Corporate Compliance

Transmittals and MLN Matters articles: CMS instructs on discarded drugs/biologicals, implements ESRD PPS

Medicare Insider, August 31, 2010

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CMS instructs on discarded drugs and biologicals

On August 20, CMS issued a transmittal instructing contractors to provide local guidance on the billing of discarded drugs and biologicals and use of the related JW modifier. CMS has received many inquiries in response to its previous transmittal, R1962CP.

Effective date: July 30, 2010
Implementation date: September 21, 2010

View the transmittal.

View a related MLN Matters article.

View the previous transmittal, R1962CP.

CMS implements ESRD PPS

On August 20, CMS issued a transmittal to implement the new end-stage renal disease prospective payment system (ESRD PPS), effective January 1, 2011. The changes include provisions that affect payment for lab services that will be subject to consolidated billing under the ESRD PPS (for more information, see the business requirements applicable to carriers/MACs for lab processing).

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.



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