Revenue Cycle

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.

View the corrections.

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.

View the letter.

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 transmittal R2579CP.

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

View transmittal R1136OTN.

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.

View transmittal R85DEMO.

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.

View transmittal R2574CP.

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 transmittal R2575CP.

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.

View the display copy.

View the fact sheet.

CMS issues Medicare Physician Fee Schedule final rule

On November 2, CMS issued the 2013 Physician Fee Schedule final rule.

View the display copy.

View the fact sheet.

Submit a comment.
 
CMS issues 2013 home health PPS final rule

On November 2, CMS issued the display copy of the 2013 home health PPS final rule.

View the display copy.

View a fact sheet.

CMS issues 2013 ESRD PPS final rule

On November 2, CMS issued the display copy of the 2013 ESRD PPS final rule.

View the display copy.

View a fact sheet.

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