Corporate Compliance

Transmittals and MLN Matters articles: CMS corrects NCCI edit files, analyzes inclusion of additional ICD-9 codes on claims, and more

Medicare Insider, January 12, 2010

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CMS corrects NCCI files

On January 8, CMS issued a transmittal to correct and replace the NCCI edit files it previously issued.

Effective date: January 1, 2010
Implementation date: January 5, 2010

View the transmittal.

CMS to analyze changes necessary for processing additional codes

On January 8, CMS issued a transmittal to initiate analysis of institutional online screens to determine the necessary changes to allow for additional ICD-9 diagnosis and procedure codes on claims; the analysis will also examine needed changes to accommodate ICD-10 codes.

Effective date: April 1, 2010
Implementation date: April 5, 2010

View the transmittal.

CMS revises MUE transmittal

On January 8, CMS issued a transmittal to rescind and replace its December 8 transmittal on medically unlikely edits (MUE). The new transmittal makes several changes, including updates to how CMS handles modifier -55.

Effective date: April 1, 2010
Implementation date: April 5, 2010

View the transmittal.

CMS revises previous transmittals

CMS made changes to several previously issued transmittals for various reasons.



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