Revenue Cycle

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 transmittal R2480CP.

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 transmittal R2481CP.

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.

View the report.

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.

View the proposed rule.

Submit a comment.

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