Transmittals and MLN Matters articles: CMS updates OPPS hook and hold, reissues transmittals, and more
Medicare Weekly Update, October 12, 2010
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
CMS issues special article on seasonal flu resources
On October 6, CMS posted a special MLN Matters article directing providers to available resources on the seasonal flu, including coverage and billing information.
View the special edition article.
CMS updates drug HCPCS hook and hold
On October 1, CMS issued a transmittal to maintain and update the hook and hold mechanism that holds OPPS claims containing particular drug HCPCS codes.
Effective date: January 1, 2011
Implementation date: January 3, 2011
CMS replaces transmittals
CMS rescinded and replaced several transmittals previously outlined in Medicare Weekly Update.
- Fiscal Year (FY) 2011 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes
- October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)
- Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone
MLN Matters article
CMS released an MLN Matters article related to a transmittal previously outlined in Medicare Weekly Update.
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
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...
-
Prevent Denials and Win Appeals:
Hospital case managers and directors of case management will find Prevent Denials and Win Appeals to be a valuable partner...
-
Observation Services: Assign Proper Level of Care to Prevent Denials
During this two-hour audio conference, our expert speaker reviews level of care regulations, addresses medical necessity...
-
Observation Services: A case study approach to proper billing
During this 90-minute audio conference, our expert speaker, Deborah K. Hale, reviews observation case studies to determine...
-
Observation Services 2012
During this live two-hour audio conference, our expert speaker, Deborah K. Hale, CCS, CCDS, will help you build a strong...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Q/A: Coding infusions to correct low potassium levels
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Searched