Corporate Compliance

Transmittals and MLN Matters articles: CMS updates the enrollment manual and more

Medicare Insider, May 22, 2012

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CMS issues general update to chapter 15 of the PIM – Part VI

On May 18, CMS issued a transmittal that continues the process of updating chapter 15 of the Program Integrity Manual on enrollment of providers, including sections on Independent Diagnostic Testing Facilities (IDTFs) and Durable Medical Equipment (DME) suppliers, among others.

Effective date: June 19, 2012
Implementation date: June 19, 2012
 
View transmittal R421PI.
 
CMS to cover extracorporeal photopheresis (ICD-10)

On May 18, CMS issued transmittals announcing that for claims with dates of service on or after April 30, 2012, it will cover extracorporeal photopheresis for the treatment of bronchiolitis obliterans syndrome (BOS) following lung allograft transplantation only when extracorporeal photopheresis is provided under a clinical research study that meets specific requirements to assess the effect of extracorporeal photopheresis for the treatment of BOS following lung allograft transplantation.  Included in the transmittals is a listing of ICD-9 to ICD-10 translations for coverage, along with instructions to the contractors on implementation of the ICD-10 codes.

Effective date: April 30, 2012
Implementation date: October 1, 2012

View the National Coverage Determinations manual transmittal.

View the Claims Processing Manual transmittal.



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