Corporate Compliance

Transmittals and MLN Matters articles: CMS issues consolidated billing, drug pricing updates, and more

Medicare Insider, March 29, 2011

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CMS updates SNF consolidated billing list

On March 25, CMS issued a transmittal to update the list of HCPCS codes subject to the skilled nursing facility (SNF) consolidated billing rules.

Effective date: January 1, 2011
Implementation date: July 5, 2011

View the transmittal.

CMS revises hospital cost report

On March 25, CMS issued a transmittal to further revise the hospital cost report, per legislative changes in the Patient Protection and Affordable Care Act, as modified by the Medicare and Medicaid Extenders Act.

View the transmittal.

CMS instructs on accreditation

On March 25, CMS issued a transmittal to clarify the determination of the effective date of a Medicare provider agreement or supplier approval for healthcare facilities that are subject to survey and certification. The FY 2011 IPPS final rule made regulatory changes to make it clearer that the date of a Medicare provider agreement or supplier approval may not be earlier than the latest date on which all applicable federal requirements have been met, and that such requirements include review and verification of an application to enroll in the Medicare program by CMS’s legacy fiscal intermediary, legacy carrier, or Medicare administrative contractor.

Effective date: October 1, 2010
Implementation date: April 25, 2011

View the transmittal.

CMS updates Part B drug pricing files

On March 25, CMS issued a transmittal to make its regular update to the average sales price (ASP) drug pricing files under Part B.

Effective date: July 1, 2011
Implementation date: July 5, 2011

View the transmittal.

MLN Matters articles

CMS released several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.



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