Health Information Management

The week in Medicare updates

APCs Insider, January 9, 2015

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HHS solicits of new safe harbors and special fraud alerts 
On December 30, 2014, Health and Human Services posted an annual notice in the Federal Register soliciting proposals and recommendations for developing new and modifying existing safe harbor provisions under the federal anti-kickback statute (section 1128B(b) of the Social Security Act), as well as developing new Office of Inspector General Special Fraud Alerts. Comments are due by March 2, 2015. 
View the notice in the Federal Register
Leave a comment
CMS announces changes to Recovery Audit Program 
On December 31, 2014, CMS announced a number of changes to the Recovery Audit Program in response to industry feedback. CMS states these changes will result in a more effective and efficient program by enhanced oversight, reduced provider burden, and increased program transparency. These changes will be effective with each new contract award beginning with the Durable Medical Equipment, Home Health, and Hospice Recovery Audit contract awarded December 19, 2014. 
View the document.
CMS makes modifications to Medicare Part B coverage of pneumococcal vaccinations 
On December 31, 2014, CMS released two transmittals to inform contractors it is updating the Medicare coverage requirements to align with the updated Advisory Committee on Immunization Practices recommendations for coverage of pneumococcal vaccinations. 
Effective date: September 19, 2014
Implementation date: February 2, 2015 
View Transmittal R202BP
View Transmittal R3159CP.

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