Transmittals and MLN Matters articles: CMS updates OPPS, issues MLN Matters articles, and more
Medicare Weekly Update, January 11, 2011
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
CMS issues OPPS updates
On December 30, CMS issued two transmittals to implement updates to the OPPS for 2011. Changes include new language to implement revisions to the physician supervision requirements under “incident to,” APC changes, and new guidance for hospitals reporting critical care services.
Effective date: January 1, 2011
Implementation date: January 3, 2011
View the Benefit Policy Manual transmittal.
View the Claims Processing Manual transmittal.
CMS posts change request definitions
On January 7, CMS posted a transmittal to introduce manual language that defines various dates in relation to change requests/transmittals – such as effective date, implementation date, and issue date.
Effective date: February 8, 2011
Implementation date: February 8, 2011
MLN Matters articles
CMS released several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.
- Medical Nutrition Therapy (MNT) Manual Correction
- January 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.0
- Emergency Update to the CY 2011 Medicare Physician Fee Schedule Database
- Summary of Policies in the CY 2011 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount
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...
-
The Complete Guide to Long-Term Care Medicare Billing
The Complete Guide to Long-Term Care Medicare Billing provides easy-to-understand guidance to help long-term care facilities...
-
Self-Administered Drugs
During this two-hour audio conference, our expert speakers outline CMS rules, payment and billing guidelines, and strategies...
-
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: 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...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- 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
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- 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