Corporate Compliance

Quarterly updates: CMS updates RVU file, MUEs, lab fee schedule, and more

Medicare Update for Physician Services, April 7, 2011

CMS updates CLFS file

CMS has posted an update to the clinical laboratory fee schedule (CLFS) file.

View the updated 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 the transmittal.

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 the transmittal.

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 the transmittal.

View a related MLN Matters article.

CMS posts updated RVU files

CMS has issued the April update to its physician fee schedule RVU files.

View the updated files.

MLN Matters articles

CMS issued several MLN Matters articles related to quarterly update transmittals previously outlined in Medicare Update for Physician Services.

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