Health Information Management

The week in Medicare updates

APCs Insider, February 27, 2015

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Use of modifiers -KK, -KG, -KU, and -KW limited under the DMEPOS Competitive Bidding Program 
On February 13, CMS released a change request that will limit the use of modifiers -KK, -KG, -KU, and -KW on Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) claims billed under the Competitive Bidding Program to only those uses allowed by current policy. This will reduce the number of overpayments made as a result of improper use by suppliers. 
Effective date: July 1, 2015
Implementation date: July 6, 2015 
View Transmittal R1466OTN
View MLN Matters article MM9059.
 
CMS modifies reporting on 835 and 837 COB claim transactions 
On February 13, CMS released a change request providing instruction to modify the way that out-of-balance claim payment is reported by the shared system maintainers on the 837 Cross Over Beneficiary and 835 transactions. 
Effective date: July 1, 2015
Implementation date: July 6, 2015 
View Transmittal R1467OTN
View MLN Matters article MM9050.
 
CMS reminds contractors of capped rental equipment edits
On February 13, CMS released a change request instructing the contractors to ensure editing occurs to all payment for reasonable and necessary maintenance and servicing of capped rental items. This instruction applies in cases where one or more rental payments have been made for a capped rental item, and the supplier transfers the title to the equipment to the beneficiary prior to the end of a 13-month period of continuous use. 
Effective date: July 1, 2015
Implementation date: July 6, 2015 
View Transmittal R3196CP
View Transmittal R203BP
View MLN Matters article MM9062.
 
CMS posts Ebola virus Q&A
On February 13, CMS posted a survey and certification letter concerning questions about the requirements for dealing with Ebola. On November 21, 2014, CMS' Survey & Certification Group released SC 15-10-Hospitals. CMS has received follow-up questions and has produced a Q&A document in response. 
View the survey and certification letter.
 
Medicare Quarterly Provider Compliance Newsletter released
MLN Matters released the January 2015 edition of the Medicare Quarterly Provider Compliance Newsletter
View the newsletter.



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