Transmittals and MLN Matters articles: CMS revises POA process, updates IRF PPS, issues special article on medical record retention, and more
Medicare Insider, August 17, 2010
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
CMS revises POA instructions
On August 13, CMS issued a transmittal to instruct on present-on-admission (POA) reporting. Effective with the implementation of 5010, IPPS hospitals shall no longer report the POA indicator of 1. ICD-9-CM diagnosis codes that are exempt from reporting POA shall be left blank instead of populating a 1.
Effective date: January 1, 2011
Implementation date: January 3, 2011
CMS makes CWF changes to accommodate OSCs greater than 10
On August 13, CMS issued a transmittal to revise the common working file (CWF) to allow occurrence span codes (OSC) beyond the currently billable limit of 10. The long-term care PPS, inpatient rehabilitation facility PPS, and inpatient psychiatric facility PPS require a single claim to be billed for an entire stay. Interim claims may be submitted to continually adjust all prior submitted claims for the stay until the beneficiary is discharged. In some instances, significantly long stays having numerous OSCs may exceed the amount of OSCs allowed to be billed on a claim.
Effective date: October 1, 2002
Implementation date: January 3, 2011
CMS updates IRF PPS pricer
On August 13, CMS issued a transmittal to update the inpatient rehabilitation facility (IRF) prospective payment system (PPS) pricer for fiscal year 2011.
Effective date: October 1, 2010
Implementation date: October 4, 2010
CMS issues special edition article on medical record retention
On August 10, CMS issued a special edition MLN Matters article on medical record retention and appropriate media formats for medical records. Among other topics, the article discusses retention requirements under HIPAA and state law.
View the special edition MLN Matters article.
CMS revises fraud edit module requirements
On August 6, CMS issued a transmittal to make several changes to processes regarding the fraud edit module. Among the changes is a requirement that providers have appeal rights if services are denied under the module edits and that contractors must work individually with providers if the providers contact the contractor regarding denials made without appeal rights.
Effective date: September 6, 2010
Implementation date: September 6, 2010
CMS makes backend changes to better identify dual eligibles
On August 6, CMS issued a transmittal to implement processes for identifying dual eligible beneficiaries. The new processes will assist program safeguard contractors (PSC)/zone program integrity contractors (ZPIC) in detecting fraud across the Medicare/Medicaid programs.
Effective date: January 1, 2011
Implementation date: January 3, 2011
CMS replaces transmittal
On August 13, CMS issued a transmittal to rescind and replace a transmittal previously outlined in Medicare Weekly Update.
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
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...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
-
Revenue Cycle Digital Library - Reimbursement - Single User Access
A searchable, Web-based resource that provides online access to HCPro’s expertly developed Medicare reimbursement books and...
Most Popular
- Articles
-
- Differentiate between types of wound debridement
- Note similarities and differences between HCPCS, CPT® codes
- New CMS guidance on ligature risk says Joint Commission recommendations set the bar
- Don’t forget the three checks in medication administration
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Reimbursement for Facility and Professional Services in a Provider-Based Department by Gina M. Reese, Esq., RN
- Maryland health system locked out of network by ransomware
- What to include on the incident report
- OB services: Coding inside and outside of the package
- Practice the six rights of medication administration
- E-mailed
-
- What to include on the incident report
- What does case-mix index mean to you?
- Tip: Using modifier -59 with an EKG
- Q/A: Correct use of modifier -PT
- Q&A: Why are we getting edits for PET scans?
- New CMS guidance on ligature risk says Joint Commission recommendations set the bar
- CMS replaces clinic E/M visit levels with single G-code
- Clear up confusion surrounding observation services
- Searched