Corporate Compliance

CMS Transmittals and MLN Matters Articles

Medicare Weekly Update, June 19, 2007

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ICD-9-CM annual update

On June 15, CMS issued a transmittal notifying providers and Medicare contractors of the ICD-9-CM update.

Effective Date: October 1, 2007
Implementation Date: October 1, 2007

View this transmittal.


High-risk areas

On June 15, CMS issued a transmittal to program safeguard contractors regarding identification and reporting of high risk areas. Although not addressed to providers, the manual additions could assist providers in detected high risk areas within their own organizations.

Effective Date: July 16, 2007
Implementation Date: July 16, 2007

View this transmittal.


Updates to average sales pricing files

On June 15, CMS issued a transmittal announcing the July 2007 Quarterly Average Sales Price Medicare Part B Drug Pricing File, as well as revisions to the January 2007 and April 2007 Quarterly ASP Medicare Part B Drug Pricing Files.

Effective Date: July 1, 2007
Implementation Date: July 2, 2007

View this transmittal
View the related ASP files


October 2007 update to HCPCS codes used for Skilled Nursing Facility consolidated billing enforcement

On June 15, CMS issued a transmittal providing updates to the lists of HCPCS codes that are subject to the consolidated billing provision of the Skilled Nursing Facility Prospective Payment System.

View this transmittal.


New MLN Matters articles released

On June 12, CMS issued a special edition MLN Matters article on Medicare coverage of ambulance transports.

View this MLN Matters article.

CMS also issued several additional MLN Matters articles to accompany previously released transmittals. They are as follows:

  • July 2007 update of the hospital Outpatient Prospective Payment System (view here)
  • Clarification of manual instruction regarding scope of portable x-ray benefit (view here)
  • Important message from Medicare and expedited determination procedures for hospital discharges (view here)
  • July 2007 Integrated Outpatient Code Editor specifications version 8.2 (view here)


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