Transmittals and MLN Matters articles: CMS revises cost report, updates NCCI edits, and more
Medicare Weekly Update, August 4, 2009
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CMS clarifies appropriate use of modifier -50 and add-on codes for facet joint injection services
On July 31, CMS released a transmittal providing guidance on the use of modifier -50 and add-on codes for facet joint injection services.
Effective date: August 31, 2009
Implementation date: August 31, 2009
CMS revises cost report
On July 31, CMS updated the Hospital and Hospital Health Care Complex Cost Report (CMS Form 2552-96).
Effective date: Varies
Implementation date: Varies
CMS updates NCCI edits for October
On July 31, CMS issued a transmittal to update the NCCI edits for October.
Effective date: October 1, 2009
Implementation date: October 5, 2009
CMS updates guidance on disaster/emergency-related claims
On July 31, CMS issued updated guidance on the use of modifier CR and condition code DR that were established for emergency related claims.
Effective date: August 31, 2009
Implementation date: August 31, 2009
CMS updates point of origin codes
On July 24, CMS added two new valid point of origin codes to Chapter 25 of the Claims Processing Manual.
Effective date: October 1, 2007
Implementation date: January 4, 2010
View a related MLN Matters article.
CMS updates SSI/Medicare beneficiary data for Fiscal Year 2007
On July 24, CMS provided updated data for determining additional payment amounts for hospitals with a disproportionate share of low-income patients. The data are used for settlement purposes for IPPS hospitals and IRFs with cost reporting periods beginning during FY 2007.
Effective date: August 7, 2009
Implementation date: August 7, 2009
View a related MLN Matters article.
CMS rescinds and replaces transmittals
CMS rescinded and replaced several transmittals previously outlined in Medicare Weekly Update.
- Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010
- Payment of Bilateral Procedures in a Method II Critical Access Hospital (CAH)
- Payment for Co-surgeons in a Method II Critical Access Hospital (CAH)
- Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA)
- Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
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