Corporate Compliance

Transmittals and MLN Matters articles: CMS strengthens safeguard for facet joint injection services, issues transmittal on CAH co-surgeon payment, and more

Medicare Weekly Update, February 10, 2009

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CMS instructs contractors to strengthen program safeguards for facet joint injection services

On February 6, CMS issued a transmittal instructing its contractors to strengthen safeguards against improper payment of claims for facet joint injection services. The instructions follow an OIG audit finding that 63% of facet joint injection services allowed in 2006 did not meet Medicare program requirements.

Effective date: March 9, 2009
Implementation date: March 9, 2009

View the transmittal.

View the OIG audit report.

CMS announces change to amount in controversy requirement for administrative law judge (ALJ) hearings and Federal District Court appeals

On January 30, CMS issued a transmittal notifying its contractors of a change to the amount in controversy requirement for ALJ hearings and appeals in Federal District Court.

Effective date: March 4, 2009
Implementation date: March 4, 2009

View the transmittal.

View a related MLN Matters article.

CMS issues transmittal on payment for co-surgeons in a method II critical access hospital (CAH)

On January 30, CMS released a transmittal to implement several changes to the way contractors issue payment for co-surgeons when a CAH is involved.

Effective date: January 1, 2008
Implementation date: July 6, 2009

View the transmittal.

View a related MLN Matters article.

MLN Matters articles

CMS released the following MLN Matters article related to an item previously covered in Medicare Weekly Update.

CMS also released the following special edition MLN Matters article.



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