Corporate Compliance

Regulations: CMS proposes one-year delay of ICD-10-CM/PCS, issues final rule on provider and supplier enrollment, ordering and referring, and documentation requirements, issues corrections to 2012 OPPS rule, and more

Medicare Update for Physician Services, May 3, 2012

CMS issues final rule on provider and supplier enrollment, ordering and referring, and documentation requirements

On April 27, CMS issued in the Federal Register a final rule that finalizes several provisions of the Affordable Care Act, including the requirement of all providers of medical or other items or services and suppliers that qualify for a National Provider Identifier (NPI) to include their NPI on all applications to enroll in the Medicare and Medicaid programs and on all claims for payment submitted under the Medicare and Medicaid programs.

View the final rule.

CMS issues corrections to 2012 OPPS final rule

On April 24, CMS issued in the Federal Register technical corrections to the 2012 OPPS final rule.

View the corrections here.

CMS issues technical corrections to EHR Incentive Program—Stage 2 proposed rule

On April 18, CMS issued technical and typographical errors to the proposed rule entitled ‘‘Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 2’’ which appeared in the March 7, 2012.

View the corrections.

HHS issues administrative simplification proposed rule

On April 17, HHS issued a proposed rule in the Federal Register that would implement section 1104 of the Affordable Care Act by establishing new requirements for administrative transactions that would improve the utility of the existing HIPAA transactions and reduce administrative burdens and costs. This rule also proposes to change the official compliance date for ICD-10 from October 1, 2013 to October 1, 2014.

View the proposed rule.

View an HCPro article on the ICD-10 delay.

Submit a comment.

CMS proposes one-year delay of ICD-10-CM/PCS

On April 9, CMS released a proposed rule announcing a one-year delay of the implementation of ICD-10-CM/PCS. If finalized, ICD-10 would become effective October 1, 2014.

View the display copy of the proposed rule

View the HCPro article

View the associated fact sheet

View the associated press release

CMS makes changes to the Medicare Advantage and prescription drug benefit
 
On April 12, CMS issued a final rule that revises the Medicare Advantage program regulations and prescription drug benefit program regulations to implement new statutory requirements; strengthen beneficiary protections; exclude plan participants that perform poorly; improve program efficiencies; and clarify program requirements. It also responds to public comments regarding the long-term care facility conditions of participation pertaining to pharmacy services.

View the final rule

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