Corporate Compliance

Transmittals and MLN Matters articles: CMS issues transmittal on process for handling esMD and more

Medicare Insider, June 19, 2012

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CMS issues transmittal on process for handling esMD

On June 15, CMS issued a transmittal that defines the steps esMD review contractors must use in situatiosn where the provider has failed to submit a resposne to an ADR letter by the deadline.

Effective date: July 16, 2012

Implementation date: July 16, 2012

View transmittal R426PI.

CMS instructs on change in creation date for CMS standard edit/audit/reason code reports

On June 15, CMS issued a transmittal that changes the execution and delivery time MACs and legacy contractors shall follow in the creation of the CMS standard edit/audit/reason code report.

Effective date: October 1, 2012

Implementation date: October 15, 2012

View transmittal R1097OTN.

CMS replaces transmittal on manual update for lab services and DMEPOS claims processed under the ESRD PPS

On June 8, CMS replaced transmittal R2475CP, containing an update to the Medicare Claims Processing Manual on ESRD PPS claims processing as it relates to laboratory services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).

View transmittal R2487CP.



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