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Medicare Update for Physician Services

Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician practices keep pace with news from CMS and the OIG. Each issue presents news items are by category, including a brief description and links to the full government document.

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Medicare Update for Physician Services

Issue 13, December 3, 2009

• Note from Peggy: Medicare says farewell to consult codes

  CMS will no longer recognize CPT consult codes starting January 1, 2010, according to the 2010...

• Revised Note from Peggy: Medicare says farewell to consult codes

  Editor’s Note: This is a revised edition of Peggy’s note which includes new and...

• Regulations

  2010 physician fee schedule final rule The November 25 edition of the Federal Register published...

• Transmittals and MLN Matters articles

  2010 Open enrollment period extended CMS extended the 2010 Annual Participation Enrollment...

• Quarterly updates

  Review the latest CMS drug payment allowance updates. Effective date: January 1, 2010...

Issue 12, November 5, 2009

• Note from Peggy: 2010 OIG Work Plan

  The Office of Inspector General (OIG) released its annual Work Plan for the upcoming fiscal year on...

• Regulations

  Deductibles and premiums go up in 2010 In the October 22, Federal Register, CMS announced the...

• Transmittals and MLN Matters articles

  Rules for anti-markup tests CMS released a transmittal clarifying how to properly report the place...

• Quarterly updates

  HCPCS annual update CMS updates the HCPCS annually, with new, revised, and deleted...

Issue 11, October 1, 2009

• Note from Peggy: H1N1 flu and you

  Note from Peggy: H1N1 flu and you

• Regulations

  Regulations

• Transmittals and MLN Matters articles

  Transmittals and MLN Matters articles

• Quarterly updates

  Quarterly updates

Issue 10, September 3, 2009

• Note from Peggy: Changes to incident-to services on the horizon?

  On August 5, the Office of Inspector General (OIG) released an interesting report titled...

• Regulations

  Correction to Physician Fee Schedule Proposed Rule

• Transmittals and MLN Matters articles

  Transmittals and MLN Matters articles

• Quarterly updates

  Quarterly updates

Issue 9, August 6, 2009

• Note from Peggy: Consultation codes going away?

  The 2010 Proposed Rule For The Physician Fee Schedule contained several interesting provisions...

• Regulations

  Proposed Rule for the 2010 Fee Schedule Released

• Transmittals and MLN Matters Articles

  Transmittals and MLN Matters Articles

• Quarterly Updates

  Quarterly Updates

Issue 8, July 2, 2009

• Note from Peggy

  CMS intends to publish a proposed rule in late 2009 to define meaningful use of certified...

• Transmittals and MLN Matters Articles

  The following topics were addressed by CMS in transmittals and MLN Matters recently...

• Other Developments

  On June 5, CMS announced the release of the most recent quarterly HCPCS update.

Issue 7, June 4, 2009

• Note From Peggy: When Medicare is a secondary payer to a workers’ compensation plan

  According to federal law, Medicare has secondary liability when a workers’ compensation...

• Regulations

  Federal Register notice for Medigap plans The April 24, 2009 edition of the Federal Register...

• Transmittals and MLN Matters Articles

  Transmittals and MLN Matters Articles

• Other Developments

  Other Developments

• Quarterly updates

  Quarterly updates

Issue 6, May 7, 2009

• Note from Peggy: Medicare coverage of routine foot care services

  CMS made an extra effort to clarify existing policy on the routine foot care coverage by publishing...

• Quarterly updates

  Quarterly updates

Issue 5, April 2, 2009

• Note from Peggy: Important provider enrollment changes

  With the welcome establishment of the Internet based Provider Enrollment, Chain and Ownership...

• Transmittals and MLN Matters articles

  Transmittals and MLN Matters articles

• Transmittals and MLN Matters articles

  Transmittals and MLN Matters articles

• Quarterly Updates

  Quarterly Updates

Issue 4, March 5, 2009

• Note from Peggy: Anti-markup provisions change again

  Note from Peggy: Anti-markup provisions change again

• Transmittals and MLN Matters articles

  Transmittals and MLN Matters articles

• Other Developments

  Other Developments

• Quarterly Updates

  Quarterly Updates

Issue 3, February 5, 2009

• Medicare Update for Physician Services is now a monthly e-newsletter

  Starting with this issue, Medicare Update for Physician Services, is changing to a monthly...

• New dispute process for Medicare Advantage Fee for Service plans

  In a Special Edition MLN Matters article, CMS announced a new dispute resolution process starting...

• Transmittals and MLN Matters articles

  CMS transmittals and MLN Matters articles covered in this issue include, changes to the amount in...

Issue 2, January 22, 2009

• Note from Peggy

  In the January 16, 2009 Federal Register, CMS released the interim final rule, with comment period...

• Transmittals and MLN Matters Articles

  Briefs include good cause for reopening claims, an update to the physician fee schedule, and more.

• Other Developments

  On January 15, HHS announced it will require use of the ICD-10-CM/PCS code sets by October 1, 2013.

Issue 1, January 8, 2009

• Note from Peggy

  Remember a few years ago when the “follow-up inpatient consultation” codes were...

• Regulations

  Regulations

• Transmittals and MLN Matters articles

  Transmittals and MLN Matters articles

• Other developments

  Other developments