Transmittals and MLN Matters articles: CMS issues guidance on the three-day rule, revises documentation/coding guidance, implements point-of-origin updates, and more
Medicare Weekly Update, November 2, 2010
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CMS issues three-day rule guidance
On October 29, CMS issued a transmittal to provide guidance on the three-day payment window, as recently updated by the Preservation of Access to Care Act.
Effective date: June 25, 2010
Implementation date: April 4, 2011
CMS implements edit for technical component of certain pathology services
On October 29, CMS implemented an edit to prevent payments for the technical component of pathology services billed by any entity other than an independent laboratory.
Effective date: April 1, 2011
Implementation date: April 4, 2011
CMS revises documentation guidance
CMS has posted a revision to its previous special edition article regarding DRG coding vulnerabilities to clarify documentation requirements.
CMS implements point-of-origin code updates
On October 29, CMS issued a transmittal to implement the National Uniform Billing Committee’s (NUBC) point-of-origin code updates.
Effective date: April 1, 2011
Implementation date: April 4, 2011
CMS replaces transmittal
CMS rescinded and replaced a transmittal previously outlined in Medicare Weekly Update.
MLN Matters articles
CMS issued several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.
- Influenza Vaccine Payment Allowances - Annual Update for 2010-2011 Season
- Annual Clotting Factor Furnishing Fee Update 2011
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