Corporate Compliance

Transmittals and MLN Matters articles: CMS implements revenue codes, issues EHR instructions, and more

Medicare Insider, October 19, 2010

Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!

CMS accepts new revenue codes

On October 15, CMS issued a one-time notification to implement new revenue codes created by the National Uniform Billing Committee. Revenue codes 0860 (Magnetoencephalography (MEG) - General Classification) and 0861 (MEG) will now be accepted by the fiscal intermediary shared system (FISS).

Effective date: April 1, 2010
Implementation date: January 19, 2011

View the transmittal.

CMS issues EHR incentive program instructions to CAHs, Maryland waiver hospitals

On October 15, CMS issued a transmittal to direct Maryland waiver hospitals and CAHs to submit informational only Part C claims to Medicare, effective for discharge dates on or after October 1, 2010. This will allow CMS to collect Part C days for purposes of calculating EHR incentive payments.

Effective date: October 1, 2010
Implementation date: January 3, 2011

View the transmittal.

CMS posts updates to Part B ASP drug pricing files

On October 15, CMS issued a transmittal to implement the January 2011 quarterly average sales price (ASP) Medicare Part B drug pricing files and make revisions to prior quarterly pricing files.

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

View the transmittal.

CMS updates clotting factor furnishing fee

On October 15, CMS issued a transmittal to implement the annual update to the clotting factor furnishing fee. For 2011, the clotting factor furnishing fee of $0.176 per unit is included in the published payment limit for clotting factors and shall be added to the payment for a clotting factor when no payment limit for the clotting factor is published either on the ASP or NOC drug pricing files.

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

View the transmittal.

CMS posts 5010 transmittal

On October 15, CMS issued a transmittal to instruct contractors regarding 5010 implementation.

Effective date: December 17, 2010
Implementation date: December 17, 2010

View the transmittal.

CMS posts coverage information for HSCT for myelodysplastic syndrome

On October 8, CMS issued transmittals to implement coverage for allogeneic hematopoietic stem cell transplantation (HSCT) for myelodysplastic syndrome only if provided in the context of a Medicare-approved clinical study meeting specific criteria under the coverage with evidence development paradigm.

Effective date: August 4, 2010
Implementation date: November 10, 2010

View National Coverage Determinations Manual transmittal.

View the Claims Processing Manual transmittal.

View a related MLN Matters article.



Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!

Most Popular