Transmittals and MLN Matters articles: CMS adds payment locality, issues MLN Matters articles
Medicare Weekly Update, February 23, 2010
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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
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