Important Medicare Updates
Medicare Update for CAHs, November 14, 2012
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.
CMS issues nursing home clarification letter
On November 2, CMS issued a letter that provides clarification of guidance related to medication errors and pharmacy services for nursing homes.
CMS issues Medicare system update to include rendering line level NPI for PCIP payments to CAHs
On November 1, CMS issued a transmittal that updates Medicare systems to identify line level NPI information for purposes of PCIP payments to CAHS reimbursed under the optional method.
Effective date: April 1, 2013
Implementation date: April 1, 2013
View MLN Matters article MM8030.
CMS issues NCCI associated modifier changes/additions
On November 1, CMS issued a transmittal which states that additional modifiers shall be added to the list of NCCI-associated modifiers that will allow an edit with modifier indicator of “1” to be bypassed when the modifier is utilized correctly.
Effective date: January 1, 2013
Implementation date: January 7, 2013
CMS replaces transmittal on revisions to method of cost settlement for inpatient services for rural hospitals
On October 26, CMS replaced transmittal R84DEMO, containing information on the revisions to the method of cost settlement for inpatient services for rural hospitals participating under demonstration authorized by Section 410A of the Medicare Modernization Act.
CMS replaces transmittal on payment of global surgical split care in a Method II CAH with modifiers -54 and/or -55
On October 26, CMS replaced transmittal R2510CP, containing instructions on implementing the payment methodology for global surgical split care submitted with a modifier 54 and/or 55 for CAH Method II providers.
CMS issues editing update for annual wellness visit
On October 26, CMS issued a transmittal that provides instructions for edits to be modified to only allow payment for either the practitioner or the facility for furnishing the AWV.
Effective/implementation date: April 1, 2013
View MLN Matters article MM8107.
View MLN Matters article MM8044.
CMS issues 2013 OPPS final rule
On November 2, CMS issued the 2013 OPPS final rule.
CMS issues Medicare Physician Fee Schedule final rule
On November 2, CMS issued the 2013 Physician Fee Schedule final rule.
On November 2, CMS issued the display copy of the 2013 home health PPS final rule.
CMS issues 2013 ESRD PPS final rule
On November 2, CMS issued the display copy of the 2013 ESRD PPS final rule.
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