Corporate Compliance

This week in Medicare updates

Medicare Insider, June 23, 2015

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Correction to the April CY 2015 quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB)
 
On June 12, CMS rescinded Transmittal 3205, dated February 27, 2015, and replaced it with Transmittal 3283 to revise the language in Section I due to the enactment of the Medicare Access and CHIP Reauthorization Act of 2015 and update the file names in Section IV. All other information remains the same. The original transmittal was regarding payment files issued to contractors based upon the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule.
 
Effective date: January 1, 2015
Implementation date: April 6, 2015
 
View Transmittal R3283CP.
 
View MLN Matters article MM9104.
 
Surveyor guidance for approval of home dialysis modalities
 
On June 12, CMS posted a survey and certification letter stating an ESRD facility must have at least one patient on census who is in the process of being trained or has been trained by the facility interdisciplinary team for each home dialysis service/modality for which it is applying or whose caregiver has been trained or is in the process of being trained for that service or modality.
 
View the survey and certification letter.
 
Request for exception to the prohibition on expansion of facility capacity under hospital ownership and rural provider exceptions to the physician self-referral prohibition
 
On June 19, CMS posted a notice in the Federal Register stating it has received a request from a physician-owned hospital for an exception to the prohibition against expansion of facility capacity. This notice solicits comments on the request from individuals and entities in the community in which the physician-owned hospital is located. Community input may inform the determination regarding whether the requesting hospital qualifies for an exception to the prohibition against expansion of facility capacity. Comments are due by July 20.
 
View the notice in the Federal Register.
 
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