Corporate Compliance

Transmittals and MLN Matters articles: CMS implements edit for pathology services, and more

Medicare Update for Physician Services, November 4, 2010

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

View the transmittal.

CMS makes specialty code changes

On October 28, CMS issued a transmittal to instruct contractors to recognize and use the physician specialty code 12 as a valid primary and/or secondary specialty code for osteopathic manipulative medicine.

Effective date: April 1, 2011
Implementation date: April 4, 2011

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.

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.

MLN Matters article

CMS posted an MLN Matters article related to a transmittal previously outlined in Medicare Update for Physician Services.

Most Popular