Transmittals and MLN Matters articles: CMS adds payment locality, issues MLN Matters articles
Medicare Insider, February 23, 2010
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
CMS adds payment locality for Kansas claims
On February 12, CMS issued a transmittal documenting the inconsistency in payment rates for claims with Kansas ZIP codes. This change request instructs claims processing contractors to include an additional Kansas payment locality to ensure correct pricing for laboratory services submitted with the 90 modifier.
CMS addresses HIPAA 5010 guidance
On February 12, CMS issued a transmittal in response to contractors' requests for further guidance and clarification on areas of implementation for HIPAA 5010.
MLN Matters articles
CMS issued several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.
- Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims
- Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.1, effective April 1, 2010
- New Waived Tests
- Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual Code List
- Implementation of a New Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit for Facility Services Billed by Ambulatory Surgical Centers (ASCs)
- Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
Related Products
-
Prevent Denials and Win Appeals:
Hospital case managers and directors of case management will find Prevent Denials and Win Appeals to be a valuable partner...
-
Principal Diagnosis for Complex Cases
During this 90-minute audio conference you’ll learn how to support your choice of principal diagnosis by reviewing difficult...
-
Financial Implications of the 2012 SNF PPS Final Rule
Discover how new payment rates will affect your bottom line as a result of the 2012 SNF PPS Final Rule. Join HCPro for this...
-
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...
-
Mastering the Three-Day Payment Window
During this 90 minute audio conference our expert speaker, Kimberly Anderwood Hoy provides a brief history of the rule...
Most Popular
- Articles
-
- Note from Hugh
- CMS seeks comment on quality measures
- Note from the instructor: OIG report on usage of financial liability "G" modifiers
- Recent Recovery Auditor activity
- The week in Medicare updates
- Remind your workforce members to ’zip their lips’ when it comes to patient privacy
- HIPAA Q&A: Receiving faxed HEDIS requests
- CMS releases new QAPI resources
- Documentation of medical necessity drives successful RA appeals
- Q/A: How do we report therapy G codes and modifiers for multiple therapies?
- E-mailed
-
- Note from the instructor: OIG report on usage of financial liability "G" modifiers
- Q/A: How do we report therapy G codes and modifiers for multiple therapies?
- HIPAA Q&A: Receiving faxed HEDIS requests
- CMS says it's not too late to avoid payment adjustments
- FDA makes new proposal related to C. diff and other threatening pathogens
- Shorter work week for interns may compromise patient safety
- Tip: Understand the three-day rule
- CMS releases new ICD-10 FAQs
- Demand a code for demand myocardial infarction
- Eyes see more ICD-10-CM codes because of laterality
- Searched