Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, September 7, 2011

CMS instructs on ICD-10 billing, processing

On August 19, CMS issued a transmittal to provide instructions and guidance on reporting, claims submissions, and date span requirements for ICD-10 effective October 1, 2013.

Effective date: October 1, 2013
Implementation date: January 3, 2012

View the transmittal.

CMS implements HCPCS updates

CMS has posted its regular update transmittal for HCPCS Level II codes.

Effective date: January 1, 2012
Implementation date: January 3, 2012

View the transmittal.

CMS implements I/OCE update

On August 19, CMS issued a transmittal to implement updates to the integrated outpatient code editor (I/OCE).

Effective date: October 1, 2011
Implementation date: October 3, 2011

View the transmittal.

CMS posts clotting factor update

On August 19, CMS issued a transmittal to make its annual update to the clotting factor furnishing fee. For dates of service January 1, 2012, through December 31, 2012, the clotting factor furnishing fee of $0.181 per unit is added to the payment limit for the clotting factor.

Effective date: January 1, 2012
Implementation date: January 3, 2012

View the transmittal.

CMS updates MPFS

On August 19, CMS issued an update to implement revisions to the MPFS data files for October.

Effective date: January 1, 2011
Implementation date: October 3, 2011

View the transmittal.

MLN Matters articles

CMS released several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.

CMS instructs on coverage of MRIs for beneficiaries with pacemakers

Effective for claims with dates of service on or after July 7, 2011, CMS believes that the evidence is adequate to conclude that magnetic resonance imaging (MRI) improves health outcomes for Medicare beneficiaries with implanted permanent pacemakers (PMs) when the PMs are used according to the FDA-approved labeling for use in an MRI environment.

Effective date: July 7, 2011; February 24, 2011 (CR 7296)
Implementation date: September 26, 2011

View the transmittal.

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