Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, October 31, 2012

CMS issues press release on 2013 quality ratings for Medicare health and drug plans

On October 12, CMS issued a press release in which HHS Secretary Kathleen Sebelius outlines some of the high quality choices and the performance of Medicare Advantage plans in 2013.

View the press release.

OIG issues report on regulations to establish payment requirements for prosthetics and custom-fabricated orthotics

On October 10, the OIG issued a report which found that CMS has not promulgated regulations to establish payment requirements for prosthetics and custom-fabricated orthotics.

View the report.

CMS updates chapter 7, Medicare Financial Management Manual

On October 19, CMS issued a transmittal that updates and provides clarification or Office of Management and Budget (OMB) A-123 and Internal Control over Financial Reporting.

Effective date: October 1, 2012

Implementation date: November 20, 2012

View transmittal R214FM.

CMS issues general update to chapter 15 of the Program Integrity Manual

On October 19, CMS issued a transmittal that continues the process of updating chapter 15 of the Program Integrity Manual.

Effective date: November 20, 2012
Implementation date: November 20, 2012

View transmittal R435PI.

CMS replaces transmittal on MPFSDB 2013 file layout manual

On October 12, CMS replaced transmittal R2549CP, containing information on the annual file layout for the 2013 Medicare Carriers/A/B MACs.

Effective date: January 1, 2013

Implementation date: January 7, 2013

View transmittal R2566CP.

CMS issues transmittal on reasonable charge update for 2013 for certain items

On October 12, CMS issued a transmittal that provides instructions regarding the calculation of reasonable charges for payment of claims for splints, casts, and intraocular lenses furnished in calendar year 2013.

Effective date: January 1, 2013

Implementation date: January 7, 2013

View transmittal R2565CP.

CMS issues corrections to EHR incentive program – Stage 2 final rule

On October 23, CMS issued in the Federal Register technical corrections to the Electronic Health Record Incentive Program – Stage 2.

View the corrections.

Most Popular