Health Information Management

The week in Medicare updates

HIM-HIPAA Insider, March 31, 2014

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Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule update

On March 18, CMS issued a rescind and replace transmittal to include two attachments for v3.0.3 and v 3.0.4 of the Council for Affordable Quality Health Care Committee on Operating Rules for Information Exchange Mandated CARC/RARC Code Combination List.
 
View Transmittal R1360OTN.
 
View MLN Matters article MM8518.
 
 
Coordination of Benefits Contractor to remove federal tax information
 
On March 18, CMS issued a rescind and replace transmittal to update BR 8353.3.1 and allow the Medicare Contractors to complete internal file updates within 45 calendar days after the installation of the July 2014 Quarterly Release.
 
View Transmittal R1359OTN.
 
 
CMS extends payment adjustment for low-volume hospitals and the Medicare-dependent hospital program
On March 18, CMS and HHS issued an interim final rule to change the payment adjustment for low-volume hospitals and the Medicare-dependent hospital program under the hospital IPPS for FY 2014 (through March 21, 2014) in accordance with sections 1105 and 1106, respectively, of the Pathway for SGR Reform Act of 2013.
 
View the document.
 
View the comment docket.
 
 
Correction notice to 2014 IPPS/LTCH PPS Final Rule
On March 18, CMS and HHS issued a document to correct technical errors in the FY 2014 IPPS/LTCH PPS final rule, which appeared in the Federal Register August 19, 2013.
 
View the document.
 
 
Correction notice to 2013 IPPS/LTCH PPS Final Rule
On March 18, CMS and HHS issues a federal register notice to correct technical errors in the FY 2013 IPPS/LTCH PPS final rule, which appeared in the Federal Register August 31, 2012.
 
View the notice. 
 
 
Results of reviews at three suppliers of diabetic testing supplies
On March 4, OIG issued the results of a review of three suppliers of diabetic testing supplies.
 
View the report. 
 
 
OIG posts compendium of priority recommendations
On March 18, the OIG posted the “Compendium of Priority Recommendations: March 2014 Edition,” which presents opportunities to achieve cost savings, improve program management, and ensure quality of care and safety of beneficiaries.
 
View the compendium.
 
 
CMS releases Medicare Care Choices Model fact sheet
On March 18, CMS issued a fact sheet about the Medicare Care Choices Model, which will test improvements to certain Medicare beneficiaries' quality of life while they are receiving both curative and palliative care.
 
View the fact sheet.
 
 
Percutaneous image-guided lumbar decompression for lumbar spinal stenosis
On March 18, CMS posted the final decision memo for this NCA.
 
View the memo. 
 
 
Lung cancer screening with low dose computed tomography
On March 21, CMS posted questions to the panel for this NCA/CAL.
 
View the questions.
 
 
CMS posts Home Health Agency State Operations Manual revisions
On March 14, CMS updated State Operations Manual Appendix B – Guidance to Surveyors: Home Health Agencies. The recent establishment of survey and enforcement regulations as well as changes to other HHA policies have necessitated revisions to previously published survey guidance.
 
View the updates.
 
 
CMS updates Hospital Conditions of Participation (CoP)  
On March 14, CMS updated its guidance on CoP requirements for the hospital medication administration, IV medications and blood transfusions, and the need for patient risk assessment and appropriate monitoring during and after medication administration, particularly for post-operative patients receiving IV opioid medications.  

View Survey and Certification letter.
 
 
CMS releases Interpretive Guidance for the Survey Process of the Organ
Procurement Organization (OPO) Conditions for Coverage interim final rule
On March 14, CMS released a memorandum that communicates an advanced copy of the interpretive guidance and associated revisions to Chapters 2 and 3 of the State Operations Manual for the OPO Conditions for Coverage.

View Survey and Certification letter.



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