Transmittals and MLN Matters articles: CMS issues pulmonary rehab transmittals, implements new timely filing requirements, and more
Medicare Weekly Update, May 11, 2010
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
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
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
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
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 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.
- Instructions Regarding the Processing of Inpatient Claims for Gender/Procedure Conflict
- Determining Self-Administration of Drug or Biological
- Discarded Drugs and Biologicals Updates
- New Medicare Summary Notice (MSN) Message for Higher than Expected (PPS) Payments
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2010
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
Related Products
-
Billing Alert for Long-Term Care
It's essential to know how to correctly submit your Medicare claims in order to get the reimbursement your facility...
-
Clinical Documentation Improvement
Hospitals are undoubtedly aware of how a quality clinical documentation improvement program can benefit their facility, but...
-
The Postacute Care Transfer Rule and Patient Status
During this two hour audio conference, Gloryanne Bryant will use case scenarios to help you increase your understanding of...
-
2012 ICD-9-CM Code Changes: The new, revised, and deleted codes
During this 90-minute audio conference, our nationally recognized speakers, Dr. Robert Gold and Gloryanne Bryant, will...
-
Observation Services: Assign Proper Level of Care to Prevent Denials
During this two-hour audio conference, our expert speaker reviews level of care regulations, addresses medical necessity...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Q&A: Acute respiratory failure diagnosis does not require intubation
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Searched