Corporate Compliance

Transmittals and MLN Matters articles: CMS re-issues never events transmittals, implements appeals changes

Medicare Insider, July 7, 2009

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CMS re-issues transmittals on NCDs for surgical never events

On July 2, CMS replaced its previous transmittals on the recently issued NCDs for wrong surgery, wrong site, or wrong patient. CMS corrected several manual references.

Effective date: January 15, 2009
Implementation date: July 6, 2009, for B MACs and carriers; October 5, 2009, for A MACs, FIs, and FISS

View the transmittal to the Claims Processing Manual.

View the transmittal to the National Coverage Determinations Manual.

CMS implements changes to appeals process

On July 2, CMS issued a transmittal to make changes to the Medicare claims appeal process, in accordance with recent rulemaking.

Effective date: August 3, 2009
Implementation date: August 3, 2009

View the transmittal to the Claims Processing Manual.



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