Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, October 3, 2012

CMS issues press release on Affordable Care Act

On September 11, CMS issued a press release which states that the Affordable Care Act has saved consumers an estimated $2.1 billion on health insurance premiums.

View the press release.

CMS issues NCA for positron emission tomography for solid tumors (CAG-00181R4)

On September 12, CMS issued an NCA for positron emission tomography for solid tumors

(CAG-00181R4).
 
View the NCA.

CMS issues 2013 annual update of HCPCS codes for SNF consolidated billing

On September 7, CMS issued a transmittal which contains changes to HCPCS codes and Medicare Physician Fee Schedule designations will be used to revise the CWF edits to allow A/B MACs, Carriers and FIs to make appropriate payments in accordance with policy for SNF CB in chapter 6, section 110.4.1 for Carriers/A/B MACs and chapter 6, section 20.6 for FIs/A/B MACs

Effective date: January 1, 2013

Implementation date: January 7, 2013

View transmittal R2542CP.

View MLN Matters article MM8037.

CMS issues transmittal on ICD-10 conversions from ICD-9

On September 14, CMS issued a transmittal that creates and updates NCD hard-coded shared system edits that contain ICD-9 diagnosis codes with comparable ICD-10 diagnosis codes plus all associated coding infrastructure such as procedure codes, HCPCS/CPT codes, denial messages, frequency edits, POS/TOB/provider specialties, etc.

Effective date: October 1, 2014

Implementation date: January 7, 2013

View transmittal R1122OTN.

View MLN Matters article MM7818.

CMS issues claim status category and claim status codes update

On September 14, CMS issued a transmittal containing an update for the claim status and claim status category codes for use by Medicare contractors with the Health Care Claim Status Request and Response ASC X12N 276/277, Health Care Claim Acknowledgement ASC X12N 277.

Effective date: January 1, 2013

Implementation date: January 7, 2013

View transmittal R2547CP.

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