Important Medicare updates
Medicare Update for CAHs, September 7, 2011
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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
CMS has posted its regular update transmittal for HCPCS Level II codes.
Effective date: January 1, 2012
Implementation date: January 3, 2012
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
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
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
CMS released several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.
- Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2012
- Clarification of Payment for ESRD-Related Services Under the Monthly Capitation Payment
- October Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB)
- Annual Clotting Factor Furnishing Fee Update 2012
- October 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.3
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
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