Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, September 18, 2012

CMS issues administrative simplification final rule

On September 5, CMS issued in the Federal Register the final rule Administration Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10. The rule, among other changes, officially changes the ICD-10 compliance date to October 1, 2014.

View the final rule.

View a related fact sheet.

View a related press release.

CMS issues EHR incentive program – stage 2 final rule

On September 4, CMS issued in the Federal Register the final rule that specifies the stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare and/or Medicaid electronic health record (EHR) incentive payments.

View the final rule.

View a related fact sheet.

View a related press release.

CMS issues transmittal on expiration of 2012 therapy cap revisions and user-controlled mechanism to identify legislative effective dates

On August 31, CMS issued a transmittal that creates the new mechanism.

Effective date: January 1, 2013

Implementation date: January 7, 2013

View transmittal R2537CP.

View MLN Matters article MM7881.

CMS issues healthcare provider taxonomy codes update, October 12012

On August 31, CMS issued a transmittal which instructs affected Medicare contractors to obtain the most recent Healthcare Provider Taxonomy Codes (HPTC) set and use it to update their internal HPTC tables and/or reference files.

Effective date: October 1, 2012

Implementation date: January 7, 2013

View transmittal R2534CP.

View MLN Matters article MM8021.

CMS issues transmittal on manual medical review of therapy services

On August 31, CMS issued a transmittal stating that all requests for Physical Therapy/Speech-Language Pathology or Occupational Therapy services above $3,700 provided under Medicare Part B shall be approved in advance.

Effective date: October 1, 2012

Implementation date: October 1, 2012

View transmittal R1117OTN.

CMS issues revised manual instructions for the ABN

On September 4, CMS issued revised manual instructions for the advanced beneficiary notice.

View the revised instructions.

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