Corporate Compliance

Transmittals and MLN Matters articles: CMS instructs on cardiac rehab, issues quarterly updates, and more

Medicare Insider, June 1, 2010

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CMS posts guidance on cardiac rehab, intensive cardiac rehab

On May 21, CMS issued several transmittals to implement coverage provisions for cardiac rehabilitation programs and intensive cardiac rehabilitation programs. The coverage is required by the Medicare Improvements for Patients and Providers Act of 2008 and pursuant to CMS’ 2010 MPFS rulemaking. The transmittals create new manual language for this benefit.

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

View the Claims Processing Manual transmittal.

View the Benefit Policy Manual transmittal

View the Financial Management Manual transmittal.

View the Program Integrity Manual transmittal.

View a related MLN Matters article.

CMS issues quarterly HCPCS update

On May 21, CMS issued a transmittal to inform contractors of specific updates to various drug/biological HCPCS codes, including Q2025, Q2026, and Q2027.

Effective date: July 1, 2010 unless otherwise specified
Implementation date: July 6, 2010

View the transmittal.

View a related MLN Matters article.

CMS instructs on quarterly NCCI update

On May 21, CMS issued a transmittal instructing contractors on the implementation of new quarterly NCCI edit files.

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

View the transmittal.

View a related MLN Matters article.

CMS clarifies anesthesia interpretive guidelines

On May 21, CMS issued a transmittal to add clarifying language to the State Operations Manual related to the anesthesia services condition of participation.

Effective date: May 21, 2010
Implementation date: May 21, 2010

View the transmittal.

CMS revises IOM Chapter 25

On May 21, CMS issued a transmittal documenting the revisions to Chapter 25 of the Internet Only Manual to reference external code sources as is currently done in the HIPAA Healthcare Claim: Institutional implementation guide. This update will affect all providers who submit UB-04s to Medicare.

Effective date: September 1, 2010
Implementation date: September 1, 2010

View the transmittal.

CMS posts I/OCE quarterly update

On May 14, CMS issued a transmittal to implement the July update to the integrated outpatient code editor (I/OCE).

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

View the transmittal.

View a related MLN Matters article.



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