Health Information Management

The week in Medicare updates

APCs Insider, March 20, 2015

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CMS releases ICD-10 conversion update for NCDs
On March 6, CMS released the second maintenance update change request of ICD-10 conversions and ICD-9 coding updates specific to national coverage determinations (NCDs).
Effective date: April 6, 2015, for designated ICD-9 updates and all local system edits (ICD-9 and ICD-10); July 1, 2015, for all ICD-9 shared system edits; October 1, 2015, for all ICD-10 shared system edits (or whenever ICD-10 is implemented)
Implementation date: April 6, 2015, for designated ICD-9 updates and all local system edits; July 6, 2015, for ICD-9 and ICD-10 shared system edits 
View Transmittal R1478OTN
View MLN Matters article MM9087.
 
CMS removes multiple NCDs using expedited process 
On March 6, CMS released a change request to remove certain NCDs from the Medicare National Coverage Determinations Manual
Effective date: December 18, 2014
Implementation date: April 6, 2015 
View Transmittal R180NCD
View MLN Matters article MM9095.  
View the NCD website pages regarding these retired and removed items: 
NCD for Tinnitus Masking
NCD for Nuclear Radiology Procedure
NCD for Xenon Scan
NCD for Electron Microscope
NCD for Electronecephalographic (EEG) Monitoring During Open-Heart Surgery
NCD for Carotid Sinus Nerve Stimulator
NCD for Stereotactic Cingulotomy as a Means of Psychosurgery
 
OIG completes Medicare compliance review of Mercy Hospital in Saint Louis for 2011 and 2012 
On March 6, the Office of Inspector General posted a report stating Mercy Hospital in Saint Louis complied with Medicare billing requirements for 151 of the 205 inpatient and outpatient claims reviewed. However, it did not fully comply with Medicare billing requirements for the remaining 54 claims, resulting in overpayments of $329,000 for calendar years 2011 and 2012 (48 claims) and 2010 and 2013 (six claims). 
View the report.
 
CMS releases change request regarding screening for hepatitis C virus in adults 
On March 11, CMS released a change request regarding screening adults for hepatitis C virus. Transmittal 3127, dated November 19, 2014, is being rescinded and replaced by Transmittal 3215.
Effective date: June 2, 2014
Implementation date: January 5, 2015, for non-shared MAC edits and CWF analysis; April 6, 2015, for remaining shared systems edits 
View Transmittal R3215CP.



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