cancer Chemotherapeutic Regimen

CMS also released a special edition MLN Matters article last week.

• Preparing for a Transition from an FI/Carrier to a Medicare Administrative Contractor (MAC)

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