Corporate Compliance

Other Issuances: CMS updates I/OCE, Connolly begins medical necessity audits, and more

Medicare Insider, September 7, 2010

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CMS updates I/OCE

CMS posted an update to the integrated outpatient code editor (I/OCE), effective October 1.

View the I/OCE version 11.3 specifications.

View a summary of the I/OCE changes.

CMS issues NCCI letter to Medicaid directors

On September 1, CMS posted a letter to state Medicaid directors to provide guidance on the implementation of NCCI edits by state Medicaid programs, as required by the Patient Protection and Affordable Care Act.

View the NCCI letter.

CMS expands coverage of tobacco cessation counseling

On August 25, CMS posted a release announcing expanded Medicare coverage of evidence-based tobacco cessation counseling. The new benefit will cover two individual tobacco cessation counseling attempts per year. Each attempt may include up to four sessions, with a total annual benefit thus covering up to eight sessions per Medicare patient who uses tobacco.

View the full release.

NCHS updates ICD-9-CM Official Guidelines

NCHS has posted updated guidelines for ICD-9-CM, effective October 1.

View the new Official Guidelines.

Connolly posts medical necessity issues for auditing

Connolly Healthcare, the RAC for Region C, has posted its first set of approved medical necessity issues for auditing.

View Connolly’s updated list of audit issues.



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