Corporate Compliance

Quarterly updates: CMS issues new interest rate, posts flu vaccine transmittal, and more

Medicare Update for Physician Services, November 4, 2010

CMS issues flu vaccine transmittal

On October 22, CMS issued a transmittal to provide updated payment allowances for seasonal influenza virus vaccines.

Effective date: September 1, 2010
Implementation date: November 24, 2010

View the transmittal.

View a related MLN Matters article.

CMS updates HCPCS-TOS crosswalk

On October 22, CMS issued a transmittal to update for 2011 the crosswalk linking HCPCS codes and type-of-service (TOS) indicators. The TOS indicator is mainly used for data purposes but does affect payment in some instances.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

CMS updates overpayment/underpayment interest rate

On October 18, CMS issued a transmittal to instruct contractors to implement an interest rate of 10.75% effective October 22, 2010, for Medicare overpayments and underpayments.

Effective date: October 22, 2010
Implementation date: October 22, 2010

View the transmittal.

CMS updates clotting factor furnishing fee

On October 15, CMS issued a transmittal to implement the annual update to the clotting factor furnishing fee. For 2011, the clotting factor furnishing fee of $0.176 per unit is included in the published payment limit for clotting factors and shall be added to the payment for a clotting factor when no payment limit for the clotting factor is published either on the average-sales-price (ASP) or not-otherwise-classified (NOC) drug pricing files.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

View a related MLN Matters article.

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