Transmittals and MLN Matters articles: CMS issues RAC/ZPIC transmittal, issues MLN Matters articles, and more
Medicare Weekly Update, November 17, 2009
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CMS implements 2010 cost-sharing rates
On November 16, CMS issued a transmittal to update the claims processing system to apply the new deductible, coinsurance, and premium rates for 2010.
Effective date: January 1, 2010
Implementation date: January 4, 2010
CMS issues Part B ASP drug pricing files
On November 6, CMS issued a transmittal to implement the updated Part B average sales price (ASP) drug pricing files and revisions to prior quarterly files.
Effective date: January 1, 2010
Implementation date: January 4, 2010
CMS issues instructions on interaction between RACs and ZPICs
On November 13, CMS issued a transmittal to instruct the zone program integrity contractors (ZPIC) and program safeguard contractors on entering suppressions and exclusions into the RAC
data warehouse.
Effective date: December 14, 2009
Implementation date: December 14, 2009
MLN Matters articles
CMS released two MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.
- Ensuring the Denial of Claims for Ambulance Services Rendered to Beneficiaries in Part A Skilled Nursing Facility Stays
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2010
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