Health Information Management

The week in Medicare updates

APCs Insider, May 15, 2015

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CMS identifies obsolete shared systems reports
On May 1, CMS released a change request to identify reports that are obsolete and may be removed from the Fee-For-Service (FFS) applications. The Fiscal Intermediary Shared System (FISS) and ViPS Medicare System (VMS) will identify the reports that still serve a business need and those that are obsolete may be removed from the shared systems. 
Effective date: October 1, 2015, for VMS; January 1, 2016, for FISS
Implementation date: October 5, 2015, for VMS; January 4, 2016, for FISS 
View Transmittal R1490OTN. 
CMS posts minutes and transcript from MEDCAC meeting
On May 4, CMS posted minutes and a transcript from the recent Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) meeting that took place in March to make recommendations concerning selected molecular pathology tests for the estimation of prognosis in common cancers. 
View the minutes
View the transcript.
CMS posts questions for upcoming MEDCAC meeting
On May 4, CMS posted questions to the panel for the upcoming MEDCAC that will take place in July. This MEDCAC meeting will examine the scientific evidence of existing interventions that aim to improve health outcomes in the Medicare population related to lower extremity peripheral artery disease. 
View the questions.
CMS announces public meeting regarding new and reconsidered clinical diagnostic laboratory test codes
On May 7, CMS posted a notice in the Federal Register announcing a public meeting to receive comments and recommendations for establishing payment amounts for new or substantially revised HCPCS codes being considered for Medicare payment under the clinical laboratory fee schedule for 2016. 
View the notice in the Federal Register.
Incorrect place-of-service coding resulted in millions of potential Medicare overpayments 
On May 8, the Office of Inspector General (OIG) posted a report stating physicians did not always correctly code non-facility places of service on Part B claims submitted to, and paid by, Medicare contractors nationwide. The OIG determined that Medicare contractors potentially overpaid physicians approximately $33.4 million for incorrectly coded services provided from January 2010 through September 2012. Physicians performed these services in facility locations, but physicians incorrectly coded the services as performed in non-facility locations. 
View the report.
CMS recognizes new intraocular lenses
On May 8, CMS posted an updated list of recognized intraocular lenses for payment after insertion to replace beneficiaries’ natural lenses following cataract surgery. This list is posted on CMS’ Hospital Outpatient website. 
View the document.

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