Corporate Compliance

Other CMS and OIG Issuances

Medicare Insider, October 30, 2007

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CMS announces that 93% of acute care hospitals met quality reporting requirements

On October 11, CMS issued a press release announcing that 93% of acute care hospitals met the FY 2007 requirements under the "Reporting Hospital Quality Data for Annual Payment Update program" and will therefore receive the full 3.3% IPPS payment update for FY 2008.

View the press release.

CMS makes no changes to clinical trial policy NCD

On October 17, CMS issued a decision memo announcing that it has decided not to make any further changes at the present time to its national coverage determination on "clinical trial policy" issued on July 9, 2007.

View the decision memo.

View a press release.

CMS awards two contracts for Part A/B Medicare Administrative Contractors

On October 26, CMS issued a press release announcing that it has awarded its fourth and fifth Medicare Administrative Contractor (MAC) contracts.  Highmark Medicare Services Inc. will serve Delaware, Maryland, New Jersey, Pennsylvania, and the District of Columbia. Palmetto GBA will serve California, Hawaii, Nevada, American Samoa, Guam, and the Northern Mariana Islands.

View the press release.

Office of Inspector General audits hospital laboratory claims for ESRD patients

On October 19, the Office of Inspector General (OIG) issued a report on an audit of laboratory tests billed by a Boston hospital for end stage renal disease patients. The OIG recommended that the hospital refund Medicare $61,628 in overpayments.

View the OIG report.

CMS Frequently Asked Question

CMS issued/updated the following FAQ (the question is reprinted verbatim from the CMS Web site):

  • Under the Outpatient Prospective Payment System (OPPS), how do outpatient provider-based hospitals determine when to report revenue code series 68x, trauma response? How does CMS pay for revenue code series 68x? (view)



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