Important Medicare updates
Medicare Update for CAHs, December 28, 2011
Want to receive articles like this one in your inbox? Subscribe to Medicare Update for CAHs!
CMS posts instructions for completing Hospital/CAH Database Worksheet
On December 2, CMS issued a memo that explains updates to Exhibit 286, the Hospital/CAH Database Worksheet. Instructions for completing the Worksheet have also been updated, and have been added to the State Operations Manual.
View the memo
CMS issues final rule that will make performance measurement data more public
On December 7, 2011, CMS published a final rule in the Federal Register that will make more information available to the public about the performance of providers and suppliers, while protecting patient privacy. The final rule explains how organizations can become qualified by CMS to receive standardized extracts of Medicare claims data under Parts A, B, and D for the purpose of measuring provider and supplier performance.
View the associated fact sheet
View the associated press release
CMS updates Medicare Deductible, Coinsurance and Premium Rates for 2012 to correct an incorrect date
On December 16, CMS rescinded Transmittal 72, dated November 18, 2011, and replaced it with Transmittal 74. The new transmittal corrects the year from 1996 to 1966, in the table in section 20.2 - Part B Annual Deductible. All other information remains the same.
Effective Date: January 1, 2012
Implementation Date: January 3, 2012
CMS publishes January 2012 I/OCE specifications version 13.0
On December 16, CMS issued its recurring update to provide instructions and specifications for the Integrated Outpatient Code Editor (I/OCE) that will be used under the OPPS and Non-OPPS for hospital outpatient departments, community mental health centers, all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness.
Effective Date: January 1, 2012
Implementation Date: January 3, 2012
CMS awards MAC Jurisdiction F to Noridian and changes workload numbers
On December 9, CMS completed a review of the workload for A/B Medicare Administrative Contractor (MAC) jurisdiction formerly known as Jurisdiction 3 as well as for the Alaska, Idaho, Oregon and Washington. CMS announced that those workloads will collectively be referred to as Jurisdiction F and Noridian Administrative Services (NAS) will be the contractor for the jurisdiction. CMS will change the workload numbers for the Part A and Part B Alaska, Idaho, Oregon and Washington workloads. These changes are being made because CMS needs to identify each workload by state using a standardized numbering system.
Effective Date: February 1, 2012
Implementation Date: February 1, 2012
CMS posts information about preventive services educational resources
On December 15, CMS posted a Special Edition MLN Matters article that lists the resources that are available to help providers educate patients about preventive services.
View the Special Edition MLN Matters article
Want to receive articles like this one in your inbox? Subscribe to Medicare Update for CAHs!
Related Products
-
Billing Alert for Long-Term Care
It's essential to know how to correctly submit your Medicare claims in order to get the reimbursement your facility...
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
The Medicare Part B Billing Manual for Long-Term Care
This 150-page book breaks down Part B billing into separate revenue streams and includes examples of how to fill out the...
-
The RUG-IV Conversion: Financial Implications for Your Facility
When RUG-IV takes effect on October 1-whether in part or in full-is your facility prepared for the financial and operational...
-
The Complete Guide to Long-Term Care Medicare Billing
The Complete Guide to Long-Term Care Medicare Billing provides easy-to-understand guidance to help long-term care facilities...
Most Popular
- Articles
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Topic: CMS, OESS post new security compliance review information, checklist
- HIPAA Q&A: Answering service messages
- Q/A: Volume requirement for reporting hydration services
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- What does case-mix index mean to you?
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- Are your workforce members texting PHI?
- CMS issues IPPS proposed rule for FY 2013
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Are your workforce members texting PHI?
- Don't let these sentinel events trigger falsely
- Arkansas woman convicted for HIPAA violation
- Reasons for inadequate fluid intake in the elderly
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Hospitalist-surgeon comanagement has no effect on outcomes
- Searched