Corporate Compliance

Transmittals and MLN Matters articles: CMS implements NCDs for surgical never events, and more

Medicare Insider, June 16, 2009

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CMS implements NCDs for surgical never events

On June 12, CMS issued updates to the Claims Processing Manual and National Coverage Determinations (NCD) Manual pertaining to its NCDs for wrong surgery on a patient, wrong site surgery, and surgery on the wrong patient.

Effective date: January 15, 2009
Implementation date: July 6, 2009, for B MACs and carriers; October 5, 2009, for A MACs, FIs, and FISS

View the transmittal to the Claims Processing Manual.

View the transmittal to the NCD Manual.

CMS issues RAC update

On June 12, CMS updated the Medicare Financial Management Manual with information pertaining to the RAC national program.

Effective date: July 13, 2009
Implementation date: July 13, 2009

View the transmittal.

CMS implements redesigned provider statistical and reimbursement system

On June 12, CMS announced that the redesigned provider statistical and reimbursement system (PS&R) system is now available. The new PS&R will be used for all cost reports ending January 31, 2009, and later. Chapter 8 of the Medicare Financial Management Manual has been updated.

Effective date: July 13, 2009
Implementation date: July 13, 2009

View the transmittal.

CMS implements new CAH requirements

On June 12, CMS implemented new critical access hospital (CAH) requirements Under 42 CFR 485.610(e) related to CAH co-location and CAH provider-based locations.

Effective date: June 12, 2009
Implementation date: June 12, 2009

View the transmittal.

CMS issues transmittal on CMS-855 enrollment applications

On June 12, CMS issued a transmittal in which it changed the time period during which certain Medicare providers and suppliers can submit Medicare enrollment applications in advance of the effective date listed thereon.

Effective date: July 13, 2009
Implementation date: July 13, 2009

View the transmittal.

CMS issues MLN Matters articles

CMS issued several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.



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