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Other Issuances: CMS issues memos, OIG issues reports, and more

Medicare Weekly Update, March 24, 2009

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OIG issues review of oxaliplatin billing at Baptist Hospitals of Southeast Texas for calendar years (CY) 2004 and 2005

On March 20, the OIG issued a review of oxaliplatin billing at Baptist Hospitals of Southeast Texas for CYs 2004 and 2005. During this time, Baptist actually provided the drug darbepoetin rather than oxaliplatin, for which it billed, on two dates of service and could not support that it had provided oxaliplatin to the beneficiary for two other dates of service. Baptist received overpayments totaling $63,000 for the four dates of service.

View the OIG report.

OIG issues review of high-dollar payments for Medicare outpatient claims processed by TrailBlazer Health Enterprises for the period January 1 through December 31, 2004

On March 20, the OIG issued a review the outpatient high-dollar payments issued in 2004 by Trailblazer Health, a Medicare fiscal intermediary. The OIG found that of the 17 payments of $50,000 or more that TrailBlazer made to providers for outpatient services during 2004, five were appropriate. TrailBlazer overpaid providers for 12 claims, resulting in overpayments totaling $1.1 million.

View the OIG report.

Frequently asked questions (FAQ)

On March 18, CMS released several new/updated FAQs related to Medicare fee-for-service payment.

View the new/updated FAQs.

CMS issues memo on proposed cytology proficiency testing under CLIA

On March 13, CMS issued a memorandum related to its recently proposed regulations aimed at assuring the competency of those conducting the most common screening test for cervical cancer.

View the memo.

CMS issues updated interim guidance regarding the temporary mid-level staffing waiver for RHCs

On March 13, CMS issued a memorandum to provide updated guidance regarding the temporary mid-level staffing waiver for RHCs. The memo supersedes SC-09-14, issued November 21, 2008. This update will reduce burdens on existing RHCs resulting from the 1998 policy.

View the memo.

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