Corporate Compliance

Transmittals and MLN Matters articles: CMS issues quarterly updates, reorganizes Program Integrity Manual, and more

Medicare Insider, September 7, 2010

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CMS posts update to waived tests

On August 27, CMS issued a transmittal to notify contractors of new waived tests under CLIA.

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

View the transmittal.

View a related MLN Matters article.

CMS implements quarterly NCCI update

On August 27, CMS issued a transmittal to implement the fourth quarter update to the NCCI edits.

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

View the transmittal.

View a related MLN Matters article.

CMS reorganizes Program Integrity Manual

On August 27, CMS issued a transmittal to revise the Program Integrity Manual, moving information contained in chapter 10 to chapter 15. CMS also added language regarding intensive cardiac rehabilitation services.

Effective date: September 28, 2010
Implementation date: September 28, 2010

View the transmittal.

CMS to share terminations with Medicaid agencies, child health plans

On August 27, CMS issued a transmittal to implement a process for communicating terminations of Medicare providers/suppliers to state Medicaid agencies and child health plans, per the Patient Protection and Affordable Health Care Act.

Effective date: September 28, 2010
Implementation date: September 28, 2010

View the transmittal.

CMS issues annual HCPCS update reminder

On August 27, CMS posted a recurring update notification regarding the annual HCPCS update.

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

View the transmittal.

MLN Matters article

CMS issued an MLN Matters article related to a transmittal previously outlined in Medicare Weekly Update.

End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services



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