Transmittals and MLN Matters articles: CMS updates IPPS, issues guidance on LCD exceptions, and more
Medicare Weekly Update, September 15, 2009
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
CMS reminds contractors of annual HCPCS update
On September 4, CMS issued a transmittal to remind contractors of the annual HCPCS update.
Effective date: January 1, 2010
Implementation date: January 4, 2010
CMS instructs on HIPAA 5010 implementation for the 835
On September 4, CMS issued a transmittal instructing contractors on implementation of version 5010 of the 835.
Effective date: January 1, 2010
Implementation date: January 4, 2010 for MACs, FISS, and VMS; July 5, 2010 for MCS
CMS revises Claims Processing Manual, Benefit Policy Manual regarding individuals in custody
On September 4, CMS issued a transmittal to make sections of the Claims Processing Manual and Benefit Policy Manual regarding items or services furnished to individuals in custody consistent with regulations at 41 CFR 411.4(b).
Effective date: December 7, 2009
Implementation date: December 7, 2009
View the Claims Processing Manual transmittal.
View the Benefit Policy Manual transmittal.
View a related MLN Matters article.
CMS issues annual instructions on HCPCS update for SNF consolidated billing
On September 4, CMS issued notification that HCPCS codes and Medicare Physician Fee Schedule designations will be used to revise CWF edits to allow MACs, carriers, and fiscal intermediaries to make appropriate payments in accordance with policy for SNF consolidated billing.
Effective date: January 1, 2010
Implementation date: January 4, 2010
View a related MLN Matters article.
CMS updates IPPS, LTCH PPS, and IPF PPS
On September 9, CMS issued a transmittal updating the IPPS, LTCH PPS, and IPF PPS.
Effective date: Discharges on or after October 1, 2009
Implementation date: October 5, 2009
CMS issues guidance on LCD exceptions
On September 11, CMS issued a transmittal on LCD exceptions. During complex medical review ACs, MACs, RACs, and CERT have to apply LCDs when reviewing claims. The change request provides the authority to apply an exception to the clinical reasonable and necessary requirements of an LCD in rare and unusual circumstances.
Effective date: October 13, 2009
Implementation date: October 13, 2009
MLN Matters articles
CMS released several MLN Matters articles related to a transmittals previously outlined in Medicare Weekly Update.
- Screening Computed Tomography Colonography (CTC) for Colorectal Cancer
- Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 Only in Jurisdiction 10 and Jurisdiction 14 Parts A and B (A/B) Medicare Administrative Contractors (MACs)
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
Related Products
-
Billing Alert for Long-Term Care
It's essential to know how to correctly submit your Medicare claims in order to get the reimbursement your facility...
-
Coding and Billing for Outpatient Rehab Made Easy:
Take the confusion out of coding and billing for outpatient rehab and ensure you receive accurate reimbursement for the...
-
The RUG-IV Conversion: Financial Implications for Your Facility
When RUG-IV takes effect on October 1-whether in part or in full-is your facility prepared for the financial and operational...
-
SNF Reimbursement and RAI Changes: Billing’s Role in the Big Picture
Specific examples from the audience are used to demonstrate the impact of changes to both scheduled and unscheduled...
-
The Complete Guide to Long-Term Care Medicare Billing
The Complete Guide to Long-Term Care Medicare Billing provides easy-to-understand guidance to help long-term care facilities...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Searched