Health Information Management

The week in Medicare updates

APCs Insider, August 29, 2014

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October 2014 update of the ASC payment system released
On August 15, CMS released a notification describing changes to and billing instructions for various payment policies implemented in the October 2014 ambulatory surgical center (ASC) payment system update. This Recurring Update Notification applies to Chapter 14, section 10. As appropriate, this notification also includes HCPCS updates. 
Effective date: October 1, 2014
Implementation date: October 6, 2014 
View Transmittal R3025CP.
View MLN Matters® article MM8880.
 
Specific modifiers for distinct procedural services 
On August 15, CMS released a transmittal establishing four new HCPCS modifiers to define subsets of modifier -59 (distinct procedural service). 
Effective date: January 1, 2015
Implementation date: January 5, 2015
View Transmittal R1422OTN. 
View MLN Matters article MM8863.
 
CMS revises MUE program 
On August 15, CMS released a transmittal stating there are additional modifications to the medically unlikely edit (MUE) Program. The updates include clarifications and general processing instructions of MUE Adjudication Indicators (MAI) 2 and 3.
Effective date: January 1, 2015
Implementation date: January 5, 2015 
View Transmittal R1421OTN.
View MLN Matters article MM8853.



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