Corporate Compliance

Transmittals and MLN Matters articles: CMS updates OPPS, implements HIV screening NCD, and more

Medicare Insider, March 9, 2010

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CMS updates OPPS

On February 26, CMS issued the April 2010 update to the OPPS. The update includes changes to editing for blood and blood products and a clarification on coding requirements for pulmonary rehab services.

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

View the transmittal.

CMS updates quarterly ASP drug pricing files

On February 19, CMS issued a transmittal to inform contractors of the July 2010 update to the average sales price (ASP) Part B drug pricing files.

Effective date: July 1, 2010
Implementation date: July 6, 2010

View the transmittal.

CMS implements NCD for HIV screening

On February 19, CMS issued transmittals to the National Coverage Determinations Manual and the Claims Processing Manual, to implement coverage of certain screening tests for HIV infection.

Effective date: December 8, 2009
Implementation date: July 6, 2010

View the transmittal to the National Coverage Determinations Manual.

View the transmittal to the Claims Processing Manual.

CMS replaces transmittals

CMS rescinded several previous transmittals and replaced them with the following:



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