Corporate Compliance

Transmittals and MLN Matters articles: CMS reminds providers about HPSA bonus payments, instructs contractors to implement ICD-10 plans, and more

Medicare Weekly Update, January 17, 2012

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CMS reminds providers about HPSA bonus payments

CMS published a special edition MLN Matters Article that reminds physicians who furnish services to Medicare beneficiaries in areas designated as primary care geographic Health Professional Shortage Area (HPSA) as of December 31, 2011, are eligible for a 10% bonus payment for services furnished from January 1, 2012, to December 31, 2012.

View the special edition MLN Matters article
 

CMS instructs contractors to implement ICD-10 plans

On January 6, CMS instructed contractors to begin implementation of their approved ICD-10 implementation plans.

Effective Date: Upon receiving approval of final ICD-10 implementation plan from CMS.
Implementation Date: April 1, 2013 for Shared System edits, October 1, 2013 for all other tasks
 
View the transmittal
 

CMS corrects a transmittal that incorrectly identifies certain parties

On January 6, CMS rescinded transmittal 202 and replaces it with transmittal 192 to correctly identify parties responsible for implementing certain RAC business requirements.

 
Effective Date: January 1, 2012
Implementation Date: January 3, 2012
 
View the transmittal
 

CMS clarifies payment policy for autologous cellular immunotherapy treatment

On January 6, CME rescinded and replaced two transmittals to clarify its payment for administration of PROVENGE®, delete certain business requirements relating to Common Working File frequency edits, and change specific dates.

 
Effective Date: June 30, 2011
Implementation Date: August 8, 2011 

View the national coverage determination transmittal

View the Medicare claims processing transmittal

 

CMS corrects incorrect dates regarding teaching hospitals reporting FICA refunds

On January 6, CMS rescinded transmittal 1010 and replaced it with transmittal 1014 to correct an error in a date included in section I. B. IV – the date is changed from January 30, 2011 to January 30, 2012.

 
Effective Date: February 6, 2012
Implementation Date: February 6, 2012 

View the transmittal

 

CMS updates Medicare interest rate for overpayments and underpayments

On January 11, CMS issued a change request that updates the Medicare interest rate for overpayments and underpayments to 10.50%.

Effective Date: January 19, 2012
Implementation Date: January 19, 2012
 
View the transmittal
 

CMS releases MLN matters about three-day window payment policy

On January 10, CMS released an MLN matters article associated with a transmittal that was featured in the December 27, 2011 issue of Medicare Weekly Update.  

View the MLN matters article



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