Corporate Compliance

Transmittals and MLN Matters articles: CMS issues transmittal on expiration of 2012 therapy cap revisions and user-controlled mechanism to identify legislative effective dates and more

Medicare Insider, September 11, 2012

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CMS issues transmittal on expiration of 2012 therapy cap revisions and user-controlled mechanism to identify legislative effective dates

On August 31, CMS issued a transmittal that creates the new mechanism.

Effective date: January 1, 2013

Implementation date: January 7, 2013

View transmittal R2537CP.

View MLN Matters article MM7881.

CMS issues healthcare provider taxonomy codes update, October 12012

On August 31, CMS issued a transmittal which instructs affected Medicare contractors to obtain the most recent Healthcare Provider Taxonomy Codes (HPTC) set and use it to update their internal HPTC tables and/or reference files.

Effective date: October 1, 2012

Implementation date: January 7, 2013

View transmittal R2534CP.
 
View MLN Matters article MM8021.
 
CMS issues update to chapter 24, Medicare Claims Processing Manual

On August 31, CMS issued a transmittal that updates chapter 24 to remove outdated bill type information in sections 60.2.1, 60.2.2, and 60.2.3.

Effective date: October 1, 2012

Implementation date: October 1, 2012

View transmittal R2535CP.
 
CMS issues transmittal on 2013 IPPS LTCH PPS changes

On August 31, CMS issued a transmittal that provides that FY2013 update to the IPPS and LTCH PPS.

Effective date: October 1, 2012

Implementation date: October 1, 2012

View transmittal R2539CP.
 
View MLN Matters article MM8041.

CMS issues transmittal on manual medical review of therapy services

On August 31, CMS issued a transmittal stating that all requests for Physical Therapy/Speech-Language Pathology or Occupational Therapy services above $3,700 provided under Medicare Part B shall be approved in advance.

Effective date: October 1, 2012

Implementation date: October 1, 2012

View transmittal R1117OTN.
 
CMS issues transmittal on ordering and certifying documentation – maintenance requirements

On August 31, CMS issued a transmittal that furnishes instructions contractors regarding the enforcement of 42 CFR 424.516(f)(1) and (f)(2).

Effective date: October 1, 2012

Implementation date: October 1, 2012

View transmittal R431PI.

CMS issues transmittal on timeframes for handling OIG hotline complaints

On August 31, CMS issued a transmittal that clarifies the timeframes by which the FI, Carrier, DME MAC, A/B MAC have to resolve complaints received through the OIG Hotline Database.

Effective date: October 1, 2012

Implementation date: October 1, 2012

View transmittal R432PI.
 
CMS replaces transmittal on expanding COB contractor numbers

On August 30, CMS replaced transmittal R88MSP, containing information on the expansion of the coordination of benefits contractor numbers to include 11139 and 11142 for the common working file.

View transmittal R89MSP.



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