Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, November 30, 2011

 
DMEPOS Fee Schedule update

On November 4, CMS issued a transmittal that updated the CY 2012 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule. CMS added and deleted several HCPCS codes, updated the KE modifier, adjusted payment rates, and more.

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

View the transmittal

CMS replaces transmittal on payment rate increases for RHCs and FQHCs

On November 4, CMS rescinded Transmittal 2308, dated September 23, 2011, and replaced it with Transmittal 2343 to provide the actual payment rate increases for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

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

View the transmittal

OIG report reveals that ZPIC program lacks oversight

On November 10, the OIG published a report that states inaccuracies and lack of uniformity in ZPIC data prevented the OIG from assessing the contractors’ activities. The OIG believes these issues make it difficult for CMS to effectively oversee ZPIC operations and detect and deter fraud, waste, and abuse.

View the audit report

Medicare expands preventive services to cover cardiovascular disease screenings

On November 8, CMS issued a press release that states it will expand its list of free preventive services to include one face-to-face visit each year to allow patients and their care providers to determine the best way to help prevent cardiovascular disease.

View the press release

CMS offers guidance on completing the CMS-855A enrollment form

On November 17, CMS issued a Special Edition MLN Matters article that gives hospitals guidance on completing the CMS-855A enrollment application.

View the Special Edition MLN Matters article

 

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