Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, September 21, 2011

CMS bundled payments initiative

On September 2, HCPro released an article summarizing CMS’ bundled payments initiative launched by the newly created Innovation Center.

View the article here.

CMS updates hospital cost report

On August 30, CMS issued a transmittal to update Chapter 40 of the Provider Reimbursement Manual, the Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-10).

Effective date: Changes to the electronic reporting specifications are effective for cost reporting periods beginning on or after May 1, 2011.

View the transmittal.

Revised transmittal

CMS revised a previously-released transmittal.

MLN Matters articles

CMS released several MLN Matters articles related to previously-released transmittals.

 
Changes to the laboratory NCD edit software 

On September 2, CMS issued a transmittal to announce changes that will be included in the October 2011 quarterly release of the edit module for clinical diagnostic laboratory services.

Effective date: October 1, 2011.

View the transmittal

OPPS update for October 2011
 

On September 2, CMS published a transmittal that describes changes to and billing instructions for various payment policies implemented in the October 2011 OPPS update. Critical access hospitals should review this transmittal for guidance that applies to both prospective payment and cost based reimbursement systems (i.e. units of drugs, nuclear medicine procedures, condition code 44).

View the transmittal.

Electronic Submission of Medical Documentation (esMD) pilot project

CMS published a Special Edition MLN Matters article that provides information about the Electronic Submission of Medical Documentation (esMD) pilot project, which begins September 2011.

View the Special Edition MLN Matters article.

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