Health Information Management

The week in Medicare updates

APCs Insider, November 7, 2014

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Correction made to Provider Reimbursement Manual  
On October 24, CMS rescinded and replaced Transmittal 7, dated October 2014, with Transmittal 8. This issuance was to change the effective date from cost reporting periods ending on or after June 30, 2014, to cost reporting periods ending on or after September 30, 2014, and to add information that was inadvertently omitted. All other information remains the same. 
Effective date: Cost reporting periods ending on or after September 30, 2014 
View Transmittal R8P211.
 
CMS updates list of codes subject to CLIA edits
On October 24, CMS posted the CLIA edits downloadable file, which is updated on a yearly basis. Information in the column labeled LABORATORY CERTIFICATION (LC) CODE is for informational purposes only. 
View the survey and certification letter.
 
OIG releases 2015 Work Plan 
On October 31, the Office of Inspector General (OIG) posted its work plan for 2015. It sets forth various projects to be addressed during the fiscal year by the Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and Office of Counsel to the Inspector General. 
View the FY 2015 Work Plan.
 
Drug compendia publishers maintain transparent processes for evaluating anticancer drug therapies and identifying potential conflicts  
On October 31, OIG released a report detailing a study on drug compendia publisher policies and procedures as they relate to evaluating anticancer drug therapies and identifying potential conflicts of interest on the part of their staff. OIG found each of the publishers of the four authorized compendia complied with federal laws for maintaining a transparent process for evaluating anticancer drug therapies and identifying potential conflicts of interest, and the number and nature of disclosures related to potential conflicts of interest varied across publishers. 
View the report.
 
Medicare paid for HIV drugs for deceased beneficiaries 
On October 31, OIG released a report regarding payments for HIV drugs made to deceased beneficiaries. OIG found CMS’ current practices allowed many of these payments to occur. 
View the report.



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