Important Medicare updates
Medicare Update for CAHs, June 27, 2012
CMS issues July 2012 OPPS update
On June 8, CMS released two transmittals that describe changes to and billing instructions for various payment policies implemented in the July 2012 OPPS update. CAHs should review the Medicare Benefit Policy Manual transmittal for important clarifications to the self-administered drug (SAD) policy.
Effective date: July 1, 2012
Implementation date: July 2, 2012
View the Claims Processing Manual transmittal.
View the Benefit Policy Manual transmittal.
CMS issues manual changes regarding the issuance of an ABN form
On June 1, CMS issued a transmittal which announces that editorial changes have been made to chapter 30, section 50 of the Claims Processing Manual regarding the issuance of the advanced beneficiary notice of noncoverage (ABN) form CMS-R-131.
Effective date: September 4, 2012
Implementation date: September 4, 2012
View MLN Matters article MM7821.
CMS issues July update to the CY2012 Physician Fee Schedule Database
On June 1, CMS issued a transmittal containing a recurring update notification with the July 2012 update to the CY2012 MPFSDB.
Effective date: July 1, 2012, physician fee schedule; April 1, 2012, ASC measurement G-codes
Implementation date: July 2, 2012
View MLN Matters article MM7844.
CMS issues July 2012 NCD Coding Policy Manual and Change Report
CMS released the July 2012 Medicare National Coverage Determinations (NCD) Coding and Policy Manual and Change Report for clinical diagnostic laboratory services.
CMS issues certification letter on safe use of single dose/single use medications
On June 15, CMS issued a certification letter on safe use of single dose/single use medications to prevent healthcare-associated infections
View the certification letter.
CMS issues Medicare secondary payer and future medicals proposed rule
On June 15, CMS issued in the Federal Register a proposed rule that solicits comment on standardized options that CMS is considering making available to beneficiaries and their representatives to clarify how they can meet their obligations to protect Medicare’s interest with respect to Medicare Secondary Payer (MSP) claims involving automobile and liability insurance (including self-insurance), no fault insurance, and workers’ compensation when future medical care is claimed or the settlement, judgment, award, or other payment releases (or has the effect of releasing) claims for future medical care.
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