Corporate Compliance

Transmittals and MLN Matters articles: CMS issues pulmonary rehab transmittals, implements new timely filing requirements, and more

Medicare Insider, May 11, 2010

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CMS issues pulmonary rehab transmittals

On May 7, CMS issued transmittals to the Claims Processing Manual and Benefit Policy Manual to implement coverage for pulmonary rehabilitation services, as specified under the Medicare Improvements for Providers and Patients Act of 2008. CMS instructs contractors to accept revenue code revenue code 0948 on the 13X and 85X TOBs.

Effective date: January 1, 2010
Implementation date: October 4, 2010

View the Benefit Policy Manual transmittal.

View the Claims Processing Manual transmittal.

CMS implements new timely filing requirements under PPACA

On May 7, CMS issued a transmittal to make the necessary systems changes for new timely filing requirements. Section 6404 of the Patient Protection and Affordable Care Act (PPACA) amended the timely filing requirements to reduce the maximum time period for submission of all Medicare fee-for-service claims to one calendar year after the date of service.

Effective date: January 1, 2010
Implementation date: October 4, 2010

View the transmittal.

CMS updates appeals procedures

On May 7, CMS issued a transmittal to implement several changes to appeals procedures, as specified in recent rulemaking.

Effective date: August 9, 2010
Implementation date: August 9, 2010

View the transmittal.

CMS implements increased multiple procedure payment reduction

On May 7, CMS issued a transmittal to increase the multiple procedure payment reduction for the technical component of certain diagnostic imaging procedures from 25% to 50%.

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

View the transmittal.

CMS requiring submission of Medicare Advantage informational claims

On May 5, CMS issued a transmittal requiring non-teaching hospitals to submit informational-only bills for the Medicare Advantage beneficiaries they treated in FY 2007 and FY 2008 on or before August 31, 2010. In addition, hospitals will be required to submit an attestation to their contractor on or before September 15, 2010.

Effective date: June 7, 2010
Implementation date: June 7, 2010

View the transmittal.

View a related MLN Matters article.

CMS rescinds, replaces transmittal

MLN Matters articles

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

 



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