Corporate Compliance

CMS Transmittals and MLN Matters articles

Medicare Weekly Update, September 25, 2007

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Specification version 8.3 of the Integrated Outpatient Code Editor released

On September 21, CMS issued a transmittal announcing specification version 8.3 of the Integrated Outpatient Code Editor (I/OCE). The I/OCE routes all institutional outpatient claims (including outpatient prospective payment system (OPPS) and non-OPPS claims through a single integrated OCE.

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

View the transmittal.

Revised coverage of magnetic resonance imaging procedures

On September 21, CMS issued a transmittal clarifying the separate payment policy for the contrast media used in various magnetic resonance imaging procedures.

Effective date: January 1, 2007
Implementation date: October 22, 2007

View the transmittal.

Revised coverage of lumbar artificial disc replacement

On September 21, CMS issued a transmittal relating to its September 11 revision of the national coverage determination (NCD) 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 NCD.

View the related MLN Matters article.

Revision of National Coverage Determination for routine costs in clinical trials

On September 17, CMS issued a MLN Matters article relating to its September 7 transmittal which clarifies and revises its coverage of routine costs in clinical trials.

View the MLN Matters article.

View the related transmittal.

Changes to the hospital Outpatient Prospective Payment System

On September 17, CMS issued a MLN Matters article relating to its September 14 transmittal which announced various changes to be made in the October 2007 Outpatient Prospective Payment System update.

View the MLN Matters article.

View the related transmittal.



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