Corporate Compliance

Transmittals and MLN Matters articles: CMS addresses OIG reports, revises previous transmittals, and more

Medicare Insider, January 19, 2010

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CMS reviews OIG reports for medical review implications

On January 15, CMS released a one-time notification detailing various OIG reports that contain medical review implications, related to the following:

  • Comparison of Prices for Negative Pressure Wound Therapy Pumps (OEI-02-07-00660)
  • Payments for Ambulance Transportation Provided to Beneficiaries in Skilled Nursing Stays Covered Under Medicare Part A in Calendar Year 2006 (A-01-08-00505)
  • Inappropriate Medicare Payments for Pressure reducing Support Surfaces (OEI-02-07-00420)
  • Medicare Hospice Care for Beneficiaries in Nursing Facilities: Compliance with Medicare Coverage Requirements (OEI-02-06-00221)

Effective date: February 16, 2010
Implementation date: February 16, 2010

View the transmittal.

CMS addresses claims payment without CWF permission

On January 15, CMS issued a transmittal on the process for paying claims without common working file (CWF) permission.

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

View the transmittal.

CMS updates hospital cost report

On January 15, CMS issued updates to CMS-2552-96, the hospital cost report.

Effective dates vary due to various implementation dates.

View the transmittal.

CMS issues transmittal on 5010 implementation

On January 15, CMS issued a transmittal to provide direction to the J9 MAC, which is in a position to implement HIPAA version 5010.

Effective date: March 1, 2010
Implementation date: March 1, 2010

View the transmittal.

CMS updates interest rate for Medicare overpayments and underpayments

On January 15, CMS issued a transmittal instructing Medicare contractors to implement an interest rate of 11.25% effective January 25, 2010 for Medicare overpayments and underpayments.

Effective date: January 25, 2010
Implementation date: January 25, 2010

View the transmittal.

CMS revises previous transmittals

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

MLN Matters articles

CMS issued several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.



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