Transmittals and MLN Matters articles: CMS instructs on use of claims history, updates underpayment guidance, and more
Medicare Weekly Update, March 1, 2011
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
CMS instructs on use of claims history for payment determinations
On February 25, CMS issued a transmittal to instruct its auditing contractors (e.g., RAC, CERT, MAC) on the use of historical claims data when making a payment determination.
Effective date: March 25, 2011
Implementation date: March 25, 2011
CMS clarifies Alzheimer’s codes for mental health limitation
On February 25, CMS issued a transmittal to provide guidance on ICD-9 diagnosis codes that are Alzheimer’s related disorders for purposes of the outpatient mental health treatment limitation.
Effective date: March 25, 2011
Implementation date: March 25, 2011
CMS updates RAC underpayment instructions
On February 25, CMS issued a transmittal to update instructions related to processing of underpayments identified by the RACs.
Effective date: March 28, 2011
Implementation date: March 28, 2011
CMS replaces transmittals
- Screening for the Human Immunodeficiency Virus (HIV) Infection (Claims Processing Manual)
- Screening for the Human Immunodeficiency Virus (HIV) Infection (National Coverage Determinations Manual)
- April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB)
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
Related Products
-
Clinical Documentation Improvement
Hospitals are undoubtedly aware of how a quality clinical documentation improvement program can benefit their facility, but...
-
Medicaid Final Rule for Healthcare-Acquired Conditions
During this 90-minute audio conference, our speakers review the Medicaid HCAC rules and reporting requirements, discuss...
-
Medicare Compliance Forum: Orlando, FL
Attend the 2012 Medicare Compliance Forum to reduce your organization’s risk and exposure from government auditors...
-
Medical necessity 2012: Case studies and top documentation risk areas
This 90-minute audio conference highlights top documentation areas for high-risk cases of audit and denial, and describes...
-
Outpatient, Observation, or Inpatient?
Attend the half-day seminar, Outpatient, Observation or Inpatient? Walking the Tightrope of Regulatory Guidance, September...
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