Corporate Compliance

Transmittals and MLN Matters articles: CMS updates Medicare Managed Care Manual and more

Medicare Insider, July 3, 2012

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CMS replaces transmittal on October quarterly update HCPCS codes used for SNF CB enforcement

On June 27, CMS replaced transmittal R2484CP, containing information on the allowance for the correct processing of claims under the SNF CB provisions.

View transmittal R2492CP.

CMS replaces transmittal on July 2012 update of ASC payment system

On June 25, CMS replaced transmittal R2479CP, containing information on changes to and billing instructions for various payment policies implemented in the July 2012 ASC update.

View transmittal R2491CP.

CMS replaces transmittal on CWF additional instructions related to CR7633

On June 21, CMS replaced transmittal R2454CP, containing instructions for contractors and CWF if a claim is submitted by a provider for G0443 (Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes) when there are no claims for G0442 (Annual alcohol misuse screening, 15 minutes) in claims history.

View transmittal R2488CP.

CMS issues update to Chapter 3, Medicare Managed Care Manual

On June 22, CMS issued a transmittal that revises Chapter 3 to reflect guidance provided to Medicare Advantage organizations since the last update to Chapter 3 in May 2011.

Effective date: July 1, 2012

Implementation date: July 1, 2012

View transmittal R106MCM.

CMS issues update to Chapter 4, Medicare Managed Care Manual

On June 22, CMS issued a transmittal that revises Chapter 4 to reflect a reorganization of the chapter.

Effective date: June 22, 2012

Implementation date: June 22, 2012

View transmittal R107MCM.



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