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Transmittals and MLN Matters articles: CMS allows physician assistants to perform SNF level of care certifications, updated the CCI edits, and more

Medicare Weekly Update, January 24, 2012

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CMS allows physician assistants to perform SNF level of care certifications

On January 13, CMS published a pair of transmittals that revise Chapter 8, section 40.1 of the Medicare Benefit Policy Manual to add physician assistants to the list of practitioners that can perform the required initial certification and periodic recertifications of the need for skilled nursing facility (SNF) level of care. 

View the Benefit Policy transmittal 

View the Medicare General Information, Eligibility, and Entitlement transmittal

CMS updates the CCI edits

CMS corrects errors contained in the January 2012 OPPS update

On January 13, CMS rescinded Transmittal 2376, dated December 29, 2011, and replaced it with Transmittal 2386 to correct an error in the fixed-dollar threshold amount in section 17.d. The correct amount is $2,025. In section 5.c., table 5, CMS also corrected HCPCS code Q1079 to Q0179. HCPCS code Q1079 doesn’t exist. Additionally, CMS updated Section 18 to reflect section 308 of the Temporary Payroll Tax Cut Continuation Act of 2011 (TPTCCA).  

View the transmittal

CMS replaces MPFS transmittal to revise summary of the multiple procedure payment reduction

View the transmittal

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