Transmittals and MLN Matters articles: CMS to implement expanded ICD-9 processing, revise PTA and cardiac rehab coverage, and more
Medicare Weekly Update, March 16, 2010
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CMS updates RHC/FQHC cost report
On March 12, CMS issued a transmittal to revise the Independent Rural Health Clinic (RHC)/Freestanding Federally Qualified Health Center (FQHC) Cost Report, form CMS-222-92.
Effective date: Varies
CMS to expand ICD-9 code processing
On March 5, CMS issued a transmittal to implement processing of more ICD-9 codes (diagnosis and procedure) on institutional claims, effective January 1, 2011.
Effective date: Varies
Implementation date: Varies
View a related MLN Matters article.
CMS repeals cardiac rehab NCD
On March 5, CMS issued a transmittal to repeal Section 20.10 of the National Coverage Determinations Manual, on cardiac rehabilitation programs. The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) provides for coverage of cardiac rehab and intensive cardiac rehab effective January 1, 2010, and specifies certain conditions of coverage.
Effective date: February 22, 2010
Implementation date: April 5, 2010
View a related MLN Matters article.
CMS revises PTA NCD
On March 5, CMS issued transmittals to the National Coverage Determinations Manual and the Claims Processing Manual, to implement revised language in its NCD for percutaneous transluminal angioplasty (PTA). The revisions include new verbiage specific to embolic protection devices.
Effective date: December 9, 2009
Implementation date: April 5, 2010
View the National Coverage Determinations Manual transmittal.
View the Claims Processing Manual transmittal.
View a related MLN Matters article.
CMS issues quarterly I/OCE update
On March 5, CMS issued its quarterly update to the I/OCE specifications.
Effective date: April 1, 2010
Implementation date: April 5, 2010
CMS replaces transmittals
CMS issued several transmittals to rescind and replace transmittals previously outlined in Medicare Weekly Update.
- Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual Code List
- Correction to Processing of Non-Covered Revenue Codes
MLN Matters articles
CMS released several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.
- July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- April 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)
- Correction to Processing of Non-Covered Revenue Codes
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