Corporate Compliance

Transmittals: CMS rejects TIPs coverage, implements changes to medical necessity edits for lab services

Medicare Insider, December 16, 2008

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CMS implements changes to the administrative appeals process for provider enrollment

On December 12, CMS updated its Program Integrity Manual to reflect recent changes to its regulations on the administrative appeals process relating to provider enrollment decisions.

Effective date: January 12, 2009
Implementation date: January 12, 2009

View the transmittal.

CMS announces changes to medical necessity edits for laboratory services

On December 9, CMS issued a transmittal announcing the latest changes to the medical necessity edits applicable to clinical diagnostic laboratory services subject to national coverage decisions.

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

View the transmittal.

View a related MLN Matters article.

CMS rejects coverage for thermal intradiscal procedures (TIPs)

On December 9, CMS issued two transmittals relating to its decision not to cover TIPs for Medicare beneficiaries.

Effective date: September 28, 2008
Implementation date: January 5, 2009

View the first transmittal.

View the second transmittal.

View a related MLN Matters article.



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Comments

1 comments on “Transmittals: CMS rejects TIPs coverage, implements changes to medical necessity edits for lab services

Mariya (2/20/2013 at 5:34 AM)
Was tloatly stuck until I read this, now back up and running.

 

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