Quarterly updates: CMS updates RVU file, MUEs, lab fee schedule, and more
Medicare Update for Physician Services, April 7, 2011
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CMS updates CLFS file
CMS has posted an update to the clinical laboratory fee schedule (CLFS) file.
CMS updates MUEs
CMS has issued its quarterly update to the medically unlikely edits (MUE).
View the updated physician services MUEs.
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 a related MLN Matters article.
CMS posts quarterly NCCI update instructions
On March 18, CMS issued a recurring-update notification to instruct contractors on implementation of the April version of the NCCI edits.
Effective date: April 1, 2011
Implementation date: April 4, 2011
View a related MLN Matters article.
Access the MedicareFind NCCI Edit Lookup Tool.
CMS updates therapy code list
On March 18, CMS issued a transmittal to update the list of codes that sometimes describe therapy services. CMS added CPT code 95992 to the list.
Effective date: January 1, 2011
Implementation date: July 5, 2011
View a related MLN Matters article.
CMS posts updated RVU files
CMS has issued the April update to its physician fee schedule RVU files.
MLN Matters articles
CMS issued several MLN Matters articles related to quarterly update transmittals previously outlined in Medicare Update for Physician Services.
- Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
- Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
- New Waived Tests
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