Corporate Compliance

CMS Transmittals and MLN Matters articles

Medicare Weekly Update, September 18, 2007

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Revised coverage of lumbar artificial disc replacement

On September 11, CMS issued a transmittal revising the national coverage determination for lumbar artificial disc replacement (LADR). CMS will no longer cover LADR for Medicare beneficiaries over age 60.

Effective date: August 14, 2007
Implementation date: October 1, 2007

View the transmittal.

View the revised NCD.

Revised coverage of percutaneous transluminal angioplasty

On September 12, CMS issued a transmittal revising the national coverage determination for percutaneous transluminal angioplasty with carotid stent placement for beneficiaries at high risk for carotid endarterectomy.

Effective date: April 30, 2007
Implementation date: July 30, 2007

View the transmittal.

View the revised NCD.

Revised transmittal on changes to the national coverage determination for ultrasound diagnostic procedures

On September 12, CMS issued a transmittal rescinding and revising its September 6 transmittal on changes to the national coverage determination for "ultrasound diagnostic procedures."

Effective date: May 22, 2007
Implementation date: September 28, 2007

View the revised transmittal.

View the related MLN Matters article.

View the revised NCD.

Updates to drug average sales price files

On September 12, CMS issued a transmittal announcing the release of the October 2007 quarterly update to the average sales price files for drugs, as well as possible revisions to prior quarterly updates.

Effective date: October 1, 2007
Implementation date: October 1, 2007

View the transmittal.

View the related MLN Matters article.

View the related ASP files.

Changes to the hospital Outpatient Prospective Payment System

On September 14, CMS issued a transmittal announcing various changes to be made in the October 2007 Outpatient Prospective Payment System update.

Effective date: October 1, 2007
Implementation date: October 1, 2007

View the transmittal.



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